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dc.contributor.authorChambers, Suzanne K
dc.contributor.authorMeng, Xingqiong
dc.contributor.authorYoul, Pip
dc.contributor.authorAitken, Joanne
dc.contributor.authorDunn, Jeff
dc.contributor.authorBaade, Peter
dc.date.accessioned2017-05-03T14:37:10Z
dc.date.available2017-05-03T14:37:10Z
dc.date.issued2012
dc.date.modified2012-02-15T04:46:55Z
dc.identifier.issn0962-9343
dc.identifier.doi10.1007/s11136-011-0067-5
dc.identifier.urihttp://hdl.handle.net/10072/42690
dc.description.abstractPurpose Long-term (C5 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 sociodemographic variables, health behaviors, optimism, threat appraisal, and perceived social support at 5 months postdiagnosis 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. Being 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.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.language.isoeng
dc.publisherSpringer
dc.publisher.placeNetherlands
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom1551
dc.relation.ispartofpageto1564
dc.relation.ispartofissue9
dc.relation.ispartofjournalQuality of Life Research
dc.relation.ispartofvolume21
dc.rights.retentionY
dc.subject.fieldofresearchPsychology not elsewhere classified
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchcode170199
dc.subject.fieldofresearchcode1117
dc.subject.fieldofresearchcode1701
dc.titleA five-year prospective study of quality of life after colorectal cancer
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.facultyGriffith Health, School of Applied Psychology
gro.date.issued2011
gro.hasfulltextNo Full Text
gro.griffith.authorChambers, Suzanne K.


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