ArticleFrontiers in psychology2026
Re-authoring the altered self: the impact of a three-phase narrative nursing intervention on body image and distress in oral squamous cell carcinoma.
Article in Frontiers in psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Locally advanced oral squamous cell carcinoma (OSCC) and its surgical treatment precipitate profound body image disturbance and psychological distress. With the increasing adoption of neoadjuvant immunochemotherapy (NICT), patients now experience fundamentally different treatment trajectories, yet the psychological implications of this paradigm shift remain poorly understood. Methods: This prospective, comparative mixed-methods cohort study investigated longitudinal trajectories of body image disturbance (Body Image Scale, BIS) and psychological distress (Hospital Anxiety and Depression Scale, HADS) in OSCC patients undergoing either NICT followed by surgery ( Results: Significant time-by-group interactions were observed for both BIS [ Conclusion: NICT and US pathways generate fundamentally different psychological trajectories. Despite heightened pre-surgical distress, NICT patients demonstrate more robust psychological recovery, potentially facilitated by gradual adaptation. These findings support pathway-specific psychosocial interventions.
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