Skip to main content
Top
Published in: BMC Cancer 1/2017

Open Access 01-12-2017 | Study protocol

Long-term effects and psychological adjustment: study protocol of a large register-based study on quality of life among survivors of hematological malignancies

Authors: Peter Esser, Katharina Kuba, Heide Götze, Anja Mehnert

Published in: BMC Cancer | Issue 1/2017

Login to get access

Abstract

Background

Both incidence and survival rates of hematological cancers are increasing, leading to a growing number of survivors with specific late and long-term effects. However, relevant research in physical, psychological and social aspects of quality of life is scarce. Existing literature shows that a considerable number of cancer survivors report a relatively high quality of life despite a variety of adverse and persistent symptoms. To date, the reasons for this phenomenon as well as moderating and mediating factors are widely unknown. Given these research gaps, we aim to investigate the different domains of quality of life among long-term survivors of hematological cancers and to identify factors predicting high quality of life.

Methods/Design

This is a large cross-sectional study among hematological cancer survivors at a minimum of 3 years after diagnosis. We will collect 1000 survivors completing a set of self-report-questionnaires encompassing physical, psychological and social domains of quality of life. Participants are clustered in groups according to time since diagnosis and compared with each other. Furthermore, survivors will be compared with the general population. Factors predicting high quality of life will be identified via multiple regression analyses and structure equation modeling.

