Loneliness in patients with cancer: the first year after cancer diagnosis

Deckx, Laura; Akker, Marjan van den; Driel, Mieke van; Bulens, Paul; Abbema, Doris van; Tjan‐Heijnen, Vivianne C. G.; Kenis, Cindy; Jonge, Eric T. de; Houben, Bert; Buntinx, Frank

doi:10.1002/pon.3818

Cited by 38 publications

(39 citation statements)

References 32 publications

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“…64 Furthermore, a longitudinal study of 115 cancer survivors and noncancer controls found that loneliness predicted increases in fatigue in both groups over time. 65 Although we are characterizing loneliness here as a risk factor that may have predated the cancer diagnosis, it is also possible that cancer and associated symptoms, including fatigue, may precipitate feelings of social isolation 66 ; longitudinal research is required to disentangle these pathways.…”

Section: Lonelinessmentioning

confidence: 99%

The role of neuro‐immune interactions in cancer‐related fatigue: Biobehavioral risk factors and mechanisms

Bower

2019

Cancer

142

120

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Fatigue is a common and distressing symptom in both patients with cancer and cancer survivors. There is substantial variation in the severity and persistence of cancer‐related fatigue that may be driven by individual differences in host factors, including characteristics that predate the cancer experience as well as responses to cancer and its treatment. This review examines biobehavioral risk factors linked to fatigue and the mechanisms through which they influence fatigue across the cancer continuum, with a focus on neuro‐immune processes. Among psychosocial risk factors, childhood adversity is a strong and consistent predictor of cancer‐related fatigue; other risk factors include history of depression, catastrophizing, lack of physical activity, and sleep disturbance, with compelling preliminary evidence for loneliness and trait anxiety. Among biologic systems, initial work suggests that alterations in immune, neuroendocrine, and neural processes are associated with fatigue. The identification of key risk factors and underlying mechanisms is critical for the development and deployment of targeted interventions to reduce the burden of fatigue in the growing population of cancer survivors. Given the multidimensional nature of fatigue, interventions that influence multiple systems may be most effective.

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Section: Lonelinessmentioning

confidence: 99%

The role of neuro‐immune interactions in cancer‐related fatigue: Biobehavioral risk factors and mechanisms

Bower

2019

Cancer

142

120

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“…For well‐being, we studied psychological well‐being and physical health with tools that are widely used in the literature. A more in‐depth description of the tools can also be found in previous publications from the Klimop study …”

Section: Methodsmentioning

confidence: 99%

“…A more in-depth description of the tools can also be found in previous publications from the Klimop study. 12,13,16 For psychological well-being, we considered depression, loneliness, and distress measured with the Geriatric Depression Scale for woman, range: 0-5 for men). 24 Dependence in 1 or more domains of ADL and IADL was defined as having an impairment.…”

Section: Well-beingmentioning

confidence: 99%

The influence of coping strategies on subsequent well‐being in older patients with cancer: A comparison with 2 control groups

et al. 2017

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“…A diagnosis of cancer and subsequent treatment can have a substantial effect on the well-being of patients and their need for home care. As shown in our recent work, patients with cancer have increased levels of depression, loneliness, and increasing difficulties in cognitive functioning over the course of one year [ 10 , 11 ]. In light of this, we expect to see significant transitions in care after a diagnosis of cancer.…”

Section: Introductionmentioning

confidence: 99%

The utilization of formal and informal home care by older patients with cancer: a Belgian cohort study with two control groups

Baitar

Buntinx

Burghgraeve

et al. 2017

BMC Health Serv Res

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BackgroundThe purpose of this paper is to analyse the utilization of formal and informal home care among older patients with cancer (OCP) and to compare this with middle-aged patients with cancer (MCP) and older patients without cancer (ONC). Additionally, we examined predictors of transitions towards formal care one year after a cancer diagnosis.MethodsOCP and MCP had to be recruited within three months after a cancer diagnosis and have an estimated life expectancy over six months. ONC consisted of patients without known cancer, seen by the general practitioner. Formal and informal care were compared between the patient groups at baseline, i.e. shortly after a cancer diagnosis and changes in care were studied after one year.ResultsA total of 844 patients were evaluable for formal care at baseline and 469 patients (56%) at follow-up. At baseline, about half of older adults and 18% of MCP used formal care, while about 85% of cancer patients and 57% ONC used informal care. Formal care increased for all groups after one year though not significantly in OCP. The amount of informal care only changed in MCP which decreased after one year. Cancer-related factors and changes in need factors predict a transition towards formal care after a cancer diagnosis.ConclusionsA cancer diagnosis has a different impact on the use of formal and informal care than ageing as such. The first year after a cancer diagnosis is an important time to follow-up on the patients’ needs for home care.Electronic supplementary materialThe online version of this article (10.1186/s12913-017-2594-4) contains supplementary material, which is available to authorized users.

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Loneliness in patients with cancer: the first year after cancer diagnosis

Abstract: Loneliness, in particular emotional loneliness, is a common problem in cancer patients, and its frequency changes considerably over time.

Cited by 38 publications

References 32 publications

The role of neuro‐immune interactions in cancer‐related fatigue: Biobehavioral risk factors and mechanisms

The role of neuro‐immune interactions in cancer‐related fatigue: Biobehavioral risk factors and mechanisms

The influence of coping strategies on subsequent well‐being in older patients with cancer: A comparison with 2 control groups

The utilization of formal and informal home care by older patients with cancer: a Belgian cohort study with two control groups

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