“…Symptoms-Women completed a 39-symptomlist as used in the Women's Health Initiative [33] and based on the Breast Cancer Prevention Trial Symptom scale [34] consisting of a wide range of symptoms that can be a result of cancer treatment and aging, including symptoms that are physical (e.g., mouth ulcers, headaches, diarrhea, nausea, joint pains), emotional/psychological (e.g., mood changes, feeling depressed, forgetfulness), menopausal (e.g., hot flashes, vaginal dryness), and related to role difficulties (e.g., lowered work performance, avoidance of social affairs, decreased efficiency). All symptoms were rated on a four-point ordinal scale ranging from none to severe.…”