title: The relation between illness cognitions and quality of life in people with and without a stoma following rectal cancer treatment.
abstract: OBJECTIVE
  To compare health-related quality of life, emotional functioning and illness cognitions between people with and without a stoma after rectal cancer treatment about 8 years ago and to examine the relation between illness cognitions and health-related quality of life and emotional functioning.
  
  
  METHODS
  Sixty-two people who had undergone abdominoperineal resection with a permanent stoma and 60 people who had undergone low anterior resection without a permanent stoma participated. Questionnaires included the European Organization of Research and Treatment of Cancer Quality of Life Questionnaire-C30, the Hospital Anxiety and Depression Scale, and the Illness Cognition Questionnaire.
  
  
  RESULTS
  There were no significant differences between people with and without a stoma in health-related quality of life, emotional functioning and illness cognitions. There were moderate and significant relations between the illness cognitions helplessness (negative) and disease acceptance (positive) on the one hand and health-related quality of life and emotional functioning on the other. For helplessness this relation barely differed between people with and without a stoma, but for disease acceptance this relation was stronger for people without a stoma than for people with a stoma.
  
  
  CONCLUSIONS
  The study showed no differences in health-related quality of life, but a stronger relation between disease acceptance and health-related quality of life for people without a stoma than for people with a stoma. If this relation is causal, people with negative illness cognitions after rectal cancer treatment might be identified and offered help.
authors.affiliation: Department of Clinical and Health Psychology, Utrecht University, Utrecht, The Netherlands. e.r.bossema@uu.nl
authors.forename: Ercolie R
authors.initials: ER
authors.lastname: Bossema
authors.forename: Marina W M
authors.initials: MW
authors.lastname: Seuntiëns
authors.forename: Corrie A M
authors.initials: CA
authors.lastname: Marijnen
authors.forename: Monique C M
authors.initials: MC
authors.lastname: Baas-Thijssen
authors.forename: Cornelis J H
authors.initials: CJ
authors.lastname: van de Velde
authors.forename: Anne M
authors.initials: AM
authors.lastname: Stiggelbout
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002277:Carcinoma / Q000473:pathology / Q000523:psychology / Q000601:surgery*; D003071:Cognition; D003125:Colostomy / Q000523:psychology*; D004644:Emotions; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D011788:Quality of Life / Q000523:psychology*; D012004:Rectal Neoplasms / Q000473:pathology / Q000523:psychology / Q000601:surgery*; D054047:Surgical Stomas; D011795:Surveys and Questionnaires; D016896:Treatment Outcome