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Pre-Surgery Depression and Confidence to Manage Problems Predict Recovery Trajectories of Health and Wellbeing in the First Two Years following Colorectal Cancer: Results from the CREW Cohort Study

Claire Foster, Joanne Haviland, Jane Winter, Chloe Grimmett, Kim Chivers Seymour, Lynn Batehup, Lynn Calman, Jessica Corner, Amy Din, Deborah Fenlon, Christine M. May, Alison Richardson, Peter W. Smith, (Members of the Study Advisory Committee)

PLOS ONE, Volume: 11, Issue: 5, Start page: e0155434

Swansea University Author: Deborah Fenlon

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DOI (Published version): 10.1371/journal.pone.0155434

Abstract

PurposeThis paper identifies predictors of recovery trajectories of quality of life (QoL), health statusand personal wellbeing in the two years following colorectal cancer surgery.Methods872 adults receiving curative intent surgery during November 2010 to March 2012. Questionnairesat baseline, 3, 9,...

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Published in: PLOS ONE
ISSN: 1932-6203
Published: Public Library of Science (PLoS) 2016
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URI: https://cronfa.swan.ac.uk/Record/cronfa32825
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Abstract: PurposeThis paper identifies predictors of recovery trajectories of quality of life (QoL), health statusand personal wellbeing in the two years following colorectal cancer surgery.Methods872 adults receiving curative intent surgery during November 2010 to March 2012. Questionnairesat baseline, 3, 9, 15, 24 months post-surgery assessed QoL, health status, wellbeing,confidence to manage illness-related problems (self-efficacy), social support, comorbidities,socio-demographic, clinical and treatment characteristics. Group-based trajectoryanalyses identified distinct trajectories and predictors for QoL, health status andwellbeing.ResultsFour recovery trajectories were identified for each outcome. Groups 1 and 2 fared consistentlywell (scores above/within normal range); 70.5%of participants for QoL, 33.3% healthstatus, 77.6%wellbeing. Group 3 had some problems (24.2% QoL, 59.3% health, 18.2%wellbeing); Group 4 fared consistently poorly (5.3% QoL, 7.4% health, 4.2% wellbeing).Higher pre-surgery depression and lower self-efficacy were significantly associated withpoorer trajectories for all three outcomes after adjusting for other important predictorsincluding disease characteristics, stoma, anxiety and social support.
College: Faculty of Medicine, Health and Life Sciences
Issue: 5
Start Page: e0155434

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