Role of Psychosocial Factors on Communicative Participation among Survivors of Head and Neck Cancer

ObjectiveThe purpose of this study was to examine the unique contribution of psychosocial factors, including perceived social support, depression, and resilience to communicative participation, among adult survivors of head and neck cancer (HNC).Study DesignCross-sectional.SettingUniversity-based laboratory and speech clinic.Subjects and MethodsAdult survivors of HNC who were at least 2 years posttreatment for HNC completed patient-reported outcome measures, including those related to communicative participation and psychosocial function. Multiple linear regression analysis was conducted to predict communicative participation. Self-rated speech severity, cognitive function, laryngectomy status, and time since diagnosis were entered first as a block of variables (block 1), and psychosocial factors were entered second (block 2).ResultsEighty-eight adults who were on average 12.2 years post–HNC diagnosis participated. The final regression model predicted 58.2% of the variance in communicative participation (...