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Cited by 151Head and Neck Cancer StudiesCancer survivorship and careChildhood Cancer Survivors' Quality of Life

Psychosocial adjustment of patients surgically treated for head and neck cancer

Gamba, Alessio, Romano, Maria, Grosso, Llaria M., Tamburini, Marcello, Cantú, Giulio, Molinari, Roberto, Ventafridda, Vittorio·1992·Head & Neck
DOI 10.1002/hed.2880140309
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Abstract

Sixty‐six patients, surgically treated for head and neck cancer and free of disease, were interviewed at the outpatient clinic from 6 months to 8 years after surgery. The patients were divided by the physician into two groups, according to the patients' degree of disfigurement, i.e., minor (24 patients, 36%, minor disfigurement group = MDG) or extensive (42 patients, 64%, extensive disfigurement group = EDG). Subsequently, the patients were interviewed with close‐ended questions. The following subjective aspects were assessed: self‐image; relationship with the partner, family, and friends; and the overall impact of the therapy. The results of the study showed a significantly higher impact in the EDG versus the MDG as regards a changed self‐image (57% vs 25%, P < 0.05), a worsened relationship with the partner (27% vs 0%, P < 0.05), a reduced sexuality (74% vs 39%, P < 0.01), and an increased social isolation (36% vs 12%, P < 0.05). On the whole, 18% of the subjects stated that the disadvantages of therapy outweighed the advantages, and 30% felt that the difficulties encountered were “too harsh.” In such cases, the opportunity of setting up a rehabilitation program offering psychosocial support should be considered.

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  • Research across head and neck cancer patients identifies psychosocial difficulties linked to appearance changes, including anxiety, depression, worsened partner relationships, and social isolation.

    “Research with a broad array of head and neck patients identifies a number of psychosocial difficulties associated with appearance changes including high levels of anxiety and depression, worsened relationships with partners and increased social isolation.(1, 2)”

    From Multidimensional analysis of body image concerns among newly diagnosed patients with oral cavity cancer (2010) · cites this paper as [1]

  • Body image is a critical psychosocial issue for oral cancer patients because the disease and its treatment can cause disfigurement and functional impairment.

    “Body image is recognized as a critical psychosocial issue for individuals with oral cancer, as the disease and its treatment can have devastating consequences involving disfigurement and functional impairment.”

    From Multidimensional analysis of body image concerns among newly diagnosed patients with oral cavity cancer (2010) · cites this paper as [1]

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Authors
Gamba, A., Romano, M., Grosso, L. M., Tamburini, M., Cantú, G., Molinari, R., & Ventafridda, V.
Corresponding author
Tamburini, Marcello
ORCID
Venue
Head & Neck
Publisher
Wiley
Published
1992-05
Volume
14
Issue
3
Pages
218-223
ISSN
  • 1043-3074 (ISSN-L)
  • 1097-0347
DOI
10.1002/hed.2880140309
OpenAlex
W2014404203
Cited by
151
References
26
Citations by year
2025: 5 · 2024: 2 · 2023: 2 · 2022: 5 · 2021: 1 · 2020: 2 · 2018: 4 · 2017: 6 · 2016: 2 · 2015: 9 · 2014: 7 · 2013: 6 · 2012: 11
FWCI
2.25
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 5191 d)
Locations
  • Head & Neck (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Otorhinolaryngology › Head and Neck Cancer Studies
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
Keywords
head and neck cancer, psychosocial adjustment, self-image, sexual function, social isolation, relationship with partner, psychosocial rehabilitation
MeSH terms
Adult, Aged, Body Image, Esthetics, Face, Family, Female, Follow-Up Studies, Head and Neck Neoplasms, Humans, Interpersonal Relations, Male, Middle Aged, Postoperative Complications, Sexual Behavior, Social Adjustment

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