Fatigue in Breast Cancer Survivors: Occurrence, Correlates, and Impact on Quality of Life

2000 ◽  
Vol 18 (4) ◽  
pp. 743-743 ◽  
Author(s):  
Julienne E. Bower ◽  
Patricia A. Ganz ◽  
Katherine A. Desmond ◽  
Julia H. Rowland ◽  
Beth E. Meyerowitz ◽  
...  
Keyword(s):  
Breast Cancer ◽  
General Population ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Reference Group ◽  
Depression Scale ◽  
Epidemiological Studies ◽  
Survey Study ◽  
Breast Cancer Prevention Trial ◽  
Persistent Fatigue

PURPOSE: To describe the occurrence of fatigue in a large sample of breast cancer survivors relative to general population norms and to identify demographic, medical, and psychosocial characteristics of fatigued survivors. PATIENTS AND METHODS: Breast cancer survivors in two large metropolitan areas completed standardized questionnaires as part of a survey study, including the RAND 36-item Health Survey, Center for Epidemiological Studies–Depression Scale, Breast Cancer Prevention Trial Symptom Checklist, Medical Outcomes Study Sleep Scale, and demographic and treatment-related measures. RESULTS: On average, the level of fatigue reported by the breast cancer survivors surveyed (N = 1,957) was comparable to that of age-matched women in the general population, although the breast cancer survivors were somewhat more fatigued than a more demographically similar reference group. Approximately one third of the breast cancer survivors assessed reported more severe fatigue, which was associated with significantly higher levels of depression, pain, and sleep disturbance. In addition, fatigued women were more bothered by menopausal symptoms and were somewhat more likely to have received chemotherapy (with or without radiation therapy) than nonfatigued women. In multivariate analyses, depression and pain emerged as the strongest predictors of fatigue. CONCLUSION: Although the majority of breast cancer survivors in this large and diverse sample did not experience heightened levels of fatigue relative to women in the general population, there was a subgroup of survivors who did report more severe and persistent fatigue. We identified characteristics of these women that may be helpful in elucidating the mechanisms underlying fatigue in this population, as well as directing intervention efforts.

Family issues in breast cancer survivors with persistent fatigue

2010 ◽  
Author(s):  
Julianne Oktay ◽  
Melissa Bellin ◽  
Susan Scarvalone ◽  
Susan Appling ◽  
Ryan MacDonald ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Family Issues ◽  
Persistent Fatigue

scholarly journals Inflammatory Biomarkers for Persistent Fatigue in Breast Cancer Survivors

2006 ◽  
Vol 12 (9) ◽  
pp. 2759-2766 ◽  
Author(s):  
Alicia Collado-Hidalgo ◽  
Julienne E. Bower ◽  
Patricia A. Ganz ◽  
Steve W. Cole ◽  
Michael R. Irwin
Keyword(s):  
Breast Cancer ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Inflammatory Biomarkers ◽  
Persistent Fatigue

scholarly journals All-Cause and Cardiovascular Disease Mortality Among Breast Cancer Survivors in CLUE II, a Long-Standing Community-Based Cohort

2020 ◽  
Author(s):  
Cody Ramin ◽  
Marcy L Schaeffer ◽  
Zihe Zheng ◽  
Avonne E Connor ◽  
Judith Hoffman-Bolton ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cardiovascular Disease ◽  
Estrogen Receptor ◽  
General Population ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Risk Of Death ◽  
Free Women ◽  
Related Mortality ◽  
Cvd Mortality

Abstract Background There is growing evidence that breast cancer survivors have higher cardiovascular disease (CVD) mortality relative to the general population. Information on temporal patterns for all-cause and CVD mortality among breast cancer survivors relative to cancer-free women is limited. Methods All-cause and CVD-related mortality were compared in 628 women with breast cancer and 3140 age-matched cancer-free women within CLUE II, a prospective cohort. We calculated adjusted hazard ratios (HRs) and 95% confidence intervals (CIs) using Cox proportional hazards regression for all-cause mortality, and Fine and Gray models for CVD-related mortality to account for competing risks. Results Over 25 years of follow-up, 916 deaths occurred (249 CVD related). Breast cancer survivors had an overall higher risk of dying compared with cancer-free women (HR = 1.79, 95% CI = 1.53 to 2.09) irrespective of time since diagnosis, tumor stage, estrogen receptor status, and older age at diagnosis (≥70 years). Risk of death was greatest among older survivors at more than 15 years after diagnosis (HR = 2.69, 95% CI = 1.59 to 4.55). CVD (69.1% ischemic heart disease) was the leading cause of death among cancer-free women and the second among survivors. Survivors had an increase in CVD-related deaths compared with cancer-free women beginning at 8 years after diagnosis (HR = 1.65, 95% CI = 1.00 to 2.73), with the highest risk among older survivors (HR = 2.24, 95% CI = 1.29 to 3.88) and after estrogen receptor-positive disease (HR = 1.85, 95% CI = 1.06 to 3.20). Conclusions Breast cancer survivors continue to have an elevated mortality compared with the general population for many years after diagnosis. Preventing cardiac deaths, particularly among older breast cancer patients, could lead to reductions in mortality.

scholarly journals Differences in Eysenck’s Personality Dimensions between a Group of Breast Cancer Survivors and the General Population

2019 ◽  
Vol 16 (7) ◽  
pp. 1240 ◽  
Author(s):  
Francisco García-Torres ◽  
Rosario Castillo-Mayén
Keyword(s):  
Breast Cancer ◽  
General Population ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Breast Conserving Therapy ◽  
Control Group ◽  
Eysenck Personality Questionnaire ◽  
Survivor Group ◽  
Demographic Questionnaire ◽  
Physical Consequences

Cancer may influence personality in patients and survivors. However, the possible relations between the treatments that the patients have undergone and the personality in survivors are not clear. This study aimed to establish the differences in personality between a group of breast cancer survivors and a control group, and to test the predictive utility of the treatments on the personality traits in survivors. Thirty breast cancer survivors and thirty participants from the general population completed the Eysenck personality questionnaire-revised (EPQ-R) and a socio-demographic questionnaire. Survivors had lower scores on extraversion and higher scores on neuroticism than the control group, but these differences were not significant. However, differences in psychoticism were significant, with higher scores in the survivor group. Breast-conserving therapy predicted extraversion while breast reconstruction predicted psychoticism. These results suggest that the physical consequences of surgery may lead to social and psychological impairments in this group of patients.

