Abstract:
BACKGROUND:Hematopoietic stem cell transplantation is a demanding cancer treatment associated with enduring physical and psychological complications. Survivors' well-being may be further compromised by exposure to chronic stressors common to this population, including difficulties arising from costly medical care, changes in employment status, and health insurance coverage. Thus, we hypothesized that financial, employment, and insurance stressors (collectively referred to as economic survivorship stressors) would be associated with poorer health-related quality of life (HRQOL) among hematopoietic stem cell transplantation survivors. METHODS:Survivors (n = 181; M = 640 days post-transplant) completed the measures of study variables through mailed questionnaires and telephone interviews. Hierarchical regression analyses were conducted to test the hypothesized associations between economic survivorship stressors and HRQOL, and to examine whether social and situational factors interact with survivors' stress perceptions to predict HRQOL. RESULTS:Greater financial and employment stress were associated with poorer functioning across multiple HRQOL domains, even after controlling for the effects of possible confounding sociodemographic and medical variables. Insurance stress was not associated with HRQOL. Some associations were moderated by situational factors including timing of the current financial crisis and portion of the transplant paid for by health insurance. CONCLUSIONS:Hematopoietic stem cell transplantation survivors can face serious economic challenges during recovery. Results suggest the value of viewing these challenges as chronic stressors capable of reducing survivors' mental and physical well-being. Identifying resources and skills that help survivors cope with these demands is an important goal for clinicians and researchers.
journal_name
Psychooncologyjournal_title
Psycho-oncologyauthors
Hamilton JG,Wu LM,Austin JE,Valdimarsdottir H,Basmajian K,Vu A,Rowley SD,Isola L,Redd WH,Rini Cdoi
10.1002/pon.3091subject
Has Abstractpub_date
2013-04-01 00:00:00pages
911-21issue
4eissn
1057-9249issn
1099-1611journal_volume
22pub_type
杂志文章相关文献
PSYCHO-ONCOLOGY文献大全abstract:OBJECTIVE:Patient's trust in their physician is crucial for desirable treatment outcomes such as satisfaction and adherence. In oncology, trust is possibly even more essential, due to the life-threatening nature of cancer. A review was undertaken of the current knowledge of the conceptualization, assessment, correlates...
journal_title:Psycho-oncology
pub_type: 杂志文章,评审
doi:10.1002/pon.1745
更新日期:2011-03-01 00:00:00
abstract:OBJECTIVE:Little is known about which women are at greatest risk of adverse psychological after-effects following colposcopy. This study examined time trends in, and identified predictors of, anxiety and specific worries over 12 months. METHODS:Women attending two hospital-based colposcopy clinics for abnormal cervica...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.3980
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVE:Depression is a significant problem for patients with head and neck cancer (HNC). This study explored the prevalence of and sociodemographic and clinical factors associated with depression, among patients with HNC. METHODS:We performed a retrospective analysis of 71 541 cases of HNC using a national dataset,...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.4893
更新日期:2018-12-01 00:00:00
abstract:BACKGROUND:As the number of older adults in the United States continues to grow, there will be increasing demands on health care providers to address the needs of this population. Cancer is of particular importance, with over half of all cancer survivors older than 65 years. In addition, depression, pain, and fatigue a...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.4605
更新日期:2018-03-01 00:00:00
abstract::A diagnosis of ovarian cancer requires a woman to reevaluate her interactions with family, friends, and employers, and cope with unexpected and unwanted changes in areas spanning from financial stability to sexuality and fertility. Social well-being is the aspect of a patient's overall quality of life that encompasses...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.681
更新日期:2003-10-01 00:00:00
abstract:OBJECTIVES:The purpose of this review is to describe the empirical literature on the health-related quality of life (HRQOL) in Latina breast cancer survivors by exploring the social determinants of health. In framing the key domains of survivors' quality of life within a ecological-contextual model that evaluates indiv...