Discussion

Our study will help to inform health care providers about the specific long-term burden among survivors with hematological malignancies. Identification of factors predicting high quality of life will help to develop adequate intervention strategies to enhance well-being in hematological cancer survivors. Our methodological advantages including the large sample as well as the assessment of different domains of quality of life will ensure novel and robust results. A limitation of the study is the cross-sectional design.
Literature
1.
go back to reference Kumar SK, Rajkumar SV, Dispenzieri A, Lacy MQ, Hayman SR, Buadi FK, et al. Improved survival in multiple myeloma and the impact of novel therapies. Blood. 2008;111:2516–20.CrossRefPubMedPubMedCentral Kumar SK, Rajkumar SV, Dispenzieri A, Lacy MQ, Hayman SR, Buadi FK, et al. Improved survival in multiple myeloma and the impact of novel therapies. Blood. 2008;111:2516–20.CrossRefPubMedPubMedCentral
2.
go back to reference Pulte D, Gondos A, Brenner H. Trends in survival after diagnosis with hematologic malignancy in adolescence or young adulthood in the United States, 1981-2005. Cancer. 2009;115:4973–9. doi:10.1002/cncr.24548.CrossRefPubMed Pulte D, Gondos A, Brenner H. Trends in survival after diagnosis with hematologic malignancy in adolescence or young adulthood in the United States, 1981-2005. Cancer. 2009;115:4973–9. doi:10.​1002/​cncr.​24548.CrossRefPubMed
6.
go back to reference Efficace F, Novik A, Vignetti M, Mandelli F, Cleeland CS. Health-related quality of life and symptom assessment in clinical research of patients with hematologic malignancies: where are we now and where do we go from here? Haematologica. 2007;92:1596–8. doi:10.3324/haematol.11710.CrossRefPubMed Efficace F, Novik A, Vignetti M, Mandelli F, Cleeland CS. Health-related quality of life and symptom assessment in clinical research of patients with hematologic malignancies: where are we now and where do we go from here? Haematologica. 2007;92:1596–8. doi:10.​3324/​haematol.​11710.CrossRefPubMed
7.
go back to reference Stephens JM, Gramegna P, Laskin B, Botteman MF, Pashos CL. Chronic lymphocytic leukemia: economic burden and quality of life: literature review. Am J Ther. 2005;12:460–6.CrossRefPubMed Stephens JM, Gramegna P, Laskin B, Botteman MF, Pashos CL. Chronic lymphocytic leukemia: economic burden and quality of life: literature review. Am J Ther. 2005;12:460–6.CrossRefPubMed
11.
go back to reference Byrd JC, Mrózek K, Dodge RK, Carroll AJ, Edwards CG, Arthur DC, et al. Pretreatment cytogenetic abnormalities are predictive of induction success, cumulative incidence of relapse, and overall survival in adult patients with de novo acute myeloid leukemia: results from Cancer and Leukemia Group B (CALGB 8461). Blood. 2002;100:4325–36. doi:10.1182/blood-2002-03-0772.CrossRefPubMed Byrd JC, Mrózek K, Dodge RK, Carroll AJ, Edwards CG, Arthur DC, et al. Pretreatment cytogenetic abnormalities are predictive of induction success, cumulative incidence of relapse, and overall survival in adult patients with de novo acute myeloid leukemia: results from Cancer and Leukemia Group B (CALGB 8461). Blood. 2002;100:4325–36. doi:10.​1182/​blood-2002-03-0772.CrossRefPubMed
12.
go back to reference van Leeuwen, Flora E, Klokman WJ, van’t Veer, Mars B, Hagenbeek A, ADG K, UAO V, et al. Long-term risk of second malignancy in survivors of Hodgkin’s disease treated during adolescence or young adulthood. J Clin Oncol. 2000;18:487.CrossRefPubMed van Leeuwen, Flora E, Klokman WJ, van’t Veer, Mars B, Hagenbeek A, ADG K, UAO V, et al. Long-term risk of second malignancy in survivors of Hodgkin’s disease treated during adolescence or young adulthood. J Clin Oncol. 2000;18:487.CrossRefPubMed
13.
go back to reference Ng AK, Bernardo MVP, Weller E, Backstrand K, Silver B, Marcus KC, et al. Second malignancy after Hodgkin disease treated with radiation therapy with or without chemotherapy: long-term risks and risk factors. Blood. 2002;100:1989–96. doi:10.1182/blood-2002-02-0634.CrossRefPubMed Ng AK, Bernardo MVP, Weller E, Backstrand K, Silver B, Marcus KC, et al. Second malignancy after Hodgkin disease treated with radiation therapy with or without chemotherapy: long-term risks and risk factors. Blood. 2002;100:1989–96. doi:10.​1182/​blood-2002-02-0634.CrossRefPubMed
