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  • Antecedents of domain-specific quality of life after colorectal cancer

    Author(s)
    Steginga, Suzanne K
    Lynch, Brigid M
    Hawkes, Anna
    Dunn, Jeff
    Aitken, Joanne
    Griffith University Author(s)
    Chambers, Suzanne K.
    Hawkes, Anna L.
    Dunn, Jeffrey
    Aitken, Joanne
    Year published
    2009
    Metadata
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    Abstract
    Objective: The present study prospectively assessed the influence of medical, sociodemographic, psychological, and lifestyle variables on physical, social/family, emotional, functional well-being and colorectal cancer-specific concerns in a population-based sample of colorectal cancer survivors. Methods: Participants (n=1822) were assessed at 6 and 24 months post-diagnosis. Predictor variables assessed at 6 months included socio-demographic and medical variables, symptoms/side-effects, body mass index, physical activity, optimism, social support, and cancer threat appraisal. Quality of life (QOL) was assessed at 6 and 24 ...
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    Objective: The present study prospectively assessed the influence of medical, sociodemographic, psychological, and lifestyle variables on physical, social/family, emotional, functional well-being and colorectal cancer-specific concerns in a population-based sample of colorectal cancer survivors. Methods: Participants (n=1822) were assessed at 6 and 24 months post-diagnosis. Predictor variables assessed at 6 months included socio-demographic and medical variables, symptoms/side-effects, body mass index, physical activity, optimism, social support, and cancer threat appraisal. Quality of life (QOL) was assessed at 6 and 24 months post-diagnosis using the Functional Assessment of Cancer Therapy - Colorectal (FACT-C). Results: For each QOL subscale and for the overall FACT-C scale, 6 month scores were the strongest predictor of QOL scores at 24 months post-diagnosis (e.g. b=0.447, p o 0.001 for overall QOL). Socio-demographic, medical, and psychosocial variables, but not lifestyle variables, differentially predicted domain specific QOL. Only cancer threat appraisal was associated with all five QOL domains. Conclusion: Cancer threat appraisal presents as a potentially modifiable variable for interventions seeking to improve QOL. Symptom management and lifestyle strategies to ameliorate the effects of co-morbidities, disease stage and troublesome symptoms such as faecal incontinence on QOL should also be included.
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    Journal Title
    Psycho-Oncology
    Volume
    18
    Issue
    2
    DOI
    https://doi.org/10.1002/pon.1388
    Subject
    Clinical sciences
    Oncology and carcinogenesis
    Cancer therapy (excl. chemotherapy and radiation therapy)
    Publication URI
    http://hdl.handle.net/10072/30223
    Collection
    • Journal articles

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