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Perceived discrepancies and their resolution: Quality of life in survivors of childhood cancer

Eiser, C., Greco, V., Vance, Y.H., Horne, B. and Glaser, A. (2004) Perceived discrepancies and their resolution: Quality of life in survivors of childhood cancer. Psychology and Health, 19 ( 1). pp. 15-28. ISSN 0887-0446

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Survivors of childhood cancer are at risk of compromised physical and psychological functioning as a result of disease and treatment. However, survivors experiencing similar physical problems vary considerably in their self-reported Quality of Life (QOL) raising questions about the processes underlying adjustment and maintenance of QOL. Seventy seven survivors of either Acute Lymphoblastic Leukaemia (ALL) or tumours of the Central Nervous System (CNS) completed a standardised measure of QOL and semi-structured interview. Based on theoretical assumptions that QOL reflects a difference between what survivors can, and would like to be able to do, interviews were coded for reports of discrepancies and any coping strategy employed. Survivors of tumours of the CNS reported worse QOL and more discrepancies than survivors of ALL. A significant relationship was found between QOL measured by questionnaire and number of reported discrepancies. Five kinds of strategies to reduce discrepancies were identified: changing activity, devising a “plan of action”, emotional denial, making social comparisons, and seeking social support. Survivors who reported neither discrepancies nor strategies had better QOL than those who reported both discrepancies and strategies or discrepancies but no strategies. Data are discussed in terms of rehabilitation of survivors of childhood cancer.

Item Type: Article
Institution: The University of York
Academic Units: The University of Sheffield > Faculty of Science (Sheffield) > Department of Psychology (Sheffield)
The University of York > Social Policy Research Unit (York)
Depositing User: York RAE Import
Date Deposited: 13 Feb 2009 10:06
Last Modified: 13 Feb 2009 10:06
Published Version: http://dx.doi.org/10.1080/08870440310001594501
Status: Published
Publisher: Taylor & Francis
Identification Number: 10.1080/08870440310001594501
URI: http://eprints.whiterose.ac.uk/id/eprint/7450

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