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Published in: Quality of Life Research 10/2009

01-12-2009

Determinants of overall quality of life in women over the first year after surgery for early stage breast cancer

Authors: Brenda L. Den Oudsten, Jolanda De Vries, Alida F. W. Van der Steeg, Jan A. Roukema, Guus L. Van Heck

Published in: Quality of Life Research | Issue 10/2009

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Abstract

Purpose

Scores on quality of life (QOL) domains and facets are probably subject to fluctuations across time due to the course of breast cancer treatment. Existing QOL studies have been cross-sectional. Therefore, this prospective follow-up study examined whether QOL domains (physical health, psychological health, social relationships, and environment) and QOL facets contributed differentially across time to overall QOL in women with early stage breast cancer.

Methods

From the 608 participating women, 225 women had early stage breast cancer. Before diagnosis and 1, 3, 6, and 12 months after surgical treatment, women with early stage breast cancer were assessed on QOL (WHOQOL-100).

Results

Psychological Health and Social Relationships were the QOL domains that contributed to overall QOL most consistently at the various time points. Physical Health appeared to be a contributor at all time points except 1 month after surgery. Environment contributed to a lesser extent to overall QOL compared with Physical Health, Psychological Health, and Social Relationships. Different facets contribute to overall QOL-dependent of particular measurement points. However, the facets Positive Feelings and Personal Relationships were important factors at almost all time points of maintaining a good overall QOL.

