There are conflicting and inconsistent results in the literature on the prognostic role of quality of life (QoL) in cancer. We investigated whether QoL at admission could predict survival in lung cancer patients: * every 10-point increase in global QoL was associated with a 9% increase in survival (95% CI = 6% to 11%, p < 0.001)
Does self-regulation and autonomic regulation have an influence on survival in breast and colon carcinoma patients? Results of a prospective outcome study. Health and Quality of Life Outcomes 2011, 9:85. Matthias Kroz et al. Open Access. Link.
Excerpted from open access study
_Self-regulation showed a positive and independent impact on survival
_There is some evidence that questionnaires measuring
patients’ adaptive capacity towards disease and health-orientated life-style
change, such as the sense of coherence or self-regulation, could have
stronger association with prognosis in oncology or other chronic conditions
than HRQL scales.
Self-regulation scale Self-Regulation Scale (SR) developed by Grossarth-Maticek deals
with the “ability to actively achieve well-being, inner equilibrium,
appropriate stimulation, a feeling of competence, and a sense of being able to
control stressful situations”
The SR scale has been developed as an epidemiological,
preventive health care and clinical measure in a long and short version, and
has been validated, applied and evaluated against physical risk factors
prospectively in breast and colorectal cancer patients. SR short version is
capturing two factors: 1) ability to `change behaviour to reach a goal’ and 2)
a subscale called ‘Achieve satisfaction and well-being’
Findings SR showed a positive and independent impact on survival. Our findings support the case for developing interventions
to improve self-regulation in cancer patients.
Grossarth-Maticek & Eysenck
propose autonomy training for the improvement of patients´ self-regulation and
this has been tested in breast cancer prevention with initial positive findings.
There is still a need for larger prospective observational studies alongside
robust pragmatic trials of interventions based on the development of
self-regulation.
