The Effect of Gender and Body Image Satisfaction on Sexual Function in Patients with Head and Neck Cancer Treated with Radiotherapy/Chemoradiotherapy

2021 ◽  
Vol 6 (15) ◽  
pp. 57-64
Author(s):  
Emel Emine KAYIKÇI ◽  
Cemile SAVCI ◽  
Ayşe ÇİL AKINCI ◽  
Dilek YILDIRIM
Keyword(s):  
Body Image ◽  
Head And Neck Cancer ◽  
Sexual Function ◽  
Head And Neck ◽  
Scale Score ◽  
Neck Cancer ◽  
Sexual Problems ◽  
Sexual Experiences ◽  
Body Image Satisfaction ◽  
Satisfaction Scale

Aims: The study was was conducted to determine the changes in sexual functions and the effect of gender and body image satisfaction on sexual function in patients with head and neck cancer who received radiotherapy or chemoradiotherapy after starting treatment. Methods: Forty three patients who underwent radiotherapy, radiotherapy (RT) or chemoradiotherapy (CRT) due to the diagnosis of head and neck cancer between October 2019 and March 2020 were included in the descriptive and correlational study. Research data were collected using the Structured Information Form, Arizona Sexual Experiences Scale and Body Image Satisfaction Scale at two different times, before and 6 weeks after the start of treatment. Results: Most of the patients participating in the study were male (55.8%) and married (74.4%). In the study, 69.8% of the patients had disease stages 1 and 2, and 65.1% of the patients had cancer in the pharynx and larynx. It was determined that 72.1% of the patients did not have a sexual problem before the diagnosis, and 90.7% of them had sexual problems after the diagnosis. There was a significant difference between the mean Arizona Sexual Experiences Scale scores of the patients before and after 6 weeks of RT/CRT (p<0.01); gender and Body Image Satisfaction Scale score significantly affected Arizona Sexual Experiences Scale score (R2=0.656, p<0.01). Conclusion: The treatment process in patients diagnosed with head and neck cancer undergoing RT/CRT causes sexual problems and worsening in sexual functions. Gender and body image satisfaction affect sexual function by 66%.

scholarly journals Association of Inventory to Measure and Assess imaGe Disturbance – Head and Neck Scores With Clinically Meaningful Body Image-Related Distress Among Head and Neck Cancer Survivors

2021 ◽  
Vol 12 ◽  
Author(s):  
David Macias ◽  
Brittany N. Hand ◽  
Patrik Pipkorn ◽  
Amy M. Williams ◽  
Steven S. Chang ◽  
...  
Keyword(s):  
Body Image ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Scale Score ◽  
Neck Cancer ◽  
Outcome Measure ◽  
Cutoff Score ◽  
Score Difference ◽  
Body Image Scale ◽  
Patient Reported

Objective: The Inventory to Measure and Assess imaGe disturbance – Head and Neck (IMAGE-HN) is a validated patient-reported outcome measure of head and neck cancer-related body image-related distress (BID). However, the IMAGE-HN score corresponding to clinically relevant BID is unknown. The study objective is to determine the IMAGE-HN cutoff score that identifies head and neck cancer patients with clinically relevant BID.Methods: We conducted a cross-sectional study at six academic medical centers. Individuals ≥18 years old with a history of head and neck cancer treated with definitive intent were included. The primary outcome measure was the IMAGE-HN. A Receiver Operating Characteristic curve analysis was performed to identify the IMAGE-HN score that maximized sensitivity and specificity relative to a Body Image Scale score of ≥10 (which indicates clinically relevant BID in a general oncology population). To confirm the validity of the IMAGE-HN cutoff score, we compared the severity of depressive [Patient Health Questionnaire-9 (PHQ-9)] and anxiety symptoms [Generalized Anxiety Disorder-7 (GAD-7)], and quality of life [University of Washington-QOL (UW-QOL)] in patients with IMAGE-HN scores above and below the cutoff.Results: Of the 250 patients, 70.4% were male and the mean age was 62.3 years. An IMAGE-HN score of ≥22 was the optimal cutoff score relative to a Body Image Scale score of ≥10 and represents a clinically relevant level of head and neck cancer-related BID. Relative to those with an IMAGE-HN score of &lt;22, patients with IMAGE-HN scores of ≥22 had a clinically meaningful increase in symptoms of depression (mean PHQ-9 score difference = 5.8) and anxiety (mean GAD-7 score difference = 4.1) as well as worse physical (mean UW-QOL score difference = 18.9) and social-emotional QOL (mean UW-QOL score difference = 21.5). Using an IMAGE-HN cutoff score ≥22, 28% of patients had clinically relevant BID.Conclusion: An IMAGE-HN score of ≥22 identifies patients with clinically relevant head and neck cancer-related BID. This score may be used to detect patients who could benefit from strategies to manage their distress, select patients for studies evaluating interventions to manage head and neck cancer-related BID, and improve our understanding of the underlying epidemiology of the disorder.

scholarly journals The Psychosocial Role of Body Image in the Quality of Life of Head and Neck Cancer Patients. What Does the Future Hold?—A Review of the Literature

Medicina ◽  
2021 ◽  
Vol 57 (10) ◽  
pp. 1078
Author(s):  
Vlad Ioan Covrig ◽  
Diana Elena Lazăr ◽  
Victor Vlad Costan ◽  
Roxana Postolică ◽  
Beatrice Gabriela Ioan
Keyword(s):  
Quality Of Life ◽  
Body Image ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Psychological Symptoms ◽  
Small Scale ◽  
Image Perception ◽  
Eligibility Criteria

Background and Objectives: 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. Materials and Methods: 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. Results: 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. Conclusions: 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.

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

2019 ◽  
Vol 161 (1) ◽  
pp. 105-110 ◽  
Author(s):  
Evan M. Graboyes ◽  
Elizabeth G. Hill ◽  
Courtney H. Marsh ◽  
Stacey Maurer ◽  
Terry A. Day ◽  
...  
Keyword(s):  
Risk Factors ◽  
Body Image ◽  
Head And Neck Cancer ◽  
Pilot Study ◽  
Head And Neck ◽  
Neck Cancer ◽  
Prospective Cohort ◽  
The Body ◽  
Body Image Disturbance ◽  
Patient Reported

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.

McGill Body Image Concerns Scale–Head and Neck Cancer

2019 ◽  
Author(s):  
Ana Maria Rodriguez ◽  
Saul Frenkiel ◽  
Justin Desroches ◽  
Avina De Simone ◽  
Francois Chiocchio ◽  
...  
Keyword(s):  
Body Image ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Body Image Concerns

Factors Associated With Risk of Body Image–Related Distress in Patients With Head and Neck Cancer

2021 ◽  
Author(s):  
David Macias ◽  
Brittany N. Hand ◽  
Stacey Maurer ◽  
Wendy Balliet ◽  
Mark A. Ellis ◽  
...  
Keyword(s):  
Body Image ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Factors Associated
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