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Relationships among uncertainty, post-traumatic stress disorder symptoms, and quality of life in non-muscle-invasive bladder cancer survivors.

Publication ,  Journal Article
Jung, A; Crandell, JL; Nielsen, ME; Smith, SK; Bryant, AL; Mayer, DK
Published in: Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
July 2022

The aim of this study was to examine relationships among uncertainty, PTSD symptoms (PTSS), and quality of life (QOL) in non-muscle-invasive bladder cancer (NMIBC) survivors.Eligible NMIBC survivors were identified through the North Carolina Central Cancer Registry, and 398 survivors participated in a mailed survey that measured survivor's outcomes (uncertainty, PTSS, and QOL). Structural equation modeling was used to examine the mediating effect of uncertainty and PTSS on the association between personal characteristics and QOL in NMIBC survivors.NMIBC survivors experienced cancer-related uncertainty; higher uncertainty was associated with male, lower income, lack of cure, and lower cognition-ability. Uncertainty was significantly and negatively associated with QOL. In addition, PTSS completely mediated the effect of uncertainty on QOL, and higher PTSS had a strong association with poorer QOL. Additionally, comorbidities, cognition-general concerns, uncertainty, and PTSS had strong negative effects on QOL.This study has identified modifiable psychosocial factors which affect QOL in NMIBC survivors. The study findings can be used in the development of interventions to improve QOL for NMIBC survivors.

Duke Scholars

Published In

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer

DOI

EISSN

1433-7339

ISSN

0941-4355

Publication Date

July 2022

Volume

30

Issue

7

Start / End Page

6175 / 6185

Related Subject Headings

  • Urinary Bladder Neoplasms
  • Urinary Bladder
  • Uncertainty
  • Survivors
  • Surveys and Questionnaires
  • Stress Disorders, Post-Traumatic
  • Quality of Life
  • Oncology & Carcinogenesis
  • Male
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
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Jung, A., Crandell, J. L., Nielsen, M. E., Smith, S. K., Bryant, A. L., & Mayer, D. K. (2022). Relationships among uncertainty, post-traumatic stress disorder symptoms, and quality of life in non-muscle-invasive bladder cancer survivors. Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer, 30(7), 6175–6185. https://doi.org/10.1007/s00520-022-07034-1
Jung, Ahrang, Jamie L. Crandell, Matthew E. Nielsen, Sophia K. Smith, Ashley Leak Bryant, and Deborah K. Mayer. “Relationships among uncertainty, post-traumatic stress disorder symptoms, and quality of life in non-muscle-invasive bladder cancer survivors.Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer 30, no. 7 (July 2022): 6175–85. https://doi.org/10.1007/s00520-022-07034-1.
Jung A, Crandell JL, Nielsen ME, Smith SK, Bryant AL, Mayer DK. Relationships among uncertainty, post-traumatic stress disorder symptoms, and quality of life in non-muscle-invasive bladder cancer survivors. Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer. 2022 Jul;30(7):6175–85.
Jung, Ahrang, et al. “Relationships among uncertainty, post-traumatic stress disorder symptoms, and quality of life in non-muscle-invasive bladder cancer survivors.Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer, vol. 30, no. 7, July 2022, pp. 6175–85. Epmc, doi:10.1007/s00520-022-07034-1.
Jung A, Crandell JL, Nielsen ME, Smith SK, Bryant AL, Mayer DK. Relationships among uncertainty, post-traumatic stress disorder symptoms, and quality of life in non-muscle-invasive bladder cancer survivors. Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer. 2022 Jul;30(7):6175–6185.
Journal cover image

Published In

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer

DOI

EISSN

1433-7339

ISSN

0941-4355

Publication Date

July 2022

Volume

30

Issue

7

Start / End Page

6175 / 6185

Related Subject Headings

  • Urinary Bladder Neoplasms
  • Urinary Bladder
  • Uncertainty
  • Survivors
  • Surveys and Questionnaires
  • Stress Disorders, Post-Traumatic
  • Quality of Life
  • Oncology & Carcinogenesis
  • Male
  • Humans