Illness perceptions and changes in lifestyle following a gynecological cancer diagnosis

A longitudinal analysis

Marlou E C L van Broekhoven, B.H. de Rooij, Johanna M A Pijnenborg, M. Caroline Vos, Dorry Boll, Roy F P M Kruitwagen, L.V. van de Poll-Franse, N.P.M. Ezendam

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Objective:

This study explores patterns of lifestyle change and whether more threatening illness perceptions are associated with lifestyle changes post-treatment for smoking, alcohol consumption and Body Mass Index (BMI) among gynecological cancer patients.

Methods:

In total, 395 cancer patients (N=221 endometrial; N=174 ovarian) were included in this secondary analysis of longitudinal data. Lifestyle outcomes were assessed through self-reported questionnaires after initial treatment and 6, 12, and 18months of follow-up. Illness perceptions were assessed with the Brief Illness Perception Questionnaire (BIPQ). Latent class growth curve analyses were conducted to identify patterns of lifestyle change and linear mixed models using between-subject and within-subject effects to explore the association between BIPQ items and alcohol consumption (glasses/week) and BMI (kg/m(2)).

Results:

After initial treatment, 15% (N=57) of the patients smoked, 53% (N=203) drank alcohol, and 60% (N=236) were overweight or obese. Overall, smokers made no considerable changes, but one subgroup of low level smokers reported positive decline. A slight decrease was observed for alcohol consumption among low and moderate level alcohol drinker subgroups, whereas BMI remained stable among endometrial cancer patients and increased for ovarian cancer patients. Moreover, patients with lower trust in their treatment to cure the disease drank more alcohol (β=0.32 glasses/week [95% CI 0.09; 0.56]).

Conclusions:

Change in lifestyle after a gynecological cancer treatment is not self-evident. Moreover, more threatening illness perceptions were not related to a healthier lifestyle. This study underlines the need for lifestyle-promoting activities to facilitate lifestyle improvement among gynecological cancer patients.

Original languageEnglish
Pages (from-to)310-318
JournalGynecologic Oncology: An International Journal
Volume145
Issue number2
DOIs
Publication statusPublished - 2017

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Neoplasms
Alcohol Drinking
Body Mass Index
Alcohols
Glass
Endometrial Neoplasms
Ovarian Neoplasms
Linear Models
Surveys and Questionnaires

Keywords

  • Journal Article

Cite this

van Broekhoven, Marlou E C L ; de Rooij, B.H. ; Pijnenborg, Johanna M A ; Vos, M. Caroline ; Boll, Dorry ; Kruitwagen, Roy F P M ; van de Poll-Franse, L.V. ; Ezendam, N.P.M. / Illness perceptions and changes in lifestyle following a gynecological cancer diagnosis : A longitudinal analysis. In: Gynecologic Oncology: An International Journal. 2017 ; Vol. 145, No. 2. pp. 310-318.
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abstract = "Objective: This study explores patterns of lifestyle change and whether more threatening illness perceptions are associated with lifestyle changes post-treatment for smoking, alcohol consumption and Body Mass Index (BMI) among gynecological cancer patients.Methods: In total, 395 cancer patients (N=221 endometrial; N=174 ovarian) were included in this secondary analysis of longitudinal data. Lifestyle outcomes were assessed through self-reported questionnaires after initial treatment and 6, 12, and 18months of follow-up. Illness perceptions were assessed with the Brief Illness Perception Questionnaire (BIPQ). Latent class growth curve analyses were conducted to identify patterns of lifestyle change and linear mixed models using between-subject and within-subject effects to explore the association between BIPQ items and alcohol consumption (glasses/week) and BMI (kg/m(2)).Results: After initial treatment, 15{\%} (N=57) of the patients smoked, 53{\%} (N=203) drank alcohol, and 60{\%} (N=236) were overweight or obese. Overall, smokers made no considerable changes, but one subgroup of low level smokers reported positive decline. A slight decrease was observed for alcohol consumption among low and moderate level alcohol drinker subgroups, whereas BMI remained stable among endometrial cancer patients and increased for ovarian cancer patients. Moreover, patients with lower trust in their treatment to cure the disease drank more alcohol (β=0.32 glasses/week [95{\%} CI 0.09; 0.56]).Conclusions: Change in lifestyle after a gynecological cancer treatment is not self-evident. Moreover, more threatening illness perceptions were not related to a healthier lifestyle. This study underlines the need for lifestyle-promoting activities to facilitate lifestyle improvement among gynecological cancer patients.",
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author = "{van Broekhoven}, {Marlou E C L} and {de Rooij}, B.H. and Pijnenborg, {Johanna M A} and Vos, {M. Caroline} and Dorry Boll and Kruitwagen, {Roy F P M} and {van de Poll-Franse}, L.V. and N.P.M. Ezendam",
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year = "2017",
doi = "10.1016/j.ygyno.2017.02.037",
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Illness perceptions and changes in lifestyle following a gynecological cancer diagnosis : A longitudinal analysis. / van Broekhoven, Marlou E C L; de Rooij, B.H.; Pijnenborg, Johanna M A; Vos, M. Caroline; Boll, Dorry; Kruitwagen, Roy F P M; van de Poll-Franse, L.V.; Ezendam, N.P.M.

