Factors correlated with fatigue in disease-free breast cancer patients: application of the Cancer Fatigue Scale

被引:151
作者
Okuyama, T
Akechi, T
Kugaya, A
Okamura, H
Imoto, S
Nakano, T
Mikami, I
Hosaka, T
Uchitomi, Y
机构
[1] Natl Canc Ctr Res Inst E, Psychooncol Div, Chiba 2778577, Japan
[2] Natl Canc Ctr Hosp E, Div Psychiat, Chiba 2778577, Japan
[3] Natl Canc Ctr Hosp E, Div Breast Surg, Chiba 2778577, Japan
[4] Tokai Univ, Sch Med, Dept Psychiat & Behav Sci, Kanagawa 2591193, Japan
[5] Natl Canc Ctr, Div Psychiat, Chuo Ku, Tokyo 1040015, Japan
关键词
cancer; fatigue; depression; symptom management; quality of life;
D O I
10.1007/s005200050288
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Fatigue is one of the most frequent symptoms in cancer patients. However, the precise causes of this fatigue are still unknown, and this situation makes it difficult to combat the problem. The present study was conducted to investigate factors correlated with fatigue in disease-free breast cancer patients. A group of 134 randomly selected ambulatory breast cancer patients who had undergone successful surgical treatment participated. They completed the Cancer Fatigue Scale, the Hospital Anxiety and Depression Scale, the Mental Adjustment to Cancer Scale, and an ad hoc questionnaire detailing physical symptoms, social support, and demographic variables at home and returned them by mail the following day. Multiple regression analysis revealed that fatigue was significantly correlated with dyspnea, insufficient sleep, and depression, and that these three variables accounted for a total of 46% of variance in fatigue. Factors concerned with the cancer and treatment, such as disease stage, lymph node metastasis, number of days since operation, past intravenous chemotherapy, radiotherapy, current use of fluoropyrimidine compounds, and current use of tamoxifen citrate were not correlated with fatigue. The results suggest that fatigue in this population is determined by current physical and psychological distress rather than by the cancer itself and prior cancer treatments, and that the manage ment of dyspnea, insomnia, and depression might be important in reducing fatigue in this population.
引用
收藏
页码:215 / 222
页数:8
相关论文
共 38 条
[1]   Fatigue and its associated factors in ambulatory cancer patients: A preliminary study [J].
Akechi, T ;
Kugaya, A ;
Okamura, H ;
Yamawaki, S ;
Uchitomi, Y .
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 1999, 17 (01) :42-48
[2]  
Akechi T, 1997, JAPANESE J PSYCHIAT, V12, P1065
[3]   A Canadian survey of cancer patients' experiences: Are their needs being met? [J].
Ashbury, FD ;
Findlay, H ;
Reynolds, B ;
McKerracher, K .
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 1998, 16 (05) :298-306
[4]   LATE EFFECTS OF ADJUVANT CHEMOTHERAPY AND POSTOPERATIVE RADIOTHERAPY ON QUALITY-OF-LIFE AMONG BREAST-CANCER PATIENTS [J].
BERGLUND, G ;
BOLUND, C ;
FORNANDER, T ;
RUTQVIST, LE ;
SJODEN, PO .
EUROPEAN JOURNAL OF CANCER, 1991, 27 (09) :1075-1081
[5]   HISTOLOGICAL GRADING AND PROGNOSIS IN BREAST CANCER - A STUDY OF 1409 CASES OF WHICH 359 HAVE BEEN FOLLOWED FOR 15 YEARS [J].
BLOOM, HJG ;
RICHARDSON, WW .
BRITISH JOURNAL OF CANCER, 1957, 11 (03) :359-&
[6]  
Brown M L, 1986, Oncol Nurs Forum, V13, P19
[7]   THE INFLUENCE OF PSYCHOLOGICAL STATUS ON RESPIRATORY SYMPTOM REPORTING [J].
DALES, RE ;
SPITZER, WO ;
SCHECHTER, MT ;
SUISSA, S .
AMERICAN REVIEW OF RESPIRATORY DISEASE, 1989, 139 (06) :1459-1463
[8]   Dyspnea in the advanced cancer patient [J].
Dudgeon, DJ ;
Lertzman, M .
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 1998, 16 (04) :212-219
[9]   The lived experience of cardiac disease [J].
Margolis, Stephen A. .
AUSTRALIAN JOURNAL OF GENERAL PRACTICE, 2022, 51 (09) :645-645
[10]   Dyspnea: Assessment and treatment [J].
Farncombe, M .
SUPPORTIVE CARE IN CANCER, 1997, 5 (02) :94-99