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Quality of life among long-term survivors of breast cancer: Different types of antecedents predict different classes of outcomes.
Psychooncology. 2006 Sep; 15(9):749-58.P

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.

Authors+Show Affiliations

Department of Psychology, University of Miami, Coral Gables, FL 33124-0751, USA. Ccarver@miami.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

16304622

Citation

Carver, Charles S., et al. "Quality of Life Among Long-term Survivors of Breast Cancer: Different Types of Antecedents Predict Different Classes of Outcomes." Psycho-oncology, vol. 15, no. 9, 2006, pp. 749-58.
Carver CS, Smith RG, Petronis VM, et al. Quality of life among long-term survivors of breast cancer: Different types of antecedents predict different classes of outcomes. Psychooncology. 2006;15(9):749-58.
Carver, C. S., Smith, R. G., Petronis, V. M., & Antoni, M. H. (2006). Quality of life among long-term survivors of breast cancer: Different types of antecedents predict different classes of outcomes. Psycho-oncology, 15(9), 749-58.
Carver CS, et al. Quality of Life Among Long-term Survivors of Breast Cancer: Different Types of Antecedents Predict Different Classes of Outcomes. Psychooncology. 2006;15(9):749-58. PubMed PMID: 16304622.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Quality of life among long-term survivors of breast cancer: Different types of antecedents predict different classes of outcomes. AU - Carver,Charles S, AU - Smith,Roselyn G, AU - Petronis,Vida M, AU - Antoni,Michael H, PY - 2005/11/24/pubmed PY - 2006/12/29/medline PY - 2005/11/24/entrez SP - 749 EP - 58 JF - Psycho-oncology JO - Psychooncology VL - 15 IS - 9 N2 - 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. SN - 1057-9249 UR - https://www.unboundmedicine.com/medline/citation/16304622/Quality_of_life_among_long_term_survivors_of_breast_cancer:_Different_types_of_antecedents_predict_different_classes_of_outcomes_ L2 - https://doi.org/10.1002/pon.1006 DB - PRIME DP - Unbound Medicine ER -