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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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Autores principales: Albert, Justine G., Lo, Christopher, Rosberger, Zeev, Frenkiel, Saul, Hier, Michael, Zeitouni, Anthony, Kost, Karen, Mlynarek, Alex, Black, Martin, MacDonald, Christina, Richardson, Keith, Mascarella, Marco, Morand, Gregoire B., Chartier, Gabrielle, Sadeghi, Nader, Sultanem, Khalil, Shenouda, George, Cury, Fabio L., Henry, Melissa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9319375/
https://www.ncbi.nlm.nih.gov/pubmed/35877213
http://dx.doi.org/10.3390/curroncol29070353
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author Albert, Justine G.
Lo, Christopher
Rosberger, Zeev
Frenkiel, Saul
Hier, Michael
Zeitouni, Anthony
Kost, Karen
Mlynarek, Alex
Black, Martin
MacDonald, Christina
Richardson, Keith
Mascarella, Marco
Morand, Gregoire B.
Chartier, Gabrielle
Sadeghi, Nader
Sultanem, Khalil
Shenouda, George
Cury, Fabio L.
Henry, Melissa
author_facet Albert, Justine G.
Lo, Christopher
Rosberger, Zeev
Frenkiel, Saul
Hier, Michael
Zeitouni, Anthony
Kost, Karen
Mlynarek, Alex
Black, Martin
MacDonald, Christina
Richardson, Keith
Mascarella, Marco
Morand, Gregoire B.
Chartier, Gabrielle
Sadeghi, Nader
Sultanem, Khalil
Shenouda, George
Cury, Fabio L.
Henry, Melissa
author_sort Albert, Justine G.
collection PubMed
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.
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spelling pubmed-93193752022-07-27 Biopsychosocial Markers of Body Image Concerns in Patients with Head and Neck Cancer: A Prospective Longitudinal Study Albert, Justine G. Lo, Christopher Rosberger, Zeev Frenkiel, Saul Hier, Michael Zeitouni, Anthony Kost, Karen Mlynarek, Alex Black, Martin MacDonald, Christina Richardson, Keith Mascarella, Marco Morand, Gregoire B. Chartier, Gabrielle Sadeghi, Nader Sultanem, Khalil Shenouda, George Cury, Fabio L. Henry, Melissa Curr Oncol Article (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. MDPI 2022-06-22 /pmc/articles/PMC9319375/ /pubmed/35877213 http://dx.doi.org/10.3390/curroncol29070353 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Albert, Justine G.
Lo, Christopher
Rosberger, Zeev
Frenkiel, Saul
Hier, Michael
Zeitouni, Anthony
Kost, Karen
Mlynarek, Alex
Black, Martin
MacDonald, Christina
Richardson, Keith
Mascarella, Marco
Morand, Gregoire B.
Chartier, Gabrielle
Sadeghi, Nader
Sultanem, Khalil
Shenouda, George
Cury, Fabio L.
Henry, Melissa
Biopsychosocial Markers of Body Image Concerns in Patients with Head and Neck Cancer: A Prospective Longitudinal Study
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 Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9319375/
https://www.ncbi.nlm.nih.gov/pubmed/35877213
http://dx.doi.org/10.3390/curroncol29070353
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