Trajectories of psychological distress after colorectal cancer

Jeffrey Dunn; S K Ng; J Holland; J Aitken; Philippa H Youl; P Baade; S K Chambers

doi:10.1002/pon.3210

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Trajectories of psychological distress after colorectal cancer

Journal article

Peer reviewed

Trajectories of psychological distress after colorectal cancer

Jeffrey Dunn, S K Ng, J Holland, J Aitken, Philippa H Youl, P Baade and S K Chambers

Psycho-Oncology, Vol.22(8), pp.1759-1765

2013

DOI: https://doi.org/10.1002/pon.3210

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Abstract

Oncology and Carcinogenesis

Psychology

Clinical Sciences

Objective: Heightened psychological distress after cancer is common but likely highly heterogeneous. This raises potential challenges in how and when to target services; however, data describing longitudinal patterns of distress are limited. This study describes the long term psychological outcomes for colorectal cancer (CRC) survivors and trajectories of adjustment over time. Methods: A prospective survey of a population-based sample of 1966 CRC survivors assessed sociodemographic ariables, perceived social support and psychological distress, including distress subtypes of anxiety, depression and somatization, at six time points from 5 months to 5 years postdiagnosis. Results: Over the 5-year trajectory, the prevalence of high overall distress ranged between 44% and 32% but was greater for men compared with women (p < 0.001). Four distress trajectory styles within clusters were identified for overall distress and for each distress subtype with a constant low distress group provi ing the basis for comparison. Higher distress trajectories varied for overall distress and distress subtypes but were generally differentiated by gender, younger age, lower education, poor socioeconomic advantage, late disease stage and poor social support. Conclusions: For global distress, by comparison with women, men with CRC are vulnerable to distress, with men who are younger and with low education and poor social support being a priority for targeted intervention. While distress screening early in t e cancer experience will identify those with a constant high distress trajectory, others with late emerging distress or caseness may be missed. On this basis, distress screening through the illness trajectory into long term survivorship seems warranted.

Details

Title: Trajectories of psychological distress after colorectal cancer
Authors: Jeffrey Dunn (Author) - Griffith University
S K Ng (Author) - Griffith University
J Holland (Author) - Memorial Sloan-Kettering Cancer Center, United States
J Aitken (Author) - Griffith University
Philippa H Youl (Author) - Griffith University
P Baade (Author) - Griffith University
S K Chambers (Author) - Griffith University
Publication details: Psycho-Oncology, Vol.22(8), pp.1759-1765
Publisher: John Wiley & Sons Ltd.
Date published: 2013
DOI: 10.1002/pon.3210
ISSN: 1057-9249
Organisation Unit: University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy
Language: English
Record Identifier: 99451098902621
Output Type: Journal article

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129 Times Cited - Web of Science

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Collaboration types: Domestic collaboration; International collaboration
Web Of Science research areas: Oncology; Psychology; Psychology, Multidisciplinary; Social Sciences, Biomedical

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