Determinants of fatigue 6 and 12 months after surgery in women with early-stage breast cancer: A comparison with women with benign breast problems

被引:24
|
作者
De Vries, Jolanda [1 ,2 ]
Van der Steeg, Alida F. [3 ]
Roukema, Jan A. [1 ,4 ]
机构
[1] Tilburg Univ, Dept Med Psychol, CoRPS, NL-5000 LE Tilburg, Netherlands
[2] St Elizabeth Hosp, Dept Med Psychol, NL-5000 LC Tilburg, Netherlands
[3] Amsterdam Med Ctr, Dept Pediat Surg, NL-1100 DD Amsterdam, Netherlands
[4] St Elizabeth Hosp, Dept Surg, NL-5000 LC Tilburg, Netherlands
关键词
Anxiety; Benign breast problems; Breast cancer; Fatigue; QUALITY-OF-LIFE; CELL LUNG-CANCER; PSYCHOLOGICAL DISTRESS; ADJUVANT CHEMOTHERAPY; PREDICTORS; DEPRESSION; RADIOTHERAPY; SURVIVORS; SCALE; PERSONALITY;
D O I
10.1016/j.jpsychores.2008.11.008
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective: The objective of this study was to examine the predictors of fatigue 6 and 12 months after surgical treatment in women with early-stage breast cancer (BC group) and in women with benign breast problems (BBP group) in a prospective follow-up study. Methods: Women entered the study prior to diagnosis and completed questionnaires on personality factors, psychological factors, and social support. Fatigue was assessed 6 and 12 months after diagnosis (BBP group) or surgical treatment (BC group). Clinical data were taken from medical records. Results: In the BC group (n=117), fatigue at 6 months was predicted by trait anxiety (P<.001) and extraversion (P<.05). Trait anxiety (P<.05), extraversion (P<.05), and depressive symptoms (P<.05) predicted fatigue at 12 months. In the BBP group (n=190), the predictors were trait anxiety (P<.001) for fatigue at 6 months, and trait anxiety (P<.001) and neuroticism (P<.01) for fatigue at 12 months. Conclusion: Many patients who are already fatigued before diagnosis remain tired regardless of diagnosis. Trait anxiety is strongly related to fatigue in both groups. (C) 2009 Elsevier Inc. All rights reserved.
引用
收藏
页码:495 / 502
页数:8
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