Bouskill Kathryn, Kramer Michael
Behavioral and Policy Sciences, RAND Corporation, 1776 Main Street, Santa Monica, CA, 90407, USA.
Rollins School of Public Health, Department of Epidemiology, Emory University, Claudia Nance Rollins Building, 1518 Clifton Road, NE, Atlanta, GA, 30322, USA.
Support Care Cancer. 2016 Nov;24(11):4705-12. doi: 10.1007/s00520-016-3319-7. Epub 2016 Jun 30.
This study explores the relationship between the perceived impact of cancer among long-term breast cancer survivors, sociodemographic and clinical variables, and mental and physical health-related quality of life outcomes in Austria.
One hundred and fifty-two long-term survivors of breast cancer (on average 13 years after initial diagnosis) completed three mailed surveys, including the Short Form-36 (SF-36), the Impact of Cancer (version 2) to assess the perceived positive and negative aspects of cancer survivorship, and a general sociodemographic and clinical questionnaire. Linear regression models were constructed to determine the effects of the perceived positive and negative impact of cancer on mental and physical health-related quality of life.
Respondents reported a physical health status that centered on population norms for Austria, but scored lower on mental health status. After controlling for age, chemotherapy, exercise, and BMI, the positive impact of cancer was associated with improved physical functioning (p = 0.0014) and the negative impact of cancer was associated with poorer physical functioning (p < 0.0001). After controlling for age, marital status, the belief in emotional distress as a cause of cancer, and high stress levels, the negative impact of cancer was associated with poorer mental functioning (p < 0.0001). Higher perceived positive impact of cancer was not associated with improved mental functioning.
Long-term survivors of breast cancer in Austria perceive both positive and negative impacts of breast cancer. These perceptions, in particular the negative impact of cancer, appear to influence, or are potentially influenced by, physical and mental health-related quality of life.
本研究探讨奥地利长期乳腺癌幸存者对癌症的感知影响、社会人口统计学和临床变量与身心健康相关生活质量结果之间的关系。
152名乳腺癌长期幸存者（初次诊断后平均13年）完成了三项邮寄调查问卷，包括简短健康调查问卷（SF - 36）、癌症影响量表（第2版）以评估癌症幸存者感知到的积极和消极方面，以及一份一般社会人口统计学和临床调查问卷。构建线性回归模型以确定癌症的感知积极和消极影响对身心健康相关生活质量的作用。
受访者报告的身体健康状况以奥地利人群标准为中心，但心理健康状况得分较低。在控制年龄、化疗、运动和体重指数后，癌症的积极影响与身体功能改善相关（p = 0.0014），癌症的消极影响与较差的身体功能相关（p < 0.0001）。在控制年龄、婚姻状况、认为情绪困扰是癌症病因的观念以及高压力水平后，癌症的消极影响与较差的心理功能相关（p < 0.0001）。较高的癌症感知积极影响与心理功能改善无关。
奥地利乳腺癌长期幸存者感知到乳腺癌的积极和消极影响。这些感知，特别是癌症的消极影响似乎会影响身心健康相关生活质量，或者可能受到其影响。
