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

Head Neck. 2007 Feb;29(2):143-6. doi: 10.1002/hed.20501.

Abstract

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.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Aged
  • Carcinoma, Squamous Cell / psychology*
  • Depression / epidemiology
  • Esthetics
  • Female
  • Head and Neck Neoplasms / psychology*
  • Health Status
  • Humans
  • Male
  • Mental Health
  • Middle Aged
  • Multivariate Analysis
  • Outcome Assessment, Health Care
  • Prospective Studies
  • Quality of Life*
  • Retrospective Studies
  • Social Support*
  • Speech Intelligibility
  • Surveys and Questionnaires