scholarly journals Cancer-related fatigue: the role of demographic and medical factors, symptom severity, illness perceptions, and coping strategies in testing Leventhal’s Common Sense Model in ovarian cancer patients

2021 ◽  
Author(s):  
Crystal Hare

Cancer-related fatigue (CRF) is the most common symptom among cancer patients. Up to 58% of ovarian cancer (OC) patients report debilitating fatigue. Yet, the risks for developing CRF remain poorly understood. The way patients’ perceive and cope with their symptoms may help to understand CRF. Leventhal’s Common Sense Model of Illness Perceptions was used to evaluate the effects of patients’ cancer-related perceptions on fatigue, using positive and negative coping strategies as mediators. OC patients (N = 283) completed self-report questionnaires. Results revealed that younger age, being unemployed, and greater anxiety, pain, nausea, and sleep dissatisfaction were associated with worse fatigue. Additionally, two illness perceptions, greater illness identity and consequences, were associated with worse fatigue. Indirect effect analyses revealed personal and treatment control to have an indirect effect on fatigue through positive coping. Implications for the CRF literature and relevance to OC patients are discussed.

2021 ◽  
Author(s):  
Crystal Hare

Cancer-related fatigue (CRF) is the most common symptom among cancer patients. Up to 58% of ovarian cancer (OC) patients report debilitating fatigue. Yet, the risks for developing CRF remain poorly understood. The way patients’ perceive and cope with their symptoms may help to understand CRF. Leventhal’s Common Sense Model of Illness Perceptions was used to evaluate the effects of patients’ cancer-related perceptions on fatigue, using positive and negative coping strategies as mediators. OC patients (N = 283) completed self-report questionnaires. Results revealed that younger age, being unemployed, and greater anxiety, pain, nausea, and sleep dissatisfaction were associated with worse fatigue. Additionally, two illness perceptions, greater illness identity and consequences, were associated with worse fatigue. Indirect effect analyses revealed personal and treatment control to have an indirect effect on fatigue through positive coping. Implications for the CRF literature and relevance to OC patients are discussed.


2010 ◽  
Vol 29 (1) ◽  
pp. 56-64 ◽  
Author(s):  
Ad A. Kaptein ◽  
Jessica Bijsterbosch ◽  
Margreet Scharloo ◽  
Sarah E. Hampson ◽  
Herman M. Kroon ◽  
...  

2010 ◽  
Vol 15 (4) ◽  
pp. 887-903 ◽  
Author(s):  
Maarten Fischer ◽  
Margreet Scharloo ◽  
Jannie Abbink ◽  
Alex 't Hul ◽  
Dirk Ranst ◽  
...  

2018 ◽  
Vol 24 (11) ◽  
pp. 1461-1472
Author(s):  
Heidi Willemse ◽  
Margot van der Doef ◽  
Henriët van Middendorp

Applying the Common Sense Model, this cross-sectional study examines associations between illness perceptions and quality of life and the mediating role of coping in 243 adults with alopecia areata, a chronic dermatological condition. At least some QoL impairment was reported by 84 percent of participants, with 31 percent reporting very to extremely large impairment. Stronger perceptions of consequences, emotional representations, identity, and lower attribution to chance were related to more impairment, with avoidant coping acting as (partial) mediator. Illness perceptions and avoidant coping seem to play an important role in QoL and are relevant intervention targets in alopecia areata.


2019 ◽  
Vol 24 (3) ◽  
pp. 546-563 ◽  
Author(s):  
Cara Haines ◽  
Maria Loades ◽  
Cara Davis

Background: The common sense model (CSM) proposes that illness perceptions guide coping and illness management, which subsequently affects outcomes. Chronic fatigue syndrome (CFS) is associated with severe functional impairment. CFS is distinct from other physical health conditions in that individuals can experience high levels of uncertainty, stigma and disbelief from others. This study aimed to compare illness perceptions in adolescents with CFS with other physical health conditions, using a cross-sectional, between-groups design. Methods: Adolescents (aged 11–18) with CFS ( n = 49), type 1 diabetes ( n = 52) and juvenile idiopathic arthritis ( n = 42) were recruited through National Health Service (NHS) clinics and online, and completed a series of questionnaires. Results: Adolescents with CFS differed on the perceived consequences, timeline, personal control, treatment control, identity and understanding dimensions of illness perceptions. Except for identity, these dimensions were predicted by health condition even when accounting for age, gender, fatigue, physical functioning, anxiety and depression. Conclusions: Results offer preliminary evidence for the applicability of the CSM in adolescents, with implications for supporting adolescents with physical health conditions. Results suggest that psychological interventions targeting perceived control, understanding and identity may have particular utility for adolescents with CFS.


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