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
Purpose This paper identifies predictors of recovery trajectories of quality of life (QoL), health status and personal wellbeing in the two years following colorectal cancer surgery. Methods 872 adults receiving curative intent surgery during November 2010 to March 2012. Questionnaires at basel...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Published: |
Public Library of Science
2016
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| Online Access: | https://eprints.nottingham.ac.uk/34010/ |
| _version_ | 1848794755243180032 |
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| author | Foster, Claire Haviland, Joanne Winter, Jane Grimmett, Chloe Chivers Seymour, Kim Batehup, Lynn Calman, Lynn Corner, Jessica Din, Amy Fenlon, Deborah May, Christine M. Richardson, Alison Smith, Peter W. Souglakos, John |
| author_facet | Foster, Claire Haviland, Joanne Winter, Jane Grimmett, Chloe Chivers Seymour, Kim Batehup, Lynn Calman, Lynn Corner, Jessica Din, Amy Fenlon, Deborah May, Christine M. Richardson, Alison Smith, Peter W. Souglakos, John |
| author_sort | Foster, Claire |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Purpose
This paper identifies predictors of recovery trajectories of quality of life (QoL), health status and personal wellbeing in the two years following colorectal cancer surgery.
Methods
872 adults receiving curative intent surgery during November 2010 to March 2012. Questionnaires at baseline, 3, 9, 15, 24 months post-surgery assessed QoL, health status, wellbeing, confidence to manage illness-related problems (self-efficacy), social support, comorbidities, socio-demographic, clinical and treatment characteristics. Group-based trajectory analyses identified distinct trajectories and predictors for QoL, health status and wellbeing.
Results
Four recovery trajectories were identified for each outcome. Groups 1 and 2 fared consistently well (scores above/within normal range); 70.5%of participants for QoL, 33.3% health status, 77.6%wellbeing. Group 3 had some problems (24.2% QoL, 59.3% health, 18.2% wellbeing); Group 4 fared consistently poorly (5.3% QoL, 7.4% health, 4.2% wellbeing). Higher pre-surgery depression and lower self-efficacy were significantly associated with poorer trajectories for all three outcomes after adjusting for other important predictors including disease characteristics, stoma, anxiety and social support.
Conclusions
Psychosocial factors including self-efficacy and depression before surgery predict recovery trajectories in QoL, health status and wellbeing following colorectal cancer treatment independent of treatment or disease characteristics. This has significant implications for colorectal cancer management as appropriate support may be improved by early intervention resulting in more positive recovery experiences. |
| first_indexed | 2025-11-14T19:21:14Z |
| format | Article |
| id | nottingham-34010 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:21:14Z |
| publishDate | 2016 |
| publisher | Public Library of Science |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-340102020-05-04T17:52:06Z https://eprints.nottingham.ac.uk/34010/ 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, Joanne Winter, Jane Grimmett, Chloe Chivers Seymour, Kim Batehup, Lynn Calman, Lynn Corner, Jessica Din, Amy Fenlon, Deborah May, Christine M. Richardson, Alison Smith, Peter W. Souglakos, John Purpose This paper identifies predictors of recovery trajectories of quality of life (QoL), health status and personal wellbeing in the two years following colorectal cancer surgery. Methods 872 adults receiving curative intent surgery during November 2010 to March 2012. Questionnaires at baseline, 3, 9, 15, 24 months post-surgery assessed QoL, health status, wellbeing, confidence to manage illness-related problems (self-efficacy), social support, comorbidities, socio-demographic, clinical and treatment characteristics. Group-based trajectory analyses identified distinct trajectories and predictors for QoL, health status and wellbeing. Results Four recovery trajectories were identified for each outcome. Groups 1 and 2 fared consistently well (scores above/within normal range); 70.5%of participants for QoL, 33.3% health status, 77.6%wellbeing. Group 3 had some problems (24.2% QoL, 59.3% health, 18.2% wellbeing); Group 4 fared consistently poorly (5.3% QoL, 7.4% health, 4.2% wellbeing). Higher pre-surgery depression and lower self-efficacy were significantly associated with poorer trajectories for all three outcomes after adjusting for other important predictors including disease characteristics, stoma, anxiety and social support. Conclusions Psychosocial factors including self-efficacy and depression before surgery predict recovery trajectories in QoL, health status and wellbeing following colorectal cancer treatment independent of treatment or disease characteristics. This has significant implications for colorectal cancer management as appropriate support may be improved by early intervention resulting in more positive recovery experiences. Public Library of Science 2016-05-12 Article PeerReviewed Foster, Claire, Haviland, Joanne, Winter, Jane, Grimmett, Chloe, Chivers Seymour, Kim, Batehup, Lynn, Calman, Lynn, Corner, Jessica, Din, Amy, Fenlon, Deborah, May, Christine M., Richardson, Alison, Smith, Peter W. and Souglakos, John (2016) 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. PLOS ONE, 11 (5). e0155434. ISSN 1932-6203 http://dx.doi.org/10.1371/journal.pone.0155434 doi:10.1371/journal.pone.0155434 doi:10.1371/journal.pone.0155434 |
| spellingShingle | Foster, Claire Haviland, Joanne Winter, Jane Grimmett, Chloe Chivers Seymour, Kim Batehup, Lynn Calman, Lynn Corner, Jessica Din, Amy Fenlon, Deborah May, Christine M. Richardson, Alison Smith, Peter W. Souglakos, John 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 |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| url | https://eprints.nottingham.ac.uk/34010/ https://eprints.nottingham.ac.uk/34010/ https://eprints.nottingham.ac.uk/34010/ |