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Supportive Care in Cancer

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01-03-2020 | Mood Disorders | Original Article

Body image and its associated factors among Chinese head and neck cancer patients undergoing surgical treatment: a cross-sectional survey

Authors: Changlian Chen, Jiayan Cao, Lingling Wang, Rui Zhang, Hong Li, Juan Peng

Published in: Supportive Care in Cancer | Issue 3/2020

Abstract

Purpose

Body image is a critical psychosocial issue for patients with head and neck cancer. However, the current status and associated factors of body image in patients with head and neck cancer in Mainland China remain unknown. This study aimed to explore body image concerns for head and neck cancer patients undergoing surgical treatment in Mainland China and to identify the associated factors.

Methods

A cross-sectional study was conducted including 154 patients who underwent surgery for head and neck cancer at Tianjin Medical University Cancer Institute & Hospital in Mainland China. Participants were surveyed using the Body Image Scale (BIS), the Perceived Social Support Scale (PSSS), the Simplified Coping Style Questionnaire (SCSQ), the Hospital Anxiety and Depression Scale (HADS), and a questionnaire designed for this study. The Mann-Whitney U test, Kruskal-Wallis H test, Spearman’s rank correlation, and stepwise multiple regression analysis were used to analyze the data.

Results

The score of BIS was 6.00 (4.00, 8.00). Multiple regression analysis revealed that anxiety, cancer stage, sex, active coping style, and educational level were factors related to body image. These five variables accounted for 40.7% of the total variance in body image.

Conclusions

These findings indicate body image dissatisfaction in surgically treated patients with head and neck cancer. Patients with greater anxiety, a more advanced cancer stage, female sex, fewer active coping strategies, and higher education are more likely to have an inferior body image. Assessment and effective psychosocial interventions are needed initially for patients with head and neck cancer to manage body image concerns.

The free dictionary (2019) Body Image. https://www.thefreedictionary.com/body+image. Accessed 15 Jan 2019

Dropkin MJ (1999) Body image and quality of life after head and neck cancer surgery. Cancer Pract 7(6):309–313CrossRef

Taylor-Ford M, Meyerowitz BE, D’Orazio LM, Christie KM, Gross ME, Agus DB (2013) Body image predicts quality of life in men with prostate cancer. Psychooncology 22(4):756–761. https://doi.org/10.1002/pon.3063 CrossRefPubMed

Fingeret MC, Yuan Y, Urbauer D, Weston J, Nipomnick S, Weber R (2012) The nature and extent of body image concerns among surgically treated patients with head and neck cancer. Psycho-Oncology 21(8):836–844. https://doi.org/10.1002/pon.1990 CrossRefPubMed

Chen SC, Huang CY, Huang BS, Lin CY, Fan KH, Chang JT, Wu SC, Lai YH (2018) Factors associated with healthcare professional’s rating of disfigurement and self-perceived body image in female patients with head and neck cancer. Eur J Cancer Care (Engl) 27(2):e12710. https://doi.org/10.1111/ecc.12710 CrossRef

Katre C, Johnson IA, Humphris GM, Lowe D, Rogers SN (2008) Assessment of problems with appearance, following surgery for oral and oro-pharyngeal cancer using the University of Washington appearance domain and the Derriford appearance scale. Oral Oncol 44(10):927–934. https://doi.org/10.1016/j.oraloncology.2007.12.006 CrossRefPubMed

Millsopp L, Brandom L, Humphris G, Lowe D, Stat C, Rogers S (2006) Facial appearance after operations for oral and oropharyngeal cancer: a comparison of casenotes and patient-completed questionnaire. Br J Oral Maxillofac Surg 44(5):358–363CrossRef

Clarke SA, Newell R, Thompson A, Harcourt D, Lindenmeyer A (2014) Appearance concerns and psychosocial adjustment following head and neck cancer: a cross-sectional study and nine-month follow-up. Psychol Health Med 19(5):505–518. https://doi.org/10.1080/13548506.2013.855319 CrossRefPubMed

Fingeret MC, Vidrine DJ, Reece GP, Gillenwater AM, Gritz ER (2010) Multidimensional analysis of body image concerns among newly diagnosed patients with oral cavity cancer. Head Neck 32(3):301–309. https://doi.org/10.1002/hed.21181 CrossRefPubMedPubMedCentral

10.

