title: Quality of life among long-term survivors of breast cancer: Different types of antecedents predict different classes of outcomes.
abstract: Quality of life (QOL) has many aspects, both in the short-term and in the long-term. Different aspects of QOL may have different types of precursors: demographic, medical, and psychosocial. We examined this possibility in a group of long-term breast cancer survivors. Early-stage breast cancer patients (N = 163) who had provided information about medical, demographic, and psychosocial variables during the year after surgery completed a multidimensional measure of QOL 5-13 years later. Initial chemotherapy and higher stage predicted greater financial problems and greater worry about appearance at follow-up. Being partnered at diagnosis predicted many psychosocial benefits at follow-up. Hispanic women reported greater distress and social avoidance at follow-up. Initial trait optimism predicted diverse aspects of better psychosocial QOL at follow-up, but not other aspects of QOL. Thus, different aspects of QOL at long-term follow-up had different antecedents. Overall, psychological outcomes were predicted by psychosocial variables, presence of a partner at diagnosis, and ethnicity. Financial outcomes, in contrast, were predicted by medical variables, which otherwise predicted little about long-term QOL. This divergence among aspects of QOL should receive closer attention in future work.
authors.affiliation: Department of Psychology, University of Miami, Coral Gables, FL 33124-0751, USA. Ccarver@miami.edu
authors.forename: Charles S
authors.initials: CS
authors.lastname: Carver
authors.forename: Roselyn G
authors.initials: RG
authors.lastname: Smith
authors.forename: Vida M
authors.initials: VM
authors.lastname: Petronis
authors.forename: Michael H
authors.initials: MH
authors.lastname: Antoni
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000453:epidemiology* / Q000523:psychology* / Q000628:therapy; D003131:Combined Modality Therapy; D003710:Demography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009367:Neoplasm Staging; D010551:Personality; D011446:Prospective Studies; D011788:Quality of Life / Q000523:psychology*; D011795:Surveys and Questionnaires; D015996:Survival Rate; D017741:Survivors / Q000523:psychology* / Q000706:statistics & numerical data*; D013997:Time Factors