Covrig Vlad Ioan, Lazăr Diana Elena, Costan Victor Vlad, Postolică Roxana, Ioan Beatrice Gabriela
Doctoral School, Grigore T. Popa University of Medicine and Pharmacy, 700115 Iasi, Romania.
Department of Oncology, Regional Institute of Oncology, 700483 Iasi, Romania.
Medicina (Kaunas). 2021 Oct 9;57(10):1078. doi: 10.3390/medicina57101078.
It is well known that among all cancers, cancers of the head and neck (HNC) have a major impact on patients' quality of life. Disfigurement, anxiety and disabling physical and psychological symptoms affect people with HNC to such an extent that the suicide rate in this category of patients is exceeded only by that of patients with pancreatic cancer. The aim of this review was to summarize the published literature describing the severity of body image and quality of life impairment in patients with HNC over time, and to examine the psychosocial and functional associations and interventions implemented to improve body image and quality of life. We conducted a literature search from 1 January 2018 to June 2021 that included electronic searches of six major databases (PubMed, ScienceDirect, ProQuest, PsycINFO, PsychArticles and Scopus) and review of references of articles screened. Of 620 records, only 9 articles met the eligibility criteria. Numerous studies have been conducted to analyze various psychological variables, but there is still a lack of standardization in the assessment of body image perception (BI) and quality of life, resulting in small-scale testing of interventions with poor results. Expected longitudinal studies describing the flow of body image problems and the mediation and balance factors associated with body image will allow researchers to design methods aimed at limiting body image disorders and thus improving quality of life of patients with head and neck cancer.
众所周知，在所有癌症中，头颈癌（HNC）对患者的生活质量有重大影响。毁容、焦虑以及致残性的身体和心理症状对HNC患者影响极大，以至于这类患者的自杀率仅次于胰腺癌患者。本综述的目的是总结已发表的文献，描述HNC患者身体形象和生活质量受损严重程度随时间的变化情况，并研究为改善身体形象和生活质量而实施的社会心理和功能关联及干预措施。我们进行了一项从2018年1月1日至2021年6月的文献检索，包括对六个主要数据库（PubMed、ScienceDirect、ProQuest、PsycINFO、PsychArticles和Scopus）进行电子检索，并对筛选出的文章参考文献进行回顾。在620条记录中，只有9篇文章符合纳入标准。已经进行了大量研究来分析各种心理变量，但在身体形象认知（BI）和生活质量评估方面仍缺乏标准化，导致干预措施的小规模测试效果不佳。预期的纵向研究描述身体形象问题的发展过程以及与身体形象相关的调节和平衡因素，将使研究人员能够设计出旨在限制身体形象障碍从而改善头颈癌患者生活质量的方法。
