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By Carolyn E. Schwartz, Mirjam A. G. Sprangers

Univ. of Massachusetts, Worcester. A build permitting researchers to appreciate and determine the effect of well-being alterations on perceived caliber of existence. Examines reaction shift in populations resembling humans dwelling with AIDS, prostate melanoma sufferers, and breast melanoma sufferers present process remedy. For researchers, practitioners, and coverage makers. DNLM: model, mental.

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Extra info for Adaptation to Changing Health: Response Shift in Quality-of-Life Research

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At follow-up, an average of 7 symptoms persisted a t the same frequency over the six-month interval, whereas 4 worsened, 5 improved, and about 10 were no longer reported as problems. In addition, patients reported nearly 7 new symp- PERSONAL GOALS 61 toms at T2 that were not mentioned at T1. In terms of diagnoses, respondents indicated a T1 average of nearly 3 out of 26 possible opportunistic infections and other AIDS-related illnesses. At T2, respondents continued to report about a third of these diagnoses as persistent problems, whereas two thirds were no longer mentioned.

In contrast, these patients seemed to be less affected by disruptions in family and household routine. In addition, persistent symptoms had a more negative impact on appraisals of global functioning among patients who were attempting to pursue new personal-growth goals.

Patients with better initial QOL tended to pursue new health-related or dailydemand goals. Patients in poorer health but with relatively high mental functioning focused on personal growth. Alternatively, more goals related to preparation for death and dying were reported by patients who were sicker at T1,who had experienced financial or employment-related problems, and who did not have to deal with the illness of a loved one. Detection of response shifts in QOL associated with changes in personal goals.

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