TY - JOUR
T1 - Explaining quality of life with crisis theory
AU - Sprangers, Mirjam A. G.
AU - Tempelaar, Reike
AU - van den Heuvel, Wim J. A.
AU - de Haes, Hanneke C. J. M.
PY - 2002
Y1 - 2002
N2 - Based on the premises of crisis theory. we expected cancer patients in-crisis to report a poorer quality of life (QL) and cancer patients post-crisis to report a similar level of overall QL in comparison to healthy individuals. To explain these hypothesized findings, we expected the coping resources and strategies of patients in-crisis to be equally effective and those of patients post-crisis to be more effective as compared to those of healthy individuals. The sample consisted of: (a) 217 consecutive cancer patients in the acute phases of their illness (patients in-crisis) (b) 192 disease-free cancer patients (patients post-crisis): and (c) 201 randomly selected healthy individuals. Established measures of QL, self-esteem and neuroticism (coping resources) and coping behavior (coping strategies) were mailed. As expected. patients in-crisis reported a poorer QL (p <0.001) and patients post-crisis a similar overall QL as compared to healthy individuals. There were no significant or systematic differences between the mean levels of coping resources and strategies between the respective groups, Two-way analysis of variance indicated a group X coping resource interaction effect on overall QL for self-esteem (p <0.01). As expected, the amount of variance of overall QL explained by self-esteem was largest for patients post-crisis (27%) and comparable for patients in-crisis and healthy individuals (10 and 11%). Patients in-crisis were not able to make their coping resources and strategies more effective, whereas patients post-crisis seemed to have enhanced the effectiveness of self-esteem in restoring their QL as compared to healthy persons. Copyright (C) 2002 John Wiley Sons, Ltd
AB - Based on the premises of crisis theory. we expected cancer patients in-crisis to report a poorer quality of life (QL) and cancer patients post-crisis to report a similar level of overall QL in comparison to healthy individuals. To explain these hypothesized findings, we expected the coping resources and strategies of patients in-crisis to be equally effective and those of patients post-crisis to be more effective as compared to those of healthy individuals. The sample consisted of: (a) 217 consecutive cancer patients in the acute phases of their illness (patients in-crisis) (b) 192 disease-free cancer patients (patients post-crisis): and (c) 201 randomly selected healthy individuals. Established measures of QL, self-esteem and neuroticism (coping resources) and coping behavior (coping strategies) were mailed. As expected. patients in-crisis reported a poorer QL (p <0.001) and patients post-crisis a similar overall QL as compared to healthy individuals. There were no significant or systematic differences between the mean levels of coping resources and strategies between the respective groups, Two-way analysis of variance indicated a group X coping resource interaction effect on overall QL for self-esteem (p <0.01). As expected, the amount of variance of overall QL explained by self-esteem was largest for patients post-crisis (27%) and comparable for patients in-crisis and healthy individuals (10 and 11%). Patients in-crisis were not able to make their coping resources and strategies more effective, whereas patients post-crisis seemed to have enhanced the effectiveness of self-esteem in restoring their QL as compared to healthy persons. Copyright (C) 2002 John Wiley Sons, Ltd
U2 - https://doi.org/10.1002/pon.601
DO - https://doi.org/10.1002/pon.601
M3 - Article
C2 - 12228875
SN - 1057-9249
VL - 11
SP - 419
EP - 426
JO - Psycho-Oncology
JF - Psycho-Oncology
IS - 5
ER -