Looming cognitive style and quality of life in a cancer cohort Journal Article


Authors: Levin, T. T.; Riskind, J.; Li, Y.
Article Title: Looming cognitive style and quality of life in a cancer cohort
Abstract: Objective: Looming cognitive styles (LCS) bias the velocity of potential threats and have been implicated in anxiety and depression vulnerability. This study aims to explore their contribution to impaired quality of life (QOL), beyond that of depression and anxiety, in a cancer cohort. Method: In a cross-sectional design, an ambulatory chronic lymphocytic leukemia (CLL) cohort completed a psychological battery that included the Beck Depression and Anxiety Inventories, the SF-36 Health Survey, the Functional Assessment of Chronic Illness Therapy (FACT), the Looming Cognitive Style Questionnaire (LCSQ), and the Looming Cancer measure. Results: The Looming Cancer measure correlated significtly with overall QOL (FACT-G, p=0.005). This effect was largely due to the contribution of emotional QOL (Mental Component Score: SF-36, p=0.001; FACT-emotional, p=0.001) and functional QOL (FACT-functional, p=0.001). Looming, unlike anxiety and depression, did not correlate with a worse physical QOL (Physical Component Score: SF-36, FACT-physical). Looming did not impact on social QOL. Hierarchical regression analysis showed that looming predicted 5.4% of the varience on the FACT-emotional, 5.1% on the Mental Component Score (SF-36), and 9.3% on the mental health subscale (SF-36), above and beyond the varience predicted by a constellation of psychosocial factors (including age, marital status, education, income) and the combined effect of depression and anxietySignificance of results: LCS predicts worse emotional and functional QOL, above and beyond the contribution of anxiety, depression, and other psycho-social variables. This suggests that it makes a unique contribution to a worse QOL. Nevertheless, the looming construct still remains primarily a research tool in psycho-oncology at this time. Copyright © Cambridge University Press 2010.
Keywords: middle aged; quality of life; cohort studies; statistics; cohort analysis; questionnaires; questionnaire; psychological aspect; depression; anxiety disorder; cross-sectional study; cross-sectional studies; anxiety; chronic lymphatic leukemia; anxiety disorders; depressive disorder; leukemia, lymphocytic, chronic, b-cell; cll; psychometrics; psychometry; lcs; qol
Journal Title: Palliative and Supportive Care
Volume: 8
Issue: 4
ISSN: 1478-9515
Publisher: Cambridge University Press  
Date Published: 2010-12-01
Start Page: 449
End Page: 454
Language: English
DOI: 10.1017/s1478951510000325
PUBMED: 20875209
PROVIDER: scopus
DOI/URL:
Notes: --- - "Export Date: 20 April 2011" - "Source: Scopus"
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  1. Yuelin Li
    219 Li
  2. Tomer T Levin
    62 Levin