journal_title:Psycho-oncology
pub_type: 杂志文章,评审
doi:10.1002/pon.1998
更新日期:2012-02-01 00:00:00
abstract:OBJECTIVE:The transition from active cancer treatment to survivorship represents a period of uncertainty for youth and their families, but factors associated with adaptation during this period are understudied. We evaluated associations among cancer and treatment-related variables, family factors (family functioning, c...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.5592
更新日期:2020-11-12 00:00:00
abstract::Little research has been done in developing countries on the emotional impact experienced by families who have a child diagnosed with leukemia. This preliminary study looked at parents in Mexico who had to cope with their child's leukemia in the face of meager financial and social resources. The 51 children in the stu...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.679
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVE:Reproductive decision making for couples with hereditary breast and ovarian cancer (HBOC) is complex and can result in decisional conflict or regret. This study investigated couples' support needs and aimed to identify vulnerable couples. Ultimately, we should strive to develop a clear standard of care guidel...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.4729
更新日期:2018-07-01 00:00:00
abstract:BACKGROUND:Given the increasing numbers of immigrant families in Canada, it is imperative that healthcare providers (HCPs) understand the caregiving experiences of immigrant family caregivers. Our study aimed to explore any special challenges faced by immigrant parents of children with cancer and to identify supportive...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.1963
更新日期:2012-05-01 00:00:00
abstract::This study assesses the efficacy of a group intervention in altering emotion regulation processes and promoting adjustment in women with breast cancer. Using a design with 10 alternating phases of availability of the intervention versus standard care, we assessed women participating in one of three conditions: a 12-we...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.1050
更新日期:2007-03-01 00:00:00
abstract:OBJECTIVE:To investigate family functioning in families with an adolescent survivor of a pediatric brain tumor. We explored whether adolescent, parent, disease and treatment factors, and demographic characteristics predicted family functioning. METHODS:In this cross-sectional study, 45 adolescent survivors of pediatri...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.3599
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:The objectives were to describe parent-rated and physician-rated prognosis in a wide range of pediatric cancers and to describe the prevalence and predictors of parental prognostic optimism in poor prognosis pediatric cancer patients. METHODS:This Canadian multi-institutional cross-sectional study included c...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.1490
更新日期:2009-07-01 00:00:00
abstract:OBJECTIVE:Adherence to adjuvant endocrine therapy (AET) in breast cancer survivors is suboptimal. Using the theory of planned behavior (TPB), this study aimed to identify the strongest predictors from the TPB of AET intentions and past behavior and assessed whether ambivalence and anticipatory emotions increased the pr...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.4931
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVES:Recent reviews suggest that the routine use of patient-reported outcome measures (PROMs) in cancer clinics improves the processes of care but not patient outcomes such as quality of life or satisfaction. We set out to identify future strategies for (1) interventions to impact patient outcomes and (2) trials ...
journal_title:Psycho-oncology
pub_type: 杂志文章,评审
doi:10.1002/pon.1545
更新日期:2009-11-01 00:00:00
abstract:OBJECTIVE:This study was performed to explore in-depth, the issues and barriers pertaining to colorectal cancer (CRC) screening amongst the siblings of CRC patients in view of their higher risk of developing CRC. METHODS:A qualitative study of siblings of CRC patients was performed from August 2017 to October 2018. Se...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.5496
更新日期:2020-12-01 00:00:00
abstract::Autologous bone marrow transplantation (AuBMT) is probably among the most aggressive of physical treatments endured by cancer patients. High-risk breast cancer patients who choose this therapy face prolonged, agonizing and life-threatening interventions that are no less arduous than confronting the malignant disease i...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/(sici)1099-1611(200001/02)9:1<57::aid-pon4
更新日期:2000-01-01 00:00:00
abstract:OBJECTIVE:Specialized palliative care (SPC) interventions increasingly include patient-caregiver dyads, but their effects on dyadic coping are unknown. We investigated whether an SPC and dyadic psychological intervention increased aspects of dyadic coping in patients with advanced cancer and their caregivers, whether d...
journal_title:Psycho-oncology
pub_type: 杂志文章,随机对照试验
doi:10.1002/pon.4932
更新日期:2019-02-01 00:00:00
abstract:OBJECTIVE:Significant heterogeneity was highlighted in recent meta-analyses examining exercise effects in cancer patients, suggesting that some characteristics may moderate exercise efficacy. The objectives of this meta-analysis are (1) to investigate the influence of methodology, population and intervention studies' c...
