title: Women with family cancer history are at risk for poorer physical quality of life and lower self-efficacy: a longitudinal study among men and women with non-small cell lung cancer.
abstract: BACKGROUND
  We investigated the determinants of trajectories of physical symptoms related to lung cancer (a quality of life [QOL] aspect) and self-efficacy among patients with non-small cell lung cancer (NSCLC). It was hypothesized that gender and family cancer history in first-degree relatives would have synergistic effects on QOL-lung cancer specific symptoms and self-efficacy. Women with family cancer history were expected to be at risk of poorer adjustment.
  
  
  METHODS
  Quantitative, longitudinal design was applied. Participants provided their responses at 3-4 days after surgery, 1-month follow-up, and 4-month follow-up. We recruited 102 in-patients (men: 51%) with NSCLC who underwent surgery aimed at removing a lung tumor. Self-report data were collected with QLQ-LC13 and a scale for self-efficacy for managing illness.
  
  
  RESULTS
  Mixed-models analysis indicated that trajectories of physical quality of life (symptoms of lung cancer) as well as self-efficacy were unfavorable among women with family cancer history.
  
  
  CONCLUSIONS
  Among NSCLC patients, gender and family cancer history may be considered basic screening criteria for identifying groups of patients at risk for poorer physical ﻿QOL (higher level of physical symptoms related to lung cancer) and lower incline of self-efficacy after cancer surgery.
authors.affiliation: CARE-BEH Center for Applied Research on Health Behavior and Health, SWPS University of Social Sciences and Humanities, Wroclaw, Poland.
authors.forename: Anna
authors.initials: A
authors.lastname: Banik
authors.affiliation: Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany.|Institute for Positive Psychology and Education, Australian Catholic University, Strathfield, NSW, Australia.
authors.forename: Ralf
authors.initials: R
authors.lastname: Schwarzer
authors.affiliation: CARE-BEH Center for Applied Research on Health Behavior and Health, SWPS University of Social Sciences and Humanities, Wroclaw, Poland.
authors.forename: Izabela
authors.initials: I
authors.lastname: Pawlowska
authors.affiliation: CARE-BEH Center for Applied Research on Health Behavior and Health, SWPS University of Social Sciences and Humanities, Wroclaw, Poland.
authors.forename: Monika
authors.initials: M
authors.lastname: Boberska
authors.affiliation: Department of Psychology, SWPS University of Social Sciences and Humanities, Warsaw, Poland.|Trauma, Health, & Hazards Center, University of Colorado at Colorado Springs, Bluffs Pkwy, Colorado Springs, CO, 80918, USA.
authors.forename: Roman
authors.initials: R
authors.lastname: Cieslak
authors.affiliation: CARE-BEH Center for Applied Research on Health Behavior and Health, SWPS University of Social Sciences and Humanities, Wroclaw, Poland. aluszczy@uccs.edu.|Trauma, Health, & Hazards Center, University of Colorado at Colorado Springs, Bluffs Pkwy, Colorado Springs, CO, 80918, USA. aluszczy@uccs.edu.
authors.forename: Aleksandra
authors.initials: A
authors.lastname: Luszczynska
mesh_terms: D000328:Adult; D000368:Aged; D002289:Carcinoma, Non-Small-Cell Lung / Q000473:pathology / Q000523:psychology*; D005260:Female; D006304:Health Status; D006801:Humans; D008137:Longitudinal Studies; D008175:Lung Neoplasms / Q000473:pathology / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D011788:Quality of Life / Q000523:psychology*; D020377:Self Efficacy; D012737:Sex Factors
keywords: Family cancer history; Gender; Non-small cell lung cancer; Physical symptoms; Quality of life; Self-efficacy