Journal
PSYCHO-ONCOLOGY
Volume 27, Issue 2, Pages 465-470Publisher
WILEY
DOI: 10.1002/pon.4513
Keywords
anxiety; depression; fatigue; health-related quality of life; lung cancer; psycho-oncology; survivorship
Funding
- National Cancer Center, South Korea [0710410, 1010470]
- R&D Program for National Research Foundation of Korea (NRF) [2010-0028631]
- R&D Program for Cancer Control, Ministry of Health and Welfare, South Korea [1320330]
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ObjectiveTo compare the effects of fatigue, anxiety, and depression on health-related quality of life (HRQoL) in survivors of surgically resectable lung cancer. MethodsIn total, 830 lung cancer survivors participated in the study. They completed a questionnaire consisting of items pertaining to sociodemographic characteristics, clinical variables, and HRQoL. We calculated prevalence rates for fatigue, anxiety, and depression and performed multiple logistic regression and general linear modeling to determine the main factors affecting HRQoL. ResultsThe prevalence rates for moderate fatigue (Brief Fatigue Inventory mean score: 4), borderline depression (Hospital Anxiety and Depression Scale-Depression score: 8), and borderline anxiety (Hospital Anxiety and Depression Scale-Anxiety score: 8) were 42.2%, 38.9%, and 20.9%, respectively. The main factor was fatigue, which demonstrated the strongest explanatory power for HRQoL including all 5 functional HRQoL components (ie, physical, role, emotional, cognitive, and social functioning) and global health status (partial R-2 range: .13 to .19). However, anxiety (partial R-2=.21) and fatigue (partial R-2=.19) both demonstrated strong explanatory power for emotional HRQoL. In addition, depression demonstrated weak explanatory power for HRQoL including emotional HRQoL. ConclusionsRelative to depression and anxiety, fatigue exerted a stronger effect on lung cancer survivors' HRQoL. Health professionals should consider the reduction of fatigue a priority in improving cancer patients' HRQoL following the completion of cancer treatment.
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