Body Image Concerns in Patients With Head and Neck Cancer: A Longitudinal Study
Open accessAbstract
Objective: Head and neck cancer (HNC) treatments are known to significantly affect functionality and appearance, leading to an increased risk for body image disturbances. Yet, few longitudinal studies exist to examine body image in these patients. Based on a conceptual model, the current study aimed to determine, in patients newly diagnosed with HNC: (1) the prevalence, level, and course of body image concerns; (2) correlates of upon cancer diagnosis (pre-treatment) body image concerns; (3) predictors of immediate post-treatment body image concerns; and (4) association between body image concerns and levels of anxiety, depression, suicidal ideation, support (i.e., satisfaction with support from physician, social/family wellbeing, and unmet support needs), and alcohol and drug misuse. Methods: Two hundred and twenty-three (participation rate = 72%), newly diagnosed with a primary HNC were assessed using structured clinical interviews and psychometric measures at three, and 6 months after diagnosis. Primary outcome was 3-month, as it was most salient to body image disturbance. Multiple linear regression analyses were conducted on the potential body image predictors, based on the model. Results: Sixty-eight percent of patients with HNC (n = 148 of 218) presented some level of body image concerns. Body image concerns at baseline (i.e., upon cancer diagnosis, pre-treatment) and post-treatment were significantly related and significantly increased from pre- to post-treatment. Immediately post-treatment (i.e., at 3 month follow-up), 89% (n = 132 of 148) presented some level of body image concerns. Correlates of body image concerns in patients with HNC at baseline included: physical symptom burden, difficulties with communication and eating, coping with the cancer diagnosis using denial, suicidal ideation, and having had a past anxiety diagnosis. When controlling for sociodemographic and medical variables, body image concerns in patients with HNC in the immediate post-treatment were predicted by: baseline body image, physical symptom burden, and neuroticism. Conclusion: This longitudinal study helps identify patients more susceptible to experience body image disturbance following head and neck cancer. Clinicians ought to pay special attention to body image concerns upon cancer diagnosis, physical symptom burden, and neuroticism, and may want to target these factors in future preventive interventions.
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Patients with head and neck cancer reported elevated body image distress even before treatment, due to the head and neck cancer illness itself.
“patients with HNC reported elevated body image distress even before treatment [25], due to the HNC illness itself”
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 [25]
The Discussion reports that 68% of patients had body image concerns before treatment. It says these concerns may be partly due to physical symptoms and changes in speech and eating, but does not establish that the HNC illness itself caused them; it also identifies psychological correlates. The supplied passages have no page numbers. (LLM, conf=0.86)
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“Moreover, patients with HNC reported elevated body image distress even before treatment [25], due to the HNC illness itself (i.”
BackgroundResultInfluential
- Authors
- Henry, M., Albert, J. G., Frenkiel, S., Hier, M., Zeitouni, A., Kost, K., Mlynarek, A., Black, M., MacDonald, C., Richardson, K., Mascarella, M., Morand, G. B., Chartier, G., Sadeghi, N., Lo, C., & Rosberger, Z.
- Affiliations
- Jewish General Hospital (CA)
- McGill University Health Centre (CA)
- University of Toronto (CA)
- ORCID
- Venue
- Frontiers in Psychology
- Publisher
- Frontiers Media SA
- Published
- 2022-03-24
- Volume
- 13
- Pages
- 816587-816587
- ISSN
- 1664-1078 (ISSN-L)
- PMC
- PMC8988682
- OpenAlex
- W4221021090
- Cited by
- 57
- References
- 76
- Citations by year
- 2026: 14 · 2025: 13 · 2024: 14 · 2023: 11 · 2022: 5
- FWCI
- 4.49
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Psychology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- ResearchOnline - JCU (James Cook University) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Fonds de Recherche du Québec - Santé (24910)
- 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
- head and neck cancer, body image concern, body image disturbance, physical symptom burden, neuroticism, suicidal ideation, anxiety, depression, social support, coping with cancer diagnosis, denial, alcohol and drug abuse
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