{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T01:05:38Z","timestamp":1790471138095,"version":"4.1.0"},"reference-count":19,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2018,6,8]],"date-time":"2018-06-08T00:00:00Z","timestamp":1528416000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000048","name":"American Cancer Society","doi-asserted-by":"publisher","award":["MRSG\u201010\u2010010\u201001"],"award-info":[{"award-number":["MRSG\u201010\u2010010\u201001"]}],"id":[{"id":"10.13039\/100000048","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Our long\u2010term goal is to develop a normative feedback intervention to support head and neck cancer patients in forming realistic expectations about how other people in non\u2010social group settings will respond to their appearance. This study aimed to evaluate the relationship between observer ratings of facial disfigurement and observer ratings of emotional response when viewing photographs of faces of head and neck cancer patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Seventy\u2010five (75) observers rated their emotional response to each of 144 facial photographs of head and neck cancer patients using the Self\u2010Assessment\u2010Manikin and rated severity of facial disfigurement on a 9\u2010point scale. Body image investment of the observers was measured using the Appearance Schemas Inventory\u2010Revised. A standardized multiple regression model was used to assess the relationship between observer ratings of facial disfigurement and observer ratings of emotional response, taking into consideration the age and sex of the patient depicted in the stimulus photograph, as well as the age, sex, and body image investment of the observer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Observers who had a strong emotional response to a patient's facial photograph tended to rate the patient's facial disfigurement as more severe (standardized regression coefficient \u03b2\u00a0=\u00a00.328, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001). Sex and age of the observer had more influence on the rating of facial disfigurement than did the patient's demographic characteristics. Observers more invested in their own body image tended to rate the facial disfigurement as more severe.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study lays the groundwork for a normative database of emotional response to facial disfigurement.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.4776","type":"journal-article","created":{"date-parts":[[2018,5,30]],"date-time":"2018-05-30T10:45:56Z","timestamp":1527677156000},"page":"2119-2124","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Observers' response to facial disfigurement from head and neck cancer"],"prefix":"10.1002","volume":"27","author":[{"given":"Joowon","family":"Cho","sequence":"first","affiliation":[{"name":"Electrical and Computer Engineering The University of Texas at Austin  Austin TX USA"},{"name":"Plastic Surgery The University of Texas MD Anderson Cancer Center  Houston TX USA"},{"name":"Biomedical Engineering The University of Texas at Austin  Austin TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle Cororve","family":"Fingeret","sequence":"additional","affiliation":[{"name":"Plastic Surgery The University of Texas MD Anderson Cancer Center  Houston TX USA"},{"name":"Behavioral Science The University of Texas MD Anderson Cancer Center  Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheng\u2010Cheng","family":"Huang","sequence":"additional","affiliation":[{"name":"Biomedical Engineering The University of Texas at Austin  Austin TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Liu","sequence":"additional","affiliation":[{"name":"Plastic Surgery The University of Texas MD Anderson Cancer Center  Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory P.","family":"Reece","sequence":"additional","affiliation":[{"name":"Plastic Surgery The University of Texas MD Anderson Cancer Center  Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8186-4959","authenticated-orcid":false,"given":"Mia K.","family":"Markey","sequence":"additional","affiliation":[{"name":"Biomedical Engineering The University of Texas at Austin  Austin TX USA"},{"name":"Imaging Physics The University of Texas MD Anderson Cancer Center  Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,6,8]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1740-1445(03)00005-6"},{"issue":"3","key":"e_1_2_7_3_1","first-page":"22","article-title":"Psychological aspects of face transplantation: read the small print carefully","volume":"4","author":"Rumsey N","year":"2004","journal-title":"Am J B"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1990"},{"issue":"1","key":"e_1_2_7_5_1","first-page":"61","article-title":"Psychosocial aspects of head and neck cancer","volume":"15","author":"Breitbart W","year":"1988","journal-title":"Semin Oncol"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.10174"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/scd.12039"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1188\/12.CJON.153-159"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/02732173.2012.646156"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.2307\/2087355"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11912-014-0422-0"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/03610730500206808"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199808000-00045"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7916(94)90063-9"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8986.1993.tb03352.x"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0347(200003)22:2<132::AID-HED4>3.0.CO;2-K"},{"issue":"1","key":"e_1_2_7_17_1","first-page":"60","article-title":"Measurement invariance of the appearance schemas inventory\u2014revised and the body image quality of life inventory across age and gender","volume":"15","author":"Rusticus SA","year":"2008","journal-title":"ASMNT"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.2161-1882.2012.00016.x"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordhb\/9780199580521.013.0010"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118523384.app1"}],"container-title":["Psycho-Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fpon.4776","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pon.4776","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,16]],"date-time":"2023-09-16T08:54:18Z","timestamp":1694854458000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pon.4776"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,8]]},"references-count":19,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2018,9]]}},"alternative-id":["10.1002\/pon.4776"],"URL":"https:\/\/doi.org\/10.1002\/pon.4776","archive":["Portico"],"relation":{},"ISSN":["1057-9249","1099-1611"],"issn-type":[{"value":"1057-9249","type":"print"},{"value":"1099-1611","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,6,8]]},"assertion":[{"value":"2018-03-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-05-17","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-06-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}