journal_title:Psycho-oncology
pub_type: 杂志文章,meta分析
doi:10.1002/pon.3727
更新日期:2015-07-01 00:00:00
abstract:OBJECTIVE:To assess whether childhood cancer survivors experience difficulties in their romantic relationships during emerging adulthood (18-25 years) and to identify who may be at risk for long-term social sequelae. METHODS:Emerging adult survivors of childhood cancer (n=60) and controls without a history of chronic ...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.1471
更新日期:2009-07-01 00:00:00
abstract:OBJECTIVES:To provide one of the first prospective reports examining neuropsychological outcomes for children treated with 1800 cGy whole brain radiotherapy (WBRT) and prophylactic chemotherapy versus prophylactic chemotherapy alone for acute lymphoblastic leukemia (ALL). Acute and long-term neuropsychological toxiciti...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.3586
更新日期:2015-02-01 00:00:00
abstract:OBJECTIVE:The primary aim of this study was to describe Japanese oncology nurses' self-reported ability to assess and care for cancer patients' mental health. A secondary aim was to describe nurses' self-reported stress levels and need for stress management related to caring for oncology patients. METHODS:This cross-s...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.3191
更新日期:2013-07-01 00:00:00
abstract::This preliminary study investigated whether bupropion sustained release (SR) improved symptomatic fatigue, depression and quality of life in cancer patients and caregiver quality of life. The sample consisted of a prospective open case series of 21 cancer patients, with fatigue and with or without depression at modera...
journal_title:Psycho-oncology
pub_type: 临床试验,杂志文章
doi:10.1002/pon.952
更新日期:2006-03-01 00:00:00
abstract:OBJECTIVE:Recently, caregiver burden (CB) has emerged as an important issue in the area of palliative medicine. However, patients' feelings related to being a burden to their families (i.e., self-perceived burden [SPB]) is also a significant issue. We evaluated the relation of CB and SPB as preference for palliative ca...
journal_title:Psycho-oncology
pub_type: 杂志文章,多中心研究
doi:10.1002/pon.3827
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:Women under age 50, a quarter of all cases of breast cancer, are especially vulnerable to physical and psychosocial late effects of their treatment due to having more aggressive treatment and their relative youth. METHODS:In person interviews were conducted with the population-based sample: 185 women who we...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.794
更新日期:2004-03-01 00:00:00
abstract:PURPOSE:The aim of this study was to assess the levels and sources of distress in patients with lymphoma. This study also focused on the influence of factors of the level of distress and the cutoff score using the Distress Thermometer (DT) relative to the Hospital Anxiety and Depression Scale (HADS). METHOD:DT and HAD...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.3170
更新日期:2013-07-01 00:00:00
abstract:OBJECTIVE:The purpose of this meta-synthesis was to explore the experience of living with symptoms caused by colorectal cancer (CRC) and its treatment from the perspectives of those affected. METHODS:In a systematic search of qualitative studies published up to September 2017, 21 relevant papers were identified. The m...
journal_title:Psycho-oncology
pub_type: 杂志文章,meta分析
doi:10.1002/pon.4946
更新日期:2019-02-01 00:00:00
abstract:BACKGROUND:The aim of this review was to describe the findings and methodological quality of studies, which sought to validate the Hospital Anxiety and Depression Scale (HADS) against the Structured Clinical Interview for DSM in cancer populations. We also sought to compare the cut points recommended by these validatio...
journal_title:Psycho-oncology
pub_type: 杂志文章,评审
doi:10.1002/pon.2057
更新日期:2012-03-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to examine cognitive, emotional, and behavioral impacts of testing for germline mutations in breast/ovarian cancer-associated genes (BRCA1/BRCA2) among men who undergo genetic testing. METHODS:A cross-sectional study compared 51 mutation carriers with 30 men who tested negativ...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.2106
更新日期:2013-02-01 00:00:00
abstract:OBJECTIVE:The Revised-Illness Perception Questionnaire (IPQ-R) assesses illness perceptions according to Leventhal's self-regulatory model. The aim of this paper is to present findings on the reliability and validity of the IPQ-R in a population of Greek cancer patients. METHODS:A total of 206 patients completed a Gre...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.1538
更新日期:2010-01-01 00:00:00