Shame and Stigma Over Long-Term Survival in Postoperative Cases of Head and Neck Cancer
- 14.05.2023
- ORIGINAL ARTICLE
Erschienen in:
- Verfasst von
- Atul Kumar Goyal
- Jaimanti Bakshi
- Naresh K. Panda
- Rakesh Kapoor
- Dharam Vir
- Krishan Kumar
- Pankaj Aneja
- Erschienen in
- Journal of Maxillofacial and Oral Surgery | Ausgabe 5/2024
Abstract
Background
Surgical excision of the tumor remains the primary choice for the treatment of head and neck cancer patients, but it often leads to facial disfigurement, which further causes mutilation in the patients. Mutilation causes shame and stigma, which imparts significant psychological strain on patients, and tends to impair their quality of life.
Objective
The present study aimed to assess the shame and stigma over long-term postoperative survival duration in head and neck cancer patients.
Methodology
Total 100 postoperative patients of head and neck cancer were recruited from the outpatient department of the host institute, and shame and stigma was assessed using the Hindi version of the shame and stigma scale.
Results
The global shame and stigma score was 22.67 ± 16.22, with the highest perceived stigma due to changes in appearance (11.94 ± 8.805), followed by impaired speech (4.490 ± 3.243), feeling of regret (3.950 ± 3.313), and feeling of stigma (4.490 ± 3.243). The shame and stigma was found to be significantly higher in maxillary cancer patients (33.22 ± 16.60), followed by larynx cancer patients (22.06 ± 13.41) and oral cancer patients (21.53 ± 16.49). Patients with stage III and stage IV of cancer were found to perceive higher shame and stigma (35.91 ± 22.23 and 27.36 ± 14.71, respectively) compared to the patients having stage I and stage II cancer (9.583 ± 9.709 and 16.44 ± 11.82, respectively). A significantly declining linear trend was found between shame and stigma and postoperative survival duration.
Conclusion
We concluded that shame and stigma act as important determinants of quality of life over long-term survival in head and neck cancer patients, and should be considered while designing psychological interventions and surgical reconstruction protocols. The present study will help clinicians to assess the mutilation among head and neck cancer patients in a better way and will help in devising new psychological strategies to manage psychological aspects associated with mutilation, which will ultimately enhance the quality of life of patients.
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- Titel
- Shame and Stigma Over Long-Term Survival in Postoperative Cases of Head and Neck Cancer
- Verfasst von
-
Atul Kumar Goyal
Jaimanti Bakshi
Naresh K. Panda
Rakesh Kapoor
Dharam Vir
Krishan Kumar
Pankaj Aneja
- Publikationsdatum
- 14.05.2023
- Verlag
- Springer India
- Erschienen in
-
Journal of Maxillofacial and Oral Surgery / Ausgabe 5/2024
Print ISSN: 0972-8279
Elektronische ISSN: 0974-942X - DOI
- https://doi.org/10.1007/s12663-023-01931-6
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