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Body image and depressive symptoms in patients with head and neck cancer: an important relationship

Identifieur interne : 003949 ( Pmc/Corpus ); précédent : 003948; suivant : 003950

Body image and depressive symptoms in patients with head and neck cancer: an important relationship

Auteurs : Bethany A. Rhoten ; Jie Deng ; Mary S. Dietrich ; Barbara Murphy ; Sheila H. Ridner

Source :

RBID : PMC:4184937

Abstract

Purpose

The purpose of this study is to examine the relationship between body image and depressive symptoms in patients who have been treated for head and neck cancer.

Methods

This is a prospective, longitudinal analysis. Body image and depressive symptoms were measured in patients diagnosed with head and neck cancer at baseline, end of treatment, 6 weeks post-treatment, and 12 weeks post-treatment. Body image was measured using the Body Image Quality of Life Inventory, and depressive symptoms were measured using the Center for Epidemiological Studies Depression Scale.

Results

Forty-three individuals diagnosed with head and neck cancer participated in this study. The majority of participants were male, Caucasian, and married or living with a partner. Participants ranged from age 32 to 78 years (M=57.8 years, SD=10.5 years). At 12 weeks post-treatment, body image scores were statistically significantly higher than they were at the end of treatment (p=0.016) and 6 weeks post-treatment (p=0.032). Statistically significant increases in levels of depressive symptoms were observed at the end of treatment (p<0.001) and 6 weeks post-treatment (p=0.036) with a return to baseline by the 12-week post-treatment assessment (p=0.115). Body image and depressive symptoms were statistically significantly associated at the end of treatment, 6 weeks post-treatment, and 12 weeks post-treatment (rs −0.32 to −0.56, p <0.05).

Conclusions

This study supports early assessment of body image in patients with head and neck cancer. Additionally, the association between poorer body image and increased depressive symptoms is key in understanding the symptom clusters that patients with head and neck cancer experience.


