Evaluating the impact of cancer on complementary and alternative medicine use, distress and health related QoL among Australian women: A prospective longitudinal investigation

Beatty, LJ; Adams, J; Sibbritt, D; Wade, TD

Evaluating the impact of cancer on complementary and alternative medicine use, distress and health related QoL among Australian women: A prospective longitudinal investigation

Beatty, LJ Adams, J

Sibbritt, D

Wade, TD

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Publication Type:: Journal Article
Citation:: Complementary Therapies in Medicine, 2012, 20 (1-2), pp. 61 - 69
Issue Date:: 2012-02-01

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Field	Value	Language
dc.contributor.author	Beatty, LJ	en_US
dc.contributor.author	Adams, J https://orcid.org/0000-0002-9901-5717	en_US
dc.contributor.author	Sibbritt, D https://orcid.org/0000-0003-3561-9447	en_US
dc.contributor.author	Wade, TD	en_US
dc.date.available	2011-09-27	en_US
dc.date.issued	2012-02-01	en_US
dc.identifier.citation	Complementary Therapies in Medicine, 2012, 20 (1-2), pp. 61 - 69	en_US
dc.identifier.issn	0965-2299	en_US
dc.identifier.uri	http://hdl.handle.net/10453/18569
dc.description.abstract	Objectives: While several cross-sectional studies have examined psychological correlates of complementary and alternative medicine (CAM) use and cancer, few prospective longitudinal investigations have been reported. This study examined whether CAM use moderated distress and quality of life (HRQoL) from pre- to post-cancer. Design: A prospective longitudinal national cohort design. Setting: Participants were 718 mid-aged women from the Australian longitudinal study on women's health who did not have cancer at survey 1, but who subsequently developed cancer. For each participant, three waves of data were extracted: the wave prior to diagnosis ('pre'), at diagnosis ('cancer'), and after cancer ('post'). Main outcome measures: CAM use was measured by the question 'in the past 12 months have you consulted an alternative health practitioner'. Distress was measured by perceived stress (PSS) and depression (CES-D 10), HRQoL was measured by physical and mental health functioning (SF-36). Results: CAM use significantly moderated the change over time in stress [. F(561) = 3.09, p= 0.04], depression [. F(494). =. 3.14, p=. 0.04], but not HRQoL. CAM-users were significantly more stressed than non-users pre-cancer (p<. 0.05), but there were no significant differences at subsequent surveys. CAM-users were significantly less depressed post-cancer compared to non-users (p<. 0.05). Conclusions: Findings indicated that CAM users may be more psychologically vulnerable than non-users with respect to stress, with CAM acting as an effective psychological, but not HRQoL, intervention. © 2011.	en_US
dc.relation.ispartof	Complementary Therapies in Medicine	en_US
dc.relation.isbasedon	10.1016/j.ctim.2011.09.008	en_US
dc.subject.classification	Complementary & Alternative Medicine	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Neoplasms	en_US
dc.subject.mesh	Complementary Therapies	en_US
dc.subject.mesh	Activities of Daily Living	en_US
dc.subject.mesh	Prevalence	en_US
dc.subject.mesh	Longitudinal Studies	en_US
dc.subject.mesh	Prospective Studies	en_US
dc.subject.mesh	Depression	en_US
dc.subject.mesh	Stress, Psychological	en_US
dc.subject.mesh	Health Status	en_US
dc.subject.mesh	Quality of Life	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Women's Health	en_US
dc.subject.mesh	Australia	en_US
dc.subject.mesh	Female	en_US
dc.title	Evaluating the impact of cancer on complementary and alternative medicine use, distress and health related QoL among Australian women: A prospective longitudinal investigation	en_US
dc.type	Journal Article
utslib.citation.volume	1-2	en_US
utslib.citation.volume	20	en_US
utslib.for	110499 Complementary and Alternative Medicine not elsewhere classified	en_US
utslib.for	1104 Complementary and Alternative Medicine	en_US
utslib.for	1701 Psychology	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/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access
pubs.issue	1-2	en_US
pubs.publication-status	Published	en_US
pubs.volume	20	en_US

Abstract:

Objectives: While several cross-sectional studies have examined psychological correlates of complementary and alternative medicine (CAM) use and cancer, few prospective longitudinal investigations have been reported. This study examined whether CAM use moderated distress and quality of life (HRQoL) from pre- to post-cancer. Design: A prospective longitudinal national cohort design. Setting: Participants were 718 mid-aged women from the Australian longitudinal study on women's health who did not have cancer at survey 1, but who subsequently developed cancer. For each participant, three waves of data were extracted: the wave prior to diagnosis ('pre'), at diagnosis ('cancer'), and after cancer ('post'). Main outcome measures: CAM use was measured by the question 'in the past 12 months have you consulted an alternative health practitioner'. Distress was measured by perceived stress (PSS) and depression (CES-D 10), HRQoL was measured by physical and mental health functioning (SF-36). Results: CAM use significantly moderated the change over time in stress [. F(561) = 3.09, p= 0.04], depression [. F(494). =. 3.14, p=. 0.04], but not HRQoL. CAM-users were significantly more stressed than non-users pre-cancer (p<. 0.05), but there were no significant differences at subsequent surveys. CAM-users were significantly less depressed post-cancer compared to non-users (p<. 0.05). Conclusions: Findings indicated that CAM users may be more psychologically vulnerable than non-users with respect to stress, with CAM acting as an effective psychological, but not HRQoL, intervention. © 2011.

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http://hdl.handle.net/10453/18569