Applying a Biopsychosocial Perspective to Investigate Factors Related to Emotional Adjustment and Quality of Life for Individuals With Brain Tumour

作者：Ownsworth Tamara^*; Hawkes Anna L; Chambers Suzanne; Walker David G; Shum David

来源：Brain Impairment, 2010, 11(3): 270-280.

DOI：10.1375/brim.11.3.270

• brain tumour
• quality of life
• emotional adjustment

Objective: This exploratory study applied a biopsychosocial perspective to investigate cognitive and psychosocial factors related to emotional adjustment and QoL after brain tumour. Methods: Participants included 30 adults with a brain tumour (60% benign and 40% malignant) who were aged 28 to 71 years (M = 51.5, SD = 12.3) and on average 5.4 years post-diagnosis (SD = 5.6 years). Participants completed a brief battery of cognitive tests and self-report measures of emotional status (Depression, Anxiety Stress Scale), subjective impairment (Patient Competency Rating Scale), coping (COPE), social support (Brief Social Support Questionnaire), and QoL (Functional Assessment of Cancer Therapy - Brain Tumour [FACT-Br]). Results: QoL was significantly associated with global cognitive ability (r=.49, p<.01), subjective impairment (r=.66, p<.01), and satisfaction with support (r=.50, p <.05). Level of depressive symptoms was significantly correlated with premorbid IQ (r= -.49, p <.01), use of planning to cope (r = -.48, p <.01), and satisfaction with support (r = -.47, p <.01). Conclusions: Overall, these exploratory findings indicate that emotional adjustment and QoL after brain tumour is related to a slightly different pattern of neuropsychological, psychological (self-perceptions and coping) and social factors. The clinical implications for interventions with individuals with brain tumour are discussed.

• 出版日期2010-12