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dc.contributor.authorDahill, A.
dc.contributor.authorAl-Nakisbandi, H.
dc.contributor.authorCunningham, K.B.
dc.contributor.authorHumphris, G.M.
dc.contributor.authorLowe, D.
dc.contributor.authorRogers, S.N.
dc.identifier.citationDahill , A , Al-Nakisbandi , H , Cunningham , K B , Humphris , G M , Lowe , D & Rogers , S N 2020 , ' Loneliness and quality of life after head and neck cancer ' , British Journal of Oral and Maxillofacial Surgery , vol. 58 , no. 8 , pp. 959-965 .
dc.identifier.otherRIS: urn:09395D812E57E64550476AAAF773B88F
dc.identifier.otherORCID: /0000-0002-4601-8834/work/77524615
dc.identifier.otherORCID: /0000-0002-3300-7220/work/77525183
dc.description.abstractLoneliness is associated with a poor quality of life, mental illness, poor physical health, and premature mortality. Patients with head and neck cancer (HNC) are at risk of loneliness because of the effects of the disease and its treatment on important social interactive functions such as appearance, speech, facial expression, and eating. Patients treated for primary squamous cell HNC between January 2015 and December 2016 were surveyed in early 2019 using the University of Washington quality of life questionnaire version 4, the Cancer-related Loneliness Assessment Tool (C-LAT), and four nationally recommended indicator questions. The survey comprised 140 patients, with a mean (standard deviation) age at diagnosis of 63 (11) years. Tumour sites were oropharyngeal (42%), oral (35%), laryngeal (14%), and elsewhere (9%). In response to the question “How often do you feel lonely?” three-quarters said “hardly ever” and only 6% “often”. Similar responses were obtained for the other three indicator questions. It is encouraging that a relatively small proportion had serious issues with loneliness. Similarly, responses to the C-LAT suggested that one-quarter had feelings of loneliness and a minority had serious problems. Patients who were younger, who lived in more deprived circumstances, who had advanced disease and had been treated with chemotherapy or radiotherapy reported greater levels of loneliness. Loneliness was associated with a worse overall quality of life, and worse physical and social-emotional function. Lonely patients need to be identified as early as possible so that support and interventions can be implemented and outcomes improved.
dc.relation.ispartofBritish Journal of Oral and Maxillofacial Surgeryen
dc.subjectSocial exclusionen
dc.subjectSocial isolationen
dc.subjectUnmet needen
dc.subjectHead and neck canceren
dc.subjectQuality of lifeen
dc.subjectH Social Sciences (General)en
dc.subjectRC0254 Neoplasms. Tumors. Oncology (including Cancer)en
dc.subjectSDG 3 - Good Health and Well-beingen
dc.subjectSDG 10 - Reduced Inequalitiesen
dc.titleLoneliness and quality of life after head and neck canceren
dc.typeJournal articleen
dc.contributor.institutionUniversity of St Andrews. School of Medicineen
dc.contributor.institutionUniversity of St Andrews. Population and Behavioural Science Divisionen
dc.contributor.institutionUniversity of St Andrews. Sir James Mackenzie Institute for Early Diagnosisen
dc.contributor.institutionUniversity of St Andrews. WHO Collaborating Centre for International Child & Adolescent Health Policyen
dc.contributor.institutionUniversity of St Andrews. St Andrews Sustainability Instituteen
dc.contributor.institutionUniversity of St Andrews. Health Psychologyen
dc.description.statusPeer revieweden

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