Risk, Trust, and Quality of Life
Posted 6/22/2011
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This is, I think, a really interesting story about the impact of our perception of risk and our trust in our providers (and our own futures) on our quality of life. As we know, the old "whistle a happy tune" approach actually works much of the time. Feeling more positive helps us feel better during the course of our days. Note that I am not saying that positive thinking makes one whit of difference to our cancer health; it does not. But it surely helps our mood .
Here is the abstract and then a link to read more:
Perceived risk, trust and health-related quality of life among cancer survivors.
Source
Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD, USA. waterse@wudosis.wustl.edu
Abstract
BACKGROUND:
To design effective interventions that improve cancer survivors' health-related quality of life (HRQoL), it is necessary to understand how HRQoL is related to cancer cognitions and interpersonal/social factors.
PURPOSE:
This study investigated whether perceived risk of recurrence is associated with HRQoL and whether trust in the follow-up care physician moderates the perceived risk/HRQoL relationship.
METHOD:
A cross-sectional survey of cancer survivors (N = 408).
RESULTS:
Higher perceived risk was associated with worse mental and physical HRQoL. Higher trust was associated with better mental (but not physical) HRQoL. The inverse association between perceived risk and mental HRQoL was eliminated among those with high trust in their physicians. Trust did not moderate the perceived risk/physical HRQoL relationship.
CONCLUSIONS:
Addressing survivors' perceived risk of recurrence and improving the provider-patient relationship may enhance interventions to improve mental HRQoL among cancer survivors. However, the causal relationships among the constructs should be explicated.
http://www.ncbi.nlm.nih.gov/pubmed/20333563
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