Social support and family functioning after treatment of head and neck squamous cell carcinoma

Detalhes bibliográficos
Ano de defesa: 2023
Autor(a) principal: Castro, Tamara Fernandes [UNESP]
Orientador(a): Não Informado pela instituição
Banca de defesa: Não Informado pela instituição
Tipo de documento: Tese
Tipo de acesso: Acesso aberto
Idioma: eng
Instituição de defesa: Universidade Estadual Paulista (Unesp)
Programa de Pós-Graduação: Não Informado pela instituição
Departamento: Não Informado pela instituição
País: Não Informado pela instituição
Palavras-chave em Português:
Câncer
Tumores de cabeça e pescoço
Carcinoma de células escamosas
Assistência social
Head and neck cancer
Link de acesso: https://hdl.handle.net/11449/251141
https://lattes.cnpq.br/0989960219025196
Resumo: Blackground: Social support deficit can negatively impact cancer patients' quality of life and clinical outcomes. However, little is known about the predictive factors for social support deficit after head and neck cancer treatment. This study aimed to characterize the profile of the perception of receiving social support and family functionality in patients treated for head and neck squamous cell carcinoma (HNSCC) and to identify pre-treatment predictors. Methods: 109 patients treated for HNSCC were assessed for the perception of social support received and family functioning through MOS-SSS and APGAR questionnaires. Results: 34.9% of HNSCC patients had partial levels of global social support, while 29.3% reported some level of family dysfunction. Patients treated for oropharyngeal cancer had lower score for tangible social support than patients with oral and laryngeal cancer (p=0.042). Patients with a history of severe alcohol consumption before cancer treatment had lower levels of global social support (OR = 11.494, p = 0.009) and affective support (OR = 10.309, p = 0.011) after cancer treatment. Not being married (OR = 3.157, p = 0.048) and being an active alcoholic (OR = 6., p = 0.039) before treatment were predictors of family dysfunction after HNSCC treatment. Conclusion: Sociodemographic, clinicopathological and biobehavioral characteristics before treatment predict the perception of social support and family functionality in patients treated for HNSCC and should be considered by the interdisciplinary team responsible for cancer treatment.
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spelling Social support and family functioning after treatment of head and neck squamous cell carcinomaSuporte social e funcionamento familiar após tratamento de carcinoma espinocelular de cabeça e pescoçoCâncerTumores de cabeça e pescoçoCarcinoma de células escamosasAssistência socialHead and neck cancerBlackground: Social support deficit can negatively impact cancer patients' quality of life and clinical outcomes. However, little is known about the predictive factors for social support deficit after head and neck cancer treatment. This study aimed to characterize the profile of the perception of receiving social support and family functionality in patients treated for head and neck squamous cell carcinoma (HNSCC) and to identify pre-treatment predictors. Methods: 109 patients treated for HNSCC were assessed for the perception of social support received and family functioning through MOS-SSS and APGAR questionnaires. Results: 34.9% of HNSCC patients had partial levels of global social support, while 29.3% reported some level of family dysfunction. Patients treated for oropharyngeal cancer had lower score for tangible social support than patients with oral and laryngeal cancer (p=0.042). Patients with a history of severe alcohol consumption before cancer treatment had lower levels of global social support (OR = 11.494, p = 0.009) and affective support (OR = 10.309, p = 0.011) after cancer treatment. Not being married (OR = 3.157, p = 0.048) and being an active alcoholic (OR = 6., p = 0.039) before treatment were predictors of family dysfunction after HNSCC treatment. Conclusion: Sociodemographic, clinicopathological and biobehavioral characteristics before treatment predict the perception of social support and family functionality in patients treated for HNSCC and should be considered by the interdisciplinary team responsible for cancer treatment.Introdução: O déficit de apoio social pode impactar negativamente a qualidade de vida e os resultados clínicos dos pacientes com câncer. Entretanto, pouco se sabe sobre os fatores preditivos do déficit de apoio social após o tratamento do câncer de cabeça e pescoço. Este estudo teve como objetivo caracterizar o perfil da percepção de recebimento de apoio social e funcionalidade familiar em pacientes tratados de carcinoma espinocelular de cabeça e pescoço (CECP) e identificar preditores pré-tratamento. Métodos: 109 pacientes tratados por CECP foram avaliados quanto à percepção do suporte social recebido e do funcionamento familiar por meio dos questionários MOS-SSS e APGAR. Resultados: 34,9% dos pacientes com CECP apresentavam níveis parciais de suporte social global, enquanto 29,3% relataram algum nível de disfunção familiar. Pacientes tratados para câncer de orofaringe tiveram pontuação menor para suporte social tangível do que pacientes com câncer de boca e laringe (p=0,042). Pacientes com histórico de consumo grave de álcool antes do tratamento do câncer apresentaram níveis mais baixos de suporte social global (OR = 11,494, p = 0,009) e suporte afetivo (OR = 10,309, p = 0,011) após o tratamento do câncer. Não ser casado (OR = 3,157, p = 0,048) e ser alcoólatra ativo (OR = 6,410 p = 0,039) antes do tratamento foram preditores de disfunção familiar após o tratamento do CEC de cabeça e pescoço. Conclusão: Características sociodemográficas, clinicopatológicas e biocomportamentais pré-tratamento predizem a percepção de suporte social e funcionalidade familiar em pacientes tratados para CECP e devem ser consideradas pela equipe interdisciplinar responsável pelo tratamento oncológico.