Assessment and management of cancer-related fatigue in adults

Ahlberg, Karin; Ekman, Tor; Gaston‐Johansson, Fannie; Mock, Victoria

doi:10.1016/s0140-6736(03)14186-4

Cited by 476 publications

(412 citation statements)

References 99 publications

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“…A low scorer on this facet prefers a more relaxed life style, which does not refer to being unenergetic. Nevertheless, cancer-related fatigue and daily activity are inversely related [1]. Thus, one of the possible connections between extraversion and fatigue might be mediated by potential amount of daily activity.…”

Section: Discussionmentioning

confidence: 99%

“…In The Netherlands, 11% of all women will develop carcinoma in situ or invasive carcinoma of the breast [3]. A common reaction during and after the treatment period is fatigue [1]. In general, BC patients are not as severely tired as chronic fatigue syndrome patients [24]: their fatigue is mainly mild to moderate [2].…”

Section: Introductionmentioning

confidence: 99%

“…In general, BC patients are not as severely tired as chronic fatigue syndrome patients [24]: their fatigue is mainly mild to moderate [2]. However, fatigue might distress BC patients [25], reduce their quality of life (QOL) [29], and impair their physical activity [1].…”

Section: Introductionmentioning

confidence: 99%

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Personality and fatigue in patients with benign or malignant breast disease

Michielsen

Steeg

Roukema

et al. 2007

Support Care Cancer

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Goals of work The aim of the study was to examine the role of five general personality traits in fatigue in a group of patients with breast cancer (BC) and a group with benign breast problems (BBP). Materials and methods Of the 304 participating women, 127 patients had BC and 177 BBP. A fatigue scale was completed before diagnosis and 1, 3, and 6 months after diagnosis (benign patients) or surgical treatment (BC patients). A personality questionnaire (NEO-FFI) and a depression scale (CES-D) were completed before diagnosis. Main results The BC group was less tired before diagnosis, more tired 1 month after diagnosis, and equally tired 3 and 6 months after diagnosis. In the total group, women were more tired over time when they were more neurotic, less agreeable, or more introverted. After controlling for depressive symptoms, demographics, and medical factors, baseline depressive symptoms (β=0.29, p<0.05), neuroticism (β=0.29, p<0.05), and extraversion (β=−0.25, p< 0.05) predicted fatigue 6 months later. After also including baseline fatigue, only neuroticism (β=0.22, p<0.05) and baseline fatigue (β=0.79, p<0.001) predicted fatigue.Conclusions Personality is more strongly related to fatigue than demographics, the diagnosis cancer, receiving cancer treatment, and baseline depressive symptoms and fatigue. When replicated, screening and treating women who are at risk to experience high levels of fatigue is recommended.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Personality and fatigue in patients with benign or malignant breast disease

Michielsen

Steeg

Roukema

et al. 2007

Support Care Cancer

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“…It is a complex multicausal and multidimensional symptom that is diffi cult to characterize and defi ne (Piper, 1993). It is one of the most frequently reported symptoms in many chronic illnesses, including cancer (Ahlberg et al, 2003), renal failure (Ossareh et al, 2003), chronic pulmonary disease (Kapella et al, 2006), multiple sclerosis (Flensner et al, 2003) and rheumatoid arthritis (Belza, 1995).…”

Section: Fatiguementioning

confidence: 99%

Fatigue is a Prevalent and Severe Symptom Associated with Uncertainty and Sense of Coherence in Patients with Chronic Heart Failure

