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. 2011;29(1):19-34.
doi: 10.1080/07347332.2011.534022.

An exploratory model of the relationships between cancer-related trauma outcomes on quality of life in non-Hodgkin lymphoma survivors

Sophia K Smith  1 , Christianna S Williams, Catherine R Zimmer, Sheryl Zimmerman
Affiliations

An exploratory model of the relationships between cancer-related trauma outcomes on quality of life in non-Hodgkin lymphoma survivors

Sophia K Smith et al. J Psychosoc Oncol. 2011.

Abstract

Given that more than one third of some cohorts of cancer survivors exhibit post-traumatic stress disorder (PTSD) symptomatology, this study examines how trauma outcomes might relate to quality of life (QOL). Eight hundred thirty survivors of adult lymphoma were assessed for PTSD, post-traumatic growth (PTG) and QOL. Structural equation modeling revealed that QOL was best explained by the model in which stressors (e.g., co-morbidities) were mediated by PTSD and PTG. Trauma outcomes mediated the relationship between specific stressors and QOL. These findings support using PTSD and PTG as a diagnostic framework in understanding symptomatology in survivors.

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Figures

FIGURE 1
FIGURE 1
Conceptual Model of Quality of Life among Cancer Survivors
FIGURE 2
FIGURE 2
The Final Model Note: Weighted least squares estimates for each path are significant at the P<.05 level; non-significant paths are excluded. Analyses conducted with imputed data.
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