15.
go back to reference Carter A, Robison LL, Francisco L, Smith D, Grant M, Baker KS, et al. Prevalence of conception and pregnancy outcomes after hematopoietic cell transplantation: report from the bone marrow transplant survivor study. Bone Marrow Transplant. 2006;37:1023–9. doi:10.1038/sj.bmt.1705364.CrossRefPubMed Carter A, Robison LL, Francisco L, Smith D, Grant M, Baker KS, et al. Prevalence of conception and pregnancy outcomes after hematopoietic cell transplantation: report from the bone marrow transplant survivor study. Bone Marrow Transplant. 2006;37:1023–9. doi:10.​1038/​sj.​bmt.​1705364.CrossRefPubMed
16.
go back to reference Borgmann-Staudt A, Rendtorff R, Reinmuth S, Hohmann C, Keil T, Schuster FR, et al. Fertility after allogeneic haematopoietic stem cell transplantation in childhood and adolescence. Bone Marrow Transplant. 2012;47:271–6. doi:10.1038/bmt.2011.78.CrossRefPubMed Borgmann-Staudt A, Rendtorff R, Reinmuth S, Hohmann C, Keil T, Schuster FR, et al. Fertility after allogeneic haematopoietic stem cell transplantation in childhood and adolescence. Bone Marrow Transplant. 2012;47:271–6. doi:10.​1038/​bmt.​2011.​78.CrossRefPubMed
17.
go back to reference Syrjala KL, Artherholt SB, Kurland BF, Langer SL, Roth-Roemer S, Elrod JB, Dikmen S. Prospective neurocognitive function over 5 years after allogeneic hematopoietic cell transplantation for cancer survivors compared with matched controls at 5 years. J Clin Oncol. 2011;29:2397–404. doi:10.1200/JCO.2010.33.9119.CrossRefPubMedPubMedCentral Syrjala KL, Artherholt SB, Kurland BF, Langer SL, Roth-Roemer S, Elrod JB, Dikmen S. Prospective neurocognitive function over 5 years after allogeneic hematopoietic cell transplantation for cancer survivors compared with matched controls at 5 years. J Clin Oncol. 2011;29:2397–404. doi:10.​1200/​JCO.​2010.​33.​9119.CrossRefPubMedPubMedCentral
18.
19.
go back to reference Syrjala KL, Langer SL, Abrams JR, Storer B, Sanders JE, Flowers MED, Martin PJ. Recovery and long-term function after hematopoietic cell transplantation for leukemia or lymphoma. JAMA. 2004;291:2335–43.CrossRefPubMed Syrjala KL, Langer SL, Abrams JR, Storer B, Sanders JE, Flowers MED, Martin PJ. Recovery and long-term function after hematopoietic cell transplantation for leukemia or lymphoma. JAMA. 2004;291:2335–43.CrossRefPubMed
20.
go back to reference Baker KS, Gurney JG, Ness KK, Bhatia R, Forman SJ, Francisco L, et al. Late effects in survivors of chronic myeloid leukemia treated with hematopoietic cell transplantation: results from the bone marrow transplant survivor study. Blood. 2004;104:1898–906. doi:10.1182/blood-2004-03-1010.CrossRefPubMed Baker KS, Gurney JG, Ness KK, Bhatia R, Forman SJ, Francisco L, et al. Late effects in survivors of chronic myeloid leukemia treated with hematopoietic cell transplantation: results from the bone marrow transplant survivor study. Blood. 2004;104:1898–906. doi:10.​1182/​blood-2004-03-1010.CrossRefPubMed
22.
go back to reference Mols F, Vingerhoets AJJM, Coebergh JW, Vreugdenhil G, Aaronson NK, Lybeert MLM, van de Poll-Franse LV. Better quality of life among 10-15 year survivors of Hodgkin's lymphoma compared to 5-9 year survivors: a population-based study. Eur J Cancer. 2006;42:2794–801. doi:10.1016/j.ejca.2006.08.006.CrossRefPubMed Mols F, Vingerhoets AJJM, Coebergh JW, Vreugdenhil G, Aaronson NK, Lybeert MLM, van de Poll-Franse LV. Better quality of life among 10-15 year survivors of Hodgkin's lymphoma compared to 5-9 year survivors: a population-based study. Eur J Cancer. 2006;42:2794–801. doi:10.​1016/​j.​ejca.​2006.​08.​006.CrossRefPubMed
23.
go back to reference Mols F, Aaronson NK, Vingerhoets AJJM, Coebergh JW, Vreugdenhil G, Lybeert MLM, van de Poll-Franse LV. Quality of life among long-term non-Hodgkin lymphoma survivors: a population-based study. Cancer. 2007;109:1659–67. doi:10.1002/cncr.22581.CrossRefPubMed Mols F, Aaronson NK, Vingerhoets AJJM, Coebergh JW, Vreugdenhil G, Lybeert MLM, van de Poll-Franse LV. Quality of life among long-term non-Hodgkin lymphoma survivors: a population-based study. Cancer. 2007;109:1659–67. doi:10.​1002/​cncr.​22581.CrossRefPubMed
25.
