Pruyn J F, de Jong P C, Bosman L J, van Poppel J W, van Den Borne H W, Ryckman R M, de Meij K
Clin Otolaryngol Allied Sci. 1986 Dec;11(6):469-74. doi: 10.1111/j.1365-2273.1986.tb00153.x.
This study is a systematic analysis of the literature on psychosocial aspects in head and neck cancer patients. Patients with head and neck cancer experience a variety of physical as well as psychosocial problems. Physical problems include swallowing or chewing, speech and physical appearance. Psychosocial problems include anxiety, depression, loss of self-esteem and uncertainty about the future. Because of these problems, isolation from friends typically occurs, re-employment is difficult, and there are social and sexual tensions within families. Information and support by professionals, partners and/or fellow patients are related to positive rehabilitation outcomes such as the acquisition of speech, increases in constructive social functioning and decreases in depression.