Developing the social distress scale for head and neck cancer outpatients in Japan

Minako Deno, Mie Tashiro, Mitsunori Miyashita, Takahiro Asakage, Koji Takahashi, Kenich Saito, Yasunobu Busujima, Yoshiyuki Mori, Hiroto Saito, Yuji Ichikawa

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)


Objective: This study assessed the factor structure, internal consistency, and concurrent and discriminant validity of a scale used to measure social distress in Japanese head and neck cancer outpatients with facial disfigurement. Method: The sample included 225 Japanese outpatients with head and neck cancer, including 129 patients with facial disfigurement. Participants' level of social distress was assessed through our scale, the European Organization for Research and Treatment Cancer questionnaire (EORTC) QLQ-H&N35 and the Hospital Anxiety and Depression scale (HADS). Results: Factor analyses confirmed the structure of two subscales of the social distress scale. Social distress was significantly correlated with the social contact subscale of the EORTC QLQ-H&N35 and the HADS.Significance of results: Results demonstrated preliminary reliability and validity of the social distress scale. This scale may extend social adjustment research by revealing its determinants and effects for head and neck cancer with facial disfigurement in Japan.

Original languageEnglish
Pages (from-to)165-172
Number of pages8
JournalPalliative and Supportive Care
Issue number2
Publication statusPublished - 2011 Jun


  • Facial disfigurement
  • Head and neck cancer
  • Social avoidance
  • Social distress

ASJC Scopus subject areas

  • Nursing(all)
  • Clinical Psychology
  • Psychiatry and Mental health


Dive into the research topics of 'Developing the social distress scale for head and neck cancer outpatients in Japan'. Together they form a unique fingerprint.

Cite this