Social support following diagnosis and treatment for colorectal cancer and associations with health‐related quality of life: Results from the UK ColoREctal Wellbeing (CREW) cohort study

Psycho-Oncology - Tập 26 Số 12 - Trang 2276-2284 - 2017
Joanne Haviland1, Samantha C. Sodergren2, Lynn Calman2, Jessica Corner3, Amy Din2, Deborah Fenlon4, Chloe Grimmett2, Alison Richardson5,6, Peter Smith7, Jane N. Winter2,6, Claire Foster2
1Institute of Cancer Research Clinical Trials and Statistics Unit, Division of Clinical Studies, The Institute of Cancer Research, London, UK
2Macmillan Survivorship Research Group, Faculty of Health Sciences, University of Southampton, Southampton, UK
3Executive Office, University of Nottingham, Nottingham, UK
4College of Health and Human Sciences, Swansea University, Swansea, Wales, UK
5Faculty of Health Sciences, University of Southampton, Southampton, UK
6University Hospital Southampton NHS Foundation Trust, Southampton, UK
7Social Statistics and Demography, Social Sciences, University of Southampton, Southampton, UK

Tóm tắt

AbstractObjectiveSocial support is acknowledged as important in cancer survivorship, but little is known about change in support after cancer diagnosis and factors associated with this, particularly in colorectal cancer. The CREW cohort study investigated social support up to 2 years following curative intent surgery for colorectal cancer.MethodsA total of 871 adults recruited pre‐treatment from 29 UK centres 2010 to 2012 consented to follow‐up. Questionnaires at baseline, 3, 9, 15, and 24 months post‐surgery included assessments of social support (Medical Outcomes Study‐Social Support Survey, MOS‐SSS) and health‐related quality of life (HRQoL). Socio‐demographic, clinical and treatment details were collected. Longitudinal analyses assessed social support over follow‐up, associations with participant characteristics, and HRQoL.ResultsAround 20% were living alone and 30% without a partner. Perceived social support declined in around 29% of participants, with 8% of these reporting very low levels overall from baseline to 2 years (mean MOS‐SSS overall score < 40 on a scale from 0 to 100). Older age, female gender, greater neighbourhood deprivation, presence of co‐morbidities, and rectal cancer site were significantly associated with reductions in perceived support. Poorer HRQoL outcomes (generic health/QoL, reduced wellbeing, anxiety, and depression) were significantly associated with lower levels of social support.ConclusionsLevels of social support decline following colorectal cancer diagnosis and treatment in nearly a third of patients and are an important risk factor for recovery of HRQoL. Assessment of support early on and throughout follow‐up would enable targeted interventions to improve recovery, particularly in the more vulnerable patient groups at risk of poorer social support.

Từ khóa


Tài liệu tham khảo

10.1002/pon.1208

10.1038/bjc.2011.419

10.1002/pon.3480

Ferreira DB, 2011, Quality of life in Brazilian women with breast cancer: association with the social environment, J Epidemiol Commun H, 65, A241

10.1002/pon.3523

10.1002/pon.3706

10.1097/NCC.0000000000000388

10.1002/pon.3133

10.1002/pon.4022

10.1002/cncr.11717

10.1186/1477-7525-11-46

10.1002/pon.3210

10.1111/j.1471-6712.2012.01050.x

10.1037/a0031894

10.1007/s00520-010-0960-4

10.1002/pon.4064

10.1007/s11136-010-9753-y

10.1016/j.suponc.2011.09.002

Hong CJ‐LT, 2016, The temporal decline of social support among colorectal cancer survivors: first year prospective study, Iran J Public Health, 45, 1368

10.1186/1472-6963-12-90

Office for National Statistics2015.Retrieved fromhttps://www.gov.uk/government/statistics/english‐indices‐of‐deprivation‐2015

10.1016/0277-9536(91)90150-B

10.1016/0168-8510(90)90421-9

The International Wellbeing Group, 2013, Personal Wellbeing Index—Adult (PWI‐A)

Spielberger CD, 1983, Manual for the State‐Trait Anxiety Inventory (STAI)

10.1177/014662167700100306

10.1111/j.2044-8260.1983.tb00610.x

10.1002/pon.734

Hardin JW, 2013, Generalized Estimating Equations

10.1177/0049124101029003005

10.1214/aos/1176344136

10.1371/journal.pone.0155434

10.1002/pon.3850

10.1002/pon.3288

10.1016/j.ejca.2010.06.010

10.1016/j.ijnss.2014.05.007

10.1002/pon.3954

10.1080/07347332.2014.897293

10.1245/s10434-015-4479-2

10.1002/pon.4059

Thông tin
Thông tin xuất bản

Psycho-Oncology

Tập 26 Số 12

2276-2284

Thông tin tác giả