go back to reference Rüffer JU, Flechtner H, Tralls P, Josting A, Sieber M, Lathan B, Diehl V. Fatigue in long-term survivors of Hodgkin’s lymphoma; a report from the German Hodgkin Lymphoma Study Group (GHSG). Eur J Cancer. 2003;39:2179–86. doi:10.1016/S0959-8049(03)00545-8.CrossRefPubMed Rüffer JU, Flechtner H, Tralls P, Josting A, Sieber M, Lathan B, Diehl V. Fatigue in long-term survivors of Hodgkin’s lymphoma; a report from the German Hodgkin Lymphoma Study Group (GHSG). Eur J Cancer. 2003;39:2179–86. doi:10.​1016/​S0959-8049(03)00545-8.CrossRefPubMed
26.
go back to reference Miltényi Z, Magyari F, Simon Z, Illés Á. Quality of life and fatigue in Hodgkin’s lymphoma patients. Tumori. 2010;96:594–600.PubMed Miltényi Z, Magyari F, Simon Z, Illés Á. Quality of life and fatigue in Hodgkin’s lymphoma patients. Tumori. 2010;96:594–600.PubMed
27.
go back to reference Wettergren L, Björkholm M, Axdorph U, Bowling A, Langius-Eklöf A. Individual quality of life in long-term survivors of Hodgkin's lymphoma–a comparative study. Qual Life Res. 2003;12:545–54.CrossRefPubMed Wettergren L, Björkholm M, Axdorph U, Bowling A, Langius-Eklöf A. Individual quality of life in long-term survivors of Hodgkin's lymphoma–a comparative study. Qual Life Res. 2003;12:545–54.CrossRefPubMed
28.
go back to reference Haberman M, Bush N, Young K, Sullivan KM. Quality of life of adult long-term survivors of bone marrow transplantation: a qualitative analysis of narrative data. Oncol Nurs Forum. 1993;20:1545-553. Haberman M, Bush N, Young K, Sullivan KM. Quality of life of adult long-term survivors of bone marrow transplantation: a qualitative analysis of narrative data. Oncol Nurs Forum. 1993;20:1545-553.
29.
go back to reference Zebrack B. Quality of life of long-term survivors of leukemia and lymphoma. J Psychosoc Oncol. 2000;18:39–59.CrossRef Zebrack B. Quality of life of long-term survivors of leukemia and lymphoma. J Psychosoc Oncol. 2000;18:39–59.CrossRef
31.
go back to reference Buffart LM, Ros WJG, Chinapaw MJM, Brug J, Knol DL, Korstjens I, et al. Mediators of physical exercise for improvement in cancer survivors’ quality of life. Psychooncology. 2014;23:330–8. doi:10.1002/pon.3428.CrossRefPubMed Buffart LM, Ros WJG, Chinapaw MJM, Brug J, Knol DL, Korstjens I, et al. Mediators of physical exercise for improvement in cancer survivors’ quality of life. Psychooncology. 2014;23:330–8. doi:10.​1002/​pon.​3428.CrossRefPubMed
33.
go back to reference Groarke A, Curtis R, Kerin M. Global stress predicts both positive and negative emotional adjustment at diagnosis and post-surgery in women with breast cancer. Psychooncology. 2013;22:177–85. doi:10.1002/pon.2071.CrossRefPubMed Groarke A, Curtis R, Kerin M. Global stress predicts both positive and negative emotional adjustment at diagnosis and post-surgery in women with breast cancer. Psychooncology. 2013;22:177–85. doi:10.​1002/​pon.​2071.CrossRefPubMed
35.
go back to reference LimeSurvey Project Team / Carsten Schmitz. LimeSurvey: an open source survey tool. Germany: LimeSurvey Project Hamburg; 2015. LimeSurvey Project Team / Carsten Schmitz. LimeSurvey: an open source survey tool. Germany: LimeSurvey Project Hamburg; 2015.
36.
go back to reference Esser P, Kuba K, Mehnert A, Schwinn A, Schirmer L, Schulz-Kindermann F, et al. Investigating the temporal course, relevance and risk factors of fatigue over 5 years: a prospective study among patients receiving allogeneic HSCT. Bone Marrow Transplant. 2017; doi:10.1038/bmt.2016.344. Esser P, Kuba K, Mehnert A, Schwinn A, Schirmer L, Schulz-Kindermann F, et al. Investigating the temporal course, relevance and risk factors of fatigue over 5 years: a prospective study among patients receiving allogeneic HSCT. Bone Marrow Transplant. 2017; doi:10.​1038/​bmt.​2016.​344.
37.
go back to reference Aaronson NK, Ahmedzai S, Bergman B, Bullinger M, Cull A, Duez NJ, et al. The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst. 1993;85:365–76.CrossRefPubMed Aaronson NK, Ahmedzai S, Bergman B, Bullinger M, Cull A, Duez NJ, et al. The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst. 1993;85:365–76.CrossRefPubMed
38.
