Journal article
A five-year prospective study of quality of life after colorectal cancer
Quality of Life Research, Vol.21(9), pp.1551-1564
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 upport 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. eing 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.
Details
- Title
- A five-year prospective study of quality of life after colorectal cancer
- Authors
- S K Chambers (Author) - Griffith UniversityX Meng (Author) - Cancer Council QueenslandPhilippa H Youl (Author) - Griffith UniversityJ Aitken (Author) - Griffith UniversityJeffrey Dunn (Author) - Griffith UniversityP Baade (Author) - Griffith University
- Publication details
- Quality of Life Research, Vol.21(9), pp.1551-1564
- Publisher
- Springer Netherlands
- Date published
- 2012
- DOI
- 10.1007/s11136-011-0067-5
- ISSN
- 0962-9343
- Organisation Unit
- University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy
- Language
- English
- Record Identifier
- 99450520402621
- Output Type
- Journal article
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