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Trajectories of quality of life, life satisfaction, and psychological adjustment after prostate cancer
BACKGROUND: To describe trajectories of health‐related quality of life (QoL), life satisfaction, and psychological adjustment for men with prostate cancer over the medium to long term and identify predictors of poorer outcomes using growth mixture models. METHODS: One‐thousand sixty‐four (82.4% resp...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5655930/ https://www.ncbi.nlm.nih.gov/pubmed/27943512 http://dx.doi.org/10.1002/pon.4342 |
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author | Chambers, Suzanne K. Ng, Shu Kay Baade, Peter Aitken, Joanne F. Hyde, Melissa K. Wittert, Gary Frydenberg, Mark Dunn, Jeff |
author_facet | Chambers, Suzanne K. Ng, Shu Kay Baade, Peter Aitken, Joanne F. Hyde, Melissa K. Wittert, Gary Frydenberg, Mark Dunn, Jeff |
author_sort | Chambers, Suzanne K. |
collection | PubMed |
description | BACKGROUND: To describe trajectories of health‐related quality of life (QoL), life satisfaction, and psychological adjustment for men with prostate cancer over the medium to long term and identify predictors of poorer outcomes using growth mixture models. METHODS: One‐thousand sixty‐four (82.4% response) men diagnosed with prostate cancer were recruited close to diagnosis and assessed over a 72‐month (6‐year) period with self‐report assessment of health‐related QoL, life satisfaction, cancer‐related distress, and prostate specific antigen anxiety. Urinary, bowel, and sexual function were also assessed using validated questionnaires. RESULTS: Poorer physical QOL was predicted by older age, lower education, lower income, comorbidities, and receiving hormone therapy. Lower life satisfaction was related to younger age, lower income, not being partnered, and comorbidities. Poorer psychological trajectories were predicted by younger age, lower income, comorbidities, and receiving radical prostatectomy or brachytherapy. Better urinary, bowel, and sexual function were related to better global outcomes over time. Anxiety about prostate specific antigen testing was rare. CONCLUSIONS: Distinct trajectories exist for medium‐ to long‐term QoL, life satisfaction, and psychological adjustment after prostate cancer; with age and socioeconomic deprivation playing a differential role in men's survivorship profile and the impact of functional status on outcomes increasing over time. These results reinforce the need for an appraisal of men's life course in addition to treatment side effects when planning survivorship care after cancer. |
format | Online Article Text |
id | pubmed-5655930 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-56559302017-11-01 Trajectories of quality of life, life satisfaction, and psychological adjustment after prostate cancer Chambers, Suzanne K. Ng, Shu Kay Baade, Peter Aitken, Joanne F. Hyde, Melissa K. Wittert, Gary Frydenberg, Mark Dunn, Jeff Psychooncology Papers BACKGROUND: To describe trajectories of health‐related quality of life (QoL), life satisfaction, and psychological adjustment for men with prostate cancer over the medium to long term and identify predictors of poorer outcomes using growth mixture models. METHODS: One‐thousand sixty‐four (82.4% response) men diagnosed with prostate cancer were recruited close to diagnosis and assessed over a 72‐month (6‐year) period with self‐report assessment of health‐related QoL, life satisfaction, cancer‐related distress, and prostate specific antigen anxiety. Urinary, bowel, and sexual function were also assessed using validated questionnaires. RESULTS: Poorer physical QOL was predicted by older age, lower education, lower income, comorbidities, and receiving hormone therapy. Lower life satisfaction was related to younger age, lower income, not being partnered, and comorbidities. Poorer psychological trajectories were predicted by younger age, lower income, comorbidities, and receiving radical prostatectomy or brachytherapy. Better urinary, bowel, and sexual function were related to better global outcomes over time. Anxiety about prostate specific antigen testing was rare. CONCLUSIONS: Distinct trajectories exist for medium‐ to long‐term QoL, life satisfaction, and psychological adjustment after prostate cancer; with age and socioeconomic deprivation playing a differential role in men's survivorship profile and the impact of functional status on outcomes increasing over time. These results reinforce the need for an appraisal of men's life course in addition to treatment side effects when planning survivorship care after cancer. John Wiley and Sons Inc. 2017-01-11 2017-10 /pmc/articles/PMC5655930/ /pubmed/27943512 http://dx.doi.org/10.1002/pon.4342 Text en © 2016 The Authors. Psycho‐Oncology Published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs (http://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Papers Chambers, Suzanne K. Ng, Shu Kay Baade, Peter Aitken, Joanne F. Hyde, Melissa K. Wittert, Gary Frydenberg, Mark Dunn, Jeff Trajectories of quality of life, life satisfaction, and psychological adjustment after prostate cancer |
title | Trajectories of quality of life, life satisfaction, and psychological adjustment after prostate cancer |
title_full | Trajectories of quality of life, life satisfaction, and psychological adjustment after prostate cancer |
title_fullStr | Trajectories of quality of life, life satisfaction, and psychological adjustment after prostate cancer |
title_full_unstemmed | Trajectories of quality of life, life satisfaction, and psychological adjustment after prostate cancer |
title_short | Trajectories of quality of life, life satisfaction, and psychological adjustment after prostate cancer |
title_sort | trajectories of quality of life, life satisfaction, and psychological adjustment after prostate cancer |
topic | Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5655930/ https://www.ncbi.nlm.nih.gov/pubmed/27943512 http://dx.doi.org/10.1002/pon.4342 |
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