Symptom cluster of emotional distress, fatigue and cognitive difficulties among young and older breast cancer survivors: The mediating role of subjective stress

Journal of Geriatric Oncology
Inbar LevkovichGeorgeta Fried

Abstract

To examine the nature of the symptom cluster of emotional distress, fatigue, and cognitive difficulties in young and older breast cancer survivors (BCS); To assess the mediating role of subjective stress and coping strategies (emotional control and meaning-focused coping) in the association between age and symptom cluster. Participants were 170 BCS, stages I-III, 1-12 months post-chemotherapy, filled-out the Fatigue, Emotional Control, Meaning-focused Coping, Emotional Distress and the Cognitive Difficulties Questionnaires. Statistical analyses included tests for difference between-groups Pearson correlations and Structural Equation Modeling for the assessment of the study model. Older BCS (aged 60-82) reported lower levels of emotional distress (M = 0.87, SD = 0.87), fatigue (M = 3.85, SD = 2.38), and cognitive difficulties (M = 1.17, SD = 1.07) compared to the younger BCS (aged 24-59) (emotional distress M = 1.17, SD = 0.85, fatigue M = 5.02, SD = 2.32, and cognitive difficulties M = 1.66, SD = 1.23, p < .01-,05). The older survivors reported lower levels of subjective stress and used more emotional control strategies compared to the younger BCS. The empirical model had good fit indices (χ2 = 27.60, p = 0.20, χ2/df = 1.26; CF...Continue Reading

Citations

Dec 7, 2018·Breast Cancer Research and Treatment·Steven S CoughlinJudith Anglin
Apr 3, 2020·Cancer Control : Journal of the Moffitt Cancer Center·Jessica L Krok-SchoenMaryam B Lustberg
Apr 14, 2020·Psycho-oncology·Lindsey L HansonDiane K Ehlers
Aug 23, 2020·International Journal of Environmental Research and Public Health·Hyesun Park, Kisook Kim
Sep 7, 2019·Health Psychology Open·Bethany ChapmanNazanin Derakshan
Sep 26, 2020·Frontiers in Medicine·Nevena ZubcevikLisa J Wood
Jul 11, 2019·Oncology Letters·Artemis PapanastasiouAnna Koumarianou
Oct 4, 2019·BJGP Open·Stephanie DauphinMarjan van den Akker
Sep 16, 2019·European Journal of Oncology Nursing : the Official Journal of European Oncology Nursing Society·Leticia SanchezAna M Sahagun
Feb 13, 2021·Journal of Primary Care & Community Health·Inbar LevkovichMordechai Alperin
Apr 15, 2021·Health & Social Care in the Community·Dana YagilMiri Cohen
Oct 21, 2020·International Journal of Psychophysiology : Official Journal of the International Organization of Psychophysiology·Miri CohenShimon Pollack
Jan 19, 2020·Journal of Pain and Symptom Management·Carmen KohlerMaria C Katapodi
Jul 31, 2021·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Yao LiuXiongzhao Zhu

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