Journal article
Health-related quality of life and life satisfaction in colorectal cancer survivors: trajectories of adjustment
Health and Quality of Life Outcomes, Vol.11, 46
2014
Abstract
Background: This longitudinal study describes the five year trajectories of health-related quality of life (HR-QOL) and life satisfaction in long term colorectal cancer survivors. Patients and methods: A population-based sample of 1966 colorectal cancer survivors were surveyed at six time points from five months to five years post-diagnosis. Predictor variables were: socio-demographic variables, optimism; cancer threat appraisal; perceived social support. Quality of life was assesse with the Functional Assessment of Cancer Therapy-Colorectal (HR-QOL); and the Satisfaction with Life Scale. Growth mixture models were applied to identify trajectory classes and their predictors. Results: Distinct adjustment trajectories were identified for HR-QOL and life satisfaction. Lower optimism, poorer social support, a more negative cognitive appraisal, and younger age were associated with poorer life satisfaction, while survivors with less than 8 years of education had higher life satisfaction. T is pattern was similar for overall HR-QOL except that educational level was not a significant predictor and later stage disease and female gender emerged as related to poorer outcomes. One in five survivors reported poorer constant HR-QOL (19.2%) and a small group had poor life satisfaction (7.2%); 26.2% reported constant high HR-QOL and 48.8% had high constant life satisfaction. Socioeconomic disadvantage and remoteness of residence uniquely predicted poorer outcomes in the colorectal cancer specific HR- OL sub domain. Conclusion: Although HR-QOL and subjective cognitive QOL share similar antecedents their trajectory patterns suggested they are distinct adjustment outcomes; with life satisfaction emerging as temporally stable phenomenon. Unique patterns of risk support suggest the need to account for heterogeneity in adjustment in longitudinal QOL studies with cancer survivors.
Details
- Title
- Health-related quality of life and life satisfaction in colorectal cancer survivors: trajectories of adjustment
- Authors
- Jeffrey Dunn (Author) - Griffith UniversityS K Ng (Author) - Griffith UniversityW Brietbart (Author) - Memorial Sloane-Kettering Cancer Center, United StatesJ Aitken (Author) - Griffith UniversityPhilippa H Youl (Author) - Griffith UniversityP Baade (Author) - Griffith UniversityS K Chambers (Author) - Griffith University
- Publication details
- Health and Quality of Life Outcomes, Vol.11, 46; 8
- Publisher
- BioMed Central Ltd.
- Date published
- 2014
- DOI
- 10.1186/1477-7525-11-46
- ISSN
- 1477-7525
- Copyright note
- Copyright © 2013 Dunn et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
- Organisation Unit
- University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy
- Language
- English
- Record Identifier
- 99450478402621
- Output Type
- Journal article
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