Discerning critical stressors and resources in the lives of cancer patients: A multivariate analysis of targets of intervention for enhancing cancer care and quality of life.
Saved in:
| Title: | Discerning critical stressors and resources in the lives of cancer patients: A multivariate analysis of targets of intervention for enhancing cancer care and quality of life. |
|---|---|
| Authors: | Merluzzi, Thomas V. (AUTHOR), Zhang, Guangjian (AUTHOR), Philip, Errol J. (AUTHOR), Lee, Dayoung (AUTHOR), Salamanca‐Balen, Natalia (AUTHOR) |
| Source: | Psycho-Oncology. Jul2022, Vol. 31 Issue 7, p1186-1195. 10p. 1 Diagram, 3 Charts. |
| Subjects: | Quality of life, Cancer treatment, Multivariate analysis, Life change events, Integrated health care delivery, Cancer patient care, Psycho-oncology |
| Abstract: | Objective: This study examined the relationship between a broad variety of stressors, resources, and outcomes to identify targets of intervention to enhance the quality of life of cancer patients and contribute to a comprehensive model of cancer care. Methods: Five hundred and sixty persons with a diagnosis of cancer completed measures of stressors (past negative life events, current problems, current symptoms, comorbidities), resources (coping self‐efficacy, social support, satisfaction with care) and outcomes (emotional and functional well‐being). Results: Multivariate canonical correlations between pairs of canonical variates (stressors‐outcomes, Rc = 0.56; stressors‐resources, Rc = 0.42, resources‐outcomes Rc = 0.66) were significant (all ps < 0.0001), which confirmed the relationship between those components and supported proceeding to more granular levels of analysis. More refined analyses revealed that the most critical variables in relation to outcomes (i.e., emotional and functional well‐being), were current problems and symptoms among the stressors and coping self‐efficacy, social support and patient satisfaction among the resources. Conclusions: This study provided an approach to the discernment of the most critical aspects of interventions that may improve supportive care and quality of life outcomes. Thus, efforts to address current problems (e.g., financial, home life, work), as well as effective management of symptoms (e.g., pain, fatigue, sleep), using the coordinated integration of medical care, support services and psycho‐social interventions would provide the greatest impact on quality‐of‐life outcomes. Interventions that focus on problem solving and reinforce patient agency and activation may be most effective in sustaining quality of life outcomes into survivorship. [ABSTRACT FROM AUTHOR] |
| Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
|
Full text is not displayed to guests.
Login for full access.
|
|
| FullText | Links: – Type: pdflink Text: Availability: 1 |
|---|---|
| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 157815820 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
| IllustrationInfo | |
| Items | – Name: Title Label: Title Group: Ti Data: Discerning critical stressors and resources in the lives of cancer patients: A multivariate analysis of targets of intervention for enhancing cancer care and quality of life. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Merluzzi%2C+Thomas+V%2E%22">Merluzzi, Thomas V.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zhang%2C+Guangjian%22">Zhang, Guangjian</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Philip%2C+Errol+J%2E%22">Philip, Errol J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lee%2C+Dayoung%22">Lee, Dayoung</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Salamanca‐Balen%2C+Natalia%22">Salamanca‐Balen, Natalia</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Psycho-Oncology%22">Psycho-Oncology</searchLink>. Jul2022, Vol. 31 Issue 7, p1186-1195. 10p. 1 Diagram, 3 Charts. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+treatment%22">Cancer treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Multivariate+analysis%22">Multivariate analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Life+change+events%22">Life change events</searchLink><br /><searchLink fieldCode="DE" term="%22Integrated+health+care+delivery%22">Integrated health care delivery</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+patient+care%22">Cancer patient care</searchLink><br /><searchLink fieldCode="DE" term="%22Psycho-oncology%22">Psycho-oncology</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Objective: This study examined the relationship between a broad variety of stressors, resources, and outcomes to identify targets of intervention to enhance the quality of life of cancer patients and contribute to a comprehensive model of cancer care. Methods: Five hundred and sixty persons with a diagnosis of cancer completed measures of stressors (past negative life events, current problems, current symptoms, comorbidities), resources (coping self‐efficacy, social support, satisfaction with care) and outcomes (emotional and functional well‐being). Results: Multivariate canonical correlations between pairs of canonical variates (stressors‐outcomes, Rc = 0.56; stressors‐resources, Rc = 0.42, resources‐outcomes Rc = 0.66) were significant (all ps < 0.0001), which confirmed the relationship between those components and supported proceeding to more granular levels of analysis. More refined analyses revealed that the most critical variables in relation to outcomes (i.e., emotional and functional well‐being), were current problems and symptoms among the stressors and coping self‐efficacy, social support and patient satisfaction among the resources. Conclusions: This study provided an approach to the discernment of the most critical aspects of interventions that may improve supportive care and quality of life outcomes. Thus, efforts to address current problems (e.g., financial, home life, work), as well as effective management of symptoms (e.g., pain, fatigue, sleep), using the coordinated integration of medical care, support services and psycho‐social interventions would provide the greatest impact on quality‐of‐life outcomes. Interventions that focus on problem solving and reinforce patient agency and activation may be most effective in sustaining quality of life outcomes into survivorship. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=157815820 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1002/pon.5906 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 10 StartPage: 1186 Subjects: – SubjectFull: Quality of life Type: general – SubjectFull: Cancer treatment Type: general – SubjectFull: Multivariate analysis Type: general – SubjectFull: Life change events Type: general – SubjectFull: Integrated health care delivery Type: general – SubjectFull: Cancer patient care Type: general – SubjectFull: Psycho-oncology Type: general Titles: – TitleFull: Discerning critical stressors and resources in the lives of cancer patients: A multivariate analysis of targets of intervention for enhancing cancer care and quality of life. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Merluzzi, Thomas V. – PersonEntity: Name: NameFull: Zhang, Guangjian – PersonEntity: Name: NameFull: Philip, Errol J. – PersonEntity: Name: NameFull: Lee, Dayoung – PersonEntity: Name: NameFull: Salamanca‐Balen, Natalia IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 07 Text: Jul2022 Type: published Y: 2022 Identifiers: – Type: issn-print Value: 10579249 Numbering: – Type: volume Value: 31 – Type: issue Value: 7 Titles: – TitleFull: Psycho-Oncology Type: main |
| ResultId | 1 |