Risk of death from cardiovascular disease in long-term breast cancer survivors: A comparison with women from the general population.

2014 ◽  
Vol 32 (15_suppl) ◽  
pp. 1534-1534 ◽  
Author(s):  
Milada Cvancarova ◽  
Kristin V Reinertsen ◽  
Marit B Veieroed ◽  
Michael Vaeth ◽  
Petter Laake ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cardiovascular Disease ◽  
General Population ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Risk Of Death

scholarly journals Development of a FFQ for breast cancer survivors in Korea

2016 ◽  
Vol 116 (10) ◽  
pp. 1781-1786 ◽  
Author(s):  
Woo-kyoung Shin ◽  
Sihan Song ◽  
Eunkyung Hwang ◽  
Hyeong-Gon Moon ◽  
Dong-Young Noh ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Cancer Recurrence ◽  
Epidemiological Studies ◽  
Cancer Prognosis ◽  
Breast Cancer Surgery ◽  
Breast Cancers ◽  
Dietary Records

AbstractDiet may play an important role in breast cancer recurrence or survival, and therefore assessment of long-term diet among breast cancer survivors is important in breast cancer survivorship research. Given that the diet of breast cancer survivors may differ from that of the general population, the use of a FFQ specific to this group may be needed. The objective of this study was to develop a FFQ for breast cancer survivors, the most commonly used tool to measure long-term dietary patterns in nutritional epidemiological studies. We collected information on the foods and amounts of foods consumed using 3-d dietary records from a total of 192 women who had been diagnosed with stage I–III breast cancers and had undergone breast cancer surgery at least 6 months before the baseline study. A total of 1254 foods and dishes consumed were re-grouped by the similarity of the main ingredients and/or serving units, and several dishes commonly consumed among the Korean population were added. After we performed contribution analyses and variability analyses to detect between-person variation for selected nutrients, we listed a total of 123 foods and dishes for the FFQ specific to breast cancer survivors. Our breast cancer survivor-specific FFQ can be used to estimate long-term dietary intake and to examine its association with breast cancer prognosis in epidemiological studies of breast cancer in Korea.

scholarly journals Using Anchoring Vignettes in the Evaluation of Breast Cancer Survivors' Quality of Life

Breast Care ◽  
2017 ◽  
Vol 12 (1) ◽  
pp. 33-37 ◽  
Author(s):  
Andreas Hinz
Keyword(s):  
Breast Cancer ◽  
General Population ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Response Shift ◽  
Health State ◽  
State Of Health ◽  
Anchoring Vignettes ◽  
Promising Tool ◽  
Self Assessed Health

Background: Breast cancer survivors often rate their general health as good even though they experience detriments in functioning and multiple symptoms. The hypothesis of this study is that breast cancer survivors changed their frames of reference for evaluating their own health. Methods: A sample of 308 breast cancer survivors were asked to assess their state of health on a 0-100 scale. In addition, 2 vignettes (fictional persons suffering from various health complaints) were designed. The cancer survivors were asked to assess the health of the characters in these vignettes as well. A sample of the general population (n = 639) served as controls. Results: There were only marginal differences between the cancer survivors (M = 65.8) and the controls (M = 65.5) in how they assessed their own state of health. However, the cancer survivors rated the vignette character with physical problems as being significantly healthier compared to the general population (effect size: d = 0.55). The group differences in the assessment of the vignette character with mental problems was markedly lower (d = 0.12). Conclusions: It is not sufficient to assess the general self-assessed health state of cancer survivors. Anchoring vignettes are a promising tool for use in correcting for response shift effects.

scholarly journals Yoga for Persistent Fatigue in Breast Cancer Survivors: Results of a Pilot Study

2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
Julienne E. Bower ◽  
Deborah Garet ◽  
Beth Sternlieb
Keyword(s):  
Breast Cancer ◽  
Pilot Study ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Controlled Trial ◽  
Post Intervention ◽  
Medical Problems ◽  
Beneficial Effects ◽  
Evidence Based Treatments ◽  
Persistent Fatigue

Approximately one-third of breast cancer survivors experiences persistent fatigue for months or years after successful treatment completion. There is a lack of evidence-based treatments for cancer-related fatigue, particularly among cancer survivors. This single-arm pilot study evaluated the feasibility and preliminary efficacy of a yoga intervention for fatigued breast cancer survivors based on the Iyengar tradition. Iyengar yoga prescribes specific poses for individuals with specific medical problems and conditions; this trial emphasized postures believed to be effective for reducing fatigue among breast cancer survivors, including inversions and backbends performed with the support of props. Twelve women were enrolled in the trial, and 11 completed the full 12-week course of treatment. There was a significant improvement in fatigue scores from pre- to post-intervention that was maintained at the 3-month post-intervention followup. Significant improvements were also observed in measures of physical function, depressed mood, and quality of life. These results support the acceptability of this intervention and suggest that it may have beneficial effects on persistent post-treatment fatigue. However, results require replication in a larger randomized controlled trial.

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