Irene Teo1,2, Kassandra M Fronczyk3,4, Michele Guindani3, Marina Vannucci4, Sara S Ulfers5, Matthew M Hanasono2, Michelle Cororve Fingeret1,2,6. 1. Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, Texas. 2. Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas. 3. Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, Texas. 4. Department of Statistics, Rice University, Houston, Texas. 5. Department of Occupational Therapy, Washington University School of Medicine, St. Louis, Missouri. 6. Department of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Abstract
BACKGROUND: Patients with cancer undergoing head and neck reconstruction can experience significant distress from alterations in appearance and bodily functioning. We sought to delineate salient dimensions of body image concerns in this patient population preparing for reconstructive surgery. METHODS: Participants completed self-report questionnaires evaluating numerous aspects of body image. We used Bayesian factor analysis modeling methods to identify latent factors emerging from the data. RESULTS: We identified 2 latent factors: appearance distress and functional difficulties. The highest level of preoperative body image concerns were related to distress about appearance changes and its perceived social consequences. Appearance distress items displayed greater variability compared with functional difficulties. CONCLUSION: Appearance and functional changes to body image are important areas of concern for patients with head and neck cancer as they prepare for reconstructive surgery. Knowledge regarding specific body image issues can be used to guide psychosocial assessments and intervention to enhance patient care.
BACKGROUND:Patients with cancer undergoing head and neck reconstruction can experience significant distress from alterations in appearance and bodily functioning. We sought to delineate salient dimensions of body image concerns in this patient population preparing for reconstructive surgery. METHODS:Participants completed self-report questionnaires evaluating numerous aspects of body image. We used Bayesian factor analysis modeling methods to identify latent factors emerging from the data. RESULTS: We identified 2 latent factors: appearance distress and functional difficulties. The highest level of preoperative body image concerns were related to distress about appearance changes and its perceived social consequences. Appearance distress items displayed greater variability compared with functional difficulties. CONCLUSION: Appearance and functional changes to body image are important areas of concern for patients with head and neck cancer as they prepare for reconstructive surgery. Knowledge regarding specific body image issues can be used to guide psychosocial assessments and intervention to enhance patient care.
Authors: Mark A Ellis; Katherine R Sterba; Terry A Day; Courtney H Marsh; Stacy Maurer; Elizabeth G Hill; Evan M Graboyes Journal: Otolaryngol Head Neck Surg Date: 2019-04-09 Impact factor: 3.497
Authors: Evan M Graboyes; Stacey Maurer; Yeonhee Park; Courtney H Marsh; James T McElligott; Terry A Day; Joshua D Hornig; Katherine R Sterba Journal: Psychooncology Date: 2020-05-11 Impact factor: 3.894
Authors: Mark A Ellis; Katherine R Sterba; Emily A Brennan; Stacey Maurer; Elizabeth G Hill; Terry A Day; Evan M Graboyes Journal: Otolaryngol Head Neck Surg Date: 2019-02-12 Impact factor: 3.497
Authors: Evan M Graboyes; Elizabeth G Hill; Courtney H Marsh; Stacey Maurer; Terry A Day; Katherine R Sterba Journal: Otolaryngol Head Neck Surg Date: 2019-03-12 Impact factor: 3.497
Authors: Evan M Graboyes; Elizabeth G Hill; Courtney H Marsh; Stacey Maurer; Terry A Day; Joshua D Hornig; Eric J Lentsch; David M Neskey; Judith Skoner; Katherine R Sterba Journal: Otolaryngol Head Neck Surg Date: 2020-01-07 Impact factor: 3.497
Authors: David Macias; Brittany N Hand; Patrik Pipkorn; Amy M Williams; Steven S Chang; Joseph Zenga; Marci L Nilsen; Bethany A Rhoten; Andrew T Huang; Nosayaba Osazuwa-Peters; Stacey Maurer; Wendy Balliet; Hong Li; Kenneth J Ruggiero; Katherine R Sterba; Evan M Graboyes Journal: Front Psychol Date: 2021-12-10