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Quality of Life Research

Gepubliceerd in:

01-11-2012

A five-year prospective study of quality of life after colorectal cancer

Auteurs: Suzanne K. Chambers, Xingqiong Meng, Pip Youl, Joanne Aitken, Jeff Dunn, Peter Baade

Gepubliceerd in: Quality of Life Research | Uitgave 9/2012

Abstract

Purpose

Long-term (≥5 years) quality of life after colorectal cancer is not well described. The present study assessed quality of life (QOL) and psychological distress in colorectal cancer survivors more than 5 years to describe changes over time and antecedents of long-term outcomes.

Method

A prospective survey of a population-based sample of 763 colorectal cancer patients assessed socio-demographic variables, health behaviors, optimism, threat appraisal, and perceived social support at 5 months post-diagnosis as predictors of QOL and psychological distress 5 years post-diagnosis.

Results

QOL improved over time (P < 0.01 for each measure); however, measures of psychological distress remained stable (P > 0.07 for each measure). Risk factors for poorer QOL and/or greater psychological distress included: later stage disease, having a permanent stoma, rectal cancer, fatigue, smoking, being single, low social support, low optimism, and a more negative cancer threat appraisal. Being women, having a pet, having a private health insurance, and receiving both surgery and adjuvant treatment were protective.

Conclusion

Consistent with response shift theory, the antecedents of QOL after colorectal cancer are multifactorial and include predisposing socio-demographic, medical, and psychological variables. Psychosocial interventions that target both social support and threat appraisal may be effective for this patient group. Additional stepped-up support may be needed for people from a poorer social environment who have multiple risk factors for poorer adjustment. Health system effects require further investigation.

vorige artikel Impact of depression on quality of life in people living with human T cell lymphotropic virus type 1 (HTLV-1) in Salvador, Brazil

volgende artikel Health-related quality of life of mothers of very low birth weight children at the age of five: results from the newborn lung project statewide cohort study

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Titel: A five-year prospective study of quality of life after colorectal cancer
Auteurs: Suzanne K. Chambers
Xingqiong Meng
Pip Youl
Joanne Aitken
Jeff Dunn
Peter Baade
Publicatiedatum: 01-11-2012
Uitgeverij: Springer Netherlands
Gepubliceerd in: Quality of Life Research / Uitgave 9/2012
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-011-0067-5

Bohn Stafleu van Loghum

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Abstract

Purpose

Method

Results

Conclusion

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