Falk

Swedberg

Gaston‐Johansson

et al. 2007

European Journal of Cardiovascular Nursing

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100

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Although fatigue is a prevalent and distressing symptom in patients with chronic heart failure (CHF), it is an underestimated problem in the care of patients, and consequently, insuffi ciently investigated. The primary aim of this thesis was, therefore, to advance the knowledge from the patients' perspective by describing characteristics of the fatigue experience and its consequences in daily life in patients with CHF. A secondary aim was to investigate the relationships between fatigue and selected physiological and psychological factors associated with fatigue. Both quantitative and qualitative methods have been used and three samples of patients have been interviewed on different occasions. In two of the quantitative studies 93 patients, and in another study 112 patients, consecutively included, were interviewed at the hospital. Fifteen patients were included in the qualitative study. These 15 participants were enrolled when they visited an outpatient clinic and most of them were interviewed in their homes. These interviews were supplemented with the content of an Internet discussion with persons living with CHF.The results of the studies indicated that fatigue embraces the individual's body, emotions and cognitive abilities, forcing the person to physical restrictions that, in turn, perpetuate emotional discomfort. However, the physical sensation of fatigue followed by functional limitations seemed to be the most prevalent and distressing experience in patients with CHF. The patients described fatigue as lacking strength, which was associated in connection with physical efforts and lacking energy, viewed as an annoying sensation after both mental and physical strain. Another dimension of fatigue was described as being sleepy, often with a rapid and unforeseen onset. Consequences of fatigue, such as refraining from daily chores, denying oneself opportunities for rejoice and social isolation, further exaggerated the experience of fatigue. Restorative activities that engaged, absorbed or distracted the patients counteracted these negative consequences. Depressed mood was related to those fatigue dimensions that compromised functional ability and motivation to start any activities, whereas anxiety was associated with cognitive impairment. Feelings of uncertainty were related to physical tiredness, possibly infl icted by limitations in performing activities. Symptom distress that was caused by a number of reported symptoms other than fatigue had a diminutive infl uence on fatigue and separate symptoms that were associated with fatigue were, with the exception of breathlessness, not the fi rst and most pressing symptom reported by the patients. Anemic patients reported more fatigue compared with non-anemic patients and functional status, according to the New York Heart Association (NYHA) functional classifi cation criteria, was associated with those fatigue dimensions that encompassed physical tiredness and reduced functioning.The fi ndings provide new insights on the characteristics of fatigue and its con...

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“…One of the most common and debilitating symptoms experienced by cancer survivors, particularly those who are undergoing, or have undergone, chemotherapy and/or radiotherapy, is fatigue (Armes et al, 2005). Cancer related fatigue (CRF) is defined as "a persistent subjective sense of tiredness related to cancer or cancer treatment that interferes with usual functioning" and is thought to affect anywhere between 60-100% of cancer patients (Alberg et al, 2003;Wagner & Cella, 2004). For many patients, this fatigue does not end with the cancer treatment, and has been found to continue for months, or even years, post-treatment (Andryowski et al, 1998;Minton & Stone, 2008).…”

Section: Physical Healthmentioning

confidence: 99%

Physical Activity and Cancer

Bk¹,

Ih²,

Rohde³

2013

Encyclopedia of Behavioral Medicine

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It is widely accepted that physical activity is important for physical functioning and well-being, and as such the promotion of active lifestyles is becoming increasingly significant in public health policy both in the UK and worldwide. Sedentary lifestyles have been associated with increased risk of obesity and preventable disease including diabetes, coronary heart disease and some cancers. With regards cancer specifically, this chapter will provide a brief overview on current opinions on the link between physical activity and cancer prevention.The published evidence focuses both on primary and secondary prevention. More recent evidence has investigated the use of physical activity in secondary prevention for those who have been diagnosed with cancer and proposed a link between physical activity, morbidity and mortality in those with cancer. The evidence-base for secondary prevention is more limited. Nevertheless, studies to date have indicated that physical activity can improve both physical functioning and psychological outcomes in cancer survivors, and significantly improve quality of life.The exact nature of those interventions which confer the most positive effects is less well-established, and there is a current lack of consensus on the most appropriate type, intensity and duration of activity for people with cancer. It has not yet been wellestablished as to which stage of the treatment programme physical activity should be encouraged (during or following treatment) or the most appropriate length of time during which structured physical activity interventions should be delivered to achieve beneficial results.These factors will be discussed in this chapter, and barriers to engaging in physical activity for those with a diagnosis of cancer will be considered. The chapter will conclude with a summary of key findings and the potential for further research.

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Assessment and management of cancer-related fatigue in adults

Cited by 476 publications

References 99 publications

Personality and fatigue in patients with benign or malignant breast disease

Personality and fatigue in patients with benign or malignant breast disease

Fatigue is a Prevalent and Severe Symptom Associated with Uncertainty and Sense of Coherence in Patients with Chronic Heart Failure

Physical Activity and Cancer

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