go back to reference Hinz A, Singer S, Brähler E. European reference values for the quality of life questionnaire EORTC QLQ-C30: results of a German investigation and a summarizing analysis of six European general population normative studies. Acta Oncol. 2014;53:958–65. doi:10.3109/0284186X.2013.879998.CrossRefPubMed Hinz A, Singer S, Brähler E. European reference values for the quality of life questionnaire EORTC QLQ-C30: results of a German investigation and a summarizing analysis of six European general population normative studies. Acta Oncol. 2014;53:958–65. doi:10.​3109/​0284186X.​2013.​879998.CrossRefPubMed
39.
go back to reference Faul F, Erdfelder E, Lang A, Buchner A. G* Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39:175–91.CrossRefPubMed Faul F, Erdfelder E, Lang A, Buchner A. G* Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39:175–91.CrossRefPubMed
41.
go back to reference Daig I, Herschbach P, Lehmann A, Knoll N, Decker O. Gender and age differences in domain-specific life satisfaction and the impact of depressive and anxiety symptoms: a general population survey from Germany. Qual Life Res. 2009;18:669–78. doi:10.1007/s11136-009-9481-3.CrossRefPubMed Daig I, Herschbach P, Lehmann A, Knoll N, Decker O. Gender and age differences in domain-specific life satisfaction and the impact of depressive and anxiety symptoms: a general population survey from Germany. Qual Life Res. 2009;18:669–78. doi:10.​1007/​s11136-009-9481-3.CrossRefPubMed
43.
go back to reference Löwe B, Decker O, Müller S, Brähler E, Schellberg D, Herzog W, Herzberg PY. Validation and standardization of the Generalized Anxiety Disorder Screener (GAD-7) in the general population. Med Care. 2008;46:266–74.CrossRefPubMed Löwe B, Decker O, Müller S, Brähler E, Schellberg D, Herzog W, Herzberg PY. Validation and standardization of the Generalized Anxiety Disorder Screener (GAD-7) in the general population. Med Care. 2008;46:266–74.CrossRefPubMed
44.
go back to reference Fydrich T, Sommer G, Tydecks S, Brähler E. Fragebogen zur sozialen unterstützung (F-SozU): Normierung der Kurzform (K-14) [Social Support Questionnaire (F-SozU): standardization of short form (K-14)]. Z Med Psychol. 2009;18:43–8. Fydrich T, Sommer G, Tydecks S, Brähler E. Fragebogen zur sozialen unterstützung (F-SozU): Normierung der Kurzform (K-14) [Social Support Questionnaire (F-SozU): standardization of short form (K-14)]. Z Med Psychol. 2009;18:43–8.
45.
go back to reference Kliem S, Job A, Kröger C, Bodenmann G, Stöbel-Richter Y, Hahlweg K, Brähler E. Entwicklung und Normierung einer Kurzform des Partnerschaftsfragebogens (PFB-K) an einer repräsentativen deutschen Stichprobe [Development and standardization of a short form of the Partnership Questionnaire (PFB-K) on a representative German sample]. Z Klin Psychol Psychother. 2012;41:81–9. doi:10.1026/1616-3443/a000135.CrossRef Kliem S, Job A, Kröger C, Bodenmann G, Stöbel-Richter Y, Hahlweg K, Brähler E. Entwicklung und Normierung einer Kurzform des Partnerschaftsfragebogens (PFB-K) an einer repräsentativen deutschen Stichprobe [Development and standardization of a short form of the Partnership Questionnaire (PFB-K) on a representative German sample]. Z Klin Psychol Psychother. 2012;41:81–9. doi:10.​1026/​1616-3443/​a000135.CrossRef
46.
go back to reference Jocham H, Dassen T, Widdershoven G, Halfens R. Reliability and validity of the EORTC QLQ-C30 in palliative care cancer patients. Cent Eur J Med. 2009;4:348–57. doi:10.2478/s11536-009-0032-7. Jocham H, Dassen T, Widdershoven G, Halfens R. Reliability and validity of the EORTC QLQ-C30 in palliative care cancer patients. Cent Eur J Med. 2009;4:348–57. doi:10.​2478/​s11536-009-0032-7.
48.
go back to reference Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect: the PANAS scales. J Pers Soc Psychol. 1988;54:1063.CrossRefPubMed Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect: the PANAS scales. J Pers Soc Psychol. 1988;54:1063.CrossRefPubMed
49.
go back to reference Krohne HW, Egloff B, Kohlmann C, Tausch A. Untersuchungen mit einer deutschen version der “Positive and Negative Affect Schedule” (PANAS) [investigations with a German version of the Positive and Negative Affect Schedule (PANAS)]. Diagnostica. 1996;42:139–56. Krohne HW, Egloff B, Kohlmann C, Tausch A. Untersuchungen mit einer deutschen version der “Positive and Negative Affect Schedule” (PANAS) [investigations with a German version of the Positive and Negative Affect Schedule (PANAS)]. Diagnostica. 1996;42:139–56.
