Title

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

Document Type

Journal Article

Publisher

John Wiley & Sons, Inc.

Place of Publication

United Kingdom

School

Exercise Medicine Research Institute

Comments

Originally published as: Chambers, S. K., Ng, S. K., Baade, P., Aitken, J. F., Hyde, M. K., Wittert, G., ... & Dunn, J. (2017). Trajectories of quality of life, life satisfaction, and psychological adjustment after prostate cancer. Psycho‐Oncology. 26(10), 1576-1585. Article available here.

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.

DOI

10.1002/pon.4342

Access Rights

Free_to_read

Creative Commons License

Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

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