Ashley, L, Marti, J, Jones, H et al. (2 more authors) (2015) Illness perceptions within 6 months of cancer diagnosis are an independent prospective predictor of health-related quality of life 15 months post-diagnosis. Psycho-Oncology, 24 (11). pp. 1463-1470. ISSN 1057-9249
Abstract
Objective: Studies have found that illness perceptions explain significant variance in health outcomes in numerous diseases. However, most of the research is cross-sectional and non-oncological. We examined, for the first time in breast, colorectal and prostate cancer patients, if cognitive and emotional illness perceptions near diagnosis predict future multidimensional health-related quality of life (HRQoL). Methods: UK-based patients (N = 334) completed the illness perception questionnaire-revised within 6 months post-diagnosis and the quality of life in adult cancer survivors scale 15 months post-diagnosis. Sociodemographic and clinical data were obtained from medical records. Hierarchical multiple regression analyses were conducted. Results: The sociodemographic and clinical factors collectively significantly predicted 8/12 HRQoL domains, although for 5/8 accounted for <10% of the variance. For all 12 HRQoL domains, illness perceptions collectively explained significant substantial additional variance (∆R² range: 5.6–27.9%), and a single illness perception questionnaire-revised dimension was the best individual predictor of 9/12 HRQoL domains. The consequences dimension independently predicted 7/12 HRQoL domains; patients who believed their cancer would have a more serious negative impact on their life reported poorer future HRQoL. The emotional representations and identity dimensions also predicted multiple HRQoL domains. Conclusions: Future research should focus on realising the potential of illness perceptions as a modifiable target for and mediating mechanism of interventions to improve patients' HRQoL.
Metadata
Item Type: | Article |
---|---|
Authors/Creators: |
|
Copyright, Publisher and Additional Information: | © 2015, John Wiley & Sons, Ltd. This is the peer reviewed version of the following article: Ashley, L, Marti, J, Jones, H, Velikova, G and Wright, E (2015) Illness perceptions within 6 months of cancer diagnosis are an independent prospective predictor of future health-related quality of life 15 months post-diagnosis. Psycho-Oncology, 24 (11). 1463 - 1470. ISSN 1057-9249, which has been published in final form at http://dx.doi.org/10.1002/pon.3812. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. |
Dates: |
|
Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Cancer and Pathology (LICAP) |
Depositing User: | Symplectic Publications |
Date Deposited: | 08 Oct 2015 10:49 |
Last Modified: | 02 Jul 2017 01:47 |
Published Version: | https://doi.org/10.1002/pon.3812 |
Status: | Published |
Publisher: | Wiley |
Identification Number: | 10.1002/pon.3812 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:88227 |