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Quality of Life Research

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01.09.2007 | Original Research

The effects of response bias on self-reported quality of life among childhood cancer survivors

verfasst von: Tara E. O’Leary, Lisa Diller, Christopher J. Recklitis

Erschienen in: Quality of Life Research | Ausgabe 7/2007

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Abstract

Background

Several studies of long-term adjustment in childhood cancer survivors (CCS) report very positive outcomes, while other studies find significant adjustment problems. These inconsistencies have prompted some investigators to suggest survivors may be biased responders, prone to underreporting on self-report measures. This study tested the hypothesis that CCS are elevated on self-deception response bias (SDRB), and that SDRB is associated with higher ratings of quality-of-life (QOL).

Methods

One hundred and seven adult (mean age = 31.85) survivors of childhood cancers completed a demographic questionnaire, Short Form-12 (SF-12), Functional Assessment of Cancer Therapy-General (FACT-G), and Self-Deception Enhancement scale (SDE), an SDRB measure.

Results

Survivors’ QOL scores were similar to normative groups, but they evidenced much higher levels of response bias. SDE scores were significantly correlated with the FACT-G, and SF-12 Mental Health (but not Physical Health) scores even after accounting for demographic and treatment-related variables.

Conclusions

CCS show a biased response style, indicating a systematic tendency to deny difficulties on QOL measures. This may complicate QOL studies by inflating survivors’ reports of their socio-emotional functioning. Understanding how response bias develops may help us learn more about cancer survivors’ adaptation to illness, and the effects of the illness experience on their perceptions of QOL.

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Elkin, T. D., Phipps, S., Mulhern, R. K., et al. (1997). Psychological functioning of adolescent and young adult survivors of pediatric malignancy. Medical and Pediatric Oncology, 29, 582–588.PubMedCrossRef

Robison, L. L., Mertens, A. C., Boice, J. D., et al. (2002). Study design and cohort characteristics of the Childhood Cancer Survivor Study: A multi-institutional collaborative project. Medical and Pediatric Oncology, 38, 229–239.PubMedCrossRef

Stuber, M. L., Nader, K., Yasuda, P., et al. (1991). Stress responses after pediatric bone marrow transplantation: Preliminary results of a prospective longitudinal study. Journal of American Academy of Child and Adolescent Psychiatry, 30, 952–957.CrossRef

Wallace, W. H., Blacklay, A., Eiser, C., et al. (2001). Developing strategies for long term follow up of survivors of childhood cancer. British Medical Journal, 323, 271–274.PubMedCrossRef

Constain, K., Hewison, J., & Howes, M. J. (1993). Comparison of a function-based model and meaning-based model of quality of life in oncology: Multidimensionality examined. Journal of Psychosocial Oncology, 11, 17–37.CrossRef

Carr, A. J., Gibson, B., & Robinson, P. G. (2001). Measuring quality of life: Is quality of life determined by expectations or experience? British Medical Journal, 322, 1240–1243.PubMedCrossRef

Cella, D., Hahn, E. A., & Dineen, K. (2002). Meaningful change in cancer-specific quality of life scores: Differences between improvement and worsening. Quality of Life Research, 11, 207–221.PubMedCrossRef

D’Angio, G. J. (1994). Introduction and historical perspective. In G. J. D’Angio (Ed.), Survivors of childhood cancer: Assessment and management (pp. 105). St. Louis, MO: Mosby.

Hudson, M. M., Mertens, A. C., Yasui, Y., et al. (2003). Health status of adult long-term survivors of childhood cancer: A report from the Childhood Cancer Survivor Study. The Journal of the American Medical Association, 290, 1583–1592.CrossRef

10.

Mitby, P. A., Robison, L. L., Whitton, J. A., et al. (2003). Utilization of special education services and educational attainment among long-term survivors of childhood cancer: A report from the Childhood Cancer Survivor Study. Cancer, 97, 1115–1126.PubMedCrossRef

11.

