Fingeret Michelle Cororve, Yuan Ying, Urbauer Diana, Weston June, Nipomnick Summer, Weber Randal
The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Psychooncology. 2012 Aug;21(8):836-44. doi: 10.1002/pon.1990. Epub 2011 Jun 27.
The purpose of this study was to describe body image concerns for surgically treated patients with head and neck cancer and evaluate the relationship between body image concerns and quality of life outcomes.
Data were obtained from 280 patients undergoing surgical treatment for head and neck cancer. We used a cross-sectional design and obtained data from individuals at different time points relative to initiation of surgical treatment. Participants completed the Body Image Scale, the Functional Assessment of Cancer Therapy Scale-Head and Neck Version, and a survey designed for this study to evaluate disease-specific body image issues, satisfaction with care regarding body image issues, and interest in psychosocial intervention.
Body image concerns were prevalent in the majority of participants with 75% acknowledging concerns or embarrassment about one or more types of bodily changes at some point during treatment. Significant associations were found between body image concerns and all major domains of quality of life. Age, gender, cancer type, time since surgery, and body image variables were significantly associated with psychosocial outcomes. A clear subset of participants expressed dissatisfaction with care received about body image issues and/or indicated they would have liked additional resources to help them cope with body image changes.
These data provide useful information to document wide-ranging body image difficulties for this population and provide important targets for the development of relevant psychosocial interventions.
本研究的目的是描述接受手术治疗的头颈癌患者的身体形象问题，并评估身体形象问题与生活质量结果之间的关系。
数据来自280例接受头颈癌手术治疗的患者。我们采用横断面设计，在相对于手术治疗开始的不同时间点从个体获取数据。参与者完成了身体形象量表、癌症治疗功能评估量表-头颈版，以及为本研究设计的一项调查，以评估特定疾病的身体形象问题、对身体形象问题护理的满意度，以及对心理社会干预的兴趣。
大多数参与者存在身体形象问题，75%的人承认在治疗期间的某个时候对一种或多种身体变化感到担忧或尴尬。身体形象问题与生活质量的所有主要领域之间存在显著关联。年龄、性别、癌症类型、手术后时间和身体形象变量与心理社会结果显著相关。有一部分参与者明确表示对身体形象问题的护理不满意，和/或表示他们希望获得更多资源来帮助他们应对身体形象变化。
这些数据提供了有用的信息，记录了该人群广泛存在的身体形象问题，并为相关心理社会干预措施的制定提供了重要目标。
