Quality of life among long‐term survivors of breast cancer: different types of antecedents predict different classes of outcomes
Identifieur interne : 001644 ( Istex/Checkpoint ); précédent : 001643; suivant : 001645Quality of life among long‐term survivors of breast cancer: different types of antecedents predict different classes of outcomes
Auteurs : Charles S. Carver [États-Unis] ; Roselyn G. Smith [États-Unis] ; Vida M. Petronis [États-Unis] ; Michael H. Antoni [États-Unis]Source :
- Psycho‐Oncology [ 1057-9249 ] ; 2006-09.
Abstract
Quality of life (QOL) has many aspects, both in the short‐term and in the long‐term. Different aspects of QOL may have different types of precursors: demographic, medical, and psychosocial. We examined this possibility in a group of long‐term breast cancer survivors. Early‐stage breast cancer patients (N=163) who had provided information about medical, demographic, and psychosocial variables during the year after surgery completed a multidimensional measure of QOL 5–13 years later. Initial chemotherapy and higher stage predicted greater financial problems and greater worry about appearance at follow‐up. Being partnered at diagnosis predicted many psychosocial benefits at follow‐up. Hispanic women reported greater distress and social avoidance at follow‐up. Initial trait optimism predicted diverse aspects of better psychosocial QOL at follow‐up, but not other aspects of QOL. Thus, different aspects of QOL at long‐term follow‐up had different antecedents. Overall, psychological outcomes were predicted by psychosocial variables, presence of a partner at diagnosis, and ethnicity. Financial outcomes, in contrast, were predicted by medical variables, which otherwise predicted little about long‐term QOL. This divergence among aspects of QOL should receive closer attention in future work. Copyright © 2005 John Wiley & Sons, Ltd.
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DOI: 10.1002/pon.1006
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Different aspects of QOL may have different types of precursors: demographic, medical, and psychosocial. We examined this possibility in a group of long‐term breast cancer survivors. Early‐stage breast cancer patients (N=163) who had provided information about medical, demographic, and psychosocial variables during the year after surgery completed a multidimensional measure of QOL 5–13 years later. Initial chemotherapy and higher stage predicted greater financial problems and greater worry about appearance at follow‐up. Being partnered at diagnosis predicted many psychosocial benefits at follow‐up. Hispanic women reported greater distress and social avoidance at follow‐up. Initial trait optimism predicted diverse aspects of better psychosocial QOL at follow‐up, but not other aspects of QOL. Thus, different aspects of QOL at long‐term follow‐up had different antecedents. Overall, psychological outcomes were predicted by psychosocial variables, presence of a partner at diagnosis, and ethnicity. Financial outcomes, in contrast, were predicted by medical variables, which otherwise predicted little about long‐term QOL. This divergence among aspects of QOL should receive closer attention in future work. Copyright © 2005 John Wiley & Sons, Ltd.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Floride</li></region></list><tree><country name="États-Unis"><region name="Floride"><name sortKey="Carver, Charles S" sort="Carver, Charles S" uniqKey="Carver C" first="Charles S." last="Carver">Charles S. Carver</name></region><name sortKey="Antoni, Michael H" sort="Antoni, Michael H" uniqKey="Antoni M" first="Michael H." last="Antoni">Michael H. Antoni</name><name sortKey="Carver, Charles S" sort="Carver, Charles S" uniqKey="Carver C" first="Charles S." last="Carver">Charles S. Carver</name><name sortKey="Petronis, Vida M" sort="Petronis, Vida M" uniqKey="Petronis V" first="Vida M." last="Petronis">Vida M. Petronis</name><name sortKey="Smith, Roselyn G" sort="Smith, Roselyn G" uniqKey="Smith R" first="Roselyn G." last="Smith">Roselyn G. Smith</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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