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Quality of Life Research

Erschienen in:

01.11.2012

A five-year prospective study of quality of life after colorectal cancer

verfasst von: Suzanne K. Chambers, Xingqiong Meng, Pip Youl, Joanne Aitken, Jeff Dunn, Peter Baade

Erschienen in: Quality of Life Research | Ausgabe 9/2012

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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 support 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. 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.

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Titel: A five-year prospective study of quality of life after colorectal cancer
verfasst von: Suzanne K. Chambers
Xingqiong Meng
Pip Youl
Joanne Aitken
Jeff Dunn
Peter Baade
Publikationsdatum: 01.11.2012
Verlag: Springer Netherlands
Erschienen in: Quality of Life Research / Ausgabe 9/2012
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-011-0067-5

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Abstract

Purpose

Method

Results

Conclusion

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