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Cited by 56Cancer survivorship and careHead and Neck Cancer StudiesBody Image and Dysmorphia Studies

A Systematic Review of Patient-Reported Outcome Measures Assessing Body Image Disturbance in Patients with Head and Neck Cancer

Open access
Ellis, Mark A., Sterba, Katherine R., Brennan, Emily A., Maurer, Stacey, Hill, Elizabeth G., Day, Terry A., Graboyes, Evan M.·2019·Otolaryngology–Head and Neck Surgery
DOI 10.1177/0194599819829018PMC PMC6546516
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Abstract

OBJECTIVE: To synthesize published literature describing the severity of body image disturbance (BID) in patients with head and neck cancer (HNC) over time, its psychosocial and functional associations, and treatment strategies as assessed by patient-reported outcome measures (PROMs). DATA SOURCE: PubMed/MEDLINE, Scopus, PsycINFO, Web of Science, and Google Scholar. REVIEW METHODS: A systematic review of the English-language literature was performed to identify studies of BID in patients with HNC using psychometrically validated PROMs to assess (1) severity of BID over time, (2) psychosocial and functional associations, and (3) management strategies. RESULTS: A total of 17 studies met inclusion criteria. BID was assessed via 10 different PROMs, none of which were HNC-specific measures of BID. Two of 2 longitudinal studies (100%) reported that BID improved from pretreatment to posttreatment, and 2 of 3 longitudinal studies (67%) showed that the severity of BID decreased over time as survivors got further out from treatment. Seven of 17 studies (41%) described negative functional and psychosocial associations with BID, although study methodology limited conclusions about cause and effect. None of the studies assessing interventions to manage BID (0/2, 0%) demonstrated an improvement in BID relative to control. CONCLUSION: BID in patients with HNC has negative functional and psychosocial associations and lacks evidence-based treatment. Research is limited by the lack of an HNC-specific BID PROM. Further research should address knowledge gaps related to the lack of an HNC-specific BID PROM, longitudinal course of BID in patients with HNC, confusion with regards to risk factors and outcomes, and lack of prevention and treatment strategies.

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  • Body dissatisfaction can cause individuals to avoid social interactions or situations where their bodies might be scrutinized, leading to social isolation, loneliness, and further deterioration in mental health.

    “Furthermore, body dissatisfaction can cause individuals to avoid social interactions or situations where their bodies might be scrutinized, leading to social isolation, loneliness, and further deterioration in mental health.”

    From Body Perceptions and Psychological Well-Being: A Review of the Impact of Social Media and Physical Measurements on Self-Esteem and Mental Health with a Focus on Body Image Satisfaction and Its Relationship with Cultural and Gender Factors (2024) · cites this paper as [122]

    The Results and Discussion sections on factors associated with body image disturbance report associations with depression and reduced quality of life in patients with head and neck cancer. They do not establish that body dissatisfaction causes social avoidance, isolation, or loneliness; the Discussion says the relationship with psychological outcomes remains unknown because most studies were cross-sectional. The claim also extends beyond the patient population reviewed. (LLM, conf=0.88)

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  • Efforts to meet societal beauty standards or personal ideals often result in extreme dieting and excessive exercise, which endanger physical health and perpetuate a cycle of dissatisfaction and negative self-perception.

    “Efforts to meet societal beauty standards or personal ideals often result in engaging in extreme dieting and excessive exercise, among other harmful practices, which not only endanger physical health but also perpetuate a cycle of dissatisfaction and negative self-perception.”

    From Body Perceptions and Psychological Well-Being: A Review of the Impact of Social Media and Physical Measurements on Self-Esteem and Mental Health with a Focus on Body Image Satisfaction and Its Relationship with Cultural and Gender Factors (2024) · cites this paper as [122]

    The Results section on factors associated with body image disturbance reports psychosocial associations in patients with head and neck cancer, not a cycle driven by efforts to meet beauty standards. Searches for extreme dieting, excessive exercise, beauty standards, and the proposed cycle found no passage addressing those claims; page numbers were not available in our copy. (LLM, conf=0.76)

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Research works printed but not linked: 1

  1. [39]Chen S, Huang B, Lin C, Psychosocial effects of a skin camouflage program in female survivors with head and neck cancer: a randomized controlled trial. Psychooncology. 2017; 26: 1376– 1383. 27859893

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Authors
Ellis, M. A., Sterba, K. R., Brennan, E. A., Maurer, S., Hill, E. G., Day, T. A., & Graboyes, E. M.
Affiliations
Medical University of South Carolina (US)
Corresponding author
Ellis, Mark A.
ORCID
Venue
Otolaryngology–Head and Neck Surgery
Publisher
Wiley
Published
2019-02-12
Volume
160
Issue
6
Pages
941-954
ISSN
  • 0161-6439 (ISSN-L)
  • 0194-5998
  • 1097-6817
DOI
10.1177/0194599819829018
PMC
PMC6546516
OpenAlex
W2912560737
Cited by
56
References
58
Citations by year
2026: 4 · 2025: 9 · 2024: 12 · 2023: 7 · 2022: 6 · 2021: 5 · 2020: 9 · 2019: 4
FWCI
0.57
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Otolaryngology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • American Academy of Otolaryngology-Head and Neck Surgery
  • American Cancer Society (IRG‐16‐185‐17)
  • Medical University of South Carolina (P30 CA138313)
Topics
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Health Sciences › Medicine › Otorhinolaryngology › Head and Neck Cancer Studies
  • Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
Keywords
body image disturbance, head and neck cancer, patient-reported outcome measures, psychosocial outcomes, functional outcome, cancer survivors, body image interventions
MeSH terms
Patient Reported Outcome Measures, Body Image, Head and Neck Neoplasms, Humans

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