Cargando…

Illness perceptions are associated with mortality among 1552 colorectal cancer survivors: a study from the population-based PROFILES registry

PURPOSE: Cancer survivors construct perceptions of illness as a (mal)adaptive mechanism. These perceptions motivate/drive subsequent self-management behaviors toward symptoms and treatment that influence health outcomes. Negative illness perceptions have been associated with increased mortality in o...

Descripción completa

Detalles Bibliográficos
Autores principales: Thong, Melissa S. Y., Kaptein, Adrian A., Vissers, Pauline A. J., Vreugdenhil, Gerard, van de Poll-Franse, Lonneke V.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5018027/
https://www.ncbi.nlm.nih.gov/pubmed/26995005
http://dx.doi.org/10.1007/s11764-016-0536-5
_version_ 1782452847615410176
author Thong, Melissa S. Y.
Kaptein, Adrian A.
Vissers, Pauline A. J.
Vreugdenhil, Gerard
van de Poll-Franse, Lonneke V.
author_facet Thong, Melissa S. Y.
Kaptein, Adrian A.
Vissers, Pauline A. J.
Vreugdenhil, Gerard
van de Poll-Franse, Lonneke V.
author_sort Thong, Melissa S. Y.
collection PubMed
description PURPOSE: Cancer survivors construct perceptions of illness as a (mal)adaptive mechanism. These perceptions motivate/drive subsequent self-management behaviors toward symptoms and treatment that influence health outcomes. Negative illness perceptions have been associated with increased mortality in other chronically ill groups. However, this association is under-researched in cancer survivors. We aimed to explore the association between illness perceptions and mortality in stage I–III progression-free colorectal cancer (CRC) survivors. METHODS: We used data from the population-based Patient Reported Outcomes Following Initial treatment and Long Term Evaluation of Survivorship (PROFILES) registry of two CRC survivorship studies conducted in 2009 and 2010. We accessed clinical data from the Netherlands Cancer Registry, and mortality data from municipal personal records database. Follow-up was until 31 December 2014. Survivors (n = 1552) completed the Brief Illness Perception Questionnaire. Cox proportional hazard models estimated the association between illness perceptions and mortality. RESULTS: Negative illness perceptions on consequences (adjusted hazard ratio (HR(adj)) 1.60, 95 % confidence interval (CI) 1.14–2.25) and emotion (HR(adj) 1.65, 95 % CI 1.18–2.31) were associated with higher mortality, after adjusting for demographic, clinical, and lifestyle factors. Smoking and inadequate physical activity were independently associated with mortality for all Brief Illness Perception Questionnaire (BIPQ) dimensions. CONCLUSIONS: Survivors’ perceptions of their illness are important as these perceptions may influence health outcomes during survivorship period. Clinical practice needs to identify and address maladaptive illness perceptions to support more adaptive self-management behaviors and enhance survivorship. IMPLICATIONS FOR CANCER SURVIVORS: Cancer survivors may benefit from interventions that address potentially maladaptive perceptions and encourage more adaptive self-management behaviors.
format Online
Article
Text
id pubmed-5018027
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Springer US
record_format MEDLINE/PubMed
spelling pubmed-50180272016-09-20 Illness perceptions are associated with mortality among 1552 colorectal cancer survivors: a study from the population-based PROFILES registry Thong, Melissa S. Y. Kaptein, Adrian A. Vissers, Pauline A. J. Vreugdenhil, Gerard van de Poll-Franse, Lonneke V. J Cancer Surviv Article PURPOSE: Cancer survivors construct perceptions of illness as a (mal)adaptive mechanism. These perceptions motivate/drive subsequent self-management behaviors toward symptoms and treatment that influence health outcomes. Negative illness perceptions have been associated with increased mortality in other chronically ill groups. However, this association is under-researched in cancer survivors. We aimed to explore the association between illness perceptions and mortality in stage I–III progression-free colorectal cancer (CRC) survivors. METHODS: We used data from the population-based Patient Reported Outcomes Following Initial treatment and Long Term Evaluation of Survivorship (PROFILES) registry of two CRC survivorship studies conducted in 2009 and 2010. We accessed clinical data from the Netherlands Cancer Registry, and mortality data from municipal personal records database. Follow-up was until 31 December 2014. Survivors (n = 1552) completed the Brief Illness Perception Questionnaire. Cox proportional hazard models estimated the association between illness perceptions and mortality. RESULTS: Negative illness perceptions on consequences (adjusted hazard ratio (HR(adj)) 1.60, 95 % confidence interval (CI) 1.14–2.25) and emotion (HR(adj) 1.65, 95 % CI 1.18–2.31) were associated with higher mortality, after adjusting for demographic, clinical, and lifestyle factors. Smoking and inadequate physical activity were independently associated with mortality for all Brief Illness Perception Questionnaire (BIPQ) dimensions. CONCLUSIONS: Survivors’ perceptions of their illness are important as these perceptions may influence health outcomes during survivorship period. Clinical practice needs to identify and address maladaptive illness perceptions to support more adaptive self-management behaviors and enhance survivorship. IMPLICATIONS FOR CANCER SURVIVORS: Cancer survivors may benefit from interventions that address potentially maladaptive perceptions and encourage more adaptive self-management behaviors. Springer US 2016-03-19 2016 /pmc/articles/PMC5018027/ /pubmed/26995005 http://dx.doi.org/10.1007/s11764-016-0536-5 Text en © The Author(s) 2016 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Article
Thong, Melissa S. Y.
Kaptein, Adrian A.
Vissers, Pauline A. J.
Vreugdenhil, Gerard
van de Poll-Franse, Lonneke V.
Illness perceptions are associated with mortality among 1552 colorectal cancer survivors: a study from the population-based PROFILES registry
title Illness perceptions are associated with mortality among 1552 colorectal cancer survivors: a study from the population-based PROFILES registry
title_full Illness perceptions are associated with mortality among 1552 colorectal cancer survivors: a study from the population-based PROFILES registry
title_fullStr Illness perceptions are associated with mortality among 1552 colorectal cancer survivors: a study from the population-based PROFILES registry
title_full_unstemmed Illness perceptions are associated with mortality among 1552 colorectal cancer survivors: a study from the population-based PROFILES registry
title_short Illness perceptions are associated with mortality among 1552 colorectal cancer survivors: a study from the population-based PROFILES registry
title_sort illness perceptions are associated with mortality among 1552 colorectal cancer survivors: a study from the population-based profiles registry
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5018027/
https://www.ncbi.nlm.nih.gov/pubmed/26995005
http://dx.doi.org/10.1007/s11764-016-0536-5
work_keys_str_mv AT thongmelissasy illnessperceptionsareassociatedwithmortalityamong1552colorectalcancersurvivorsastudyfromthepopulationbasedprofilesregistry
AT kapteinadriana illnessperceptionsareassociatedwithmortalityamong1552colorectalcancersurvivorsastudyfromthepopulationbasedprofilesregistry
AT visserspaulineaj illnessperceptionsareassociatedwithmortalityamong1552colorectalcancersurvivorsastudyfromthepopulationbasedprofilesregistry
AT vreugdenhilgerard illnessperceptionsareassociatedwithmortalityamong1552colorectalcancersurvivorsastudyfromthepopulationbasedprofilesregistry
AT vandepollfranselonnekev illnessperceptionsareassociatedwithmortalityamong1552colorectalcancersurvivorsastudyfromthepopulationbasedprofilesregistry