Rhoten BA, Deng J, Dietrich MS, Murphy B, Ridner SH (2014) Body image and depressive symptoms in patients with head and neck cancer: an important relationship. Support Care Cancer 22(11):3053–3060. https://doi.org/10.1007/s00520-014-2312-2 CrossRefPubMedPubMedCentral

11.

Raggio GA, Naik AD, Moye J (2017) Body image satisfaction among male military veterans with cancer. J Health Psychol 24:909–917. https://doi.org/10.1177/1359105317690035 CrossRefPubMedPubMedCentral

12.

Hung TM, Lin CR, Chi YC, Lin CY, Chen EY, Kang CJ, Huang SF, Juang YY, Huang CY, Chang JT (2017) Body image in head and neck cancer patients treated with radiotherapy: the impact of surgical procedures. Health Qual Life Outcomes 15(1):165. https://doi.org/10.1186/s12955-017-0740-7 CrossRefPubMedPubMedCentral

13.

Chen W, Zheng R, Baade PD, Zhang S, Zeng H, Bray F, Jemal A, Yu XQ, He J (2016) Cancer statistics in China, 2015. CA Cancer J Clin 66(2):115–132. https://doi.org/10.3322/caac.21338 CrossRefPubMed

14.

Bai Y (2013) Characteristics of physical self-concept and negative physical self and the mental health status and the related research of head-neck carcinoma patients with depression. Army Medical University, Chongqing

15.

Ni P, Chen J, Liu N (2010) The sample size estimation in quantitative nursing research. Chin J Nurs 45(4):378–380. https://doi.org/10.3761/j.issn.0254-1769.2010.04.038 CrossRef

16.

Hopwood P, Fletcher I, Lee A, AI Ghazal S (2001) A body image scale for use with cancer patients. Eur J Cancer 37(2):189–197CrossRef

17.

Chen SC, Yu PJ, Hong MY, Chen MH, Chu PY, Chen YJ, Wang CP, Lai YH (2015) Communication dysfunction, body image, and symptom severity in postoperative head and neck cancer patients: factors associated with the amount of speaking after treatment. Support Care Cancer 23(8):2375–2382. https://doi.org/10.1007/s00520-014-2587-3 CrossRefPubMed

18.

Zimet GD, Powell SS, Farley GK, Werkman S, Berkoff KA (1990) Psychometric characteristics of the multidimensional scale of perceived social support. J Pers Assess 55(3–4):610–617CrossRef

19.

Huang L, Jiang QJ, Ren WH (1999) The correlational study on coping modes, social support and psychosomatic symptoms among cancer patients. Chin Ment Health J 8(3):199–201

20.

Xie YN (1998) Reliability and validity of the simplified coping style questionnaire. Chin J Clin Psychol 6(2):114–115

21.

Zigmond AS, Snaith RP (1983) The hospital anxiety and depression scale. Acta Psychiatr Scand 67(6):361–370CrossRef

22.

De Boer MF, McCormick LK, Pruyn JF, Ryckman RM, van den Borne BW (1999) Physical and psychosocial correlates of head and neck cancer: a review of the literature. Otolaryngol Head Neck Surg 120(3):427–436CrossRef

23.

Lebel S, Castonguay M, Mackness G, Irish J, Bezjak A, Devins GM (2013) The psychosocial impact of stigma in people with head and neck or lung cancer. Psychooncology 22(1):140–152. https://doi.org/10.1002/pon.2063 CrossRefPubMed

24.

Melnyk SE, Cash TF, Janda LH (2004) Body image ups and downs: prediction of intra-individual level and variability of women’s daily body image experiences. Body Image 1(3):225–235CrossRef

Title: Body image and its associated factors among Chinese head and neck cancer patients undergoing surgical treatment: a cross-sectional survey
Authors: Changlian Chen
Jiayan Cao
Lingling Wang
Rui Zhang
Hong Li
Juan Peng
Publication date: 01-03-2020
Publisher: Springer Berlin Heidelberg
Keywords: Mood Disorders
Affective Disorder
Anxiety
Published in: Supportive Care in Cancer / Issue 3/2020
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-019-04940-9

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