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Personality, coping, and social support as predictors of long-term quality-of-life trajectories in older breast cancer survivors: CALGB protocol 369901 (Alliance).

Publication ,  Journal Article
Durá-Ferrandis, E; Mandelblatt, JS; Clapp, J; Luta, G; Faul, L; Kimmick, G; Cohen, HJ; Yung, RL; Hurria, A
Published in: Psychooncology
November 2017

BACKGROUND: To determine long-term quality-of-life (QOL) trajectories among breast cancer survivors aged 65+ (older) evaluating the effects of personality and social support. METHODS: Older women (N = 1280) newly examined with invasive, nonmetastatic breast cancer completed baseline assessments. Follow-up data were collected 6 and 12 months later and then annually for up to 7 years (median 4.5 years). Quality of life was assessed using EORTC-QLQ-C30 emotional, physical, and cognitive scales. Optimism (Life Orientation Test), Coping (Brief COPE), and social support (Medical Outcomes Study) were assessed at baseline. Group-based trajectory modeling identified QOL trajectories; multinomial regression evaluated effects of predictors on trajectory groups. Age, education, systemic therapy, comorbidity, and reported precancer function (SF-12) were considered as controlling variables. RESULTS: Three trajectories were identified for each QOL domain: "maintained high," "phase shift" (lower but parallel scores to "maintained high" group), and "accelerated decline" (lowest baseline scores and steepest decline). Accelerated decline in emotional, physical, and cognitive function was seen in 6.9%, 31.8%, and 7.6% of older survivors, respectively. Maladaptive coping and lower social support increased adjusted odds of being in the accelerated decline group for all QOL domains; lower optimism was only related to decline in emotional function. Chemotherapy was related to physical and cognitive but not emotional function trajectories. CONCLUSIONS: Personality and social resources affect the course of long-term emotional well-being of older breast cancer survivors; treatment is more important for physical and cognitive than emotional function. Early identification of those vulnerable to deterioration could facilitate clinical and psychological support.

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Published In

Psychooncology

DOI

EISSN

1099-1611

Publication Date

November 2017

Volume

26

Issue

11

Start / End Page

1914 / 1921

Location

England

Related Subject Headings

  • Watchful Waiting
  • Survivors
  • Social Support
  • Quality of Life
  • Personality
  • Oncology & Carcinogenesis
  • Middle Aged
  • Mental Health
  • Humans
  • Female
 

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Durá-Ferrandis, E., Mandelblatt, J. S., Clapp, J., Luta, G., Faul, L., Kimmick, G., … Hurria, A. (2017). Personality, coping, and social support as predictors of long-term quality-of-life trajectories in older breast cancer survivors: CALGB protocol 369901 (Alliance). Psychooncology, 26(11), 1914–1921. https://doi.org/10.1002/pon.4404
Durá-Ferrandis, Estrella, Jeanne S. Mandelblatt, Jonathan Clapp, George Luta, LeighAnne Faul, Gretchen Kimmick, Harvey Jay Cohen, Rachel L. Yung, and Arti Hurria. “Personality, coping, and social support as predictors of long-term quality-of-life trajectories in older breast cancer survivors: CALGB protocol 369901 (Alliance).Psychooncology 26, no. 11 (November 2017): 1914–21. https://doi.org/10.1002/pon.4404.
Durá-Ferrandis E, Mandelblatt JS, Clapp J, Luta G, Faul L, Kimmick G, et al. Personality, coping, and social support as predictors of long-term quality-of-life trajectories in older breast cancer survivors: CALGB protocol 369901 (Alliance). Psychooncology. 2017 Nov;26(11):1914–21.
Durá-Ferrandis, Estrella, et al. “Personality, coping, and social support as predictors of long-term quality-of-life trajectories in older breast cancer survivors: CALGB protocol 369901 (Alliance).Psychooncology, vol. 26, no. 11, Nov. 2017, pp. 1914–21. Pubmed, doi:10.1002/pon.4404.
Durá-Ferrandis E, Mandelblatt JS, Clapp J, Luta G, Faul L, Kimmick G, Cohen HJ, Yung RL, Hurria A. Personality, coping, and social support as predictors of long-term quality-of-life trajectories in older breast cancer survivors: CALGB protocol 369901 (Alliance). Psychooncology. 2017 Nov;26(11):1914–1921.
Journal cover image

Published In

Psychooncology

DOI

EISSN

1099-1611

Publication Date

November 2017

Volume

26

Issue

11

Start / End Page

1914 / 1921

Location

England

Related Subject Headings

  • Watchful Waiting
  • Survivors
  • Social Support
  • Quality of Life
  • Personality
  • Oncology & Carcinogenesis
  • Middle Aged
  • Mental Health
  • Humans
  • Female