Meeske, K. A., Siegel, S. E., Globe, D. R., et al. (2005). Prevalence and correlates of fatigue in long-term survivors of childhood leukemia. Journal of Clinical Oncology, 23, 5501–5510.PubMedCrossRef

12.

Parsons, S. K., Shih, M. C., Mayer, D. K., et al. (2005). Preliminary psychometric evaluation of the Child Health Ratings Inventory (CHRIS) and Disease-Specific Impairment Inventory-Hematopoietic Stem Cell Transplantation (DSII-HSCT) in parents and children. Quality of Life Research, 14, 1613–1625.PubMedCrossRef

13.

Vannatta, K., Gerhardt, C. A., Wells, R. J., et al. (2006). Intensity of CNS treatment for pediatric cancer: Prediction of social outcomes in survivors. Pediatric Blood and Cancer doi: 10.1002/pbc.21062.

14.

Hobbie, W. L., Stuber, M., Meeske, K., et al. (2000). Symptoms of posttraumatic stress in young adult survivors of childhood cancer. Journal of Clinical Oncology, 18, 4060–4066.PubMed

15.

Koocher, G., & O’Malley, J. E. (1981). Book the damocles syndrome: Psychosocial consequences of surviving childhood cancer. New York, NY: McGraw-Hill.

16.

Mackie, E., Hill, J., Kondryn, H., et al. (2000). Adult psychosocial outcomes in long-term survivors of acute lymphoblastic leukaemia and Wilms’ tumour: A controlled study. Lancet, 355, 1310–1314.PubMedCrossRef

17.

Moore, I. M., Glasser, M. E., & Ablin, A. R. (1988). The late psychosocial consequences of childhood cancer. Journal of Pediatric Nursing, 3, 150–158.PubMed

18.

Sawyer, M., Antoniou, G., Toogood, I., et al. (1997). Childhood cancer: A two-year prospective study of the psychological adjustment of children and parents. Journal of American Academy of Child and Adolescent Psychiatry, 36, 1736–1743.CrossRef

19.

Stuber, M. L., Christakis, D. A., Houskamp, B., et al. (1996). Posttrauma symptoms in childhood leukemia survivors and their parents. Psychosomatics, 37, 254–261.PubMed

20.

Zeltzer, L. K., Chen, E., Weiss, R., et al. (1997). Comparison of psychologic outcome in adult survivors of childhood acute lymphoblastic leukemia versus sibling controls: A cooperative Children’s Cancer Group and National Institutes of Health study. Journal of Clinical Oncology, 15, 547–556.PubMed

21.

Apajasalo, M., Sintonen, H., Siimes, M. A., et al. (1996). Health-related quality of life of adults surviving malignancies in childhood. European Journal of Cancer, 32A, 1354–1358.PubMedCrossRef

22.

Canning, E. H., Canning, R. D., & Boyce, W. T. (1992). Depressive symptoms and adaptive style in children with cancer. Journal of American Academy of Child and Adolescent Psychiatry, 31, 1120–1124.CrossRef

23.

Cella, D. F., & Tross, S. (1986). Psychological adjustment to survival from Hodgkin’s disease. Journal of Consulting and Clinical Psychology, 54, 616–622.PubMedCrossRef

24.

Kazak, A. E., Barakat, L. P., Meeske, K., et al. (1997). Posttraumatic stress, family functioning, and social support in survivors of childhood leukemia and their mothers and fathers. Journal of Consulting and Clinical Psychology, 65, 120–129.PubMedCrossRef

25.

Zebrack, B. J., Zeltzer, L. K., Whitton, J., et al. (2002). Psychological outcomes in long-term survivors of childhood leukemia, Hodgkin’s disease, and non-Hodgkin’s lymphoma: A report from the Childhood Cancer Survivor Study. Pediatrics, 110, 42–52.PubMedCrossRef

26.

Parsons, S. K., Barlow, S. E., Levy, S. L., et al. (1999). Health-related quality of life in pediatric bone marrow transplant survivors: According to whom? International Journal of Cancer Supplement, 12, 46–51.CrossRef

27.

