Anxiety, Coping Strategies, and Coping Behaviors in Patients Undergoing Head and Neck Cancer Surgery
Abstract
BACKGROUND: Little is reported in the scientific literature about the modulating effect of anxiety on the coping process before and after surgical treatment for head and neck cancer. OBJECTIVES: The major purpose of this article is to describe the relationships among preoperative anxiety and use of coping strategies, and postoperative self-care and resocialization behaviors in patients who sustain facial disfigurement/dysfunction with head and neck cancer surgery. METHODS: Using a prospective descriptive design, 75 (N = 75) adults who were about to sustain facial disfigurement and dysfunction associated with head and neck cancer surgery were entered into the study. The State Trait Anxiety Inventory and the Ways of Coping Questionnaire were administered to the respondents. The Disfigurement/Dysfunction Scale and Coping Behaviors Score values were calculated by the investigator. RESULTS: Self-care and anxiety were significantly correlated on postoperative day 4 (r = 2.30; p < .05) and on postoperative day 5 (r = 2.35; p < .05). For the 3 days under study, the relationship between total self-care and anxiety became stronger on postoperative day 5 (r = 2.39; p < .01), indicating that self-care on postoperative day 4 is related to reduced anxiety on postoperative day 5. In other words, self-care appears to precede reduction in anxiety in this sample. Secondly, there was a negative relationship between self-care and anxiety that increased over the early postoperative period. CONCLUSIONS: This study prospectively documents anxiety in surgical head and neck cancer patients. The findings suggest that at a specific point in time (postoperative day 5), self-care precedes reduction in anxiety, and that this negative relationship increases over time. Additional investigation is now critical in order to describe long-term recovery after surgical treatment for head and neck cancer and to develop appropriate interventions to meet the unique needs of this population.
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Previous research supports the influence of preoperative expectations or anticipation of disfigurative head and neck cancer treatment on distress, anxiety, coping effectiveness, and post-operative satisfaction.
“Previous research supports the influence of preoperative expectations/anticipation of disfigurative HNC treatment on distress, anxiety, coping effectiveness, and post-operative satisfaction”
From Psychological variables associated with quality of life in patients with head and neck cancer: the role of body image distress (2022) · cites this paper as [24]
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A Health Promotion Perspective of Living with Head and Neck Cancer
Bjrklund, M. (2012) · InTech eBooks · doi:10.5772/32303 · Cited by 1 · see citing works
Molecular biology as applied to head and neck oncology
Wreesmann, V. B., & Singh, B. (2012) · CRC Press eBooks · doi:10.1201/b13389-5 · Cited by 1 · see citing works
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Coping with Cancer in Patients with Head and Neck Cancers in Iran
Moslemi, F., Rahbanian, N., Abbaszadeh, E., Kalantari, B., & Hashemipour, M. A. (2021) · Acta Scientific Dental Scienecs · doi:10.31080/asds.2021.05.1132 · Cited by 1 · see citing works
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- Authors
- Dropkin, M. J.
- Affiliations
- Long Island University (US)
- Corresponding author
- Dropkin, Mary Jo
- Venue
- Cancer Nursing
- Published
- 2001-04
- Volume
- 24
- Issue
- 2
- Pages
- 143-148
- ISSN
- 0162-220X (ISSN-L)
- OpenAlex
- W2092653244
- Cited by
- 103
- References
- 17
- Citations by year
- 2024: 4 · 2023: 4 · 2022: 3 · 2021: 5 · 2020: 6 · 2019: 3 · 2018: 2 · 2017: 4 · 2016: 3 · 2015: 5 · 2014: 1 · 2013: 7 · 2012: 7
- FWCI
- 1.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Cancer Nursing (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01nr002239-03)
- National Institute of Nursing Research (R01NR02239A)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Otorhinolaryngology › Head and Neck Cancer Studies
- Social Sciences › Psychology › Social Psychology › Music Therapy and Health
- Keywords
- head and neck cancer, preoperative anxiety, coping strategies, coping styles, postoperative self-care, resocialization, facial disfigurement, anxiety reduction
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Anxiety, Body Image, Female, Head and Neck Neoplasms, Humans, Male, Middle Aged, Postoperative Complications, Prospective Studies, Self Care
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