Impact of psychosocial, behavioral and lifestyle factors on subjective cognitive complaints and perceived quality of life in a large cohort of Italian breast cancer patients

West, Thomas; Cavallero, Corrado; Ceccherini, Rita; Foladore, S.; Generali, Daniele; Versace, Francesco; Scaggiante, Bruna

doi:10.3389/fpsyg.2022.1015573

Cited by 9 publications

(6 citation statements)

References 41 publications

(55 reference statements)

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“…Such impaired performances in daily life may contribute to the negative emotions experienced by breast cancer survivors. These findings were similar to previous research, indicating that breast cancer survivors with higher levels of depression experience significantly more cognitive failures (Jenkins et al, 2006 ; West et al, 2022 ). Individuals who experience cognitive failure also more frequently report higher levels of anxiety and depression, both in cross-sectional and longitudinal study designs (Power, 1988 ; Merckelbach et al, 1996 ), and the influence may be especially severe if they are exposed to stressful situations, suggesting that individuals with cognitive impairment may have difficulties using effective coping strategies to deal with psychological distress (Broadbent et al, 1982 ; Boscher et al, 2020 ).…”

Section: Discussionsupporting

confidence: 92%

The relationship between psychological distress and cognitive failure among breast cancer survivors: a network analysis

Han,

Yan,

Xiong

et al. 2024

Front. Psychol.

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BackgroundPsychological distress is highly prevalent and has a severe impact on the quality of life among breast cancer survivors. This type of distress is associated with cognitive failure. However, previous studies have focused solely on the total scale scores of these two concepts while ignoring the unique relationship between specific components. In the present study, we utilized network analysis to explore the relationship between psychological distress and cognitive failure in breast cancer survivors.MethodsThe network analysis approach was adopted to estimate the regularized partial correlation network in a cross-sectional sample of 409 breast cancer survivors. All participants were assessed using the Depression Anxiety Stress Scale and the Cognitive Failure Questionnaire. The Gaussian Graphical Model was employed to estimate the network, centrality indices, and edge weights, providing a description of the characteristics of the network.ResultsThe results indicated that anxiety–stress and depression–stress were the strongest edges in the community of psychological distress. Distractibility–memory was the strongest edge in the community of cognitive failure. Distractibility and memory were the most central nodes, with the highest expected influence in the network. Depression and motor coordination acted as important bridge nodes with the highest bridge expected influence.ConclusionDistractibility and memory in cognitive failure played important roles in activating and maintaining the relationship network. Motor coordination was identified as the crucial pathway for the impact of cognitive failure on psychological distress. Interventions targeting these specific issues might be more effective in improving cognitive failure and reducing psychological distress among breast cancer survivors.

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Section: Discussionsupporting

confidence: 92%

The relationship between psychological distress and cognitive failure among breast cancer survivors: a network analysis

Han,

Yan,

Xiong

et al. 2024

Front. Psychol.

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“…In fact, the return to work in these socio-professional groups can be easier than elsewhere, but long-term or chronic functional cognitive deficiencies can impact their work performance and participation ( 52 ). Cognitive difficulties affect approximatively 30% of BC survivors ( 97 , 98 ) and can be more troublesome than physical side effects ( 52 , 99 ).…”

Section: Discussionmentioning

confidence: 99%

Breast cancer and occupation: Non-parametric and parametric net survival analyses among Swiss women (1990–2014)

