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Trajectories of fatigue in cancer patients during psychological care.

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Title: Trajectories of fatigue in cancer patients during psychological care.
Authors: Lingens, Solveigh P., Hagedoorn, Mariët, Lei Zhu, Ranchor, Adelita V., van der Lee, Marije, Garssen, Bert, Schroevers, Maya J., Sanderman, Robbert, Goedendorp, Martine M.
Source: Psychology & Health. Aug2022, Vol. 37 Issue 8, p1002-1021. 20p. 2 Illustrations.
Subjects: Anxiety treatment, Structural equation modeling, Cancer patient psychology, Social perception, Cross-sectional method, Regression analysis, Severity of illness index, Comparative studies, Cancer fatigue, Mental depression, Repeated measures design, Descriptive statistics, Psychology of the sick, Cancer patient medical care, Psychiatric treatment, Longitudinal method, Evaluation
Geographic Terms: Netherlands
Abstract: Objective: Psycho-oncological institutions offer specialized care for cancer patients. Little is known how this care might impact fatigue. This study aimed to identify fatigue trajectories during psychological care, examined factors distinguishing these trajectories and predicted fatigue severity after nine months of psychological care. Design: Naturalistic, longitudinal study of 238 cancer patients receiving psycho-oncological care in the Netherlands. Data were collected before initiation of psychological care (T1) and three (T2) and nine months (T3) afterwards. Latent class growth analysis, repeated measure analyses (RMA) and linear regression analysis were performed. Main Outcome Measures: Fatigue severity: Checklist Individual Strength. Results: Three fatigue trajectories were identified: high-(30%), moderate-(62%) and low-level fatigue (8%). While statistically significant decreases in fatigue were found, this decrease was not clinically relevant. RMA showed main effects for time for fatigue trajectories on depression, anxiety, personal control and illness cognitions. Fatigue severity and physical symptoms at T1, but not demographic or clinical factors, were predictive of fatigue severity at T3. Conclusions: Fatigue is very common during psycho-oncological care, and notably not clinically improving. As symptoms of fatigue, depression, anxiety and physical symptoms often cluster, supplementary fatigue treatment should be considered when it is decided to treat other symptoms first. [ABSTRACT FROM AUTHOR]
Copyright of Psychology & Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Trajectories of fatigue in cancer patients during psychological care.
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  Data: <searchLink fieldCode="AR" term="%22Lingens%2C+Solveigh+P%2E%22">Lingens, Solveigh P.</searchLink><br /><searchLink fieldCode="AR" term="%22Hagedoorn%2C+Mariët%22">Hagedoorn, Mariët</searchLink><br /><searchLink fieldCode="AR" term="%22Lei+Zhu%22">Lei Zhu</searchLink><br /><searchLink fieldCode="AR" term="%22Ranchor%2C+Adelita+V%2E%22">Ranchor, Adelita V.</searchLink><br /><searchLink fieldCode="AR" term="%22van+der+Lee%2C+Marije%22">van der Lee, Marije</searchLink><br /><searchLink fieldCode="AR" term="%22Garssen%2C+Bert%22">Garssen, Bert</searchLink><br /><searchLink fieldCode="AR" term="%22Schroevers%2C+Maya+J%2E%22">Schroevers, Maya J.</searchLink><br /><searchLink fieldCode="AR" term="%22Sanderman%2C+Robbert%22">Sanderman, Robbert</searchLink><br /><searchLink fieldCode="AR" term="%22Goedendorp%2C+Martine+M%2E%22">Goedendorp, Martine M.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Psychology+%26+Health%22">Psychology & Health</searchLink>. Aug2022, Vol. 37 Issue 8, p1002-1021. 20p. 2 Illustrations.
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  Data: Objective: Psycho-oncological institutions offer specialized care for cancer patients. Little is known how this care might impact fatigue. This study aimed to identify fatigue trajectories during psychological care, examined factors distinguishing these trajectories and predicted fatigue severity after nine months of psychological care. Design: Naturalistic, longitudinal study of 238 cancer patients receiving psycho-oncological care in the Netherlands. Data were collected before initiation of psychological care (T1) and three (T2) and nine months (T3) afterwards. Latent class growth analysis, repeated measure analyses (RMA) and linear regression analysis were performed. Main Outcome Measures: Fatigue severity: Checklist Individual Strength. Results: Three fatigue trajectories were identified: high-(30%), moderate-(62%) and low-level fatigue (8%). While statistically significant decreases in fatigue were found, this decrease was not clinically relevant. RMA showed main effects for time for fatigue trajectories on depression, anxiety, personal control and illness cognitions. Fatigue severity and physical symptoms at T1, but not demographic or clinical factors, were predictive of fatigue severity at T3. Conclusions: Fatigue is very common during psycho-oncological care, and notably not clinically improving. As symptoms of fatigue, depression, anxiety and physical symptoms often cluster, supplementary fatigue treatment should be considered when it is decided to treat other symptoms first. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psychology & Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/08870446.2021.1916493
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        Text: English
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      – SubjectFull: Anxiety treatment
        Type: general
      – SubjectFull: Structural equation modeling
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      – SubjectFull: Cancer patient psychology
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      – SubjectFull: Cancer fatigue
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      – SubjectFull: Netherlands
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              Text: Aug2022
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