Biopsychosocial Markers of Body Image Concerns in Patients with Head and Neck Cancer: A Prospective Longitudinal Study
(1) Background: Patients and survivors of head and neck cancer (HNC) are at a high risk of developing body image concerns. Despite the prevalence of body image concerns in patients with HNC, there is a lack of longitudinal research exploring the wide array of its associated determinants. The current...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-06-01
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| Series: | Current Oncology |
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| Online Access: | https://www.mdpi.com/1718-7729/29/7/353 |
| _version_ | 1797406825705897984 |
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| author | Justine G. Albert Christopher Lo Zeev Rosberger Saul Frenkiel Michael Hier Anthony Zeitouni Karen Kost Alex Mlynarek Martin Black Christina MacDonald Keith Richardson Marco Mascarella Gregoire B. Morand Gabrielle Chartier Nader Sadeghi Khalil Sultanem George Shenouda Fabio L. Cury Melissa Henry |
| author_facet | Justine G. Albert Christopher Lo Zeev Rosberger Saul Frenkiel Michael Hier Anthony Zeitouni Karen Kost Alex Mlynarek Martin Black Christina MacDonald Keith Richardson Marco Mascarella Gregoire B. Morand Gabrielle Chartier Nader Sadeghi Khalil Sultanem George Shenouda Fabio L. Cury Melissa Henry |
| author_sort | Justine G. Albert |
| collection | DOAJ |
| description | (1) Background: Patients and survivors of head and neck cancer (HNC) are at a high risk of developing body image concerns. Despite the prevalence of body image concerns in patients with HNC, there is a lack of longitudinal research exploring the wide array of its associated determinants. The current longitudinal study examined the determinants and longitudinal course of body image dissatisfaction in patients with HNC. (2) Methods: Patients participated in Structured Clinical Interviews and self-administered questionnaires at four time-points: (T1) upon cancer diagnosis, (T2) at 3 months post-diagnosis, (T3) at 6 months post-diagnosis, and (T4) at 12 months post-diagnosis. They also underwent a disfigurement rating on an objective scale. (3) Results: Two hundred and twenty-four patients participated in our study. Fourteen percent to twenty-eight percent of patients reported at least moderate body image concerns across time points, with the lowest rates at baseline and the highest at 3 months (T1). It was found that patients more predisposed to developing higher levels of body image concerns presented physical markers (i.e., advanced cancer stage, lower physical functioning, higher disfigurement), psychosocial markers (i.e., higher depression, higher anxiety, and higher levels of coping with denial), and health disparities (i.e., younger age, female sex, French language, and marital status, with divorced and widowers most affected). (4) Conclusions: The findings of this study highlight the multifaceted nature of body image concerns in patients with HNC and its biopsychosocial determinants. Clinicians should pay specific attention to these biopsychosocial markers in their clinics to predict high levels of body image concerns and tailor communication/refer for support accordingly. |
| first_indexed | 2024-03-09T03:32:14Z |
| format | Article |
| id | doaj.art-2eeb70d0929e45f09a7185ff0810964a |
| institution | Directory Open Access Journal |
| issn | 1198-0052 1718-7729 |
| language | English |
| last_indexed | 2024-03-09T03:32:14Z |
| publishDate | 2022-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Current Oncology |
| spelling | doaj.art-2eeb70d0929e45f09a7185ff0810964a2023-12-03T14:52:54ZengMDPI AGCurrent Oncology1198-00521718-77292022-06-012974438445410.3390/curroncol29070353Biopsychosocial Markers of Body Image Concerns in Patients with Head and Neck Cancer: A Prospective Longitudinal StudyJustine G. Albert0Christopher Lo1Zeev Rosberger2Saul Frenkiel3Michael Hier4Anthony Zeitouni5Karen Kost6Alex Mlynarek7Martin Black8Christina MacDonald9Keith Richardson10Marco Mascarella11Gregoire B. Morand12Gabrielle Chartier13Nader Sadeghi14Khalil Sultanem15George Shenouda16Fabio L. Cury17Melissa Henry18Division of Experimental Medicine, Faculty of Medicine, McGill University, Montreal, QC H3A 0G4, CanadaDepartment of Psychology, College of Healthcare Sciences, James Cook University, Singapore 387380, SingaporeGerald Bronfman Department of Oncology, Faculty of Medicine, McGill University, Montreal, QC H3A 0G4, CanadaDepartment of Otolaryngology—Head and Neck Surgery, Faculty of Medicine, McGill University, Montreal, QC H3A 0G4, CanadaLady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC H3T 1E2, CanadaDepartment of Otolaryngology—Head and Neck Surgery, Faculty of Medicine, McGill University, Montreal, QC H3A 0G4, CanadaDepartment of Otolaryngology—Head