Illness perceptions within 6 months of cancer diagnosis are an independent prospective predictor of health-related quality of life 15 months post-diagnosis.

Détails

ID Serval
serval:BIB_CC1805B37E6A
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Illness perceptions within 6 months of cancer diagnosis are an independent prospective predictor of health-related quality of life 15 months post-diagnosis.
Périodique
Psycho-oncology
Auteur⸱e⸱s
Ashley L., Marti J., Jones H., Velikova G., Wright P.
ISSN
1099-1611 (Electronic)
ISSN-L
1057-9249
Statut éditorial
Publié
Date de publication
11/2015
Peer-reviewed
Oui
Volume
24
Numéro
11
Pages
1463-1470
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Résumé
Studies have found that illness perceptions explain significant variance in health outcomes in numerous diseases. However, most of the research is cross-sectional and non-oncological. We examined, for the first time in breast, colorectal and prostate cancer patients, if cognitive and emotional illness perceptions near diagnosis predict future multidimensional health-related quality of life (HRQoL).
UK-based patients (N = 334) completed the illness perception questionnaire-revised within 6 months post-diagnosis and the quality of life in adult cancer survivors scale 15 months post-diagnosis. Sociodemographic and clinical data were obtained from medical records. Hierarchical multiple regression analyses were conducted.
The sociodemographic and clinical factors collectively significantly predicted 8/12 HRQoL domains, although for 5/8 accounted for <10% of the variance. For all 12 HRQoL domains, illness perceptions collectively explained significant substantial additional variance (∆R(2) range: 5.6-27.9%), and a single illness perception questionnaire-revised dimension was the best individual predictor of 9/12 HRQoL domains. The consequences dimension independently predicted 7/12 HRQoL domains; patients who believed their cancer would have a more serious negative impact on their life reported poorer future HRQoL. The emotional representations and identity dimensions also predicted multiple HRQoL domains.
Future research should focus on realising the potential of illness perceptions as a modifiable target for and mediating mechanism of interventions to improve patients' HRQoL.
Mots-clé
Adult, Aged, Aged, 80 and over, Attitude to Health, Breast Neoplasms/diagnosis, Breast Neoplasms/psychology, Breast Neoplasms/therapy, Colorectal Neoplasms/diagnosis, Colorectal Neoplasms/psychology, Colorectal Neoplasms/therapy, Female, Humans, Male, Middle Aged, Neoplasms/diagnosis, Neoplasms/psychology, Neoplasms/therapy, Prospective Studies, Prostatic Neoplasms/diagnosis, Prostatic Neoplasms/psychology, Prostatic Neoplasms/therapy, Quality of Life, Regression Analysis, Socioeconomic Factors, Surveys and Questionnaires, Survivors/psychology, Survivors/statistics & numerical data, Time Factors, United Kingdom, Young Adult
Pubmed
Web of science
Création de la notice
26/09/2019 8:37
Dernière modification de la notice
27/09/2019 6:26
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