Dispositional Optimism Predicts Survival Status 1 Year After Diagnosis in Head and Neck Cancer Patients
Abstract
Purpose: The aim of this study was to investigate the hypothesis that, independent of other known prognostic factors, pessimistic head and neck (H&N) cancer patients have a greater risk of being dead 1 year after diagnosis than do optimistic patients. Patients and Methods: A prospective observational study design was used with a cohort of H&N cancer patients diagnosed during the period from March 1, 1997, to August 31, 1998, at the Centre Hospitalier Universitaire, Clermont-Ferrand, France. Dispositional optimism (DO) was evaluated at baseline using a French version of the Life Orientation Test translated and validated for this study. One-year survival status was collected on all subjects. The analysis of the hypothesized association between DO and 1-year survival was performed using multiple logistic regression analysis, controlling for other sociodemographic and clinical variables. Results: The sample size was 101 patients, representing all but one of those patients fitting the inclusion criteria who were diagnosed during the recruitment period. Of these, 51 were alive at 1 year after diagnosis, 45 were dead, and five were lost to follow-up. The multivariate analysis was performed on the data from the 96 subjects in whom 1-year survival status was known. Controlling for known predictors of H&N cancer survival, pessimistic subjects (odds ratio [OR], 1.12; 95% confidence interval [CI], 1.01 to 1.24) and those living alone (OR, 4.14; 95% CI, 1.21 to 14.17) were more likely than optimistic subjects and those living with others to be dead at 1 year. Conclusion: The results of this study of a cohort of French H&N cancer patients indicate that dispositional optimism predicts 1-year survival independent of other sociodemographic and clinical variables.
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In head and neck cancer patients, optimism predicts better one-year survival rates independently from confounding demographic and clinical factors.
“In of head and neck cancer patients’ context, optimism predicts better one-year survival rates independently from confounding demographic and clinical factors [30].”
Short-term (≤1 year) cancer mortality has been linked to lower levels of optimism in head and neck cancer patients.
“and in head and neck cancer patients [99].”
From Personality and Longevity: Knowns, Unknowns, and Implications for Public Health and Personalized Medicine (2011) · cites this paper as [99]
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- Authors
- Allison, P. J., Guichard, C., Fung, K., & Gilain, L.
- Affiliations
- Centre Hospitalier Universitaire de Clermont-Ferrand (FR)
- Venue
- Journal of Clinical Oncology
- Published
- 2003-02-01
- Volume
- 21
- Issue
- 3
- Pages
- 543-548
- ISSN
- 0732-183X (ISSN-L)
- 1527-7755
- OpenAlex
- W2050608886
- Cited by
- 216
- References
- 41
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 3 · 2023: 46 · 2022: 9 · 2021: 4 · 2020: 6 · 2019: 3 · 2018: 11 · 2017: 16 · 2016: 6 · 2015: 9 · 2014: 6 · 2013: 14 · 2012: 10
- FWCI
- 11.23
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Oncology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research
- Topics
- Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Otorhinolaryngology › Head and Neck Cancer Studies
- Keywords
- dispositional optimism, pessimism, head and neck cancer, survival after cancer diagnosis, prognostic factors, Life Orientation Test, living alone, sociodemographic factors, one-year mortality
- MeSH terms
- Adult, Aged, Aged, 80 and over, Attitude to Health, Female, France, Head and Neck Neoplasms, Humans, Male, Middle Aged, Prognosis, Self Concept, Survival, Cohort Studies, Odds Ratio
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