Fatigue und deren Determinanten in der Radioonkologie

Abstract

Fatigue appears to be an important problem among cancer patients receiving RT. Resilience proved to powerfully predict the patients' fatigue at the beginning of RT. This result confirms other studies showing resilience to be an important psychological predictor of QoL and coping in cancer patients. The change of fatigue during RT is mainly related to disease- and treatment-related factors.

Resilience and positive affect contribute to lower cancer‐related fatigue among Chinese patients with gastric cancer

“…Resilience as a protective factor that maintains one's psychological and physical well‐being following adversity was introduced into studies of the QoL of patients with gastric cancer. The significant negative correlation between resilience and CRF was consistent with the results of previous studies of cancer survivors (Brix, Schleussner, Fueller, Röhrig, & Strauss, ; Strauss et al., ). These findings highlight the necessity to develop strategies that improve resilience among patients with cancer.…”

Age- and sex-standardised prevalence rates of fatigue in a large hospital-based sample of cancer patients

“…The main reason for that may be that fatigue is usually assessed with dimensional instruments and no consensus exists regarding which questionnaire should be used. Although the MFI can be viewed as one of the most widely accepted measures for use with cancer patients (Meek et al , 2000; Brix et al , 2009; Heutte et al , 2009; Agasi-Idenburg et al , 2010; Purcell et al , 2010; Riesenberg and Lubbe, 2010), the originators of the MFI (Smets et al , 1995, 1996) did not determine a cutoff point at which fatigue could be considered as ‘increased'. Other authors have tried to define a useful threshold based on distribution characteristics, for example by using the mean plus one s.d.…”

Emotional State of Patients in Radiotherapy and How They Deal with Their Disorder

“…In more recent studies, 20% of 517 cancer patients displayed pathologic levels of anxiety in a questionnaire [12], while 32.6% of 227 breast cancer patients showed this level of depression [10]. Another stress factor is fatigue symptoms [4]. In each study, there were a large number of patients who either reacted with increasing depression as the therapy continued, accompanied by a deterioration in quality of life [18,20], or who remained troubled by symptoms of anxiety after the completion of radiotherapy [27].…”