Chronische Fatigue bei Krebspatienten*

Reif, Karl; Vries, U. de; Petermann, Franz; Görres, Stefan

doi:10.1007/s00063-010-1132-5

Cited by 13 publications

(7 citation statements)

References 43 publications

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“…Die derzeitigen psychosozialen Angebote für Fatigue-Patienten umfassen verhaltenstherapeutische Maßnahmen, Aktivitätssteigerung, Entspannungsverfahren und Psychoedukation bzw. Patientenschulung [8,18,20,21]. In einer großen Zahl von Studien führte moderates Ausdauer-und Krafttraining zu einer verbesserten Leistungsfähigkeit, einer Reduktion der Fatigue und einer verbesserten Lebensqualität [5,27].…”

Section: Therapieansätzeunclassified

Tumorbedingte Fatigue und ihre psychosozialen Belastungen

Vries

Reif

Petermann

2012

Schmerz

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Cancer-related fatigue (CRF) is a highly prevalent and the most distressing symptom during and after treatment for cancer. It is characterized by feelings of physical and mental tiredness, weakness, and lack of energy and is not influenced by rest or sleep. Approximately 40% of patients suffer from CRF at diagnosis and nearly all patients experience fatigue during the course of cancer therapy. The impact of CRF on daily living and patient quality of life (QoL) is substantial. It profoundly affects patient quality of life and limits personal, social and occupational roles. The fatigue is also associated with significant levels of distress and it imposes a financial burden by limiting the ability to work. The underlying causes of CRF are poorly understood as are the relationship between fatigue and psychosocial distress, depression or anxiety. This paper seeks to give an overview of cancer-related fatigue and its psychosocial burden.

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Section: Therapieansätzeunclassified

Tumorbedingte Fatigue und ihre psychosozialen Belastungen

Vries

Reif

Petermann

2012

Schmerz

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“…Recently, another group published a comparable self-management program consisting of 6 modules (forms of fatigue, etiology, and treatment of CRF, management, sleep, handling of emotions, and individual daily adaption) for patients suffering from CRF resulting in good patient satisfaction. 52 In our multimodal therapy concept with eurythmy and painting therapy, we integrated these 2 therapies that are standard treatments in anthroposophical medicine for breast cancer patients with CRF, but for which there is as yet insufficient evidence. 22 The traditional clinical and outpatient use of eurythmy therapy is an add-on therapy in the context of the integrative medicine approach of anthroposophical medicine for a large number of indications, and particularly for oncology, although there is still insufficient evidence for its individual, specific application.…”

Section: Discussionmentioning

confidence: 99%

Multimodal Therapy Concept and Aerobic Training in Breast Cancer Patients With Chronic Cancer-Related Fatigue

et al. 2012

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Hypothese: Cancer-related fatigue (CRF) and sleep disorders are some of the most wearing and common symptoms in disease-free breast cancer patients (BC). Aerobic training (AT) is the treatment with the best available evidence, even though it seems to be insufficient with regards to improvements in cognitive fatigue. We introduced a new multimodal therapy concept (MM) consisting of psycho-, sleep-education and new approaches based on anthroposophic medicine such as eurythmy and painting therapy. Study design: This pilot study will test the implementation of MM and yield first results of the MM and AE in our centres. Methods: 31 out of 34 patients suffering from BC and CRF were fully assessed in a ten-week intervention study. 21 patients chose MM and 10 decided on AT. CRF was measured with the help of the Cancer Fatigue Scale (CFS-D), and the global quality of sleep was measured with the Pittsburgh Sleep Quality Index (PSQI). We also captured autonomic regulation (aR) and patients' satisfaction with questionnaires. Statistical analysis was done with SAS 9.1.3 for windows. Results:The new MM therapy can be implemented with high satisfaction among patients. Significant improvements were found in the MM group with regards to CFS-D, global quality of sleep, sleep efficiency (PSQI), aR and rest/activity regulation compared to baseline (all p<0.05). In the AT group aR orthostatic-circulatory and rest/activity regulation improved significantly (p<0.05), too. However, no improvement in cognitive fatigue was seen in either group. Conclusion: The multimodal therapy concept was feasible and improved cancer fatigue, sleep quality, autonomic and rest-/ activity regulation in breast cancer patients. It may therefore constitute a valuable treatment option in addition to aerobic training for BC patients with CRF. A further study with larger sample size needs to be carried out to assess the efficacy of combined multimodal-aerobic therapy.

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“…Some of the likely reasons and predisposing primary factors for the occurrence of fatigue might be the production of cytokines as a defence reaction of the body towards the emergence of the tumour, as well as immunological, endocrine, neurological, psychological, hematological (anemia, hypokalemia, hypocalcemia), musculoskeletal factors, and factors related to nutrition (for example, dietary) [19].…”

Section: Etiologymentioning

confidence: 99%

Factors of Cancer-Related Fatigue in Patients with Malignant Diseases

Strebkova-Lazarova

2018

Journal of Biomedical and Clinical Research

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Summary Symptoms of fatigue and exhaustion are considered to be the most common complaints in patients with oncological diseases during and after treatment. The manifestations can be on a physical, cognitive and emotional level. At diagnosis, 40% of patients report fatigue, and this percentage increases to 90% during treatment. However, the exact determinants of fatigue are not yet known. This article is a literary review of the problem of cancer-related fatigue – mechanisms, risk factors, and the impact on the lives of those affected. Literary data on the role of subjective well-being in terms of fatigue and emotional responses of patients with oncological diseases are described. A number of contemporary studies of the combined effect of fatigue and pain on the functioning of oncology patients have been discussed. It is concluded that the symptoms of fatigue, exhaustion and pain are considered the most common complaints in patients with oncologic pathology during and after treatment, whose manifestations may be physical, cognitive and emotional. On the other hand, human health satisfaction is one of the most important predictors of life satisfaction, which contributes significantly to the overall well-being of the patients group discussed.

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Chronische Fatigue bei Krebspatienten*

Abstract: The newly developed self-management program closes a gap in health care of cancer patients with chronic fatigue for whom there are hardly any intervention options to date. The program is characterised by target group-specific contents and methods and a high satisfaction of the patients.

Cited by 13 publications

References 43 publications

Tumorbedingte Fatigue und ihre psychosozialen Belastungen

Tumorbedingte Fatigue und ihre psychosozialen Belastungen

Multimodal Therapy Concept and Aerobic Training in Breast Cancer Patients With Chronic Cancer-Related Fatigue

Factors of Cancer-Related Fatigue in Patients with Malignant Diseases

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