title: Quality of life of breast cancer survivors: a comparative study of age cohorts.
abstract: The aims of this study were to examine the differences between older and younger breast cancer survivors in perceived social support, uncertainty, quality of life (QOL), and selected demographic variables, and to explore the role of these variables in explaining and predicting QOL. A descriptive research design was used. A sample of 163 older and 129 younger breast cancer survivors was recruited from the New York metropolitan area. Participants completed the Social Support Questionnaire, Mishel Uncertainty in Illness Scale Community Form, and the Quality of Life Index-Cancer Version III. Significant differences between younger and older cohorts were found in total social support, spouse and nurse social support subscales, and socioeconomic and psychological/spiritual QOL subscales. Uncertainty, additional illnesses, social support, older age, surgical treatment, and mastectomy were significant predictors of QOL. Understanding differences in perceived social support, uncertainty, and QOL of breast cancer survivors within a context of psychosocial stage and place in life may likely facilitate healthcare to better enhance QOL outcomes. Awareness of factors predictive of QOL will help breast cancer survivors in maintaining an acceptable QOL.
authors: Department of Nursing, College of Staten Island-City University of New York, 2800 Victory Blvd, Staten Island, NY 10314, USA. Sammarco@mail.csi.cuny.edu
authors: Angela
authors: A
authors: Sammarco
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000453:epidemiology*; D015331:Cohort Studies; D005260:Female; D006304:Health Status; D006801:Humans; D008875:Middle Aged; D011594:Psychometrics; D011788:Quality of Life; D012044:Regression Analysis; D018426:SEER Program; D012944:Social Support; D013315:Stress, Psychological; D011795:Surveys and Questionnaires; D016019:Survival Analysis; D016896:Treatment Outcome; D035501:Uncertainty; D014481:United States / Q000453:epidemiology