Radcliffe, J., Bennett, D., Kazak, A. E., et al. (1996). Adjustment in childhood brain tumor survival: Child, mother, and teacher report. Journal of Pediatric Psychology, 21, 529–539.PubMedCrossRef

28.

Slevin, M. L., Plant, H., Lynch, D., et al. (1988). Who should measure quality of life, the doctor or the patient? British Journal of Cancer, 57, 109–112.PubMed

29.

Eiser, C., & Eiser, J. R. (2000). Social comparisons and quality of life among survivors of childhood cancer and their mothers. Psychology and Health, 15, 449–460.

30.

Dolgin, M. J., Somer, E., Buchvald, E., et al. (1999). Quality of life in adult survivors of childhood cancer. Social Work in Health Care, 28, 31–43.PubMedCrossRef

31.

Felder-Puig, R., Formann, A. K., Mildner, A., et al. (1998). Quality of life and psychosocial adjustment of young patients after treatment of bone cancer. Cancer, 83, 69–75.PubMedCrossRef

32.

Nicholson, H. S., Mulvihill, J. J., & Byrne, J. (1992). Late effects of therapy in adult survivors of osteosarcoma and Ewing’s sarcoma. Medical and Pediatric Oncology, 20, 6–12.PubMedCrossRef

33.

Tebbi, C. K., Bromberg, C., & Piedmonte, M. (1989). Long-term vocational adjustment of cancer patients diagnosed during adolescence. Cancer, 63, 213–218.PubMedCrossRef

34.

Oeffinger, K. C., Mertens, A. C., Sklar, C. A., et al. (2006). Chronic health conditions in adult survivors of childhood cancer. The New England Journal of Medicine, 355, 1572–1582.PubMedCrossRef

35.

Langeveld, N. E., Stam, H., Grootenhuis, M. A., et al. (2002). Quality of life in young adult survivors of childhood cancer. Support Care Cancer, 10, 579–600.PubMedCrossRef

36.

Langeveld, N. E., Ubbink, M. C., Last, B. F., et al. (2003). Educational achievement, employment and living situation in long-term young adult survivors of childhood cancer in the Netherlands. Psychooncology, 12, 213–225.PubMedCrossRef

37.

Gray, R. E., Doan, B. D., Shermer, P., et al. (1992). Psychologic adaptation of survivors of childhood cancer. Cancer, 70, 2713–2721.PubMedCrossRef

38.

Zebrack, B. J., & Chesler, M. A. (2002). Quality of life in childhood cancer survivors. Psychooncology, 11, 132–141.PubMedCrossRef

39.

Zevon, M. A., Neubauer, N. A., & Green, D. M. (1990). Adjustment and vocational satisfaction of patients treated during childhood or adolescence for acute lymphoblastic leukemia. The American Journal of Pediatric Hematology/Oncology, 12, 454–461.PubMedCrossRef

40.

Recklitis, C., Parsons, S. K., Shih, M. C., et al. (2006). Factor structure of the Brief Symptom Inventory-18 in adult survivors of childhood cancer: Results from the Childhood Cancer Survivor Study. Psychological Assessment, 18, 22–32.PubMedCrossRef

41.

Taylor, S. E. (1983). Adjustment to threatening events: A theory of cognitive adaptation. American Psychologist, 38, 1161–1173.CrossRef

42.

Park, C. L. (1998). Stress-related growth and thriving through coping: The roles of personality and cognitive processes. Journal of Social Issues, 54, 267–273.CrossRef

43.

Breetvelt, I. S., & Van Dam, F. S. (1991). Underreporting by cancer patients: The case of response-shift. Social Science & Medicine, 32, 981–987.CrossRef

44.

Howard, G. S., Schmeck, R. R., & Bray, J. H. (1979). Internal validity in studies employing self-report instruments: A suggested remedy. Journal of Educational Measurement, 16, 129–135.CrossRef

45.