50.
go back to reference Spitzer RL, Kroenke K, JBW W, Patient Health Questionnaire Primary Care Study Group. Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. JAMA. 1999;282:1737–44.CrossRefPubMed Spitzer RL, Kroenke K, JBW W, Patient Health Questionnaire Primary Care Study Group. Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. JAMA. 1999;282:1737–44.CrossRefPubMed
51.
go back to reference Gräfe K, Zipfel S, Herzog W, Löwe B. Screening psychischer Störungen mit dem “Gesundheitsfragebogen für Patienten (PHQ-D)” [Screening for psychiatric disorders with the Patient Health Questionnaire (PHQ). Results from the German validation study]. Diagnostica. 2004;50:171–81. doi:10.1026/0012-1924.50.4.171.CrossRef Gräfe K, Zipfel S, Herzog W, Löwe B. Screening psychischer Störungen mit dem “Gesundheitsfragebogen für Patienten (PHQ-D)” [Screening for psychiatric disorders with the Patient Health Questionnaire (PHQ). Results from the German validation study]. Diagnostica. 2004;50:171–81. doi:10.​1026/​0012-1924.​50.​4.​171.CrossRef
52.
go back to reference Roth AJ, Kornblith AB, Batel-Copel L, Peabody E, Scher HI, Holland JC. Rapid screening for psychologic distress in men with prostate carcinoma. Cancer. 1998;82:1904–8.CrossRefPubMed Roth AJ, Kornblith AB, Batel-Copel L, Peabody E, Scher HI, Holland JC. Rapid screening for psychologic distress in men with prostate carcinoma. Cancer. 1998;82:1904–8.CrossRefPubMed
53.
go back to reference Mehnert A, Müller D, Lehmann C, Koch U. Die deutsche version des NCCN distress-thermometers [the German version of the NCCN distress thermometer: validation of a screening instrument for assessment of psychosocial distress in cancer patients]. Z Klin Psychol Psychiatr Psychother. 2006;54:213–23. doi:10.1024/1661-4747.54.3.213. Mehnert A, Müller D, Lehmann C, Koch U. Die deutsche version des NCCN distress-thermometers [the German version of the NCCN distress thermometer: validation of a screening instrument for assessment of psychosocial distress in cancer patients]. Z Klin Psychol Psychiatr Psychother. 2006;54:213–23. doi:10.​1024/​1661-4747.​54.​3.​213.
55.
go back to reference Mendoza TR, Wang XS, Cleeland CS, Morrissey M, Johnson BA, Wendt JK, Huber SL. The rapid assessment of fatigue severity in cancer patients. Cancer. 1999;85:1186–96.CrossRefPubMed Mendoza TR, Wang XS, Cleeland CS, Morrissey M, Johnson BA, Wendt JK, Huber SL. The rapid assessment of fatigue severity in cancer patients. Cancer. 1999;85:1186–96.CrossRefPubMed
57.
go back to reference Schreurs PJ, Van de Willige G, Brosschot JF, Tellegen B, Graus GM. De Utrechtse coping lijst: UCL [the Utrecht coping list: UCL]. Lisse: Swets en Zeitlinger; 1993. Schreurs PJ, Van de Willige G, Brosschot JF, Tellegen B, Graus GM. De Utrechtse coping lijst: UCL [the Utrecht coping list: UCL]. Lisse: Swets en Zeitlinger; 1993.
58.
go back to reference Neugebauer U, Latscha K. Bewältigung belastender Ereignisse bei Polizeibeamten [Coping with stressful events among police officials]. Polizei & Wissenschaft. 2009;3:55–61. Neugebauer U, Latscha K. Bewältigung belastender Ereignisse bei Polizeibeamten [Coping with stressful events among police officials]. Polizei & Wissenschaft. 2009;3:55–61.
59.
go back to reference Neugebauer U, Wilbert J. Zum Zusammenhang zwischen Bewältigungsstil und burnout-Symptomen bei Lehrkräften der Förderschule Lernen [The link between coping style and burnout among special education teachers for children with learning difficulties]. Empirische Sonderpädagogik. 2010;2:69–82. Neugebauer U, Wilbert J. Zum Zusammenhang zwischen Bewältigungsstil und burnout-Symptomen bei Lehrkräften der Förderschule Lernen [The link between coping style and burnout among special education teachers for children with learning difficulties]. Empirische Sonderpädagogik. 2010;2:69–82.
60.
