Women's experiences of cognitive changes or ‘chemobrain’ following treatment for breast cancer: A role for occupational therapy?

Player, Lucy; Mackenzie, Lynette; Willis, Karen; Loh, Siew Yim

doi:10.1111/1440-1630.12113

Cited by 57 publications

(65 citation statements)

References 28 publications

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“…Incluso algunos autores mencionan que estas personas pueden experimentar manifestaciones de estrés postraumático (11,12,15,46,47).…”

Section: Revisión Sistemática: Contexto Internacionalunclassified

“…Componente espiritual y ajustes para mejorar calidad de vida de pacientes en etapa terminal y con cuidadores (9)(10)(11)(12)22,28,29,31,45,57,58). En sobrevivientes: desacondicionamiento y fatiga relacionada con cáncer ('cancer-related fatigue'), mejora de función cognitiva (8,11,12,16,19,(32)(33)(34)44,46,59).…”

Section: Biosocialunclassified

“…Estrategias para expresión y manejo de aspectos socioemocionales asociados al diagnóstico y tratamiento: autoestima, imagen corporal, depresión, pasividad, agresividad, ansiedad, temores y afectación de roles ocupacionales (2,11,12,20,46,50). Explorar dimensión espiritual del paciente (11,12).…”

Section: Psicosocialunclassified

“…Retorno al trabajo (reintegro, adaptaciones): ante cambios o pérdidas de roles ocupacionales, especialmente productivos, y nueva condición del paciente; por ejemplo fatiga relacionada con cáncer entre supervivientes (17,18,46,(48)(49)(50)(51)(52)61). Orientar frente a nuevas opciones ocupacionales que tengan significado para el sobreviviente (50).…”

Section: Sociolaboralunclassified

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Terapia ocupacional en oncología: experiencias en prácticas académicas y revisión de literatura

2018

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RESUMENObjetivo Indagar sobre la formación de terapeutas ocupacionales en oncología en un programa universitario, e identificar literatura actualizada como evidencia para la formación y práctica profesional. Materiales y Métodos Estudio exploratorio transversal, con una muestra integrada por 29 estudiantes de terapia ocupacional de la Universidad Nacional de Colombia. Revisión sistemática de literatura 2010-2015, sobre intervenciones de terapia ocupacional en oncología. Resultados En la encuesta, menos de una cuarta parte de los estudiantes respondió haber recibido formación sobre manejo clínico de dicho diagnóstico, y sobre la intervención del terapeuta ocupacional con tales casos (24,1%). Poco más de dicho porcentaje (27,6%), ha tenido usuarios con cáncer en sus prácticas académicas. En la revisión de literatura no se encontraron publicaciones nacionales, aunque sí productos inéditos de universidades colombianas. Se recuperaron 54 trabajos internacionales, especialmente en rehabilitación, seguido de las áreas psicosocial y sociolaboral. El cuidado paliativo, la multidisciplinariedad, la experiencia subjetiva del paciente frente al diagnóstico y tratamiento, la atención humanizada e integral desde las diferentes áreas del quehacer terapéutico y el trabajo con cuidadores, se plantean como temas de relevancia profesional en el abordaje del paciente oncológico. Conclusiones Se aportan referentes para el desarrollo curricular de terapia ocupacional y para procesos de actualización profesional, de competencia de la academia y gremial. Es importante la intervención en cáncer no sólo durante, sino también mientras el tratamiento y posteriormente con supervivientes. Deben incentivarse las publicaciones profesionales, asegurando que arrojen evidencias potentes del impacto de la terapia ocupacional y de la rehabilitación oncológica.Palabras Clave: Terapia ocupacional; neoplasias; educación profesional; atención integral de salud (fuente: DeCS, BIREME). ABSTRACTObjective To inquire about the training of occupational therapists in oncology in a university program, and to identify updated literature as evidence for training and professional practice. Materials and Methods Cross-sectional exploratory study, with a sample of 29 students of occupational therapy from the National University of Colombia. Systematic review of literature 2010-2015 on occupational therapy interventions in oncology. Results In the survey, less than a quarter of the students reported having received training on clinical management of this diagnosis, and on the intervention of the occupational therapist with such cases (24.1%). Little more than this percentage (27.6%), has had users with cancer in their academic practices. In the literature review no national publications were found, although there were unpublished products from Colombian uni-

