TY - JOUR
T1 - Self-Regulatory Fatigue, Quality of Life, Health Behaviors, and Coping in Patients with Hematologic Malignancies
AU - Solberg Nes, Lise
AU - Ehlers, Shawna L.
AU - Patten, Christi A.
AU - Gastineau, Dennis A.
N1 - Funding Information:
Acknowledgments This study was supported by NIH grant KL2 RR 02415, a Mayo Clinic clinical practice innovation grant (CPI-10; Principal Investigator Shawna L. Ehlers), and a Mayo Clinic Department of Psychiatry and Psychology Small Grant Award (awarded to Shawna L. Ehlers and Lise Solberg Nes). The authors would like to thank HSCT patients who volunteered their time to advance research, LeAnn Batterson for assistance with data abstraction, and the Mayo Clinic BMT practice group for support via standardized practice and quality management contributions to data quality.
Publisher Copyright:
© 2014, The Society of Behavioral Medicine.
PY - 2014/12
Y1 - 2014/12
N2 - Background: Self-regulatory fatigue may play an important role in a complex medical illness.Purpose: Examine associations between self-regulatory fatigue, quality of life, and health behaviors in patients pre- (N = 213) and 1-year post-hematopoietic stem cell transplantation (HSCT; N = 140). Associations between self-regulatory fatigue and coping strategies pre-HSCT were also examined.Method: Pre- and 1-year post-HSCT data collection. Hierarchical linear regression modeling.Results: Higher self-regulatory fatigue pre-HSCT associated with lower overall, physical, social, emotional, and functional quality of life pre- (p’s <.001) and 1-year post-HSCT (p’s <.01); lower physical activity pre-HSCT (p <.02) and post-HSCT (p <.03) and less healthy nutritional intake post-HSCT (p <.01); changes (i.e., decrease) in quality of life and healthy nutrition over the follow-up year; and use of avoidance coping strategies pre-HSCT (p’s <.001).Conclusion: This is the first study to show self-regulatory fatigue pre-HSCT relating to decreased quality of life and health behaviors, and predicting changes in these variables 1-year post-HSCT.
AB - Background: Self-regulatory fatigue may play an important role in a complex medical illness.Purpose: Examine associations between self-regulatory fatigue, quality of life, and health behaviors in patients pre- (N = 213) and 1-year post-hematopoietic stem cell transplantation (HSCT; N = 140). Associations between self-regulatory fatigue and coping strategies pre-HSCT were also examined.Method: Pre- and 1-year post-HSCT data collection. Hierarchical linear regression modeling.Results: Higher self-regulatory fatigue pre-HSCT associated with lower overall, physical, social, emotional, and functional quality of life pre- (p’s <.001) and 1-year post-HSCT (p’s <.01); lower physical activity pre-HSCT (p <.02) and post-HSCT (p <.03) and less healthy nutritional intake post-HSCT (p <.01); changes (i.e., decrease) in quality of life and healthy nutrition over the follow-up year; and use of avoidance coping strategies pre-HSCT (p’s <.001).Conclusion: This is the first study to show self-regulatory fatigue pre-HSCT relating to decreased quality of life and health behaviors, and predicting changes in these variables 1-year post-HSCT.
KW - Coping
KW - Health behaviors
KW - Hematologic malignancies
KW - Hematopoietic stem cell transplantation
KW - Quality of life
KW - Self-regulatory fatigue
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U2 - 10.1007/s12160-014-9621-z
DO - 10.1007/s12160-014-9621-z
M3 - Article
C2 - 24802991
AN - SCOPUS:84919907185
SN - 0883-6612
VL - 48
SP - 411
EP - 423
JO - Annals of Behavioral Medicine
JF - Annals of Behavioral Medicine
IS - 3
ER -