An Investigation into Body Image Concerns in the Head and Neck Cancer Population Receiving Radiation or Chemoradiation Using the Body Image Scale: A Pilot Study

Branch, Leah; Feuz, Carina; McQuestion, Maurene

doi:10.1016/j.jmir.2016.10.002

Cited by 4 publications

(9 citation statements)

References 22 publications

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“…This may be more related to fear or expectations than existing body image problems. If only BIS outcomes are compared, comparable levels of body image distress were found [36,37]. In a study among HNC patients, for instance, < 15% had a BIS score higher than 9 [36], and in a study among female HNC patients, the mean overall BIS score was 4.50 [37].…”

Section: Discussionmentioning

confidence: 97%

Body image distress in head and neck cancer patients: what are we looking at?

Melissant

Jansen

Eerenstein

et al. 2020

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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 cutoff 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.

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Section: Discussionmentioning

confidence: 97%

Body image distress in head and neck cancer patients: what are we looking at?

Melissant

Jansen

Eerenstein

et al. 2020

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“…To our knowledge, this is the first prospective cohort study following surgically treated HNC survivors for 1 year posttreatment to assess the temporal trajectory of BID with a validated PROM of BID. As such, this study represents a methodological improvement over prior research that was cross-sectional in nature, 11,[13][14][15][16][17] included only short-term follow-up, 3,18 or used nonvalidated measures of BID. 19 Herein, we (1) demonstrate that the severity of BID worsens posttreatment relative to pretreatment (baseline) levels until 9 months posttreatment; (2) describe that >40% of patients fail to return to their pretreatment level at 9 months posttreatment; (3) highlight a large subset of HNC survivors who fail to recover to pretreatment body image levels and experience a more protracted course of posttreatment BID; and (4) show that >50% of HNC survivors experience clinically significant posttreatment worsening in body image concerns.…”

Section: Discussionmentioning

confidence: 99%

“…[9][10][11] There are significant gaps in our knowledge of the epidemiology of BID in HNC survivors, even though it is a key component of survivorship care. 12 Specifically, because most studies have been cross-sectional in nature, 11,[13][14][15][16][17] included only short-term follow-up, 3,18 or used nonvalidated measures of BID, 19 there is a lack of data about the temporal trajectory of, and risk factors for, BID in surgically treated HNC survivors. 1,2 It is critical to more fully characterize the longitudinal course of BID in HNC survivors to enhance preoperative counseling and facilitate the delivery of optimally timed preventative and therapeutic interventions targeted to high-risk patients.…”

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confidence: 99%

Temporal Trajectory of Body Image Disturbance in Patients with Surgically Treated Head and Neck Cancer

Graboyes

Hill

Marsh

et al. 2020

Otolaryngol.--head neck surg.

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Objectives To characterize the temporal trajectory of body image disturbance (BID) in patients with surgically treated head and neck cancer (HNC). Study Design Prospective cohort study. Setting Academic medical center. Subjects and Methods: Patients with HNC who were undergoing surgery completed the Body Image Scale (BIS), a validated patient-reported outcome measure of BID, pretreatment and 1, 3, 6, 9, and 12 months posttreatment. Changes in BIS scores (ΔBIS) relative to pretreatment (primary endpoint) were analyzed with a linear mixed model. Associations between demographics, clinical characteristics, psychosocial attributes, and persistently elevated BIS scores and increases in BIS scores ≥5 points relative to pretreatment (secondary endpoints) were analyzed through logistic regression. Results Of the 68 patients, most were male (n = 43), had oral cavity cancer (n = 37), and underwent microvascular reconstruction (n = 45). Relative to baseline, mean ΔBIS scores were elevated at 1 month postoperatively (2.9; 95% CI, 1.3-4.4) and 3 (3.2; 95% CI, 1.5-4.9) and 6 (1.8; 95% CI, 0.02-3.6) months posttreatment before returning to baseline at 9 months posttreatment (0.9; 95% CI, –0.8 to 2.5). Forty-three percent of patients (19 of 44) had persistently elevated BIS scores at 9 months posttreatment relative to baseline, and 51% (31 of 61) experienced an increase in BIS scores ≥5 relative to baseline. Conclusions In this cohort of patients surgically treated for HNC, BID worsens posttreatment before returning to pretreatment (baseline) levels at 9 months posttreatment. However, 4 in 10 patients will experience a protracted course with persistent posttreatment body image concerns, and half will experience a significant increase in BIS scores relative to pretreatment levels.

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“…Psychological, emotional, social, and functional characteristics were assessed with the following validated patient-reported outcome measures (PROMs): Shame and Stigma Scale, 11 PROMIS-SF v1.0-Depression 4a and Anxiety 4a, 12 PROMIS-SF v2.0-Social Isolation and Satisfaction with Social Roles and Activities 4a and 4a, 13 and Performance Status Scale-Head and Neck. 14 The primary outcome measure was the Body Image Scale (BIS), a validated PROM of BID in oncology patients 4 that has been widely used to study BID in HNC 5,6,[15][16][17][18] ; BIS scores of ≥10 are considered clinically significant. 19,20 Data were collected at enrollment, 1 month postoperatively, and 3 months after treatment completion (surgery or adjuvant therapy).…”

Section: Methodsmentioning

confidence: 99%

Body Image Disturbance in Surgically Treated Head and Neck Cancer Patients: A Prospective Cohort Pilot Study

Graboyes

Hill

Marsh

et al. 2019

Otolaryngol.--head neck surg.

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This prospective cohort pilot study sought to characterize the short-term temporal trajectory of, and risk factors for, body image disturbance (BID) in patients with head and neck cancer (HNC). Most patients were male (35/56), had oral cavity cancer (33/56), and underwent microvascular reconstruction (37/56). Using the Body Image Scale (BIS), a validated patient-reported outcome measure of BID, the prevalence of BID (BIS ≥10) increased from 11% preoperatively to 25% at 1 month postoperatively and 27% at 3 months posttreatment ( P < .001 and P = .0014 relative to baseline, respectively). Risk factors for BID included female sex (odds ratio [OR], 4.8; 95% confidence interval [CI], 1.3-19.8), pT 3 to 4 tumors (OR, 8.9; 95% CI, 2.0-63.7), and more severe baseline shame and stigma (OR, 1.06; 95% CI, 1.01-1.13), depression (OR, 1.25; 95% CI, 1.06-1.51), and social isolation (OR, 1.21; 95% CI, 1.01-1.49). The prevalence and severity of BID increase immediately posttreatment. Demographic, oncologic, and psychosocial characteristics identify high-risk patients for targeted interventions.

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An Investigation into Body Image Concerns in the Head and Neck Cancer Population Receiving Radiation or Chemoradiation Using the Body Image Scale: A Pilot Study

Cited by 4 publications

References 22 publications

Body image distress in head and neck cancer patients: what are we looking at?

Body image distress in head and neck cancer patients: what are we looking at?

Temporal Trajectory of Body Image Disturbance in Patients with Surgically Treated Head and Neck Cancer

Body Image Disturbance in Surgically Treated Head and Neck Cancer Patients: A Prospective Cohort Pilot Study

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