The use of a patient-reported outcome questionnaire to assess cancer survivorship concerns and psychosocial outcomes among recent survivors
Purpose Survivor distress is well represented in the literature, but less is known about survivors’ concerns and how these relate to adaptation. Using a newly designed Survivorship Concern Scale, we examined concerns and their relationship to psychosocial adaptation among recent breast cancer (BC) s...
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Published in: | Supportive care in cancer 2017-08, Vol.25 (8), p.2405-2412 |
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Main Authors: | , , , , , , |
Format: | Article |
Language: | eng |
Subjects: | |
Online Access: | Get full text |
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Summary: | Purpose
Survivor distress is well represented in the literature, but less is known about survivors’ concerns and how these relate to adaptation. Using a newly designed Survivorship Concern Scale, we examined concerns and their relationship to psychosocial adaptation among recent breast cancer (BC) survivors.
Methods
One hundred forty-three stage 0–III BC survivors completed an online assessment including the Survivorship Concern Scale (0–3 scale; alpha = 0.91), unmet needs, quality of life (QoL), and anxiety and depressive symptoms within 1 year of end of treatment.
Results
Participants were predominately white (76%), middle-aged (51 years), married (70%), and college educated (79%). Eighty-two percent were stage I or II at diagnosis. Mean degree of survivorship concern was moderate (
M
= 1.75, SD = 0.70) though variable (range = 0.12–3.00). Survivorship concerns were not significantly related to disease, treatment, or demographic variables except income (
p
= 0.02). Degree of survivorship concern was significantly associated with all indices of psychosocial adaptation: unmet need (
r
= 0.50), physical and mental QoL (
r
= −0.32 and
r
= −0.32, respectively), depressive symptoms (
r
= 0.21), and anxiety symptoms (
r
= 0.51; all
p
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ISSN: | 0941-4355 1433-7339 |