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Can Fam Physician. 1996 September; 42: 1712–1720.
PMCID: PMC2146891

Caring for head and neck oncology patients. Does social support lead to better quality of life?


OBJECTIVE: To determine whether social support contributes to better quality of life and psychological state of head and neck oncology patients. DESIGN: A structured questionnaire, administered orally to patients face-to-face, with specific questions about demographic and medical information and social support and two standardized scales; a cancer-specific quality of life scale and a depression scale. SETTING: Head and Neck Oncology Clinic, an institutional referral centre providing ambulatory care at the Camp Hill Medical Centre in Halifax, NS. PARTICIPANTS: Forty-five head and neck oncology patients (33 men, 12 women) who came for follow-up appointments at the clinic. One person did not complete the interview. Fifty patients were approached, but five were not included: one died before the interview, and four agreed to participate but were prevented by transportation or timing problems. MAIN OUTCOME MEASURES: Scores on the Functional Living Index-Cancer Scale and the Center for Epidemiologic Studies Depression scale. RESULTS: Four main factors predicted quality of life: satisfaction with family physician support, severity of cancer, sex of patient, and type of cancer. Three important predictors of psychological state were loss of appetite, family physician support, and sex of patient. CONCLUSION: Social support, particularly from family physicians, contributes greatly to better quality of life and psychological state for head and neck oncology patients.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Bloom JR. The relationship of social support and health. Soc Sci Med. 1990;30(5):635–637. [PubMed]
  • Cohen S. Psychosocial models of the role of social support in the etiology of physical disease. Health Psychol. 1988;7(3):269–297. [PubMed]
  • Heitzmann CA, Kaplan RM. Assessment of methods for measuring social support. Health Psychol. 1988;7(1):75–109. [PubMed]
  • Lin N, Woelfel MW, Light SC. The buffering effect of social support subsequent to an important life event. J Health Soc Behav. 1985 Sep;26(3):247–263. [PubMed]
  • Fontana AF, Kerns RD, Rosenberg RL, Colonese KL. Support, stress, and recovery from coronary heart disease: a longitudinal causal model. Health Psychol. 1989;8(2):175–193. [PubMed]
  • Wethington E, Kessler RC. Perceived support, received support, and adjustment to stressful life events. J Health Soc Behav. 1986 Mar;27(1):78–89. [PubMed]
  • Bloom JR. Social support, accommodation to stress and adjustment to breast cancer. Soc Sci Med. 1982;16(14):1329–1338. [PubMed]
  • Revenson TA, Wollman CA, Felton BJ. Social supports as stress buffers for adult cancer patients. Psychosom Med. 1983 Aug;45(4):321–331. [PubMed]
  • Berkman LF, Syme SL. Social networks, host resistance, and mortality: a nine-year follow-up study of Alameda County residents. Am J Epidemiol. 1979 Feb;109(2):186–204. [PubMed]
  • Schipper H, Clinch J, McMurray A, Levitt M. Measuring the quality of life of cancer patients: the Functional Living Index-Cancer: development and validation. J Clin Oncol. 1984 May;2(5):472–483. [PubMed]
  • Schipper H, Levitt M. Measuring quality of life: risks and benefits. Cancer Treat Rep. 1985 Oct;69(10):1115–1125. [PubMed]
  • Dworkind M, Shvartzman P, Adler PS, Franco ED. Urban family physicians and the care of cancer patients. Can Fam Physician. 1994 Jan;40:47–50. [PMC free article] [PubMed]
  • Hsieh MO, Kagle JD. Understanding patient satisfaction and dissatisfaction with health care. Health Soc Work. 1991 Nov;16(4):281–290. [PubMed]
  • Gotay CC, Moore TD. Assessing quality of life in head and neck cancer. Qual Life Res. 1992 Feb;1(1):5–17. [PubMed]

Articles from Canadian Family Physician are provided here courtesy of College of Family Physicians of Canada