Factors predicting health-related quality of life in breast cancer survivors: the role of sense of coherence

Aim: The prospective analysis of sense of coherence (SOC) and health-related quality of life (HRQOL) correlations in breast cancer survivors in the first year after surgery and the evaluation of the prognostic value of SOC for HRQOL. Method: Thirty-nine women aged from 34 to 68 years (mean = 55.92,...

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Main Authors: Marcin J. Jabłoński, Beata Mirucka, Joanna Streb, Agnieszka J. Słowik, Robert Jach
Format: Article
Language:English
Published: Medical Communications Sp. z o.o. 2019-02-01
Series:Psychiatria i Psychologia Kliniczna
Subjects:
Online Access:http://www.psychiatria.com.pl/index.php/wydawnictwa/2019-vol-19-no-1/factors-predicting-health-related-quality-of-life-in-breast-cancer-survivors-the-role-of-sense-of-coherence?aid=824
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author Marcin J. Jabłoński
Beata Mirucka
Joanna Streb
Agnieszka J. Słowik
Robert Jach
author_facet Marcin J. Jabłoński
Beata Mirucka
Joanna Streb
Agnieszka J. Słowik
Robert Jach
author_sort Marcin J. Jabłoński
collection DOAJ
description Aim: The prospective analysis of sense of coherence (SOC) and health-related quality of life (HRQOL) correlations in breast cancer survivors in the first year after surgery and the evaluation of the prognostic value of SOC for HRQOL. Method: Thirty-nine women aged from 34 to 68 years (mean = 55.92, standard deviation, SD = 8.84) completed the following surveys: the core European Organisation for Research and Treatment of Cancer (EORTC) QLQ-C30 and the supplement BR23 for HRQOL, and the Life Orientation Questionnaire, SOC-29 for SOC. Data were collected twice: once in the third month after breast surgery (t1: sociodemographic, SOC and HRQOL), and once nine months later (t2: HRQOL). Results: The mean SOC was 141.13 (SD 24.17). The average global health status and overall quality of life (GHS/QOL) was 59.82 (SD 23.47) in t1 and 55.36 (SD 22.93) in t2. A significant decrease in cognitive functioning and an increase in the severity of breast symptoms between t1 and t2 were reported. The results showed several positive correlations between SOC and functional scales of EORTC QOL questionnaires, suggesting the predictive value of meaningfulness for cognitive and emotional functioning of breast cancer survivors. Conclusion: The data obtained give a new insight into the issue of adaptation to cancer and suggest that sense of coherence may play a role in cognitive and emotional functioning in the first year of cancer treatment. Implications for psychosocial care providers: The results suggest the need for active screening and management of cognitive impairments and emotional problems as well as for breast-related symptoms in the first year of cancer therapy. All psychosocial interventions that can empower generalised resistance resources, which are mediated by SOC, may be recommended for better HRQOL in breast cancer survivors.
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spelling doaj.art-12e3542fc636459ea9bf2b38203b0c502022-12-21T19:27:19ZengMedical Communications Sp. z o.o.Psychiatria i Psychologia Kliniczna1644-63132451-06452019-02-01191253110.15557/PiPK.2019.0004Factors predicting health-related quality of life in breast cancer survivors: the role of sense of coherenceMarcin J. Jabłoński0Beata Mirucka1Joanna Streb2Agnieszka J. Słowik3Robert Jach4Institute of Psychology, Faculty of Philosophy, Jesuit University Ignatianum, Krakow, PolandDepartment of General and Clinical Psychology, Faculty of Pedagogy and Psychology, University of Bialystok, Bialystok, PolandDepartment of Oncology, Jagiellonian University, Medical College, Krakow, PolandDepartment of Oncology, Jagiellonian University, Medical College, Krakow, PolandDepartment of Gynaecology and Oncology, Jagiellonian University, Medical College, Krakow, PolandAim: The prospective analysis of sense of coherence (SOC) and health-related quality of life (HRQOL) correlations in breast cancer survivors in the first year after surgery and the evaluation of the prognostic value of SOC for HRQOL. Method: Thirty-nine women aged from 34 to 68 years (mean = 55.92, standard deviation, SD = 8.84) completed the following surveys: the core European Organisation for Research and Treatment of Cancer (EORTC) QLQ-C30 and the supplement BR23 for HRQOL, and the Life Orientation Questionnaire, SOC-29 for SOC. Data were collected twice: once in the third month after breast surgery (t1: sociodemographic, SOC and HRQOL), and once nine months later (t2: HRQOL). Results: The mean SOC was 141.13 (SD 24.17). The average global health status and overall quality of life (GHS/QOL) was 59.82 (SD 23.47) in t1 and 55.36 (SD 22.93) in t2. A significant decrease in cognitive functioning and an increase in the severity of breast symptoms between t1 and t2 were reported. The results showed several positive correlations between SOC and functional scales of EORTC QOL questionnaires, suggesting the predictive value of meaningfulness for cognitive and emotional functioning of breast cancer survivors. Conclusion: The data obtained give a new insight into the issue of adaptation to cancer and suggest that sense of coherence may play a role in cognitive and emotional functioning in the first year of cancer treatment. Implications for psychosocial care providers: The results suggest the need for active screening and management of cognitive impairments and emotional problems as well as for breast-related symptoms in the first year of cancer therapy. All psychosocial interventions that can empower generalised resistance resources, which are mediated by SOC, may be recommended for better HRQOL in breast cancer survivors.http://www.psychiatria.com.pl/index.php/wydawnictwa/2019-vol-19-no-1/factors-predicting-health-related-quality-of-life-in-breast-cancer-survivors-the-role-of-sense-of-coherence?aid=824sense of coherencequality of lifebreast cancercognitive functioning of cancer survivors
spellingShingle Marcin J. Jabłoński
Beata Mirucka
Joanna Streb
Agnieszka J. Słowik
Robert Jach
Factors predicting health-related quality of life in breast cancer survivors: the role of sense of coherence
Psychiatria i Psychologia Kliniczna
sense of coherence
quality of life
breast cancer
cognitive functioning of cancer survivors
title Factors predicting health-related quality of life in breast cancer survivors: the role of sense of coherence
title_full Factors predicting health-related quality of life in breast cancer survivors: the role of sense of coherence
title_fullStr Factors predicting health-related quality of life in breast cancer survivors: the role of sense of coherence
title_full_unstemmed Factors predicting health-related quality of life in breast cancer survivors: the role of sense of coherence
title_short Factors predicting health-related quality of life in breast cancer survivors: the role of sense of coherence
title_sort factors predicting health related quality of life in breast cancer survivors the role of sense of coherence
topic sense of coherence
quality of life
breast cancer
cognitive functioning of cancer survivors
url http://www.psychiatria.com.pl/index.php/wydawnictwa/2019-vol-19-no-1/factors-predicting-health-related-quality-of-life-in-breast-cancer-survivors-the-role-of-sense-of-coherence?aid=824
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