Traumatic stress, perceived global stress, and life events: prospectively predicting quality of life in breast cancer patients.

Journal Article (Clinical Trial;Journal Article)

The authors investigated the relationship between stress at initial cancer diagnosis and treatment and subsequent quality of life (QoL). Women (n = 112) randomized to the assessment-only arm of a clinical trial were initially assessed after breast cancer diagnosis and surgery and then reassessed at 4 months (during adjuvant treatment) and 12 months (postadjuvant treatment). There were 3 types of stress measured: number of stressful life events (K. A. Matthews et al., 1997), cancer-related traumatic stress symptoms (M. J. Horowitz, N. Wilner, & W. Alvarez, 1979), and perceived global stress (S. Cohen, T. Kamarck, & R. Mermelstein, 1983). Using hierarchical multiple regressions, the authors found that stress predicted both psychological and physical QoL (J. E. Ware, K. K. Snow, & M. Kosinski, 2000) at the follow-ups (all ps < .03). These findings substantiate the relationship between initial stress and later QoL and underscore the need for timely psychological intervention.

Full Text

Duke Authors

Cited Authors

  • Golden-Kreutz, DM; Thornton, LM; Wells-Di Gregorio, S; Frierson, GM; Jim, HS; Carpenter, KM; Shelby, RA; Andersen, BL

Published Date

  • May 2005

Published In

Volume / Issue

  • 24 / 3

Start / End Page

  • 288 - 296

PubMed ID

  • 15898865

Pubmed Central ID

  • PMC2151211

International Standard Serial Number (ISSN)

  • 0278-6133

Digital Object Identifier (DOI)

  • 10.1037/0278-6133.24.3.288


  • eng

Conference Location

  • United States