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Article

Biopsychosocial Markers of Body Image Concerns in Patients with Head and Neck Cancer: A Prospective Longitudinal Study

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Division of Experimental Medicine, Faculty of Medicine, McGill University, Montreal, QC H3A 0G4, Canada
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Department of Psychology, College of Healthcare Sciences, James Cook University, Singapore 387380, Singapore
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Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, ON M5S 1A1, Canada
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Social and Behavioural Health Sciences, Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5S 1A1, Canada
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Gerald Bronfman Department of Oncology, Faculty of Medicine, McGill University, Montreal, QC H3A 0G4, Canada
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Department of Psychology, McGill University, Montreal, QC H3A 0G4, Canada
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Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC H3T 1E2, Canada
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Department of Otolaryngology—Head and Neck Surgery, Faculty of Medicine, McGill University, Montreal, QC H3A 0G4, Canada
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Department of Otolaryngology—Head and Neck Surgery, Jewish General Hospital, Montreal, QC H3T 1E2, Canada
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Department of Otolaryngology—Head and Neck Surgery, McGill University Health Centre, Montreal, QC H4A 3J1, Canada
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Department of Nursing, Jewish General Hospital, Montreal, QC H3T 1E2, Canada
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Department of Radiation Oncology, Jewish General Hospital, Montreal, QC H3T 1E2, Canada
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Department of Radiation Oncology, McGill University Health Centre, Montreal, QC H4A 3J1, Canada
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Louise Granofsky Psychosocial Oncology Program, Jewish General Hospital, Montreal, QC H3T 1E2, Canada
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2022, 29(7), 4438-4454; https://doi.org/10.3390/curroncol29070353
Received: 6 April 2022 / Revised: 30 May 2022 / Accepted: 14 June 2022 / Published: 22 June 2022
(This article belongs to the Special Issue Psychosocial Effects of Head and Neck Cancer)
(1) Background: Patients and survivors of head and neck cancer (HNC) are at a high risk of developing body image concerns. Despite the prevalence of body image concerns in patients with HNC, there is a lack of longitudinal research exploring the wide array of its associated determinants. The current longitudinal study examined the determinants and longitudinal course of body image dissatisfaction in patients with HNC. (2) Methods: Patients participated in Structured Clinical Interviews and self-administered questionnaires at four time-points: (T1) upon cancer diagnosis, (T2) at 3 months post-diagnosis, (T3) at 6 months post-diagnosis, and (T4) at 12 months post-diagnosis. They also underwent a disfigurement rating on an objective scale. (3) Results: Two hundred and twenty-four patients participated in our study. Fourteen percent to twenty-eight percent of patients reported at least moderate body image concerns across time points, with the lowest rates at baseline and the highest at 3 months (T1). It was found that patients more predisposed to developing higher levels of body image concerns presented physical markers (i.e., advanced cancer stage, lower physical functioning, higher disfigurement), psychosocial markers (i.e., higher depression, higher anxiety, and higher levels of coping with denial), and health disparities (i.e., younger age, female sex, French language, and marital status, with divorced and widowers most affected). (4) Conclusions: The findings of this study highlight the multifaceted nature of body image concerns in patients with HNC and its biopsychosocial determinants. Clinicians should pay specific attention to these biopsychosocial markers in their clinics to predict high levels of body image concerns and tailor communication/refer for support accordingly. View Full-Text
Keywords: body image; cancer oncology; psycho-oncology; head and neck Cancer; longitudinal body image; cancer oncology; psycho-oncology; head and neck Cancer; longitudinal
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MDPI and ACS Style

Albert, J.G.; Lo, C.; Rosberger, Z.; Frenkiel, S.; Hier, M.; Zeitouni, A.; Kost, K.; Mlynarek, A.; Black, M.; MacDonald, C.; Richardson, K.; Mascarella, M.; Morand, G.B.; Chartier, G.; Sadeghi, N.; Sultanem, K.; Shenouda, G.; Cury, F.L.; Henry, M. Biopsychosocial Markers of Body Image Concerns in Patients with Head and Neck Cancer: A Prospective Longitudinal Study. Curr. Oncol. 2022, 29, 4438-4454. https://doi.org/10.3390/curroncol29070353

AMA Style

Albert JG, Lo C, Rosberger Z, Frenkiel S, Hier M, Zeitouni A, Kost K, Mlynarek A, Black M, MacDonald C, Richardson K, Mascarella M, Morand GB, Chartier G, Sadeghi N, Sultanem K, Shenouda G, Cury FL, Henry M. Biopsychosocial Markers of Body Image Concerns in Patients with Head and Neck Cancer: A Prospective Longitudinal Study. Current Oncology. 2022; 29(7):4438-4454. https://doi.org/10.3390/curroncol29070353

Chicago/Turabian Style

Albert, Justine G., Christopher Lo, Zeev Rosberger, Saul Frenkiel, Michael Hier, Anthony Zeitouni, Karen Kost, Alex Mlynarek, Martin Black, Christina MacDonald, Keith Richardson, Marco Mascarella, Gregoire B. Morand, Gabrielle Chartier, Nader Sadeghi, Khalil Sultanem, George Shenouda, Fabio L. Cury, and Melissa Henry. 2022. "Biopsychosocial Markers of Body Image Concerns in Patients with Head and Neck Cancer: A Prospective Longitudinal Study" Current Oncology 29, no. 7: 4438-4454. https://doi.org/10.3390/curroncol29070353

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