Antecedents of domain-specific quality of life after colorectal cancer

Steginga, Suzanne K., Lynch, Brigid M., Hawkes, Anna, Dunn, Jeff and Aitken, Joanne (2009) Antecedents of domain-specific quality of life after colorectal cancer. PSYCHO-ONCOLOGY, 18 2: 216-220. doi:10.1002/pon.1388

Author Steginga, Suzanne K.
Lynch, Brigid M.
Hawkes, Anna
Dunn, Jeff
Aitken, Joanne
Title Antecedents of domain-specific quality of life after colorectal cancer
Journal name PSYCHO-ONCOLOGY   Check publisher's open access policy
ISSN 1057-9249
Publication date 2009-02
Year available 2008
Sub-type Article (original research)
DOI 10.1002/pon.1388
Volume 18
Issue 2
Start page 216
End page 220
Total pages 5
Place of publication Bognor Regis, West Sussex, United Kingdom
Publisher John Wiley & Sons
Language eng
Formatted abstract
Objective: The present study prospectively assessed the influence of medical, socio-demographic, psychological, and lifestyle variables on physical, social/family, emotional, functional well-being and colorectal cancer-specific concerns in a population-based sample of colorectal cancer survivors.
Methods: Participants (n=1822) were assessed at 6 and 24 months post-diagnosis. Predictor variables assessed at 6 months included socio-demographic and medical variables, symptoms/side-effects, body mass index, physical activity, optimism, social support, and cancer threat appraisal. Quality of life (QOL) was assessed at 6 and 24 months post-diagnosis using the Functional Assessment of Cancer Therapy - Colorectal (FACT-C).
Results: For each QOL subscale and for the overall FACT-C scale, 6 month scores were the strongest predictor of QOL scores at 24 months post-diagnosis (e.g. β=0.447, p < 0.001 for overall QOL). Socio-demographic, medical, and psychosocial variables, but not lifestyle variables, differentially predicted domain specific QOL. Only cancer threat appraisal was associated with all five QOL domains.
Conclusion: Cancer threat appraisal presents as a potentially modifiable variable for interventions seeking to improve QOL. Symptom management and lifestyle strategies to ameliorate the effects of co-morbidities, disease stage and troublesome symptoms such as faecal incontinence on QOL should also be included.
Keyword Cancer
Quality of life
Cancer survivorship
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ
Additional Notes Article first published online: 11 JUL 2008

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Social Science Publications
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Citation counts: TR Web of Science Citation Count  Cited 34 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 33 times in Scopus Article | Citations
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Created: Thu, 03 Sep 2009, 08:39:21 EST by Mr Andrew Martlew on behalf of School of Social Science