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Head Neck. 2016 Jul;38(7):1035-42. doi: 10.1002/hed.24415. Epub 2016 Mar 11.

Salient body image concerns of patients with cancer undergoing head and neck reconstruction.

Author information

1
Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, Texas.
2
Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas.
3
Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, Texas.
4
Department of Statistics, Rice University, Houston, Texas.
5
Department of Occupational Therapy, Washington University School of Medicine, St. Louis, Missouri.
6
Department of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas.

Abstract

BACKGROUND:

Patients with cancer undergoing head and neck reconstruction can experience significant distress from alterations in appearance and bodily functioning. We sought to delineate salient dimensions of body image concerns in this patient population preparing for reconstructive surgery.

METHODS:

Participants completed self-report questionnaires evaluating numerous aspects of body image. We used Bayesian factor analysis modeling methods to identify latent factors emerging from the data.

RESULTS:

We identified 2 latent factors: appearance distress and functional difficulties. The highest level of preoperative body image concerns were related to distress about appearance changes and its perceived social consequences. Appearance distress items displayed greater variability compared with functional difficulties.

CONCLUSION:

Appearance and functional changes to body image are important areas of concern for patients with head and neck cancer as they prepare for reconstructive surgery. Knowledge regarding specific body image issues can be used to guide psychosocial assessments and intervention to enhance patient care. © 2016 Wiley Periodicals, Inc. Head Neck 38: 1035-1042, 2016.

KEYWORDS:

body image; head and neck cancer; psychosocial; quality of life; reconstruction

PMID:
26970013
DOI:
10.1002/hed.24415
[Indexed for MEDLINE]

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