Eating ability predicts subsequent quality of life in Chinese patients with breast, liver, lung, or nasopharyngeal carcinoma: A longitudinal analysis

Wong, Wing Sze; Fielding, Richard

doi:10.1080/02841860701441814

Cited by 18 publications

(17 citation statements)

References 22 publications

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“…Three dimensions of dysphagia were assessed including eating ability (“My eating ability is …”), eating appetite (“My eating appetite is …”), and eating enjoyment (“I enjoy eating …”) [14]. Each of these dimensions was assessed using a single-item VA 11-point scale, with the “0” end indicated “very bad”/“do not enjoy at all” and the “10” end indicated “very good”/“enjoy very much”.…”

Section: Methodsmentioning

confidence: 99%

“…The impacts on patients' QoL of NPC diagnosis and treatments have been extensively documented in cross-sectional studies compared to controls [6]–[9] and a smaller number of longitudinal studies [10]–[13]. Symptom load [6]–[9], particularly dysphagia [6]–[9], [14] correlates with QoL, with optimism mediating between dysphagia and QoL [12] whilst satisfaction with care is linked to better QoL [15]. Previous prospective studies suggest that QoL improves progressively throughout the first year following the diagnosis of NPC [11], [13].…”

Section: Introductionmentioning

confidence: 99%

“…We also examined factors that might differentiate distinct QoL trajectories. Based on previous research [11], [12], [14]–[17], we hypothesized a priori that three distinct influences might differentiate distinct trajectories. First, dispositional optimism was hypothesized to enhance QoL because consistent evidence showed optimism is protective against psychological deterioration during cancer, suggesting optimists more accurately calibrate coping effort to actual demand, producing better adjustment [12], [16], [23]–[25].…”

Section: Introductionmentioning

confidence: 99%

“…Second, physical symptoms, specifically dysphagia and pain level were hypothesized to detrimentally affect QoL. Eating dysfunction has been associated with poor QoL among patients with head and neck cancer and NPC [11], [14], [26], [27]. Pain is commonly reported by cancer patients and independently impairs QoL [28].…”

Section: Introductionmentioning

confidence: 99%

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Trajectories of Quality of Life among Chinese Patients Diagnosed with Nasopharynegeal Cancer

Lam¹,

Ye²,

Fielding

2012

PLoS ONE

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ObjectiveThis secondary longitudinal analysis describes distinct quality of life trajectories during eight months of radiation therapy (RT) among patients with nasopharyngeal cancer (NPC) and examines factors differentiating these trajectories.Methods253 Chinese patients with NPC scheduled for RT were assessed at pre-treatment, and 4 months and 8 months later on QoL (Chinese version of the FACT-G), optimism, pain, eating function, and patient satisfaction. Latent growth mixture modelling identified different trajectories within each of four QoL domains: Physical, Emotional, Social/family, and Functional well-being. Multinomial logistic regression compared optimism, pain, eating function, and patient satisfaction by trajectories adjusted for demographic and medical characteristics.ResultsWe identified three distinct trajectories for physical and emotional QoL domains, four trajectories for social/family, and two trajectories for functional domains. Within each domain most patients (physical (77%), emotional (85%), social/family (55%) and functional (63%)) experienced relatively stable high levels of well-being over the 8-month period. Different Physical trajectory patterns were predicted by pain and optimism, whereas for Emotion-domain trajectories pain, optimism, eating enjoyment, patient satisfaction with information, and gender were predictive. Age, appetite, optimism, martial status, and household income predicted Social/family trajectories; household income, eating enjoyment, optimism, and patient satisfaction with information predicted Functional trajectories.ConclusionMost patients with NPC showed high stable QoL during radiotherapy. Optimism predicted good QoL. Symptom impacts varied by QoL domain. Information satisfaction was protective in emotional and functional well-being, reflecting the importance in helping patients to establish a realistic expectation of treatment impacts.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Trajectories of Quality of Life among Chinese Patients Diagnosed with Nasopharynegeal Cancer

Lam¹,

Ye²,

Fielding

2012

PLoS ONE

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“…Depression predicted QoL among bereaved adults [13] and in patients with cancer [14]. Both pain and depression independently predicted QoL in Chinese cancer patients [15]. Despite these links between QoL, pain and depression, clarification of any pain-depression interactions impacting QoL is lacking.…”

Section: Introductionmentioning

confidence: 99%

The differential mediating effects of pain and depression on the physical and mental dimension of quality of life in Hong Kong Chinese adults

Wong

Chan

Fung

et al. 2010

Health Qual Life Outcomes

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100

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ObjectiveThe impact of pain and depression on health-related quality of life (QoL) is widely investigated, yet the pain-depression interactions on QoL remain unclear. This study aims to examine the pain-depression-QoL mediation link.MethodsPain severity were assessed in a sample of Chinese professional teachers (n = 385). The subjects were also assessed on depressive symptoms and QoL. Regression models were fitted to evaluate the pain-depression-QoL relationships.ResultsAbout 44% of the sample had 3-5 painful areas in the past 3 months. Shoulder pain (60%) and headache (53%) were common painful areas. The results of regression analyses showed that pain mediated the effects of depression on the mental aspect of QoL (standardized β = -0.111; Sobel test: z = -3.124, p < 0.005) whereas depression mediated the effects of pain on the physical aspect of QoL (standardized β = -0.026; Sobel test: z = -4.045, p < 0.001).ConclusionsOur study offered tentative evidence that pain and depression impacted differently on the mental and physical aspect of QoL. As these findings were based on a Chinese teacher sample, future studies should employ more representative samples across cultures to verify the present data.

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Lung Cancer

Vickery¹

2010

Nutrition and Cancer

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Eating ability predicts subsequent quality of life in Chinese patients with breast, liver, lung, or nasopharyngeal carcinoma: A longitudinal analysis

Cited by 18 publications

References 22 publications

Trajectories of Quality of Life among Chinese Patients Diagnosed with Nasopharynegeal Cancer

Trajectories of Quality of Life among Chinese Patients Diagnosed with Nasopharynegeal Cancer

The differential mediating effects of pain and depression on the physical and mental dimension of quality of life in Hong Kong Chinese adults

Lung Cancer

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