Pre-Surgery Depression and Confidence to Manage Problems Predict Recovery Trajectories of Health and Wellbeing in the First Two Years following Colorectal Cancer: Results from the CREW Cohort Study

Foster, Claire; Haviland, J.S.; Winter, Jane N.; Grimmett, Chloe; Seymour, Kim Chivers; Batehup, Lynn; Calman, Lynn; Corner, Jessica; Din, Amy; Fenlon, Deborah; May, Christine M.; Richardson, Alison; Smith, Peter

doi:10.1371/journal.pone.0155434

Cited by 92 publications

(76 citation statements)

References 42 publications

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“…Higher pre‐surgical depression and lower self‐efficacy to manage illness were significantly associated with poorer trajectories of recovery, even after adjusting for disease and treatment characteristics and the presence of a stoma. This reiterates the findings regarding the importance of self‐efficacy for pain as described above, and supports the hypothesis that providing psychological prehabilitation that fosters coping skills might enhance recovery .…”

Section: Psychological Factors and Postoperative Quality Of Lifesupporting

confidence: 86%

Psychological factors, prehabilitation and surgical outcomes: evidence and future directions

2019

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The pre-operative optimisation of comorbidities is increasingly recognised as an important element of the pre-operative pathway. These efforts have primarily focused on physical comorbidities such as anaemia and the optimisation of exercise and nutrition. However, there is a growing recognition of the importance of psychological morbidity. Increasingly, evidence suggests that psychological factors have an impact on surgical outcomes in both the short and long term. Pre-operative anxiety, depression and low self-efficacy are consistently associated with worse physiological surgical outcomes and postoperative quality of life. This has led to the emergence of psychological prehabilitation and the trimodal approach to prehabilitation, incorporating psychological intervention as well as exercise and nutritional optimisation. However, there is currently insufficient evidence to be sure that pre-operative psychological interventions are of benefit, or which interventions are most effective, because their impact has been mixed. There is an urgent need for high quality, contemporaneous prospective trials with baseline psychological evaluation, well-described interventions and agreement on the most appropriate psychological, quality of life and physiological outcomes measures.

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Section: Psychological Factors and Postoperative Quality Of Lifesupporting

confidence: 86%

Psychological factors, prehabilitation and surgical outcomes: evidence and future directions

2019

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“…They help researchers and clinical teams alike to better understand the prevalence of long-term consequences of cancer treatment [8], including the enduring psychological impact [45,46], and they provide important data to build effective interventions to improve survivorship care [1,9]. While there are some excellent examples of cohort studies of cancer survivors [46][47][48][49], ours is the first to explore third-wave, ACT-based, psychological processes as predictors of patient-reported psychosocial outcomes. Many of these other cohort studies represent incredibly expensive and logistically complex research projects.…”

Section: Discussionmentioning

confidence: 99%

Recruiting cancer survivors into research studies using online methods: a secondary analysis from an international cancer survivorship cohort study

Hulbert‐Williams¹,

Pendrous²,

Hulbert-Williams³

et al. 2019

ecancer

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Recruiting participants into cancer survivorship research remains a significant challenge. Few studies have tested and compared the relative use of non-clinical online recruitment methods, especially in samples of adult cancer survivors. This paper reports on the feasibility of recruiting a representative cohort of cancer survivors using online social media. Two hundred participants with cancer diagnosis within the past 12 months were recruited via social media (Facebook, Twitter and Reddit) into a longitudinal questionnaire study. Different methods of online recruitment proved to be more effective than others over time. Paid Facebook boosting, Reddit posts and Twitter advertisements placed by existing cancer charities proved most helpful in reaching our recruitment target (contributing 27%, 22% and 32%, respectively). Recruiting online achieved a more demographically and clinically representative sample for our study: our subject was younger, less heteronormative, including those with a range of clinical diagnoses, primary and recurrence illness, and patients who had both completed and were still receiving treatment. This was certainly not a quick method of sample recruitment but that could have been optimised by focussing only on the three most effective methods described earlier. While we found that online recruitment is significantly lower in cost than traditional recruitment methods, and can reduce some biases, there still remains the potential for some biases (e.g. excluding much older participants) and ethical/methodological issues (e.g. excluding those without access to Internet). We outline our recruitment strategy, retention rates and a cost breakdown in order to guide other researchers considering such methods for future research in cancer survivorship.

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“…In gastrointestinal cancer survivors, high self-efficacy in relation to illness behavior has been associated with better HRQoL [17]. Among colorectal cancer survivors, self-efficacy in relation to handling symptoms contributed to wellbeing in recovery [18]. Although early recovery is a time when fatigue, mental, and gastrointestinal health problems are common [4] [5], maintaining everyday activities, such as social and other activities [6] [7], and maintaining sexual [19] and physical activity after CRC treatment [20] …”

Section: Introductionmentioning

confidence: 99%

Symptoms, Illness Perceptions, Self-Efficacy and Health-Related Quality of Life Following Colorectal Cancer Treatment

Johansson¹,

Axelsson²,

Grankvist³

et al. 2018

OJN

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Introduction: Lower health-related quality of life (HRQoL) is associated with fatigue, poor mental and poor gastrointestinal health during the first three months after colorectal cancer (CRC) treatment. Research indicates that maintaining usual activities has a positive impact on HRQoL after treatment for CRC. Illness perceptions have been associated with HRQoL in other cancer diseases, and self-efficacy has been associated with HRQoL in gastrointestinal cancer survivors. Our knowledge about illness perceptions and selfefficacy in relation to maintaining everyday activities and HRQoL following CRC treatment is incomplete. Aim: To explore associations between HRQoL, fatigue, mental health, gastrointestinal health, illness perceptions and selfefficacy in relation to maintaining everyday activities, three months after surgical CRC treatment. A further aim was to test the Maintain Function Scale in a CRC population. Method: The study was cross-sectional. Forty-six persons participated. Data were collected using questionnaires. Descriptive and analytical statistics were used. Results: Persons who were more fatigued, depressed, worried, and had more diarrhea were more likely to report lower HRQoL. Increased fatigue and diarrhea were associated with decreased HRQoL. Concerning illness perceptions, persons who reported negative emotions and negative consequences of CRC were more likely to report lower HRQoL. Persons scoring higher on self-efficacy were more likely to report higher HRQoL. Increased self-efficacy was associated with increased HRQoL. The Maintain Function Scale was suitable for assessing self-efficacy in relation to maintaining everyday activities. Conclusions: Nursing support to improve self-efficacy and illness perceptions and to minimize symptoms during recovery should have a favorable impact on HRQoL.

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Pre-Surgery Depression and Confidence to Manage Problems Predict Recovery Trajectories of Health and Wellbeing in the First Two Years following Colorectal Cancer: Results from the CREW Cohort Study

Cited by 92 publications

References 42 publications

Psychological factors, prehabilitation and surgical outcomes: evidence and future directions

Psychological factors, prehabilitation and surgical outcomes: evidence and future directions

Recruiting cancer survivors into research studies using online methods: a secondary analysis from an international cancer survivorship cohort study

Symptoms, Illness Perceptions, Self-Efficacy and Health-Related Quality of Life Following Colorectal Cancer Treatment

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