The association of self-leadership, health behaviors, and posttraumatic growth with health-related quality of life in patients with cancer.
OBJECTIVE
We tried to evaluate the association of self-leadership, effective health behaviors, and posttraumatic growth with health-related quality of life (HRQOL).


METHODS
We recruited survivors of cancer from seven hospitals in Korea between 2011 and 2012. The patients completed the Seven Habits Profile (7HP) to evaluate leadership competency, the 10 rules for highly effective health behavior to evaluate health behavior, the Posttraumatic Growth Inventory (PTGI) to evaluate posttraumatic growth, the Short Form 36 (SF-36) to evaluate HRQOL, and the Hospital Anxiety and Depression Scale (HADS) to evaluate anxiety and depression. We performed multiple logistic regressions to identify significant associations.


RESULTS
A total of 668 patients with cancer participated in the study. Patients who scored high on the leadership subscales of Be Proactive, Begin with the End in Mind, Put First Things First, Think Win-Win, Synergize, and Sharpen the Saw in 7HP tried to practice and keep their health behaviors more. The Begin with the End in Mind, Put First Things First, Synergize, and Sharpen the Saw subscales of the 7HP were also significantly correlated with subscales on the PTGI. Patients who scored high on the leadership subscales of Life Balance, Be Proactive, Begin with the End in Mind, Think Win-Win, and Sharpen the Saw had higher physical and mental component scale scores on the SF-36 and lower anxiety and depression subscale scores on the HADS.


CONCLUSIONS
Self-leadership, health behaviors, and posttraumatic growth are associated with QOL in survivors of cancer.
Cancer Research Institute, Department of Biomedical Science, Seoul National University Hospital and College of Medicine, Seoul, Korea.
Young Ho
YH
Yun
Jin Ah
JA
Sim
Ju Youn
JY
Jung
Dong-Young
DY
Noh
Eun Sook
ES
Lee
Young Woo
YW
Kim
Jae Hwan
JH
Oh
Jung Sil
JS
Ro
Sang Yoon
SY
Park
Sang Jae
SJ
Park
Kwan Ho
KH
Cho
Yoon Jung
YJ
Chang
Yeon Min
YM
Bae
Si Young
SY
Kim
Kyung Hae
KH
Jung
Zae Ill
ZI
Zo
Jae-Young
JY
Lim
Soon Nam
SN
Lee
D000293:Adolescent; D000328:Adult; D001007:Anxiety / Q000523:psychology; D003863:Depression / Q000523:psychology; D005260:Female; D015438:Health Behavior; D006304:Health Status; D006801:Humans; D007857:Leadership; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology*; D011788:Quality of Life / Q000523:psychology*; D056910:Republic of Korea; D020377:Self Efficacy; D017741:Survivors / Q000523:psychology*; D055815:Young Adult
cancer; health behavior; oncology; posttraumatic growth; self-leadership