Reconceptualizing mental health in cancer survivorship

Haywood, Darren; Kotov, Roman; Krueger, Robert F.; Wright, Aidan G.C.; Forbes, Miriam K.; Dauer, Evan; Baughman, Frank D.; Rossell, Susan L.; Hart, Nicolas H.

doi:10.1016/j.trecan.2024.05.008

Cited by 4 publications

(1 citation statement)

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“…A body of research suggests that CRCI may be the consequence of cancer itself, cancer treatments, and the psychological impacts of cancer and its treatments, such as distress [ 4 , 6 , 7 ]. Relatedly, mental health challenges are consistently linked with cognitive dysfunction across populations [ 8 , 9 , 10 , 11 , 12 ], and cancer survivors are at a greater risk of experiencing mental ill-health [ 13 , 14 , 15 , 16 , 17 ]. Therefore, it has been suggested that mental health challenges and CRCI may have a bidirectional functional relationship, each contributing toward the development and maintenance of the other [ 4 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

Protocol for the Development and Initial Validation of the COG-IMPACT Tool: A Purpose-Built Unmet Needs Assessment for Cancer-Related Cognitive Impairment

Haywood,

O’Connor,

Baughman

et al. 2024

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(1) Background: A significant proportion of cancer survivors report experiencing a cognitive ‘fog’ that affects their ability to think coherently and quickly, and reason with clarity. This has been referred to as cancer-related cognitive impairment (CRCI). CRCI has extensive impacts on the daily lives of people living with or beyond cancer, including occupational, social, and psychological functioning. Oncology health professionals report feeling under-resourced to effectively assess the needs of an individual with CRCI and then provide optimal care and referral. (2) Methods: The objective of this project is to develop and provide an initial validation of the first purpose-built unmet needs assessment for CRCI: the Unmet Needs Assessment of Cancer-Related Cognitive Impairment Impact (COG-IMPACT). We will use a multiple-stage, co-design, mixed-methods approach to develop and provide an initial validation of the COG-IMPACT. (3) Results: The primary anticipated result of this research is the production of the COG-IMPACT, the first purpose-built unmet needs assessment for CRCI. The assessment could be used by health professionals to understand the unmet needs and facilitate optimal care and referral for cancer survivors, by survivors to elucidate their supportive needs and advocate for their care, and by researchers to examine the correlates of unmet needs relating to CRCI, as well as how best to support people with CRCI.

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Section: Introductionmentioning

confidence: 99%

Protocol for the Development and Initial Validation of the COG-IMPACT Tool: A Purpose-Built Unmet Needs Assessment for Cancer-Related Cognitive Impairment

Haywood,

O’Connor,

Baughman

et al. 2024

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Cancer-related cognitive impairment as a key contributor to psychopathology in cancer survivors: implications for prevention, treatment and supportive care

Haywood,

Henry,

Dauer

et al. 2024

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A significant proportion of cancer survivors will experience some form of mental health compromise across domains including mood, anxiety, psychosis, eating disorders, and substance use. This psychopathology within cancer survivors is related to a range of negative outcomes and can also have a substantial negative impact on quality of life. Along with psychopathology, cognitive impairments are also commonly experienced, resulting in deficits in memory, reasoning, decision-making, speed of processing, and concentration, collectively referred to as cancer-related cognitive impairment (CRCI). Within the non-oncology literature, cognitive deficits are consistently demonstrated to be a key transdiagnostic aetiological feature of psychopathology, functionally contributing to the development and perpetuation of symptoms. Whilst there is an acknowledgement of the role mental health concerns might play in the development of and perception of CRCI, there has been limited acknowledgement and research exploring the potential for CRCI to functionally contribute toward the development of transdiagnostic psychopathology in cancer survivors beyond simply psychosocial distress. Given the theoretical and empirical evidence suggesting cognitive deficits to be an aetiological factor in psychopathology, we provide a rationale for the potential for CRCI to be a factor in the development and perpetuation of transdiagnostic psychopathology in cancer survivors. This potential functional association has significant implications for risk identification, prevention, treatment, and supportive cancer care approaches regarding psychopathology in cancer survivorship. We conclude by providing directions for future research in this area.

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