Deakin University

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Distress and unmet needs during treatment and quality of life in early cancer survivorship: a longitudinal study of haematological cancer patients

journal contribution
posted on 2017-11-01, 00:00 authored by D V Oberoi, Vicki WhiteVicki White, J F Seymour, H M Prince, S Harrison, M Jefford, I Winship, D J Hill, D Bolton, J Millar, N Wong Doo, A Kay, G Giles
OBJECTIVE: To examine the influence of anxiety, depression and unmet supportive care needs on future quality of life (QoL) in multiple myeloma (MM) and diffuse large B-cell lymphoma (DLBCL) patients. METHODS: Multiple myeloma and DLBCL patients recruited through the population-based Victorian Cancer Registry. Data were collected through two telephone interviews: (T1) on average 7 months postdiagnosis, (T2) average 8 months later. QoL was examined at T2 using the Functional Assessment of Cancer Therapy (FACT-G) scale. The Hospital Anxiety and Depression Scale measured anxiety and depression, and the Supportive Care Needs Survey measured unmet needs at T1. Multivariate linear regression examined associations between QoL subscales (physical, emotional, social and functional well-being and overall QoL) and T1 anxiety, depression and unmet needs. RESULTS: Except physical well-being, all other QoL subscales and overall QoL were significantly associated with T1 anxiety. All QoL subscales and overall QoL were significantly associated with T1 depression. Only patient care needs were associated with physical and social well-being and overall QoL. CONCLUSION: Anxiety, depression and patient care unmet needs during treatment are associated with diminished physical and emotional well-being in the following months. Psychological distress and unmet supportive care needs experienced during treatment should be addressed to maximise future QoL.



European journal of haematology






423 - 430




Chichester, Eng.





Publication classification

C Journal article; C1 Refereed article in a scholarly journal

Copyright notice

2017, John Wiley & Sons A/S.