4. The psychological effect of facial and neck surgery.pdf Flashcards Preview

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Flashcards in 4. The psychological effect of facial and neck surgery.pdf Deck (11):

Epidemiology of head and neck cancer?

Highest for ages of 74+ yrs
More common in men substantially
Increasing incidence for those ages 50 to 79 however
Age-standarsied (AS) rates highest in scotland


Psychological factors of Head and Neck Cancer?

• Quality of life
• Psychological distress, anxiety, depression
• Fears of recurrence
• Appearance


Why is fascial appearance so important to people?

Facial information is first to be available
It is continuously available
Facial appearance information does not require complex processing
Increased incidence of meeting new people


Psychological problems associated with requests for plastic surgery?

Eating disorders: E.g. Anorexia bulemia, bulemia nervosa, compulsive eating
Sexual abuse
Familial/social estrangement


Individual differences in response to stigmatizing reactions to the same physical characteristic

Less stigma felt in those who are 'resilient'. Because:
-Reduced sense of personal vulnerability high level of intelligence
-sense of humour
-stable childhood
-strong self-esteem


What allows an anomaly to warrant treatment?

An anomaly should be regarded as requiring treatment if the disfigurement or functional defect is, or is likely to be,an obstacle to the patients' physical or emotional well-being


What are the psychological actions seen in major and minor disfigurement patients?

Note: lack of correlation between disfigurement level and distress...

Minor disfigurement:
Unable to predict response from others
Increase in anxiety and helplessness
Increased scanning of face

Major disfigurement:
Able to anticipate response of others


What are the characteristics of Monosymptomatic hypochondriacal psychosis MHP?

Monosymptomatic hypochondriacal psychosis (MHP):
Delusions of ugliness
Obsessional to obtain a "cure"
Anxious and vigilant
BUT rational about other things

Seen in patients of disfigurement


What are the features of body dysmorphic disorder (BDD)?

body dysmorphic disorder (BDD):
-Preoccupation with an imagined defect
-Overvalued ideas that can be discussed rationally

coexists with...
-Obsessive-compulsive behaviour
-Social phobia


in which 5 ways are carers importance in promoting recovery?

• Retain structure to daily life
• Assist with medication, treatments and adherence to medical recommendations
• Practical support
• Maintain emotional life
• Family interactions are complex and not always supportive


What is the most common factor that leads to carer distress?

Patient fear of reoccurrence