Conclusions

QOL domains and facets contributed differently to overall QOL at various time points across treatment in women with early stage breast cancer.
Literature
1.
go back to reference Cella, D., & Tulsky, D. S. (1990). Measuring quality of life today: Methodological aspects. Oncology, 5, 29–38. Cella, D., & Tulsky, D. S. (1990). Measuring quality of life today: Methodological aspects. Oncology, 5, 29–38.
2.
go back to reference Orley, J., Saxena, S., & Herrman, H. (1998). Quality of life and mental illness. Reflections from the perspective of the WHOQOL (editorial). British Journal of Psychiatry, 172, 291–293.CrossRefPubMed Orley, J., Saxena, S., & Herrman, H. (1998). Quality of life and mental illness. Reflections from the perspective of the WHOQOL (editorial). British Journal of Psychiatry, 172, 291–293.CrossRefPubMed
3.
go back to reference WHOQOL group. (1995). The world health organization quality of life assessment (WHOQOL): Position paper from the world health organization. Social Science and Medicine, 41, 1403–1409.CrossRef WHOQOL group. (1995). The world health organization quality of life assessment (WHOQOL): Position paper from the world health organization. Social Science and Medicine, 41, 1403–1409.CrossRef
4.
go back to reference Arnold, R., Ranchor, A. V., Sanderman, R., Kempen, G. I., Ormel, J., & Suurmeijer, T. P. (2004). The relative contribution of domains of quality of life to overall quality of life for different chronic diseases. Quality of Life Research, 13(5), 883–896.CrossRefPubMed Arnold, R., Ranchor, A. V., Sanderman, R., Kempen, G. I., Ormel, J., & Suurmeijer, T. P. (2004). The relative contribution of domains of quality of life to overall quality of life for different chronic diseases. Quality of Life Research, 13(5), 883–896.CrossRefPubMed
5.
go back to reference Dagnelie, P. C., Pijls-Johannesma, M. C., Lambin, P., Beijer, S., De Ruysscher, D., & Kempen, G. I. (2007). Impact of fatigue on overall quality of life in lung and breast cancer patients selected for high-dose radiotherapy. Annals of Oncology, 18(5), 940–944.CrossRefPubMed Dagnelie, P. C., Pijls-Johannesma, M. C., Lambin, P., Beijer, S., De Ruysscher, D., & Kempen, G. I. (2007). Impact of fatigue on overall quality of life in lung and breast cancer patients selected for high-dose radiotherapy. Annals of Oncology, 18(5), 940–944.CrossRefPubMed
6.
go back to reference Beijer, S., Kempen, G. I., Pijls-Johannesma, M. C., de Graeff, A., & Dagnelie, P. C. (2008). Determinants of overall quality of life in preterminal cancer patients. International Journal of Cancer, 123(1), 232–235.CrossRef Beijer, S., Kempen, G. I., Pijls-Johannesma, M. C., de Graeff, A., & Dagnelie, P. C. (2008). Determinants of overall quality of life in preterminal cancer patients. International Journal of Cancer, 123(1), 232–235.CrossRef
7.
go back to reference Sprangers, M. A., & Schwartz, C. E. (1999). Integrating response shift into health-related quality of life research: A theoretical model. Social Science and Medicine, 48(11), 1507–1515.CrossRefPubMed Sprangers, M. A., & Schwartz, C. E. (1999). Integrating response shift into health-related quality of life research: A theoretical model. Social Science and Medicine, 48(11), 1507–1515.CrossRefPubMed
8.
go back to reference Leventhal, H., & Colman, S. (1997). Quality of life: A process view. Psychology and health, 12, 743–767. Leventhal, H., & Colman, S. (1997). Quality of life: A process view. Psychology and health, 12, 743–767.
9.
go back to reference Lu, W., Cui, Y., Chen, X., Zheng, Y., Gu, K., & Cai, H., et al. (2008). Changes in quality of life among breast cancer patients three years post-diagnosis. Breast Cancer Research and Treatment, 114, 357–369. Lu, W., Cui, Y., Chen, X., Zheng, Y., Gu, K., & Cai, H., et al. (2008). Changes in quality of life among breast cancer patients three years post-diagnosis. Breast Cancer Research and Treatment, 114, 357–369.
10.
go back to reference De Vries, J., & Van Heck, G. L. (1997). The world health organization quality of life assessment instrument (WHOQOL-100): Validation study with the Dutch version. European Journal of Psychological Assessment, 13, 164–178.CrossRef De Vries, J., & Van Heck, G. L. (1997). The world health organization quality of life assessment instrument (WHOQOL-100): Validation study with the Dutch version. European Journal of Psychological Assessment, 13, 164–178.CrossRef
11.
go back to reference Philip, E. J., Merluzzi, T. V., Peterman, A., & Cronk, L. B. (2009). Measurement accuracy in assessing patient’s quality of life: to weight or not to weight domains of quality of life. Quality of Life Research, 18(6), 775–782. Philip, E. J., Merluzzi, T. V., Peterman, A., & Cronk, L. B. (2009). Measurement accuracy in assessing patient’s quality of life: to weight or not to weight domains of quality of life. Quality of Life Research, 18(6), 775–782.
12.
go back to reference Suurmeijer, T. P., Reuvekamp, M. F., & Aldenkamp, B. P. (2001). Social functioning, psychological functioning, and quality of life in epilepsy. Epilepsia, 42, 1160–1168.CrossRefPubMed Suurmeijer, T. P., Reuvekamp, M. F., & Aldenkamp, B. P. (2001). Social functioning, psychological functioning, and quality of life in epilepsy. Epilepsia, 42, 1160–1168.CrossRefPubMed
13.
go back to reference Cummins, R. (1998). The second approximation to an international standard for life satisfaction. Social Indicators Research, 43, 307–334.CrossRef Cummins, R. (1998). The second approximation to an international standard for life satisfaction. Social Indicators Research, 43, 307–334.CrossRef
14.
go back to reference WHOQOL Group. (1998). The world health organization quality of life assessment (WHOQOL): Development and general psychometric properties. Social Science and Medicine, 46, 1569–1585.CrossRef WHOQOL Group. (1998). The world health organization quality of life assessment (WHOQOL): Development and general psychometric properties. Social Science and Medicine, 46, 1569–1585.CrossRef
15.
go back to reference Power, M., Harper, A., & Bullinger, M. (1999). The world health organization WHOQOL-100: Tests of the universality of quality of life in 15 different cultural groups worldwide. Health Psychology, 18, 495–505.CrossRefPubMed Power, M., Harper, A., & Bullinger, M. (1999). The world health organization WHOQOL-100: Tests of the universality of quality of life in 15 different cultural groups worldwide. Health Psychology, 18, 495–505.CrossRefPubMed
16.
go back to reference WHOQOL Group. (1998). Development of the world health organization WHOQOL-BREF quality of life assessment. The WHOQOL Group. Psychological Medicine, 28, 551–558.CrossRef WHOQOL Group. (1998). Development of the world health organization WHOQOL-BREF quality of life assessment. The WHOQOL Group. Psychological Medicine, 28, 551–558.CrossRef
17.
go back to reference Den Oudsten, B. L., Van Heck, G. L., Van der Steeg, A. F., Roukema, J. A., & De Vries, J. (2009). The WHOQOL-100 has good psychometric properties in breast cancer patients. Journal of Clinical Epidemiology, 62(2), 195–205. Den Oudsten, B. L., Van Heck, G. L., Van der Steeg, A. F., Roukema, J. A., & De Vries, J. (2009). The WHOQOL-100 has good psychometric properties in breast cancer patients. Journal of Clinical Epidemiology, 62(2), 195–205.
18.
go back to reference O’Carroll, R. E., Smith, K., Couston, M., Cossar, J. A., & Hayes, P. C. (2000). A comparison of the WHOQOL-100 and the WHOQOL-BREF in detecting change in quality of life following liver transplantation. Quality of Life Research, 9, 121–124.CrossRefPubMed O’Carroll, R. E., Smith, K., Couston, M., Cossar, J. A., & Hayes, P. C. (2000). A comparison of the WHOQOL-100 and the WHOQOL-BREF in detecting change in quality of life following liver transplantation. Quality of Life Research, 9, 121–124.CrossRefPubMed
19.
go back to reference Andritsch, E., Dietmaier, G., Hofmann, G., Zloklikovits, S., & Samonigg, H. (2007). Global quality of life and its potential predictors in breast cancer patients: An exploratory study. Supportive Care in Cancer, 15(1), 21–30.CrossRefPubMed Andritsch, E., Dietmaier, G., Hofmann, G., Zloklikovits, S., & Samonigg, H. (2007). Global quality of life and its potential predictors in breast cancer patients: An exploratory study. Supportive Care in Cancer, 15(1), 21–30.CrossRefPubMed
Metadata
Title
Determinants of overall quality of life in women over the first year after surgery for early stage breast cancer
Authors
Brenda L. Den Oudsten
Jolanda De Vries
Alida F. W. Van der Steeg
Jan A. Roukema
Guus L. Van Heck
Publication date
01-12-2009
Publisher
Springer Netherlands
Published in
Quality of Life Research / Issue 10/2009
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-009-9548-1

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