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Quality of Life Research

Gepubliceerd in:

01-03-2011

Health-related quality of life in haematopoietic stem cell transplant survivors: a qualitative study on the role of psychosocial variables and response shifts

Auteurs: Rebecca J. Beeken, Christine Eiser, Christopher Dalley

Gepubliceerd in: Quality of Life Research | Uitgave 2/2011

Abstract

Purpose

Psychosocial assessment prior to haematopoietic stem cell transplants (HSCT) can help to identify patients at risk of impaired health-related quality of life (HRQOL) post-transplant. According to the response-shift model, certain antecedents and mechanisms, along with changes in internal standards, values or conceptualisations of HRQOL, facilitate adjustment to changes in health circumstances. This study sought to explore the role of psychosocial variables in adjustment to compromised HRQOL following HSCT, from the theoretical basis of the response-shift model.

Methods

Semi-structured interviews were conducted with 28 patients (15 women, 13 men; 22–71 years), post-HSCT. Time since transplant ranged from 1 month to 28 years. Verbatim transcripts were analysed using template analysis.

Results

Patients provided narrative examples of changing their values and internal standards. Optimism, social support, social comparisons, changing expectations and setting goals were identified as important in managing threats to HRQOL.

Conclusions

The response-shift model is a useful theoretical basis for exploring HRQOL in HSCT patients. Response shifts and psychosocial variables may help patients to cope and enabling them to experience good HRQOL despite the negative effects of HSCT. Understanding the adjustment processes has implications for patient care.

volgende artikel To what extent can response shift theory explain the variation in prostate cancer patients’ reactions to treatment side-effects? A review

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Titel: Health-related quality of life in haematopoietic stem cell transplant survivors: a qualitative study on the role of psychosocial variables and response shifts
Auteurs: Rebecca J. Beeken
Christine Eiser
Christopher Dalley
Publicatiedatum: 01-03-2011
Uitgeverij: Springer Netherlands
Gepubliceerd in: Quality of Life Research / Uitgave 2/2011
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-010-9737-y

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Abstract

Purpose

Methods

Results

Conclusions

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