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“…Incluso algunos autores mencionan que estas personas pueden experimentar manifestaciones de estrés postraumático (11,12,15,46,47).…”

Section: Revisión Sistemática: Contexto Internacionalunclassified

Section: Biosocialunclassified

Section: Psicosocialunclassified

Section: Sociolaboralunclassified

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Terapia ocupacional en oncología: experiencias en prácticas académicas y revisión de literatura

2018

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“…49 Although 45%-93% of BCS choose to return to work within 12 months of diagnosis, cognitive impairments can make job-related duties more difficult and take longer to complete. [50][51][52][53] BCS' decision to return to work is influenced by cognitive impairments following treatment, self-awareness of cognitive impairments, and the impact of perceived cognitive impairments on their confidence to succeed at work. 54 BCS are more likely than their age-matched peers to experience changes in employment, including retirement, reduction of hours, and change of position.…”

Section: Breast Cancer Survivors and Employmentmentioning

confidence: 99%

The impact of employment on cognition and cognitive reserve: implications across diseases and aging

Vance¹,

Bail²,

Enah³

et al. 2016

NRR

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Employment requires one to learn new skills, establish a routine, and engage socially, all of which can also provide purpose or meaning to one's life and provide income. All of these can directly or indirectly bolster cognitive reserve, which may protect cognitive health, especially as one ages. Unfortunately, if one is incapacitated due to illness, such as depression, HIV, or other diseases and chronic conditions, it may necessitate reduction/withdrawal from employment, which could limit employment-induced cognitive health benefits. This article examines these issues within the framework of neuroplasticity and cognitive reserve, thus providing implications for practice and research for nurses and health care professionals.

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Adaptations to cognitive problems reported by breast cancer survivors seeking cognitive rehabilitation: A qualitative study

et al. 2019

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Objective: Qualitative studies have elucidated cancer survivors' experiences of cognitive changes associated with cancer and cancer treatment. This study specifically explored experiences of women treated for breast cancer who were seeking cognitive rehabilitation. The objective was to characterise the frequency and nature of cognitive changes and adaptations to cognitive change reported by these participants to better understand treatment needs of this group.Method: Australian women who had completed primary treatments for breast cancer (surgery, chemotherapy, and/or radiotherapy) and volunteered to participate in one of two cognitive rehabilitation intervention studies were interviewed via telephone. Interview responses regarding cognitive changes and adaptations to cognitive change were transcribed by the interviewers, then coded and analysed by two researchers using content analysis.Results: Among the 95 participants (age M=54.3 years, SD=9.6), the most commonly reported cognitive change was memory (79% of participants) and 61% reported more than one type of cognitive change. Adaptations to change were reported by 87% of participants, with written or electronic cues the most common (51%). Most often, participants reported using a single type of adaptation (48%) with only 39% reporting multiple types of adaptations. Conclusions:Women treated for breast cancer, who were seeking cognitive rehabilitation, most commonly reported memory changes, which were mainly managed through a single type of adaptation. These results suggest that there is considerable scope for increasing the range of cognitive adaptations to improve the quality of life of cancer survivors who experience adverse cognitive changes.

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Women's experiences of cognitive changes or ‘chemobrain’ following treatment for breast cancer: A role for occupational therapy?

Cited by 57 publications

References 28 publications

Terapia ocupacional en oncología: experiencias en prácticas académicas y revisión de literatura

Terapia ocupacional en oncología: experiencias en prácticas académicas y revisión de literatura

The impact of employment on cognition and cognitive reserve: implications across diseases and aging

Adaptations to cognitive problems reported by breast cancer survivors seeking cognitive rehabilitation: A qualitative study

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