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Publication du membre du CRISE

Henry Melissa
Professeur adjoint, dpartement d'oncologie
Hpital Gnral Juif, Universit McGill

Henry, M., Ho, A., Lambert, S., Carnevale, F., Greenfield, B., MacDonald, C., Mlynarek, A., Zeitouni, A., Rosberger, Z., Hier, M., Black, M., Kost, K. & Frenkiel, S. (2014). Looking beyond disfigurement: The experience of patients with head and neck cancer. Journal of Palliative Care, 30(1), 5-15.

Despite the frequent occurrence of head and neck cancer (HNC) disfigurement, little is known about its psychosocial impact on patients. This study aimed to understand the lived experience of disfigurement in HNC and explore what patients considered to be its influences. Fourteen disfigured HNC patients participated in a 45-to-120-minute in-depth, semistructured interview, which was analyzed qualitatively using interpretive phenomenology. A majority of participants (64 percent) were considered to be at an advanced cancer stage (stage III or stage IV). Patients' experiences revolved around the concept of a ruptured self-image (a discontinuity in sense of self). Forces triggering this ruptured self-image created a sense of "embodied angst", in which disfigurement served as a constant reminder of the patient's cancer and associated foundational malaise. Other influences fostered a sense of normalcy, balance, and acceptance. Participants oscillated between these two states as they grew to accept their disfigurement. This study's findings could guide supportive interventions aimed at helping patients face head and neck surgery.

(Résumé disponible en anglais seulement)

http://www.ncbi.nlm.nih.gov/pubmed/24826438

Mise à jour : 11/17/2014

 
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