Url:
DOI: 10.1007/s00520-014-2312-2
PubMed: 24925049
PubMed Central: 4184937

Links to Exploration step

PMC:4184937

Le document en format XML

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<name sortKey="Rhoten, Bethany A" sort="Rhoten, Bethany A" uniqKey="Rhoten B" first="Bethany A." last="Rhoten">Bethany A. Rhoten</name>
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<name sortKey="Deng, Jie" sort="Deng, Jie" uniqKey="Deng J" first="Jie" last="Deng">Jie Deng</name>
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<name sortKey="Dietrich, Mary S" sort="Dietrich, Mary S" uniqKey="Dietrich M" first="Mary S." last="Dietrich">Mary S. Dietrich</name>
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<name sortKey="Murphy, Barbara" sort="Murphy, Barbara" uniqKey="Murphy B" first="Barbara" last="Murphy">Barbara Murphy</name>
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<name sortKey="Ridner, Sheila H" sort="Ridner, Sheila H" uniqKey="Ridner S" first="Sheila H." last="Ridner">Sheila H. Ridner</name>
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<title>Purpose</title>
<p id="P1">The purpose of this study is to examine the relationship between body image and depressive symptoms in patients who have been treated for head and neck cancer.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">This is a prospective, longitudinal analysis. Body image and depressive symptoms were measured in patients diagnosed with head and neck cancer at baseline, end of treatment, 6 weeks post-treatment, and 12 weeks post-treatment. Body image was measured using the Body Image Quality of Life Inventory, and depressive symptoms were measured using the Center for Epidemiological Studies Depression Scale.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">Forty-three individuals diagnosed with head and neck cancer participated in this study. The majority of participants were male, Caucasian, and married or living with a partner. Participants ranged from age 32 to 78 years (
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=0.032). Statistically significant increases in levels of depressive symptoms were observed at the end of treatment (
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<0.001) and 6 weeks post-treatment (
<italic>p</italic>
=0.036) with a return to baseline by the 12-week post-treatment assessment (
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−0.32 to −0.56,
<italic>p</italic>
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<sec id="S4">
<title>Conclusions</title>
<p id="P4">This study supports early assessment of body image in patients with head and neck cancer. Additionally, the association between poorer body image and increased depressive symptoms is key in understanding the symptom clusters that patients with head and neck cancer experience.</p>
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<journal-id journal-id-type="nlm-journal-id">9302957</journal-id>
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<journal-id journal-id-type="nlm-ta">Support Care Cancer</journal-id>
<journal-id journal-id-type="iso-abbrev">Support Care Cancer</journal-id>
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<journal-title>Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer</journal-title>
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<article-title>Body image and depressive symptoms in patients with head and neck cancer: an important relationship</article-title>
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<name>
<surname>Rhoten</surname>
<given-names>Bethany A.</given-names>
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<aff id="A1">Vanderbilt University School of Nursing, 600A Godchaux Hall, 461 21st Avenue South, Nashville, TN 37240, USA</aff>
<email>bethany.rhoten@vanderbilt.edu</email>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Deng</surname>
<given-names>Jie</given-names>
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<aff id="A2">Vanderbilt University School of Nursing, 600A Godchaux Hall, 461 21st Avenue South, Nashville, TN 37240, USA</aff>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Dietrich</surname>
<given-names>Mary S.</given-names>
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<aff id="A3">Vanderbilt University School of Nursing, 600A Godchaux Hall, 461 21st Avenue South, Nashville, TN 37240, USA. Vanderbilt University School of Medicine, Nashville, TN, USA. Vanderbilt-Ingram Cancer Center, Nashville, TN, USA</aff>
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<contrib contrib-type="author">
<name>
<surname>Murphy</surname>
<given-names>Barbara</given-names>
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<aff id="A4">Vanderbilt-Ingram Cancer Center, Nashville, TN, USA</aff>
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<contrib contrib-type="author">
<name>
<surname>Ridner</surname>
<given-names>Sheila H.</given-names>
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<aff id="A5">Vanderbilt University School of Nursing, 600A Godchaux Hall, 461 21st Avenue South, Nashville, TN 37240, USA</aff>
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<pub-date pub-type="nihms-submitted">
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<month>9</month>
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<year>2014</year>
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<year>2014</year>
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<day>01</day>
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<year>2015</year>
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<volume>22</volume>
<issue>11</issue>
<fpage>3053</fpage>
<lpage>3060</lpage>
<pmc-comment>elocation-id from pubmed: 10.1007/s00520-014-2312-2</pmc-comment>
<permissions>
<copyright-statement>© Springer-Verlag Berlin Heidelberg 2014</copyright-statement>
<copyright-year>2014</copyright-year>
</permissions>
<abstract>
<sec id="S1">
<title>Purpose</title>
<p id="P1">The purpose of this study is to examine the relationship between body image and depressive symptoms in patients who have been treated for head and neck cancer.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">This is a prospective, longitudinal analysis. Body image and depressive symptoms were measured in patients diagnosed with head and neck cancer at baseline, end of treatment, 6 weeks post-treatment, and 12 weeks post-treatment. Body image was measured using the Body Image Quality of Life Inventory, and depressive symptoms were measured using the Center for Epidemiological Studies Depression Scale.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">Forty-three individuals diagnosed with head and neck cancer participated in this study. The majority of participants were male, Caucasian, and married or living with a partner. Participants ranged from age 32 to 78 years (
<italic>M</italic>
=57.8 years,
<italic>SD</italic>
=10.5 years). At 12 weeks post-treatment, body image scores were statistically significantly higher than they were at the end of treatment (
<italic>p</italic>
=0.016) and 6 weeks post-treatment (
<italic>p</italic>
=0.032). Statistically significant increases in levels of depressive symptoms were observed at the end of treatment (
<italic>p</italic>
<0.001) and 6 weeks post-treatment (
<italic>p</italic>
=0.036) with a return to baseline by the 12-week post-treatment assessment (
<italic>p</italic>
=0.115). Body image and depressive symptoms were statistically significantly associated at the end of treatment, 6 weeks post-treatment, and 12 weeks post-treatment (
<italic>r
<sub>s</sub>
</italic>
−0.32 to −0.56,
<italic>p</italic>
<0.05).</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">This study supports early assessment of body image in patients with head and neck cancer. Additionally, the association between poorer body image and increased depressive symptoms is key in understanding the symptom clusters that patients with head and neck cancer experience.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Body image</kwd>
<kwd>Head and neck cancer</kwd>
<kwd>Depressive symptoms</kwd>
<kwd>Quality of life</kwd>
<kwd>Disfigurement</kwd>
</kwd-group>
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</front>
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