Body image distress in head and neck cancer patients: what are we looking at?
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ORIGINAL ARTICLE
Body image distress in head and neck cancer patients: what are we looking at? H. C. Melissant 1,2,3 & F. Jansen 1,2,3 & S. E. Eerenstein 1 & P. Cuijpers 3 & E. Laan 4 A. S. Schuit 3 & K. A. Sherman 6 & C. R. Leemans 1 & I. M. Verdonck-de Leeuw 1,2,3
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B. I. Lissenberg-Witte 5
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Received: 9 June 2020 / Accepted: 26 August 2020 # The Author(s) 2020
Abstract Purpose The aim of the present study is to investigate the prevalence of body image distress among head and neck cancer (HNC) patients after treatment and to examine its association with sociodemographic and clinical factors, health-related quality of life (HRQOL), HNC symptoms, sexuality, self-compassion, and psychological distress. Second, we aim to explore daily life experiences of HNC patients regarding body image. Methods A cross-sectional survey among HNC patients investigated the prevalence of body image distress based on the Body Image Scale. Multivariable logistic regression analysis was applied to study associations with sociodemographic and clinical factors, HRQOL (EORTC QLQ-C30), HNC symptoms (QLQ-HN43), sexuality (FSFI-6; IIEF-5), self-compassion (SCS-SF), and psychological distress (HADS). Qualitative data from a body image writing intervention was used to explore experiences in daily life related to body image. Results Body image distress was prevalent in 13–20% (depending on cut-off scores) of 233 HNC patients. Symptoms of depression (p < 0.001), younger age (p < 0.001), problems with social contact (p = 0.001), problems with wound healing (p = 0.013), and larger extent of surgery (p = 0.014) were associated with having body image distress. This model explained 67% of variance. Writing interventions of 40 HNC patients showed that negative body image experiences were related to appearance and function, with social functioning problems described most often. Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00520-020-05725-1) contains supplementary material, which is available to authorized users. * F. Jansen [email protected] H. C. Melissant [email protected]
I. M. Verdonck-de Leeuw [email protected] 1
Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Otolaryngology–Head and Neck Surgery, Amsterdam Public Health Research Institute, Cancer Center Amsterdam, P.O. Box 7057, 1007 Amsterdam, MB, Netherlands
P. Cuijpers [email protected]
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Cancer Center Amsterdam (CCA), Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
E. Laan [email protected]
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Department of Clinical, Neuro- and Developmental Psychology, Faculty of Behavioral and Movement Sciences, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
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Department of Sexology and Psychosomatic OBGYN, Amsterdam UMC, Academic Medical Center, Amsterdam, The Netherlands
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Department of Epidemiology and Biostatistics, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
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Centre for Emotional Health,
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