Sprangers, M. A., & Schwartz, C. E. (1999). Integrating response shift into health-related quality of life research: A theoretical model. Social Science & Medicine, 48, 1507–1515.CrossRef

46.

Schwartz, C. E., Feinberg, R., Jilinskaia, E., et al. (1999). Paradoxical effects of response shift on an evaluation of rehabilitation for childhood cancer survivors [Abstract of paper for the 1999 annual meeting: Symposium: Response shift effects in rehabilitation]. Psychosomatic Medicine, 61, 129.

47.

Bauld, C., Anderson, V., & Arnold, J. (1998). Psychosocial aspects of adolescent cancer survival. Journal of Paediatrics and Child Health, 34, 120–126.PubMedCrossRef

48.

Paulhus, D. L. (1989). Social desirable responding: Some new solutions to old problems. In D. L. Paulhus (Ed.), Personality psychology: Recent trends and emerging directions (pp. 201–209). New York, NY: Academic Press.

49.

Paulhus, D. L. (1990). Measurement and control of response bias. In D. L. Paulhus (Ed.), Measures of personality and social psychological attitudes (pp. 17–51). San Diego, CA: Academic Press.

50.

Phipps, S., & Srivastava, D. K. (1997). Repressive adaptation in children with cancer. Health Psychology, 16, 521–528.PubMedCrossRef

51.

Holden, R. R., & Fekken, G. C. (1989). Three common social desirability scales: Friends, aquaintances, or Strangers? Journal of Research in Personality, 23, 180–191.CrossRef

52.

Weinberger, D. A., Schwartz, G. E., & Davidson, R. J. (1979). Low-anxious, high-anxious, and repressive coping styles: Psychometric patterns and behavioral and physiological responses to stress. Journal of Abnormal Psychology, 88, 369–380.PubMedCrossRef

53.

Shedler, J., Mayman, M., & Manis, M. (1993). The illusion of mental health. The American Psychologist, 48, 1117–1131.PubMedCrossRef

54.

Ware, J. E., Kosinski, M., & Keller, S. D. (1998). Book SF-12: How to score the SF-12 physical and mental health summary scales. Lincoln, RI: Quality Metric Inc.

55.

Cella, D. F., Tulsky, D. S., Gray, G., et al. (1993). The Functional Assessment of Cancer Therapy scale: Development and validation of the general measure. Journal of Clinical Oncology, 11, 570–579.PubMed

56.

Brucker, P. S., Yost, K., Cashy, J., et al. (2005). General population and cancer patient norms for the Functional Assessment of Cancer Therapy-General (FACT-G). Evaluation & the Health Professions, 28, 192–211.CrossRef

57.

Paulhus, D. L. (1998). Book Paulhus Deception Scales (PDS): Balanced inventory of desirable responding-7 user’s manual. North Tonawanda, NY: Multi-Health Systems, Inc.

58.

Paulhus, D. L. (1988). Assessing self-deception and impression management in self-reports: The balanced inventory of desirable responding. Vancouver, Canada: University of British Columbia.

59.

Paulhus, D. L., & Reid, D. B. (1991). Enhancement and denial in socially desirable responding. Journal of Personality and Social Psychology, 60, 307–317.CrossRef

60.

Paulhus, D. L. (2001). Socially desirable responding: The evolution of a construct. In D. L. Paulhus (Ed.), The role of constructs in psychological and educational measurement (pp. 49–69). Hillsdale, NJ: Erlbaum.

61.

Eton, D. T., Cella, D., Yost, K. J., et al. (2004). A combination of distribution- and anchor-based approaches determined minimally important differences (MIDs) for four endpoints in a breast cancer scale. Journal of Clinical Epidemiology, 57, 898–910.PubMedCrossRef

62.

Tchen, N., Juffs, H. G., Downie, F. P., et al. (2003). Cognitive function, fatigue, and menopausal symptoms in women receiving adjuvant chemotherapy for breast cancer. Journal of Clinical Oncology, 21, 4175–4183.PubMedCrossRef

63.