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Capes: 001Universidade Estadual Paulista (Unesp)Miyahara, Glauco Issamu [UNESP]Bernabé, Daniel Galera [UNESP]Castro, Tamara Fernandes [UNESP]2023-10-27T19:45:55Z2023-10-27T19:45:55Z2023-09-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisapplication/pdfapplication/pdfCastro TF. Apoio social e funcionamento familiar após tratamento de carcinoma espinocelular de cabeça e pescoço [tese]. Araçatuba: Universidade Estadual Paulista (Unesp), Faculdade de Odontologia; 2023.https://hdl.handle.net/11449/25114133004021011P0https://lattes.cnpq.br/09899602190251960000-0003-0870-8735enginfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESP2025-03-13T03:00:15Zoai:repositorio.unesp.br:11449/251141Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestrepositoriounesp@unesp.bropendoar:29462025-03-13T03:00:15Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Social support and family functioning after treatment of head and neck squamous cell carcinoma
Suporte social e funcionamento familiar após tratamento de carcinoma espinocelular de cabeça e pescoço
title Social support and family functioning after treatment of head and neck squamous cell carcinoma
spellingShingle Social support and family functioning after treatment of head and neck squamous cell carcinoma
Castro, Tamara Fernandes [UNESP]
Câncer
Tumores de cabeça e pescoço
Carcinoma de células escamosas
Assistência social
Head and neck cancer
title_short Social support and family functioning after treatment of head and neck squamous cell carcinoma
title_full Social support and family functioning after treatment of head and neck squamous cell carcinoma
title_fullStr Social support and family functioning after treatment of head and neck squamous cell carcinoma
title_full_unstemmed Social support and family functioning after treatment of head and neck squamous cell carcinoma
title_sort Social support and family functioning after treatment of head and neck squamous cell carcinoma
author Castro, Tamara Fernandes [UNESP]
author_facet Castro, Tamara Fernandes [UNESP]
author_role author
dc.contributor.none.fl_str_mv Miyahara, Glauco Issamu [UNESP]
Bernabé, Daniel Galera [UNESP]
dc.contributor.author.fl_str_mv Castro, Tamara Fernandes [UNESP]
dc.subject.por.fl_str_mv Câncer
Tumores de cabeça e pescoço
Carcinoma de células escamosas
Assistência social
Head and neck cancer
topic Câncer
Tumores de cabeça e pescoço
Carcinoma de células escamosas
Assistência social
Head and neck cancer
description Blackground: Social support deficit can negatively impact cancer patients' quality of life and clinical outcomes. However, little is known about the predictive factors for social support deficit after head and neck cancer treatment. This study aimed to characterize the profile of the perception of receiving social support and family functionality in patients treated for head and neck squamous cell carcinoma (HNSCC) and to identify pre-treatment predictors. Methods: 109 patients treated for HNSCC were assessed for the perception of social support received and family functioning through MOS-SSS and APGAR questionnaires. Results: 34.9% of HNSCC patients had partial levels of global social support, while 29.3% reported some level of family dysfunction. Patients treated for oropharyngeal cancer had lower score for tangible social support than patients with oral and laryngeal cancer (p=0.042). Patients with a history of severe alcohol consumption before cancer treatment had lower levels of global social support (OR = 11.494, p = 0.009) and affective support (OR = 10.309, p = 0.011) after cancer treatment. Not being married (OR = 3.157, p = 0.048) and being an active alcoholic (OR = 6., p = 0.039) before treatment were predictors of family dysfunction after HNSCC treatment. Conclusion: Sociodemographic, clinicopathological and biobehavioral characteristics before treatment predict the perception of social support and family functionality in patients treated for HNSCC and should be considered by the interdisciplinary team responsible for cancer treatment.
publishDate 2023
dc.date.none.fl_str_mv 2023-10-27T19:45:55Z
2023-10-27T19:45:55Z
2023-09-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/doctoralThesis
format doctoralThesis
status_str publishedVersion
dc.identifier.uri.fl_str_mv Castro TF. Apoio social e funcionamento familiar após tratamento de carcinoma espinocelular de cabeça e pescoço [tese]. Araçatuba: Universidade Estadual Paulista (Unesp), Faculdade de Odontologia; 2023.
https://hdl.handle.net/11449/251141
33004021011P0
https://lattes.cnpq.br/0989960219025196
0000-0003-0870-8735
identifier_str_mv Castro TF. Apoio social e funcionamento familiar após tratamento de carcinoma espinocelular de cabeça e pescoço [tese]. Araçatuba: Universidade Estadual Paulista (Unesp), Faculdade de Odontologia; 2023.
33004021011P0
0000-0003-0870-8735
url https://hdl.handle.net/11449/251141
https://lattes.cnpq.br/0989960219025196
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade Estadual Paulista (Unesp)
publisher.none.fl_str_mv Universidade Estadual Paulista (Unesp)
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv repositoriounesp@unesp.br
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