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Emotional Distress and Dysfunctional Illness Perception are Associated with Low Mental and Physical Quality of Life in Chinesebreast Cancer Patients
註釋Abstract: Background
To evaluate the relationship between quality of life (QOL) and physical as well as psychological variables in Chinese breast cancer patients.

Methods
This multicenter cross-sectional study enrolled 254 Chinese breast cancer patients in different stages and treatment phases. They answered standard instruments assessing QOL (EORTC), somatic symptom severity (PHQ-15), depression (PHQ-9), anxiety (GAD-7), health-related anxiety (WI-7), illness perception (BIPQ), and sense of coherence (SOC-9). Canonical correlation was applied to identify the strongest correlates between the physical, emotional and social QOL scales and the physical and psychological variables.

Results
In our sample, a low global QOL was significantly associated with the following physical and psychological variables: symptom-related disability (Karnofsky Index) (r = .211, p .01), somatic symptom severity (r = −.391, p .001), depression (r = −.488, p .001), anxiety (r = −.439, p