Lipton, R. B., Hamelsky, S. W., Kolodner, K. B., et al. (2000). Migraine, quality of life, and depression: A population-based case-control study. Neurology, 55, 629–635.PubMed

64.

Detmar, S. B., Aaronson, N. K., Wever, L. D., et al. (2000). How are you feeling? Who wants to know? Patients’ and oncologists’ preferences for discussing health-related quality-of-life issues. Journal of Clinical Oncology, 18, 3295–3301.PubMed

65.

Sarna, L., Padilla, G., Holmes, C., et al. (2002). Quality of life of long-term survivors of non-small-cell lung cancer. Journal of Clinical Oncology, 20, 2920–2929.PubMedCrossRef

66.

Burns, J. W., Kubilus, A., Bruehl, S., et al. (2001). A fourth empirically derived cluster of chronic pain patients based on the multidimensional pain inventory: evidence for repression within the dysfunctional group. Journal of Consulting and Clinical Psychology, 69, 663–673.PubMedCrossRef

67.

Asendorpf, J. B., & Ostendorf, F. (1998). Is self-enhancement healthy? Conceptual, psychometric, and empirical analysis. Journal of Personality and Social Psychology, 74, 955–966.PubMedCrossRef

68.

Paulhus, D. L. (1998). Interpersonal and intrapsychic adaptiveness of trait self-enhancement: A mixed blessing? Journal of Personality and Social Psychology, 74, 1197–1208.PubMedCrossRef

69.

Zebrack, B. J., & Chesler, M. (2001). Health-related worries, self-image, and life outlooks of long-term survivors of childhood cancer. Health & Social Work, 26, 245–256.

70.

Lawton, J. M., Fergusson, D. M., & Horwood, L. J. (1989). Self-esteem and defensiveness: An analysis of the self-esteem inventory. Psychological Reports, 64, 1307–1320.

71.

Lambird, K. H., & Mann, T. (2006). When do ego threats lead to self-regulation failure? Negative consequences of defensive high self-esteem. Personality and Social Psychology Bulletin, 32, 1177–1187.PubMedCrossRef

72.

Turkat, D. (1978). Self-esteem research: The role of defensiveness. Psychological Record, 28, 129–135.

73.

Esterling, B. A., Antoni, M. H., Kumar, M., et al. (1993). Defensiveness, trait anxiety, and Epstein-Barr viral capsid antigen antibody titers in healthy college students. Health Psychology, 12, 132–139.PubMedCrossRef

74.

Carlson, L. E., Angen, M., Cullum, J., et al. (2004). High levels of untreated distress and fatigue in cancer patients. British Journal of Cancer, 90, 2297–2304.PubMed

75.

Deimling, G. T., Kahana, B., Bowman, K. F., et al. (2002). Cancer survivorship and psychological distress in later life. Psychooncology, 11, 479–494.PubMedCrossRef

76.

Dugan, W., McDonald, M. V., Passik, S. D., et al. (1998). Use of the Zung Self-Rating Depression Scale in cancer patients: Feasibility as a screening tool. Psychooncology, 7, 483–493.PubMedCrossRef

77.

Hoffman, B. M., Zevon, M. A., D’Arrigo, M. C., et al. (2004). Screening for distress in cancer patients: The NCCN rapid-screening measure. Psychooncology, 13, 792–799.PubMedCrossRef

78.

Ryan, H., Schofield, P., Cockburn, J., et al. (2005). How to recognize and manage psychological distress in cancer patients. European Journal of Cancer Care (Engl), 14, 7–15.CrossRef

Titel: The effects of response bias on self-reported quality of life among childhood cancer survivors
verfasst von: Tara E. O’Leary
Lisa Diller
Christopher J. Recklitis
Publikationsdatum: 01.09.2007
Verlag: Springer Netherlands
Erschienen in: Quality of Life Research / Ausgabe 7/2007
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-007-9231-3

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Abstract

Background

Methods

Results

Conclusions

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