Canu

Bovio

Arveux

et al. 2023

Front. Public Health

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IntroductionOccupation can contribute to differences in risk and stage at diagnosis of breast cancer. This study aimed at determining whether occupation, along with skill level and the socio-professional category, affect the breast cancer survival (BCS) up to 10 years after diagnosis.Materials and methodsWe used cancer registry records to identify women diagnosed with primary invasive breast cancer in western Switzerland over the period 1990–2014 and matched them with the Swiss National Cohort. The effect of work-related variables on BCS was assessed using non-parametric and parametric net survival methods.ResultsStudy sample included 8,678 women. In the non-parametric analysis, we observed a statistically significant effect of all work-related variables on BCS. Women in elementary occupations, with low skill level, and in paid employment not classified elsewhere, had the lowest BCS, while professionals, those with the highest skill level and belonging to top management and independent profession category had the highest BCS. The parametric analysis confirmed this pattern. Considering elementary occupations as reference, all occupations but Craft and related trades had a hazard ratio (HR) below 1. Among professionals, technicians and associate professionals, and clerks, the protective effect of occupation was statistically significant and remained unchanged after adjustment for age, calendar period, registry, nationality, and histological type. After adjusting for tumor stage, the HRs increased only slightly, though turned non-significant. The same effect was observed in top management and independent professions and supervisors, low level management and skilled laborers, compared to unskilled employees.ConclusionThese results suggest that work-related factors may affect BCS. Yet, this study was conducted using a limited set of covariates and a relatively small study sample. Therefore, further larger studies are needed for more detailed analyses of at risk occupations and working conditions and assessing the potential interaction between work-related variables and tumor stage.

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“…Typowymi dolegliwościami relacjonowanymi przez pacjenta są między innymi: zapominanie faktów, trudności ze skupieniem uwagi, spowolnienie myślenia, wydłużenie czasu reakcji czy trudności z wykonywaniem kilku czynności jednocześnie [48]. Kompilacja takich objawów może spowodować znaczny dyskomfort życia codziennego.…”

Section: Podsumowanieunclassified

Diagnosis of chemotherapy-related cognitive impairment

Dunaj¹,

Piechowicz²,

Kołodziejczyk³

et al. 2022

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Zaburzenia poznawcze mogą być skutkiem chemioterapii stosowanej wśród pacjentów onkologicznych. Ta dolegliwość, inaczej zwana chemobrain, obniża jakość codziennego życia wydłużonego dzięki chemioterapeutykom. Wydaje się za to odpowiadać neurotoksyczność stosowanych leków, skutkująca zaburzeniem struktury i funkcji tkanki nerwowej ośrodkowego układu nerwowego. Powstałe zmiany patologiczne są możliwe do wykrycia podczas właściwie przeprowadzonego procesu diagnostycznego. Obecnie nie istnieją konkretne wytyczne diagnostyki chemobrain, jednak obiecujące wydaje się wykorzystanie metod z zakresu psychologii, diagnostyki laboratoryjnej i obrazowej. Badania psychologiczne za pomocą wystandaryzowanych kwestionariuszy pozwalają obiektywnie ocenić objawy dysfunkcji poznawczych zgłaszane przez pacjenta. Analiza laboratoryjna płynów ustrojowych umożliwia wykrycie charakterystycznych biomarkerów, natomiast obrazowanie struktur ośrodkowego układu nerwowego pozwala wskazać patologiczne zmiany w regionach mózgu, skutkujące powstaniem opisywanych zaburzeń. Kluczową rolę w postawieniu właściwego rozpoznania klinicznego odgrywa badanie podmiotowe i przedmiotowe pacjenta onkologicznego po przebytej chemioterapii. Im wcześniej zostanie stwierdzone zaburzenie funkcji poznawczych, tym większa szansa osiągnięcia sukcesu terapeutycznego z zastosowaniem obecnie proponowanych metod leczniczych. W niniejszej publikacji przedstawiono przegląd dostępnej literatury na temat stosowanych metod diagnostyki chemobrain.

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Impact of psychosocial, behavioral and lifestyle factors on subjective cognitive complaints and perceived quality of life in a large cohort of Italian breast cancer patients

Cited by 9 publications

References 41 publications

The relationship between psychological distress and cognitive failure among breast cancer survivors: a network analysis

The relationship between psychological distress and cognitive failure among breast cancer survivors: a network analysis

Breast cancer and occupation: Non-parametric and parametric net survival analyses among Swiss women (1990–2014)

Diagnosis of chemotherapy-related cognitive impairment

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