Submission To Be Reviewed
Title: ILLNESS PERCEPTIONS OF PATIENTS WITH ADVANCED NSCLC
Lung cancer is the leading cause of cancer-related death worldwide with non-small cell lung cancer (NSCLC) being the most common type of lung cancer. Advanced NSCLC is not curable and carries a poor prognosis. It also is associated with the highest burden on mental and physical health-related quality of life (HRQoL) of all patients with cancer. Patients’ subjective experience with their illness and treatment (eg, illness perceptions) can influence treatment decision making and health outcomes, including HRQoL. Illness perception studies on patients with lung cancer are reviewed. Using Leventhal and colleagues’ Self-Regulation Model to better understand the impact of advanced stage lung cancer on the patients’ experience and coping responses, a cross-sectional study of patients with advanced stage NSCLC (N=72) assessed illness perceptions (Illness Perception Questionnaire-Revised [BIPQ]) and HRQoL (EuroQol-visual analogue scale [EQ-VAS]). Summary statistics showed patients reporting high perceived consequences and stress (concern) with a NSCLC diagnosis along with moderate levels of symptoms (identity) and belief in their ability to manage their NSCLC (personal control). Patients reported low HRQoL compared to population norms. The illness perceptions of consequences, concern, and identity were negatively correlated with HRQoL, while personal control was positively correlated with HRQoL. Assessment of illness perceptions could provide a nuanced clinical understanding of coping with cancer diagnosis. Future studies should prospectively assess illness perceptions to better understand patients’ low HRQoL and how they cope to newly diagnosed advanced NSCLC.
Non-small-cell lung cancer, illness perceptions, stress, quality of life, cancer diagnosis
Editor's request 20-03-2019
REVIEW FORM RESPONSE