Fatigue, Psychological Distress, Coping Resources, and Functional Status During Radiotherapy for Uterine Cancer

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

doi:10.1188/05.onf.633-640

Cited by 53 publications

(80 citation statements)

References 49 publications

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“…In their study of fatigue, psychological distress, and functional status among women receiving radiotherapy for uterine cancer, Ahlberg and coworkers found highly statistically significant negative correlations between general fatigue and multiple domains of QoL, including physical, role, emotional, cognitive, and social functioning (all p < .001, except social functioning p = .002) [36]. They further demonstrated that physical, role, and cognitive functioning remained highly negatively correlated with general fatigue over time.…”

Section: Thementioning

confidence: 95%

“…In general, however, the severity of CRF following chemotherapy peaks within 4 or 5 days of completion of treatment and gradually lessens over time, although it never recedes to pretreatment levels [30,35]. CRF is reported in around 80% of patients undergoing radiotherapy, and a number of studies have found that the severity of the fatigue experienced by such patients gradually increases over the course of treatment [20,[36][37][38]. In a detailed study of the incidence and severity of side effects during the course of radiation therapy, fatigue was the most prevalent and the most severe symptom reported by patients (Fig.…”

Section: The Fatigue Reported By Patients With Cancer Is Severementioning

confidence: 99%

“…Oncologist ® Studies in patients with a range of cancer diagnoses have reported the expected negative correlation between the incidence of CRF and patients' QoL [7,36,[45][46][47][48]. In their study of fatigue, psychological distress, and functional status among women receiving radiotherapy for uterine cancer, Ahlberg and coworkers found highly statistically significant negative correlations between general fatigue and multiple domains of QoL, including physical, role, emotional, cognitive, and social functioning (all p < .001, except social functioning p = .002) [36].…”

Section: Thementioning

confidence: 99%

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Cancer-Related Fatigue: The Scale of the Problem

et al. 2007

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Fatigue is one of the most common and debilitating symptoms experienced by patients with cancer. Cancer-related fatigue (CRF) is characterized by feelings of tiredness, weakness, and lack of energy, and is distinct from the "normal" drowsiness experienced by healthy individuals in that it is not relieved by rest or sleep. It occurs both as a consequence of the cancer itself and as a side effect of cancer treatment, although the precise underlying pathophysiology is largely unknown. CRF may be an early symptom of malignant disease and is reported by as many as 40% of patients at diagnosis. Virtually all patients expect fatigue from cancer therapy. Up to 90% of patients treated with radiation and up to 80% of those treated with chemotherapy experience fatigue. CRF continues for months and even years following completion of treatment in approximately one third of the patients with cancer. The impact of CRF on a patient's quality of life (QoL), particularly in relation to physical functioning and the ability to perform activities of daily living, is both profound and pervasive. In addition, CRF is associated with considerable psychological distress and can impose a significant financial burden by limiting a patient's ability to work. These effects can extend to caregivers and family members, who may also have to reduce their working capacity in order to provide additional care for a patient with CRF. This paper examines the prevalence of CRF and explores the impact of this distressing symptom on patients' functioning and QoL. The Oncologist 2007;12(suppl 1):4-10

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Section: Thementioning

confidence: 95%

Section: The Fatigue Reported By Patients With Cancer Is Severementioning

confidence: 99%

Section: Thementioning

confidence: 99%

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Cancer-Related Fatigue: The Scale of the Problem

et al. 2007

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“…It shows that, according to the disease stage, the associated factors may vary. It seems that, in outpatients, the predictors include a reasonable amount of socio-demographic variables (female gender, high education, having a regular job and living without a partner), besides depression and performance status (10)(11)(12) . On the other hand, fatigueassociated factors in patients with advanced cancer are basically related to other signs and symptoms present in terminally ill patients (e.g.…”

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confidence: 99%

Fatigue in colorectal cancer patients: prevalence and associated factors

Mota

Pimenta

Caponero

2012

Rev. Latino-Am. Enfermagem

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This study identified the prevalence and predictors of fatigue in colorectal cancer (CRC) patients.Cross-sectional study with 157 adult CRC outpatients (age 60±11.7 years; 54% male; cancer stage IV 44.8%). The Piper Fatigue Scale-revised was used to assess fatigue scores. Socio-demographic, clinical, depression, performance status, pain and sleep disturbance data were assessed. Associations between fatigue and these data were analyzed through logistic regression models. Fatigue was reported by 26.8% patients. Logistic regression identified three predictors: depression (OR: 4.2; 95%CI 1.68-10.39), performance status (OR: 3.2; 95%CI 1.37-7.51) and sleep disturbance (OR: 3.2; 95%CI 1.30-8.09). When all predictors were present, the probability of fatigue occurrence was 80%; when none were present, the probability was 8%. The model's specificity and sensitivity were 81.9% and 58.6%, respectively. Through the assessment of depression, performance status and sleep disturbance, the probability of fatigue occurrence can be estimated, and preventive and treatment strategies can be rapidly implemented in clinical practice. Fatiga en pacientes con cáncer cuello rectal: superioridad y factores asociadosLos objetivos de este estudio fueron la identificación de la superioridad y los predictores de fatiga en pacientes con Cáncer Cuello rectal (CCR). Se trata de estudio seccional con 157 pacientes de ambulatorio con CCR (edad 60±11,7 años; 54% hombres; estadio cáncer IV 44,8%). La Escala de Fatiga de Piper -Revisada fue utilizada para evaluar fatiga. Datos sociodemográficos, clínicos, depresión, funcionalidad, dolor y sueño fueron evaluados. La asociación entre variables fue realizada por regresión logística. Fatiga fue reportada por 26,8% pacientes. Por la regresión logística se identificaron tres predictores: depresión (OR: 4,2; 95%IC 1,68-10,39), funcionalidad (OR: 3,2; 95%IC 1,37-7,51) y perjuicio del sueño (OR: 3,2; 95%IC 1,30-8,09). Cuando todos predictores estaban presentes, la probabilidad de ocurrencia de fatiga fue del 80%; cuando ninguno estaba presente, la probabilidad fue del 8%. La especificidad y sensibilidad del modelo fueron, respectivamente, 81,9 y 58,6%. Conociéndose la probabilidad de fatiga, por medio de la evaluación de depresión, funcionalidad y perjuicio del sueño, se vuelve posible la implementación de estrategias de prevención y tratamiento en la clínica.

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“…Mallinson et al[17] beschrieben eine inverse Korrelation zwischen selbstberichteter Erschöpfung und physischer Funktionsfähigkeit. Ahlberg et al[1] fanden signifikante negative Korrelationen zwischen tumorbedingter Fatigue und zahlreichen Bereichen der Lebensqualität, einschließlich der physischen, emotionalen, kognitiven und sozialen Funktionsbereiche. Eine Einschränkung ihrer Lebensqualität wird von vielen Patienten über alle Krebsarten hinweg genannt[1].…”

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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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Fatigue, Psychological Distress, Coping Resources, and Functional Status During Radiotherapy for Uterine Cancer

Abstract: Nurses must inform patients receiving radiotherapy about the expected changes in fatigue and functional status. Pretreatment screening for fatigue is needed to identify patients at risk for developing fatigue.

Cited by 53 publications

References 49 publications

Cancer-Related Fatigue: The Scale of the Problem

Cancer-Related Fatigue: The Scale of the Problem

Fatigue in colorectal cancer patients: prevalence and associated factors

Tumorbedingte Fatigue und ihre psychosozialen Belastungen

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