Quality of life among long‐term survivors of breast cancer: different types of antecedents predict different classes of outcomes
Identifieur interne : 000369 ( Istex/Corpus ); précédent : 000368; suivant : 000370Quality of life among long‐term survivors of breast cancer: different types of antecedents predict different classes of outcomes
Auteurs : Charles S. Carver ; Roselyn G. Smith ; Vida M. Petronis ; Michael H. AntoniSource :
- 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. 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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. 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type="first">Charles S.</forename><surname>Carver</surname></persName><email>Ccarver@miami.edu</email><affiliation>University of Miami, Coral Gables, FL 33124‐0751, USA<address><country key="US"></country></address></affiliation><note type="foot">Now at Loyola University, New Orleans, LA, USA</note><affiliation>Department of Psychology, University of Miami, Coral Gables, FL 33124‐0751, USA</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Roselyn G.</forename><surname>Smith</surname></persName><affiliation>University of Miami, Coral Gables, FL 33124‐0751, USA<address><country key="US"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Vida M.</forename><surname>Petronis</surname></persName><affiliation>University of Miami, Coral Gables, FL 33124‐0751, USA<address><country key="US"></country></address></affiliation><note type="foot">Now at Loyola University, New Orleans, LA, 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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 (<hi rend="italic">N</hi>=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.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="kwd1">adjustment</term><term xml:id="kwd2">breast cancer</term><term xml:id="kwd3">long‐term survivors</term><term xml:id="kwd4">personality</term><term xml:id="kwd5">quality of life</term></keywords><classCode scheme="articleCategory">Paper</classCode><classCode scheme="tocHeading1">Papers</classCode></textClass><langUsage><language ident="EN"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/0840F2905BDF78BB5F4DF15EE060F9F3F6CFABF9/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta 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xml:id="kwd1">adjustment</keyword><keyword xml:id="kwd2">breast cancer</keyword><keyword xml:id="kwd3">long‐term survivors</keyword><keyword xml:id="kwd4">personality</keyword><keyword xml:id="kwd5">quality of life</keyword></keywordGroup><fundingInfo><fundingAgency>National Cancer Institute</fundingAgency><fundingNumber>CA78995</fundingNumber><fundingNumber>CA84944</fundingNumber></fundingInfo><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p>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 (<i>N</i>=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.</p></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="fn1"><p>Now at Loyola University, New Orleans, LA, USA</p></note><note xml:id="fn2"><p>Now at Loyola University, New Orleans, LA, USA</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Quality of life among long‐term survivors of breast cancer: different types of antecedents predict different classes of outcomes</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>LONG‐TERM CANCER SURVIVORS</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Quality of life among long‐term survivors of breast cancer: different types of antecedents predict different classes of outcomes</title></titleInfo><name type="personal"><namePart type="given">Charles S.</namePart><namePart type="family">Carver</namePart><affiliation>University of Miami, Coral Gables, FL 33124‐0751, USA</affiliation><description>Now at Loyola University, New Orleans, LA, USA</description><affiliation>Department of Psychology, University of Miami, Coral Gables, FL 33124‐0751, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Roselyn G.</namePart><namePart type="family">Smith</namePart><affiliation>University of Miami, Coral Gables, FL 33124‐0751, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Vida M.</namePart><namePart type="family">Petronis</namePart><affiliation>University of Miami, Coral Gables, FL 33124‐0751, USA</affiliation><description>Now at Loyola University, New Orleans, LA, USA</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Michael H.</namePart><namePart type="family">Antoni</namePart><affiliation>University of Miami, Coral Gables, FL 33124‐0751, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>John Wiley & Sons, Ltd.</publisher><place><placeTerm type="text">Chichester, UK</placeTerm></place><dateIssued encoding="w3cdtf">2006-09</dateIssued><dateCaptured encoding="w3cdtf">2005-03-08</dateCaptured><dateValid encoding="w3cdtf">2005-09-15</dateValid><copyrightDate encoding="w3cdtf">2006</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="tables">5</extent><extent unit="references">49</extent></physicalDescription><abstract lang="en">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.</abstract><note type="funding">National Cancer Institute - No. CA78995; No. CA84944; </note><subject lang="en"><genre>keywords</genre><topic>adjustment</topic><topic>breast cancer</topic><topic>long‐term survivors</topic><topic>personality</topic><topic>quality of life</topic></subject><relatedItem type="host"><titleInfo><title>Psycho‐Oncology</title><subTitle>Journal of the Psychological, Social and Behavioral Dimensions of Cancer</subTitle></titleInfo><titleInfo type="abbreviated"><title>Psycho‐Oncology</title></titleInfo><genre type="journal">journal</genre><subject><genre>article-category</genre><topic>Paper</topic></subject><identifier type="ISSN">1057-9249</identifier><identifier type="eISSN">1099-1611</identifier><identifier type="DOI">10.1002/(ISSN)1099-1611</identifier><identifier type="PublisherID">PON</identifier><part><date>2006</date><detail type="volume"><caption>vol.</caption><number>15</number></detail><detail type="issue"><caption>no.</caption><number>9</number></detail><extent unit="pages"><start>749</start><end>758</end><total>10</total></extent></part></relatedItem><identifier type="istex">0840F2905BDF78BB5F4DF15EE060F9F3F6CFABF9</identifier><identifier type="DOI">10.1002/pon.1006</identifier><identifier type="ArticleID">PON1006</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2005 John Wiley & Sons, Ltd.</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>John Wiley & Sons, Ltd.</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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