Associations of Uncertainty With Psychological Health and Quality of Life in Older Adults With Advanced Cancer

Verduzco-Aguirre, Haydeé Cristina; Babu, Dilip; Mohile, Supriya G.; Bautista, Javier; Xu, Huiwen; Culakova, Eva; Canin, Beverly; Zhang, Yingzi; Wells, Megan; Epstein, Ronald M.; Duberstein, Paul R.; McHugh, Colin; Dale, William; Conlin, Alison; Bearden, James D.; Berenberg, Jeffrey L.; Tejani, Mohamedtaki Abdulaziz; Loh, Kah Poh

doi:10.1016/j.jpainsymman.2020.08.012

Cited by 40 publications

(35 citation statements)

References 39 publications

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“…One possible reason for our non-significant finding is that the anxiety experienced by women with MBC is driven by factors such as treatment uncertainty, fear for disease progression and death, which are not impacted by quality of working life. In a recent study by Verduzco-Aguirre et al [53], it was shown that uncertainty is met with high levels of anxiety in individuals living with advanced cancer. Although age and education have also been shown to influence risk for cognitive impairment and poorer QoL [8,35], our study did not replicate these findings in working women with MBC.…”

Section: Discussionmentioning

confidence: 98%

Quality of working life can protect against cognitive and emotional vulnerability in women living with metastatic breast cancer: a cross-sectional study

2022

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Purpose Research focusing on the cognitive and emotional health of women with metastatic breast cancer (MBC) is limited. The focal aim of the current study was to explore how quality of working life was related to global health, perceived cognitive function, anxiety and depression. To this end, women’s experience of employers after MBC diagnosis and its relationship to quality of working life was also explored. Methods Women living with MBC ( N = 88) completed online questionnaires assessing their global health status, perceived cognitive and emotional vulnerability and their experience of employers following diagnosis. Women working at the time of the study also reported on their quality of working life. Results Women’s experience of employers after MBC diagnosis was positively related to their quality of working life. Importantly, greater quality of working life met with better perceived cognitive function and global health, as well as lower levels of depression in working women. Conclusions Our study is the first to establish the role of quality of working life in protecting against levels of cognitive vulnerability and emotional vulnerability to depression in women with MBC. We also highlight the importance of having a positive experience with employers. Our findings suggest that educational programmes can be provided to employers to enhance their understanding and awareness of the needs of women with MBC. Implications for Cancer Survivors Women with MBC may benefit from employers accessing educational (or support) programmes that can increase their awareness of the treatment-related sequelae and needs of women with MBC in the workplace. Supplementary Information The online version contains supplementary material available at 10.1007/s11764-022-01169-0.

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Section: Discussionmentioning

confidence: 98%

Quality of working life can protect against cognitive and emotional vulnerability in women living with metastatic breast cancer: a cross-sectional study

2022

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“…Patients with serious life-limiting illnesses may not always avoid, respond negatively to, or reduce prognostic uncertainty; rather, they may sometimes seek, respond positively to, and maintain it as a way of coping with the threat of death. Prognostic uncertainty and psychological well-being may thus have a more complicated relationship than prior studies would suggest, [89][90][91][92] and more research is needed to better understand this relationship.…”

Section: Discussionmentioning

confidence: 98%

Epistemic Beliefs: Relationship to Future Expectancies and Quality of Life in Cancer Patients

Han

Scharnetzki

Anderson

et al. 2022

Journal of Pain and Symptom Management

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…This is the first study to report these in detail in a shielded transplant population during the COVID pandemic (Fig. 4) [43–47].…”

Section: Discussionmentioning

confidence: 99%

Health‐related quality of life, uncertainty and coping strategies in solid organ transplant recipients during shielding for the COVID‐19 pandemic

et al. 2021

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Strict isolation of vulnerable individuals has been a strategy implemented by authorities to protect people from COVID‐19. Our objective was to investigate health‐related quality of life (HRQoL), uncertainty and coping behaviours in solid organ transplant (SOT) recipients during the COVID‐19 pandemic. A cross‐sectional survey of adult SOT recipients undergoing follow‐up at our institution was performed. Perceived health status, uncertainty and coping strategies were assessed using the EQ‐5D‐5L, Short‐Form Mishel Uncertainty‐in‐Illness scale (SF‐MUIS) and Brief Cope, respectively. Interactions with COVID‐19 risk perception, access to healthcare, demographic and clinical variables were assessed. The survey was completed by 826 of 3,839 (21.5%) invited participants. Overall, low levels of uncertainty‐in‐illness were reported, and acceptance was the major coping strategy (92%). Coping by acceptance, feeling protected, self‐perceived susceptibility to COVID‐19 were associated with lower levels of uncertainty. Health status index scores were significantly lower for those with mental health illness, compromised access to healthcare, a perceived high risk of severe COVID‐19 infection and higher levels of uncertainty. A history of mental health illness, risk perceptions, restricted healthcare access, uncertainty and coping strategies were associated with poorer HRQoL in SOT recipients during strict isolation. These findings may allow identification of strategies to improve HRQoL in SOT recipients during the pandemic.

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Associations of Uncertainty With Psychological Health and Quality of Life in Older Adults With Advanced Cancer

Cited by 40 publications

References 39 publications

Quality of working life can protect against cognitive and emotional vulnerability in women living with metastatic breast cancer: a cross-sectional study

Quality of working life can protect against cognitive and emotional vulnerability in women living with metastatic breast cancer: a cross-sectional study

Epistemic Beliefs: Relationship to Future Expectancies and Quality of Life in Cancer Patients

Health‐related quality of life, uncertainty and coping strategies in solid organ transplant recipients during shielding for the COVID‐19 pandemic

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