Re-visioning and critically emphasizing the need for psychosocial intervention in addressing body image distress in head and neck cancer patients: A review of literature

Abstract

Head and neck cancers (HNCs) patients undergo extensive debilitating surgeries on the part of their body which is considered as a unique characteristic feature and a central entity to communication and perception, instilling a sense of self: The face. Hereby, alterations and discontinuity in this sense of self lead to fragmentation of body image, thereby shattering the sense of identity and making it difficult for patients to recognize selves and return back to the precancerous identity. Body image dissatisfaction is associated with varied psychosocial adverse outcomes such as anxiety, depression, decreased quality of life affecting social dynamics, romantic relationship distress relating to sexual and intimate health, and excessive efforts spent on appearance-fixing behaviors and the need for constant reassurance. As body image goes way beyond just mere appreciation of self and is a multifaceted, intricate web crucially affecting an individual’s identity and existence, it is of utmost importance that medical health professionals aim at making oncologic treatment a more holistic model which considers a patient’s mental, emotional and physical well-being. Present literature offers a wide scope for studies focused on psychological distress in breast cancer patients; however, limited empirical research has been conducted on body image concerns and the need for psychosocial interventions in HNC patients. A need for an in-depth understanding into this aspect of psycho-oncology will help oncologic intervention to be more patient-centric, providing the benefits of both biomedical and psychosocial skills.