The prevalence, severity, and correlates of psychological distress and impaired health-related quality of life following treatment for testicular cancer: a survivorship study

Smith, AB; Butow, P; Olver, I; Luckett, T; Grimison, P; Toner, GC; Stockler, MR; Hovey, E; Stubbs, J; Turner, S; Hruby, G; Gurney, H; Alam, M; Cox, K; King, MT

The prevalence, severity, and correlates of psychological distress and impaired health-related quality of life following treatment for testicular cancer: a survivorship study

Smith, AB Butow, P Olver, I Luckett, T

Grimison, P Toner, GC Stockler, MR Hovey, E Stubbs, J Turner, S Hruby, G Gurney, H Alam, M Cox, K King, MT

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Publication Type:: Journal Article
Citation:: Journal of Cancer Survivorship, 2016, 10 (2), pp. 223 - 233
Issue Date:: 2016-04-01

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Field	Value	Language
dc.contributor.author	Smith, AB	en_US
dc.contributor.author	Butow, P	en_US
dc.contributor.author	Olver, I	en_US
dc.contributor.author	Luckett, T https://orcid.org/0000-0001-6121-5409	en_US
dc.contributor.author	Grimison, P	en_US
dc.contributor.author	Toner, GC	en_US
dc.contributor.author	Stockler, MR	en_US
dc.contributor.author	Hovey, E	en_US
dc.contributor.author	Stubbs, J	en_US
dc.contributor.author	Turner, S	en_US
dc.contributor.author	Hruby, G	en_US
dc.contributor.author	Gurney, H	en_US
dc.contributor.author	Alam, M	en_US
dc.contributor.author	Cox, K	en_US
dc.contributor.author	King, MT	en_US
dc.date.available	2015-06-30	en_US
dc.date.issued	2016-04-01	en_US
dc.identifier.citation	Journal of Cancer Survivorship, 2016, 10 (2), pp. 223 - 233	en_US
dc.identifier.issn	1932-2259	en_US
dc.identifier.uri	http://hdl.handle.net/10453/122573
dc.description.abstract	© 2015, Springer Science+Business Media New York. Purpose: This study aimed to establish the prevalence, severity, and correlates of psychological distress and impaired generic health-related quality of life (HRQOL) in testicular cancer (TC) survivors. Methods: Men who had completed active anti-cancer treatment for TC between 6 months and 5 years previously showing no evidence of recurrence were recruited from 14 Australian cancer centers from September 2009 to February 2011. Participants completed a self-report questionnaire measuring demographic, disease, and treatment information, psychological distress (i.e., depression, anxiety, and stress; DASS21), generic health-related quality of life (HRQOL; SF-36v2), TC-specific HRQOL (EORTC QLQ-TC26), coping (MAC), social support (DUFSS), and unmet needs (CaSUN). Results: Of 486 eligible TC survivors, 244 (50.2 %) completed the questionnaire. Compared with normative data, TC survivors reported: small but statistically significant increases in mean levels of anxiety and depression; a greater prevalence of moderate to extremely severe anxiety (19 %) and depression (20 %); and significant deficits to mostly mental aspects of generic HRQOL. The most problematic TC-specific HRQOL issues (e.g., fear of recurrence) were also more mental than physical. In multiple regression analyses, the strongest correlates of psychological distress and impaired generic HRQOL were psychosocial (e.g., helpless/hopeless coping and lower social support) rather than disease or treatment factors. Conclusions: Generally, TC survivors appear to experience mild psychological distress and HRQOL impairments, while a vulnerable subgroup experience more severe morbidity. Implications for Cancer Survivors: There is a need to identify TC survivors at risk of poorer outcomes and for interventions to target the areas of greatest impairment (i.e., psychological distress and mental HRQOL).	en_US
dc.relation.ispartof	Journal of Cancer Survivorship	en_US
dc.relation.isbasedon	10.1007/s11764-015-0468-5	en_US
dc.subject.classification	Oncology & Carcinogenesis	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Testicular Neoplasms	en_US
dc.subject.mesh	Prevalence	en_US
dc.subject.mesh	Survival Rate	en_US
dc.subject.mesh	Stress, Psychological	en_US
dc.subject.mesh	Quality of Life	en_US
dc.subject.mesh	Adolescent	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Survivors	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Young Adult	en_US
dc.title	The prevalence, severity, and correlates of psychological distress and impaired health-related quality of life following treatment for testicular cancer: a survivorship study	en_US
dc.type	Journal Article
utslib.citation.volume	2	en_US
utslib.citation.volume	10	en_US
utslib.for	1701 Psychology	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	1112 Oncology and Carcinogenesis	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
utslib.copyright.status	closed_access
pubs.issue	2	en_US
pubs.publication-status	Published	en_US
pubs.volume	10	en_US

Abstract:

© 2015, Springer Science+Business Media New York. Purpose: This study aimed to establish the prevalence, severity, and correlates of psychological distress and impaired generic health-related quality of life (HRQOL) in testicular cancer (TC) survivors. Methods: Men who had completed active anti-cancer treatment for TC between 6 months and 5 years previously showing no evidence of recurrence were recruited from 14 Australian cancer centers from September 2009 to February 2011. Participants completed a self-report questionnaire measuring demographic, disease, and treatment information, psychological distress (i.e., depression, anxiety, and stress; DASS21), generic health-related quality of life (HRQOL; SF-36v2), TC-specific HRQOL (EORTC QLQ-TC26), coping (MAC), social support (DUFSS), and unmet needs (CaSUN). Results: Of 486 eligible TC survivors, 244 (50.2 %) completed the questionnaire. Compared with normative data, TC survivors reported: small but statistically significant increases in mean levels of anxiety and depression; a greater prevalence of moderate to extremely severe anxiety (19 %) and depression (20 %); and significant deficits to mostly mental aspects of generic HRQOL. The most problematic TC-specific HRQOL issues (e.g., fear of recurrence) were also more mental than physical. In multiple regression analyses, the strongest correlates of psychological distress and impaired generic HRQOL were psychosocial (e.g., helpless/hopeless coping and lower social support) rather than disease or treatment factors. Conclusions: Generally, TC survivors appear to experience mild psychological distress and HRQOL impairments, while a vulnerable subgroup experience more severe morbidity. Implications for Cancer Survivors: There is a need to identify TC survivors at risk of poorer outcomes and for interventions to target the areas of greatest impairment (i.e., psychological distress and mental HRQOL).

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http://hdl.handle.net/10453/122573