ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2024
Factors associated with shame and stigma among head and neck cancer patients: a cross-sectional study.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Impact of an Electronic Patient-Reported Outcome-Informed Clinical Decision Support Tool on Clinical Discussions With Head and Neck Cancer Survivors: Findings From the HN-STAR Randomized Controlled Trial (WF-1805CD).JCO oncology practice · 2025Trial
- Mindfulness-Based Stress Reduction Alleviates Depression, Anxiety, and Internalized Stigma Compared With Treatment-as-Usual Among Head and Neck Cancer Patients: Findings From a Randomized Controlled Trial.Depression and anxiety · 2025Trial
- Mapping the radiotherapy journey of patients with head and neck cancer: A qualitative study.Asia-Pacific journal of oncology nursing · 2026Article
- Symptom Severity and Demoralization Associated With Functional Ability Impairment in Oral Cancer Patients.The journal of nursing research : JNR · 2026Article
- Perceived stigmatization in cancer patients during the first year after diagnosis: the role of socioeconomic status.Journal of cancer survivorship : research and practice · 2026Article
- Otolaryngologic Symptom Burden, Emotional Distress, and Stigma in Nasopharyngeal Carcinoma Survivors: A Prospective Cohort Study.Psycho-oncology · 2026Observational
- Cultural Capital, Stigma, Class, and Hospice Care Access Among Low-Income Patients With Cancer.JAMA network open · 2026Article
- Stigma and Its Influencing Factors Among Chinese Patients with Thyroid-Associated Ophthalmopathy: A Cross-Sectional Study.Patient preference and adherence · 2026Article
- The Relationship Between Guilt and Self-Blame with Early Maladaptive Schemas in Patients with Cancer:Sultan Qaboos University medical journal · 2026Article
- Redefining Nursing in Otorhinolaryngology-Head & Neck Care: Implications of the ICN's 2025 Definitions for an Evolving Specialty.ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses · 2026Article
- Psychosocial Barriers and Social Perceptions in Oncology Patients with Tracheostomy: Case-Control Study.Current oncology (Toronto, Ont.) · 2025Article
- A barrier-forming gel for oral mucositis in head and neck cancers patients undergoing radiotherapy: randomized, controlled, multicenter trial.EClinicalMedicine · 2025Article
- Body Image Distress and Depression in Head and Neck Cancer Patients- a Narrative Review.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025Article
- "Women's experiences of head and neck cancer: an interpretative phenomenological analysis".BMC women's health · 2025Article
- Factors associated with functional ability in patients with esophageal cancer undergoing chemoradiotherapy: a prospective longitudinal study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Article
- Needs and Preferences for Peer Support and Peer Navigation Among Patients With Head and Neck Cancer: A Cross-Sectional Survey at a Canadian Cancer Centre.Cancer control : journal of the Moffitt Cancer CenterArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
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Abstract
purposeHead and neck cancer (HNC) patients often suffer from shame and stigma due to treatment limitations or due to societal factors. The purpose of this study was to assess perceived body image, depression, physical and psychosocial function, and self-stigma, as well as to identify factors that predicted shame and stigma in patients with HNC.
methodsThis cross-sectional study recruited 178 HNC patients from the outpatient radiation department of a medical center in Northern Taiwan. Patients were assessed for patient reported outcomes using the Body Image Scale (BIS), the Hospital Anxiety and Depression Scale-Depression Subscale (HADS-Depression Subscale), the University of Washington Quality of Life Scale (UW-QOL) version 4.0, and the Shame and Stigma Scale (SSS). Data were analyzed by descriptive analysis, Pearson's product-moment correlation, and multiple regression.
resultsThe two top-ranked subscales of shame and stigma were: "speech and social concerns" and "regret". Shame and stigma were positively correlated with a longer time since completion of treatment, more body image concerns, and higher levels of depression. They were negatively correlated with being male and having lower physical function. Multiple regression analysis showed that female gender, a longer time since completing treatment, higher levels of body image concern, greater depression, and less physical function predicted greater shame and stigma. These factors explained 74.7% of the variance in shame and stigma.
conclusionPatients' body image concerns, depression, time since completing treatment, and physical function are associated with shame and stigma. Oncology nurses should assess and record psychological status, provide available resources, and refer appropriate HNC patients to counselling.
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