Many quality of life instruments assess the amount of paid work in combination with role function at home in the same items and do not specifically assess social support in the workplace. The goal of this study was to obtain women's views on the relationship between employment and health-related quality of life.
Methods
A focus group and questionnaire study was conducted among 73 women with gynecologic cancer who were employed at diagnosis and 25 people who provided them with psychosocial support.
Results
The women held a variety of blue collar and white collar jobs at diagnosis. Employment provided a strong sense of accomplishment and a welcome distraction during treatment. The employment experience was described as distinct from role function at home. No one equated working more hours with better quality of life. Social support at work could be poor at the same time that support from family and friends grew stronger.
Conclusions
The contribution to their quality of life that cancer survivors feel they receive from employment may not be linearly related to the quantity of their role function in the workplace. Employment-related items could be useful as an adjunct to standard quality of life measures.
References
1.
BradleyC.J., BednarekH.L.. Employment patterns of long-term cancer survivors.Psychooncology.2002; 11(3): 188–198.
2.
SpeltenE.R., SprangersM.A., VerbeekJ.H.. Factors reported to influence the return to work of cancer survivors: a literature review.Psychooncology.2002; 11(2): 124–131.
3.
GudbergssonS.B., FossåS.D., DahlA.A.. A study of work changes due to cancer in tumor-free primary-treated patients: a NOCWO study.Support Care Cancer.2008; 16(10): 1163–1171. Epub 2008 Feb 7.
4.
SteinerJ.F., CavenderT.A., NowelsC.T.. The impact of physical and psychosocial factors on work characteristics after cancer.Psychooncology.2008; 17(2): 138–147.
5.
CellaD.F., TulskyD.S., GrayG.. The functional assessment of cancer therapy-BRM (FACT-BRM): a new tool for the assessment of quality of life in patients treated with biologic response modifiers.Qual Life Res.2004; 13(1): 137–154.
6.
AaronsonN.K., AhmedzaiS., BergmanB.. The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology.J Natl Cancer Inst.1993; 85(5): 365–376.
7.
WareJ.E.Jr, SherbourneC.D.. The MOS 36-item short-form health survey (SF-36). I: conceptual framework and item selection.Med Care.1992; 30(6): 473–483.
8.
SullivanM.. The Sickness Impact Profile (SIP). An instrument for overall health assessment: a basic evaluation.J Drug Ther Res.1988; 13: 167–169.
9.
Lehto-JarnstedtU.S., OjanenM., Kellokumpu-LehtinenP.. Cancer-specific social support received by newly diagnosed cancer patients: validating the new Structural-Functional Social Support Scale (SFSS) measurement tool.Support Care Cancer.2004; 12(5): 326–337. Epub 2004 Apr 3.
10.
BosmaH., MarmotM.G., HemmingwayH.. Low job control and risk of coronary heart disease in Whitehall II (prospective cohort) study.BMJ.1997; 314(7080): 558–565.
11.
De BacquerD., PelfreneE., ClaysE.. Perceived job stress and incidence of coronary events: 3-year follow-up of the Belgian Job Stress Project cohort.Am J Epidemiol.2005; 161(5): 434–441.
12.
GudbergssonS.B., FossåS.D., SanneB.. A controlled study of job strain in primary-treated cancer patients without metastases.Acta Oncol.2007; 46(4): 534–544.
13.
LernerD., AmickBCIII, RogersW.H.. The Work Limitations Questionnaire.Med Care.2001; 39(1): 72–85.
14.
LeeM.K., LeeK.M., BaeJ.M.. Employment status and work-related difficulties in stomach cancer survivors compared with the general population.Br J Cancer.2008; 98(14): 708–715. Epub 2008 Feb 19.
15.
FerrellB.R., SmithS.L., ErvinK.S.. A quantitative analysis of social concerns of women with ovarian cancer.Psychooncology.2003; 12(7): 647–663.
16.
GilliesB., JohnstonG.. Identity loss and maintenance: commonality of experience in cancer and dementia.Eur J Cancer Care (Engl).2004; 13(5): 436–442.
17.
FitzpatrickR., DaveyC., BuxtonM.J.. Evaluating patient-based outcome measures for use in clinical trials.Health Technol Assess.1998; 2(14): i–iv, 1-74.
18.
TaskilaT., LindbohmM.L., MartikainenR.. Cancer survivors’ received and needed social support from their work place and the occupational health services.Support Care Cancer.2006; 14(5): 427–435. Epub 2006 Jan 10.
19.
StewartD.E., CheungA.M., DuffS.. Long-term breast cancer survivors: confidentiality, disclosure, effects on work and insurance.Psychooncology.2001; 10(3): 259–263.
20.
