Psychosexual therapy and education in patients treated for cancer of the head and neck

Hoole, J.; Kanatas, Anastasios; Mitchell, David A.

doi:10.1016/j.bjoms.2015.04.022

Cited by 11 publications

(6 citation statements)

References 12 publications

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“…Referral for psychosexual therapy may be beneficial in some circumstances. 57 Individuals treated with irradiation to the skull base are at risk of hypothalamic-pituitary axis disorders. 58 Specifically, up to 20% of patients treated with radiotherapy for nasopharyngeal carcinoma may experience hypogonadism.…”

Section: Sexual Dysfunction and Intimacymentioning

confidence: 99%

Head and neck cancer survivorship consensus statement from the American Head and Neck Society

Goyal

Day

Epstein

et al. 2021

Laryngoscope Investig Oto

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Objectives: To provide a consensus statement describing best practices and evidence regarding head and neck cancer survivorship.Methods: Key topics regarding head and neck cancer survivorship were identified by the multidisciplinary membership of the American Head and Neck Society Survivorship, Supportive Care & Rehabilitation Service. Guidelines were generated by combining expert opinion and a review of the literature and categorized by level of evidence.Results: Several areas regarding survivorship including dysphonia, dysphagia, fatigue, chronic pain, intimacy, the ability to return to work, financial toxicity, lymphedema, psycho-oncology, physical activity, and substance abuse were identified and discussed. Additionally, the group identified and described the role of key clinicians in survivorship including surgical, medical and radiation oncologists; dentists; primary care physicians; psychotherapists; as well as physical, occupational, speech, and respiratory therapists. Conclusion:Head and neck cancer survivorship is complex and requires a multidisciplinary approach centered around patients and their caregivers. As survival related to head and neck cancer treatment improves, addressing post-treatment concerns appropriately is critically important to our patient's quality of life. There continues to be a need to define effective and efficient programs that can coordinate this multidisciplinary effort toward survivorship.

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Section: Sexual Dysfunction and Intimacymentioning

confidence: 99%

Head and neck cancer survivorship consensus statement from the American Head and Neck Society

Goyal

Day

Epstein

et al. 2021

Laryngoscope Investig Oto

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show abstract

“…This topic is related to evidence on the theme and its interfaces for clinical practice. Aro et al (2016) and Hoole et al (2015) have cited strategies to identify and treat psychosexual problems in clinical practice to support these patients, such as the inclusion of brief narratives about the current sexual life of the patient, inclusion of lifestyle education, as well as the effects of smoking and alcohol on sexual vasodilation and how the medications in use can cause sexual side effects. The Permission, Limited Information, Specific Suggestions, Intensive Therapy (PLISSIT) model is a framework that can help professionals use direct and open questions to lead patients into discussing their problems with intimacy and sex.…”

Section: Topic Iii: Contributions Of Health Professionals To Reducing...mentioning

confidence: 99%

Head and neck cancer treatment and its sexual impact on quality of life: An integrative literature review.

Sant'Ana

Santos²,

Silva

et al. 2021

Int Health Trends & Persp

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Objective: To identify the impacts of head and neck cancer treatment on the sexual health of patients. Methods: An integrative literature review was carried out from May to October 2020 using PubMed, CINAHL, Web of Science, LILACS, and the SciELO portal. A total of 287 primary articles were identified. After assessing them, 6 articles met the eligibility criteria, which were: all articles published in the last ten years that addressed the sexual impact of HNC treatment on people's lives, without any language or age. Results: Patients with Head and Neck Cancer have to face aesthetic disfigurement challenges in post-treatment. This leads to a greater degree of suffering and social and sexual problems than is observed in other cancer patients. Health professionals do not feel safe to access the intimate and sexual demands of patients during the clinical treatment. Conclusions: Most of the studies included in this review focused on measuring the quality of life using only one or two variables related to sexuality. There is the need other research to explore how multiple factors, such as social, psychological, cultural, religious, ethnic, and ethical factors, affect sexuality. This promotes the creation of the paths for comprehensive care and management of patients.

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“…Patients with head and neck cancer experience more problems and severe symptoms as a result of the diagnosis and treatment as this cancer affects critical parts of the body that are important for nutrition, breathing and communication (Farhangfar et al, ; Itano, Brant, Conde, & Saria, ). These patients experience eating‐related problems, which result in low dietary intake and weight loss (Farhangfar et al, ), low self‐esteem, poor self‐image and trauma (Hoole, Kanatas, & Mitchell, ; Isaksson, Salander, Lilliehorn, & Laurell, ; Threader & McCormack, ); fear of recurrence is also common (Kanatas, Humphris, Lowe, & Rogers, ).…”

Section: Introductionmentioning

confidence: 99%

Living with cancer of the head and neck: A qualitative inquiry into the experiences of South African patients

2019

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Objective To describe the experiences of South African patients living with head and neck cancer. Methods We used a qualitative descriptive design and conducted unstructured interviews with 18 (n = 18) purposive selected participants. Data saturation determined the sample size. Qualitative content analysis was used to analyse the data. Results The majority of the sample were Black males; on average, 50.8 years (SD ± 13.6) old. Two themes and eight subthemes arose from the data. The themes were living with the consequences of the illness and treatment, and coping with a changed life. The lives the participants knew before becoming sick changed and became a living hell; pain was a major problem as was eating and for some, communicating. The participants were stigmatised, ridiculed and rejected which added to their suffering. Receiving support from family and friends and their faith in God assisted them to cope with their changed lives. Conclusion Our study poses various challenges to clinical practice. Pain management is of the utmost importance; the nutritional status of these patients should be monitored and best practices in terms of management applied. Raising awareness of cancer and its complications could improve knowledge and decrease blame, stigmatisation and rejection and improve patient outcomes.

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Psychosexual therapy and education in patients treated for cancer of the head and neck

Cited by 11 publications

References 12 publications

Head and neck cancer survivorship consensus statement from the American Head and Neck Society

Head and neck cancer survivorship consensus statement from the American Head and Neck Society

Head and neck cancer treatment and its sexual impact on quality of life: An integrative literature review.

Living with cancer of the head and neck: A qualitative inquiry into the experiences of South African patients

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