go back to reference Bond FW, Hayes SC, Baer RA, Carpenter KM, Guenole N, Orcutt HK, et al. Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: a revised measure of psychological inflexibility and experiential avoidance. Behav Ther. 2011;42:676–88. doi:10.1016/j.beth.2011.03.007.CrossRefPubMed Bond FW, Hayes SC, Baer RA, Carpenter KM, Guenole N, Orcutt HK, et al. Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: a revised measure of psychological inflexibility and experiential avoidance. Behav Ther. 2011;42:676–88. doi:10.​1016/​j.​beth.​2011.​03.​007.CrossRefPubMed
61.
go back to reference Hoyer J, Gloster AT. Psychologische Flexibilität messen: Der Fragebogen zu Akzeptanz und Handeln II [Measuring psychological flexibility: the AAQ II]. Verhaltenstherapie. 2013;23:42–4. doi:10.1159/000347040.CrossRef Hoyer J, Gloster AT. Psychologische Flexibilität messen: Der Fragebogen zu Akzeptanz und Handeln II [Measuring psychological flexibility: the AAQ II]. Verhaltenstherapie. 2013;23:42–4. doi:10.​1159/​000347040.CrossRef
62.
go back to reference Wiebe DJ, Berg CA, Palmer DL, Korbel C, Beveridge RM, Lindsay R, Donaldson D. Illness and the self: examining adjustment among adolescents with diabetes. Washington: Paper presented: Society of Behavioral Medicine; 2002. Wiebe DJ, Berg CA, Palmer DL, Korbel C, Beveridge RM, Lindsay R, Donaldson D. Illness and the self: examining adjustment among adolescents with diabetes. Washington: Paper presented: Society of Behavioral Medicine; 2002.
65.
go back to reference Wallston KA, Wallston BS, DeVellis R. Development of the multidimensional health locus of control (MHLC) scales. Health Educ Behav. 1978;6:160–70. Wallston KA, Wallston BS, DeVellis R. Development of the multidimensional health locus of control (MHLC) scales. Health Educ Behav. 1978;6:160–70.
66.
go back to reference Dlugosch GE, Krieger W. Fragebogen zur Erfassung des Gesundheitsverhaltens (FEG): Swetz and Zeitlinger; 1995. Dlugosch GE, Krieger W. Fragebogen zur Erfassung des Gesundheitsverhaltens (FEG): Swetz and Zeitlinger; 1995.
67.
go back to reference Schulze A, Lampert T. Bundes-Gesundheitssurvey: soziale Unterschiede im Rauchverhalten und in der Passivrauchbelastung in Deutschland [Report of the Federal Health Monitoring of Germany: social differences in smoking behavior and passive smoke exposure in Germany]. Berlin: Robert Koch-Institut; 2006. Schulze A, Lampert T. Bundes-Gesundheitssurvey: soziale Unterschiede im Rauchverhalten und in der Passivrauchbelastung in Deutschland [Report of the Federal Health Monitoring of Germany: social differences in smoking behavior and passive smoke exposure in Germany]. Berlin: Robert Koch-Institut; 2006.
69.
go back to reference Fydrich T, Sommer G, Brähler E. Fragebogen zur Sozialen Unterstützung: F-SozU [Questionnaire on social support: F-SozU]. Göttingen: HOGREFE; 2007. Fydrich T, Sommer G, Brähler E. Fragebogen zur Sozialen Unterstützung: F-SozU [Questionnaire on social support: F-SozU]. Göttingen: HOGREFE; 2007.
72.
go back to reference Tuomi K, Ilmarinen J, Jahkola A, Katajarinne L, Tulkki A. Work ability index. Helsinki: Institute of Occupational Health Helsinki; 1994. Tuomi K, Ilmarinen J, Jahkola A, Katajarinne L, Tulkki A. Work ability index. Helsinki: Institute of Occupational Health Helsinki; 1994.
74.
go back to reference Hahlweg K. Fragebogen zur Partnerschaftsdiagnostik (FPD) [Questionnaire on partnership]. Göttingen: HOGREFE; 1996. Hahlweg K. Fragebogen zur Partnerschaftsdiagnostik (FPD) [Questionnaire on partnership]. Göttingen: HOGREFE; 1996.
76.
go back to reference Bayliss EA, Ellis JL, Steiner JF. Subjective assessments of comorbidity correlate with quality of life health outcomes: initial validation of a comorbidity assessment instrument. Health Qual Life Outcomes. 2005;3:1.CrossRef Bayliss EA, Ellis JL, Steiner JF. Subjective assessments of comorbidity correlate with quality of life health outcomes: initial validation of a comorbidity assessment instrument. Health Qual Life Outcomes. 2005;3:1.CrossRef
Metadata
Title
Long-term effects and psychological adjustment: study protocol of a large register-based study on quality of life among survivors of hematological malignancies
Authors
Peter Esser
Katharina Kuba
Heide Götze
Anja Mehnert
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Cancer / Issue 1/2017
Electronic ISSN: 1471-2407
DOI
https://doi.org/10.1186/s12885-017-3454-7

Other articles of this Issue 1/2017

BMC Cancer 1/2017 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine