Influence of social support on health-related quality of life outcomes in head and neck cancer

• Published in: Head & neck Vol. 29; no. 2; pp. 143 - 146
• Main Authors: Karnell, Lucy Hynds, Christensen, Alan J., Rosenthal, Eben L., Magnuson, J. Scott, Funk, Gerry F.
• Format: Journal Article Conference Proceeding
• Language: English
• Published: Hoboken Wiley Subscription Services, Inc., A Wiley Company 01.02.2007; John Wiley & Sons
• Subjects: Aged; Biological and medical sciences; Carcinoma, Squamous Cell - psychology; Depression - epidemiology; Esthetics; Female; head and neck cancer; Head and Neck Neoplasms - psychology; Health Status; health-related quality of life; Humans; Male; Medical sciences; Mental Health; Middle Aged; Multivariate Analysis; Otorhinolaryngology (head neck, general aspects and miscellaneous); Otorhinolaryngology. Stomatology; Outcome Assessment (Health Care); outcomes; Prospective Studies; psychosocial; Quality of Life; Retrospective Studies; Social Support; Speech Intelligibility; Surveys and Questionnaires; Tumors; Human; Prognosis; Health; Stomatology; ENT; Malignant tumor; Quality of life; outcomes; ENT disease; Evolution; Head and neck cancer; psychosocial; health- related quality of life; Social support
• ISSN: 1043-3074; 1097-0347
• DOI: 10.1002/hed.20501

Background. Evidence that social support influences health‐related quality of life (HRQOL) in oncologic patients could be particularly important for head and neck cancer because this disease can affect speech, eating, and facial aesthetics. Methods. Multiple regression analyses were used in this prospective, observational study to determine the association between 394 patients' ratings of perceived post‐treatment social support and HRQOL outcomes while controlling for possible confounding variables. Results. Higher social support scores were significantly associated with higher scores in speech (p = .007), aesthetics (p = .015), social disruption (p = .045), and general mental health (p = .016) and with fewer depressive symptoms (p = .023) but not with general physical health (p = .191) or eating (p = .114). The magnitude of differences in the HRQOL outcomes for patients whose social support scores fell in the lowest and highest quartiles were clinically meaningful. Conclusions. Given the association between social support and HRQOL outcomes in this patient population, modification of perceived social support through clinical interventions could improve the survivorship of these patients. © 2006 Wiley Periodicals, Inc. Head Neck, 2007