Trajectories of quality of life, life satisfaction, and psychological adjustment after prostate cancer.

Chambers, SK; Ng, SK; Baade, P; Aitken, JF; Hyde, MK; Wittert, G; Frydenberg, M; Dunn, J

Trajectories of quality of life, life satisfaction, and psychological adjustment after prostate cancer.

Chambers, SK Ng, SK Baade, P Aitken, JF Hyde, MK Wittert, G Frydenberg, M Dunn, J

Permalink

Publisher:: WILEY
Publication Type:: Journal Article
Citation:: Psychooncology, 2017, 26, (10), pp. 1576-1585
Issue Date:: 2017-10

Closed Access

	Filename	Description	Size
	Psycho-Oncology - 2016 - Chambers - Trajectories of quality of life life satisfaction and psychological adjustment after.pdf	Published version	1.01 MB	Adobe PDF	View/Open

Copyright Clearance Process

Recently Added
In Progress
Closed Access

This item is closed access and not available.

Full metadata record

Field	Value	Language
dc.contributor.author	Chambers, SK
dc.contributor.author	Ng, SK
dc.contributor.author	Baade, P
dc.contributor.author	Aitken, JF
dc.contributor.author	Hyde, MK
dc.contributor.author	Wittert, G
dc.contributor.author	Frydenberg, M
dc.contributor.author	Dunn, J
dc.date.accessioned	2022-10-02T22:47:29Z
dc.date.available	2016-12-06
dc.date.available	2022-10-02T22:47:29Z
dc.date.issued	2017-10
dc.identifier.citation	Psychooncology, 2017, 26, (10), pp. 1576-1585
dc.identifier.issn	1057-9249
dc.identifier.issn	1099-1611
dc.identifier.uri	http://hdl.handle.net/10453/162214
dc.description.abstract	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.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	WILEY
dc.relation	http://purl.org/au-research/grants/nhmrc/442301
dc.relation.ispartof	Psychooncology
dc.relation.isbasedon	10.1002/pon.4342
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences, 1112 Oncology and Carcinogenesis, 1701 Psychology
dc.subject.classification	Oncology & Carcinogenesis
dc.subject.mesh	Adaptation, Psychological
dc.subject.mesh	Aged
dc.subject.mesh	Emotional Adjustment
dc.subject.mesh	Humans
dc.subject.mesh	Male
dc.subject.mesh	Middle Aged
dc.subject.mesh	Personal Satisfaction
dc.subject.mesh	Prostatic Neoplasms
dc.subject.mesh	Quality of Life
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Humans
dc.subject.mesh	Prostatic Neoplasms
dc.subject.mesh	Adaptation, Psychological
dc.subject.mesh	Personal Satisfaction
dc.subject.mesh	Quality of Life
dc.subject.mesh	Aged
dc.subject.mesh	Middle Aged
dc.subject.mesh	Male
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Emotional Adjustment
dc.title	Trajectories of quality of life, life satisfaction, and psychological adjustment after prostate cancer.
dc.type	Journal Article
utslib.citation.volume	26
utslib.location.activity	England
utslib.for	1103 Clinical Sciences
utslib.for	1112 Oncology and Carcinogenesis
utslib.for	1701 Psychology
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
dc.date.updated	2022-10-02T22:47:27Z
pubs.issue	10
pubs.publication-status	Published
pubs.volume	26
utslib.citation.issue	10

Abstract:

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.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/162214