and Neck Surgery, Faculty of Medicine, McGill University, Montreal, QC H3A 0G4, CanadaDepartment of Otolaryngology—Head and Neck Surgery, Faculty of Medicine, McGill University, Montreal, QC H3A 0G4, CanadaDepartment of Otolaryngology—Head and Neck Surgery, Faculty of Medicine, McGill University, Montreal, QC H3A 0G4, CanadaDepartment of Nursing, Jewish General Hospital, Montreal, QC H3T 1E2, CanadaDepartment of Otolaryngology—Head and Neck Surgery, Faculty of Medicine, McGill University, Montreal, QC H3A 0G4, CanadaDepartment of Otolaryngology—Head and Neck Surgery, Faculty of Medicine, McGill University, Montreal, QC H3A 0G4, CanadaDepartment of Otolaryngology—Head and Neck Surgery, Faculty of Medicine, McGill University, Montreal, QC H3A 0G4, CanadaDepartment of Nursing, Jewish General Hospital, Montreal, QC H3T 1E2, CanadaDepartment of Otolaryngology—Head and Neck Surgery, Faculty of Medicine, McGill University, Montreal, QC H3A 0G4, CanadaDepartment of Otolaryngology—Head and Neck Surgery, Faculty of Medicine, McGill University, Montreal, QC H3A 0G4, CanadaDepartment of Otolaryngology—Head and Neck Surgery, Faculty of Medicine, McGill University, Montreal, QC H3A 0G4, CanadaGerald Bronfman Department of Oncology, Faculty of Medicine, McGill University, Montreal, QC H3A 0G4, CanadaGerald Bronfman Department of Oncology, Faculty of Medicine, McGill University, Montreal, QC H3A 0G4, Canada(1) Background: Patients and survivors of head and neck cancer (HNC) are at a high risk of developing body image concerns. Despite the prevalence of body image concerns in patients with HNC, there is a lack of longitudinal research exploring the wide array of its associated determinants. The current longitudinal study examined the determinants and longitudinal course of body image dissatisfaction in patients with HNC. (2) Methods: Patients participated in Structured Clinical Interviews and self-administered questionnaires at four time-points: (T1) upon cancer diagnosis, (T2) at 3 months post-diagnosis, (T3) at 6 months post-diagnosis, and (T4) at 12 months post-diagnosis. They also underwent a disfigurement rating on an objective scale. (3) Results: Two hundred and twenty-four patients participated in our study. Fourteen percent to twenty-eight percent of patients reported at least moderate body image concerns across time points, with the lowest rates at baseline and the highest at 3 months (T1). It was found that patients more predisposed to developing higher levels of body image concerns presented physical markers (i.e., advanced cancer stage, lower physical functioning, higher disfigurement), psychosocial markers (i.e., higher depression, higher anxiety, and higher levels of coping with denial), and health disparities (i.e., younger age, female sex, French language, and marital status, with divorced and widowers most affected). (4) Conclusions: The findings of this study highlight the multifaceted nature of body image concerns in patients with HNC and its biopsychosocial determinants. Clinicians should pay specific attention to these biopsychosocial markers in their clinics to predict high levels of body image concerns and tailor communication/refer for support accordingly.https://www.mdpi.com/1718-7729/29/7/353body imagecancer oncologypsycho-oncologyhead and neck Cancerlongitudinal |
| spellingShingle | Justine G. Albert Christopher Lo Zeev Rosberger Saul Frenkiel Michael Hier Anthony Zeitouni Karen Kost Alex Mlynarek Martin Black Christina MacDonald Keith Richardson Marco Mascarella Gregoire B. Morand Gabrielle Chartier Nader Sadeghi Khalil Sultanem George Shenouda Fabio L. Cury Melissa Henry Biopsychosocial Markers of Body Image Concerns in Patients with Head and Neck Cancer: A Prospective Longitudinal Study Current Oncology body image cancer oncology psycho-oncology head and neck Cancer longitudinal |
| title | Biopsychosocial Markers of Body Image Concerns in Patients with Head and Neck Cancer: A Prospective Longitudinal Study |
| title_full | Biopsychosocial Markers of Body Image Concerns in Patients with Head and Neck Cancer: A Prospective Longitudinal Study |
| title_fullStr | Biopsychosocial Markers of Body Image Concerns in Patients with Head and Neck Cancer: A Prospective Longitudinal Study |
| title_full_unstemmed | Biopsychosocial Markers of Body Image Concerns in Patients with Head and Neck Cancer: A Prospective Longitudinal Study |
| title_short | Biopsychosocial Markers of Body Image Concerns in Patients with Head and Neck Cancer: A Prospective Longitudinal Study |
| title_sort | biopsychosocial markers of body image concerns in patients with head and neck cancer a prospective longitudinal study |
| topic | body image cancer oncology psycho-oncology head and neck Cancer longitudinal |
| url | https://www.mdpi.com/1718-7729/29/7/353 |
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