In: Gynecologic Oncology: An International Journal, Vol. 145, No. 2, 2017, p. 310-318.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Illness perceptions and changes in lifestyle following a gynecological cancer diagnosis

T2 - A longitudinal analysis

AU - van Broekhoven, Marlou E C L

AU - de Rooij, B.H.

AU - Pijnenborg, Johanna M A

AU - Vos, M. Caroline

AU - Boll, Dorry

AU - Kruitwagen, Roy F P M

AU - van de Poll-Franse, L.V.

AU - Ezendam, N.P.M.

N1 - Copyright © 2017 Elsevier Inc. All rights reserved.

PY - 2017

Y1 - 2017

N2 - Objective: This study explores patterns of lifestyle change and whether more threatening illness perceptions are associated with lifestyle changes post-treatment for smoking, alcohol consumption and Body Mass Index (BMI) among gynecological cancer patients.Methods: In total, 395 cancer patients (N=221 endometrial; N=174 ovarian) were included in this secondary analysis of longitudinal data. Lifestyle outcomes were assessed through self-reported questionnaires after initial treatment and 6, 12, and 18months of follow-up. Illness perceptions were assessed with the Brief Illness Perception Questionnaire (BIPQ). Latent class growth curve analyses were conducted to identify patterns of lifestyle change and linear mixed models using between-subject and within-subject effects to explore the association between BIPQ items and alcohol consumption (glasses/week) and BMI (kg/m(2)).Results: After initial treatment, 15% (N=57) of the patients smoked, 53% (N=203) drank alcohol, and 60% (N=236) were overweight or obese. Overall, smokers made no considerable changes, but one subgroup of low level smokers reported positive decline. A slight decrease was observed for alcohol consumption among low and moderate level alcohol drinker subgroups, whereas BMI remained stable among endometrial cancer patients and increased for ovarian cancer patients. Moreover, patients with lower trust in their treatment to cure the disease drank more alcohol (β=0.32 glasses/week [95% CI 0.09; 0.56]).Conclusions: Change in lifestyle after a gynecological cancer treatment is not self-evident. Moreover, more threatening illness perceptions were not related to a healthier lifestyle. This study underlines the need for lifestyle-promoting activities to facilitate lifestyle improvement among gynecological cancer patients.

AB - Objective: This study explores patterns of lifestyle change and whether more threatening illness perceptions are associated with lifestyle changes post-treatment for smoking, alcohol consumption and Body Mass Index (BMI) among gynecological cancer patients.Methods: In total, 395 cancer patients (N=221 endometrial; N=174 ovarian) were included in this secondary analysis of longitudinal data. Lifestyle outcomes were assessed through self-reported questionnaires after initial treatment and 6, 12, and 18months of follow-up. Illness perceptions were assessed with the Brief Illness Perception Questionnaire (BIPQ). Latent class growth curve analyses were conducted to identify patterns of lifestyle change and linear mixed models using between-subject and within-subject effects to explore the association between BIPQ items and alcohol consumption (glasses/week) and BMI (kg/m(2)).Results: After initial treatment, 15% (N=57) of the patients smoked, 53% (N=203) drank alcohol, and 60% (N=236) were overweight or obese. Overall, smokers made no considerable changes, but one subgroup of low level smokers reported positive decline. A slight decrease was observed for alcohol consumption among low and moderate level alcohol drinker subgroups, whereas BMI remained stable among endometrial cancer patients and increased for ovarian cancer patients. Moreover, patients with lower trust in their treatment to cure the disease drank more alcohol (β=0.32 glasses/week [95% CI 0.09; 0.56]).Conclusions: Change in lifestyle after a gynecological cancer treatment is not self-evident. Moreover, more threatening illness perceptions were not related to a healthier lifestyle. This study underlines the need for lifestyle-promoting activities to facilitate lifestyle improvement among gynecological cancer patients.

KW - Journal Article

U2 - 10.1016/j.ygyno.2017.02.037

DO - 10.1016/j.ygyno.2017.02.037

M3 - Article

VL - 145

SP - 310

EP - 318

JO - Gynecologic Oncology: An International Journal

JF - Gynecologic Oncology: An International Journal

SN - 0090-8258

IS - 2

ER -