title: Salient body image concerns of patients with cancer undergoing head and neck reconstruction.
abstract: 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.
  
  
  
  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.
  
  
  
  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.
  
  
  
  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. © 2016 Wiley Periodicals, Inc. Head Neck 38: 1035-1042, 2016.
authors.affiliation: Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, Texas.|Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas.
authors.forename: Irene
authors.initials: I
authors.lastname: Teo
authors.affiliation: Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, Texas.|Department of Statistics, Rice University, Houston, Texas.
authors.forename: Kassandra M
authors.initials: KM
authors.lastname: Fronczyk
authors.affiliation: Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, Texas.
authors.forename: Michele
authors.initials: M
authors.lastname: Guindani
authors.affiliation: Department of Statistics, Rice University, Houston, Texas.
authors.forename: Marina
authors.initials: M
authors.lastname: Vannucci
authors.affiliation: Department of Occupational Therapy, Washington University School of Medicine, St. Louis, Missouri.
authors.forename: Sara S
authors.initials: SS
authors.lastname: Ulfers
authors.affiliation: Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas.
authors.forename: Matthew M
authors.initials: MM
authors.lastname: Hanasono
authors.affiliation: Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, Texas.|Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas.|Department of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas.
authors.forename: Michelle Cororve
authors.initials: MC
authors.lastname: Fingeret
mesh_terms: D000222:Adaptation, Physiological; D000223:Adaptation, Psychological; D000368:Aged; D000369:Aged, 80 and over; D001499:Bayes Theorem; D001828:Body Image / Q000523:psychology*; D015331:Cohort Studies; D005260:Female; D006258:Head and Neck Neoplasms / Q000473:pathology / Q000523:psychology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D037981:Neck Dissection / Q000523:psychology*; D011788:Quality of Life; D019651:Plastic Surgery Procedures / Q000379:methods / Q000523:psychology*; D057566:Self Report; D011795:Surveys and Questionnaires; D017741:Survivors; D013781:Texas; D016896:Treatment Outcome
keywords: body image; head and neck cancer; psychosocial; quality of life; reconstruction