Effect of pretreatment distress on daily fatigue after chemotherapy for breast cancer

Autor: Sara C. Higgins, Dana H. Bovbjerg, Guy H. Montgomery
Rok vydání: 2007
Předmět:
Zdroj: Journal of Clinical Oncology. 25:9090-9090
ISSN: 1527-7755
0732-183X
DOI: 10.1200/jco.2007.25.18_suppl.9090
Popis: 9090 Background: Fatigue is one of the most frequently reported and aversive side effects of cancer chemotherapy. Prospective research has found that cancer patients’ levels of emotional distress prior to treatment are predictive of other side effects (e.g., nausea), but studies of such effects on fatigue are lacking. The present study prospectively tested the hypothesis that patients’ levels of emotional distress in the clinic prior to their first treatment infusion would predict the severity of their post-infusion fatigue. Methods: Sixty Stage I (32.6%) and II (67.4%) breast cancer patients (mean age=44.5 yrs), receiving standard outpatient chemotherapy (e.g., CMF), participated. The independent variable, emotional distress, was assessed (0–100) with a visual analog scale (VAS). The dependent variable, post treatment fatigue (PTF) was assessed (0–100) over each of the subsequent 6 days using end-of-day diaries, which also included assessment of distress (0–100). To explore temporal specificity, pretreatment distress was assessed for “last night”, “this morning” and “right now.” Results: Consistent with previous reports, PTF levels peaked at day 2 and began to decline after day 3, although they remained elevated across the period (p No significant financial relationships to disclose.
Databáze: OpenAIRE