PryceJ., MunirF., HaslamC.. Cancer survivorship and work: symptoms, supervisor response, co-worker disclosure and work adjustment.J Occup Rehabil.2007; 17(1): 83–92.
21.
BouknightR.R., BradleyC.J., LuoZ.. Correlates of return to work for breast cancer survivors.J Clin Oncol.2006; 24(3): 345–353.
22.
FeuersteinM., HansenJ.A., CalvioL.C.. Work productivity in brain tumor survivors.J Occup Environ Med.2007; 49(7): 803–811.
23.
TwomblyR.. What's in a name: who is a cancer survivor?J Natl Cancer Inst.2004; 96(19): 1414–1415.
24.
HewittM., GreenfieldS., StovallE., eds. From Cancer Patient to Cancer Survivor: Lost in Transition.Washington, DC: The National Academies Press; 2006.
25.
ShortP.F., VaseyJ.J., TunceliK.. Employment pathways in a large cohort of adult cancer survivors.Cancer.2005; 103(6): 1292–1301.
26.
MaunsellE., BrissonC., DuboisL.. Work problems after breast cancer: an exploratory qualitative study.Psychooncology.1999; 8(6): 467–473.
27.
Ashing-GiwaK.T., PadillaG.V., BohórquezD.E.. Survivorship: a qualitative investigation of Latinas diagnosed with cervical cancer.J Psychosoc Oncol.2006; 24(4): 53–88.
28.
DeyI.. Qualitative Data Analysis: A User-Friendly Guide for Social Scientists.London: Routeledge;1993.
29.
VistadI., FossåS.D., DahlA.A.. A critical review of patient-rated quality of life studies of long-term survivors of cervical cancer.Gynecol Oncol.2006; 102(3): 563–572. Epub 2006 May 22.
30.
von GruenigenV.E., FrasureH.E., JenisonE.L.. Longitudinal assessment of quality of life and lifestyle in newly diagnosed ovarian cancer patients: the roles of surgery and chemotherapy.Gynecol Oncol.2006; 103(1): 120–126. Epub 2006 Mar 23.
31.
MillerB.E., PittmanB., CaseD.. Quality of life after treatment for gynecologic malignancies: a pilot study in an outpatient clinic.Gynecol Oncol.2002; 87(2): 178–184.
32.
ChanY.M., NganH.Y., LiB.Y.. A longitudinal study on quality of life after gynecologic cancer treatment.Gynecol Oncol.2001; 83(1): 10–19.
33.
MancusoC.A., SaylesW., RobbinsL.. Novel use of patientderived vignettes to foster self-efficacy in an asthma self-management workbook.Health Promot Prac.2008 April 10. [Epub ahead of print]
34.
SwiftT.L., DieppeP.A.. Using expert patients’ narratives as an educational resource.Patient Educ Couns.2005; 57(1): 115–121.
35.
KennedyA., RobinsonA., RogersA.. Incorporating patients’ views and experiences of life with IBS in the development of an evidence-based selfhelp guidebook.Patient Educ Couns.2003; 50(3): 303–310.
36.
McLellanR.K., PranskyG., ShawW.S.. Disability management training for supervisors: a pilot intervention program.J Occup Rehabil.2001; 11(1): 33–41.
37.
GillenM., BaltzD., GasselM.. Perceived safety climate, job demands, and co-worker support among union and nonunion injured construction workers.J Safety Res.2002; 33(1): 33–51.
38.
ShoreB.E., FranksP.. Physician satisfaction with patient encounters: reliability and validity of an encounter-specific questionnaire.Med Care.1986; 24(7): 580–589.
39.
WebsterK., CellaD., YostK.. The Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System: properties, applications, and interpretation.Health Qual Life Outcomes.2003; 1: 79.
40.
SmithA.B., WrightP., SelbyP.J.. A Rasch and factor analysis of the Functional Assessment of Cancer Therapy-General (FACT-G).Health Qual Life Outcomes.2007; 5: 19.
41.
KennedyF., HaslamC., MunirF.. Returning to work following cancer: a qualitative exploratory study into the experience of returning to work following cancer.Eur J Cancer Care (Engl).2007; 16(1): 17–25.
42.
HoffmanB.. Cancer survivors at work: a generation of progress.CA Cancer J Clin.2005; 55(5): 271–280.
43.
JohansenC.. Rehabilitation of cancer patients: research perspectives.Acta Oncol.2007; 46(4): 441–445.
44.
FranklinD.J.. Cancer Rehabilitation: challenges, approaches, and new directions.Phys Med Rehabil Clin N Am.2007; 18(4): 899–924, viii.
45.
DirmaierJ., ZaunS., KochU.. Psychometric properties of the EORTC Quality of Life Questionnaire in inpatient cancer rehabilitation in Germany.Palliat Support Care.2004; 2(2): 115–124.
