Now at Loyola University, New Orleans, LA, USA
Quality of life among long-term survivors of breast cancer: different types of antecedents predict different classes of outcomes
Article first published online: 22 NOV 2005
Copyright © 2005 John Wiley & Sons, Ltd.
Volume 15, Issue 9, pages 749–758, September 2006
How to Cite
Carver, C. S., Smith, R. G., Petronis, V. M. and Antoni, M. H. (2006), Quality of life among long-term survivors of breast cancer: different types of antecedents predict different classes of outcomes. Psycho-Oncology, 15: 749–758. doi: 10.1002/pon.1006
- Issue published online: 18 AUG 2006
- Article first published online: 22 NOV 2005
- Manuscript Accepted: 15 SEP 2005
- Manuscript Received: 8 MAR 2005
- National Cancer Institute. Grant Numbers: CA78995, CA84944
- breast cancer;
- long-term survivors;
- quality of life
Quality of life (QOL) has many aspects, both in the short-term and in the long-term. Different aspects of QOL may have different types of precursors: demographic, medical, and psychosocial. We examined this possibility in a group of long-term breast cancer survivors. Early-stage breast cancer patients (N=163) who had provided information about medical, demographic, and psychosocial variables during the year after surgery completed a multidimensional measure of QOL 5–13 years later. Initial chemotherapy and higher stage predicted greater financial problems and greater worry about appearance at follow-up. Being partnered at diagnosis predicted many psychosocial benefits at follow-up. Hispanic women reported greater distress and social avoidance at follow-up. Initial trait optimism predicted diverse aspects of better psychosocial QOL at follow-up, but not other aspects of QOL. Thus, different aspects of QOL at long-term follow-up had different antecedents. Overall, psychological outcomes were predicted by psychosocial variables, presence of a partner at diagnosis, and ethnicity. Financial outcomes, in contrast, were predicted by medical variables, which otherwise predicted little about long-term QOL. This divergence among aspects of QOL should receive closer attention in future work. Copyright © 2005 John Wiley & Sons, Ltd.