Morning Fatigue Severity Profiles in Oncology Outpatients Receiving Chemotherapy

Cancer Nursing
Fay WrightKord M Kober

Abstract

Morning fatigue is a distinct symptom experienced during chemotherapy that demonstrates significant interindividual variability. The aims of this study were to identify subgroups with distinct morning fatigue profiles and evaluate how these subgroups differed by demographic, clinical, and symptom characteristics. Outpatients (N = 1332) with breast, gastrointestinal, gynecological, or lung cancer completed questionnaires 6 times over 2 cycles of chemotherapy. Morning fatigue was assessed with the Lee Fatigue Scale. Latent profile analysis was used to identify distinct morning fatigue profiles. Four morning fatigue profiles (ie, very low, low, high, and very high) were identified. In the high and very high classes, all 6 morning fatigue scores were higher than the clinical cutoff score. Compared with those in the very low and low classes, patients in the very high class were younger and not married/partnered; lived alone; had higher incomes, higher comorbidity, and higher body mass index; and did not exercise regularly. Across the 4 classes, functional status and attentional function scores decreased and anxiety, depression, sleep disturbance, morning fatigue, and evening fatigue scores increased across the 2 cycles. Results prov...Continue Reading

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Citations

Jan 21, 2020·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Fay WrightChristine Miaskowski
Oct 19, 2019·Oncology Nursing Forum·Diane Von AhMary E Cooley
Aug 10, 2020·Journal of Pain and Symptom Management·Mohammed Al MaqbaliMu'ath Ibrahim Tanash
Jan 18, 2021·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Yufen LinChristine Miaskowski
May 30, 2021·BMJ Supportive & Palliative Care·Yufen LinChristine Miaskowski
Jul 13, 2021·Fatigue : Biomedicine, Health & Behavior·Kord M KoberChristine Miaskowski
Jul 5, 2021·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Lisa MorseChristine Miaskowski
Jul 24, 2021·The Journal of Pain : Official Journal of the American Pain Society·Joosun ShinChristine Miaskowski

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