Assessment of cancer-related fatigue: Implications for clinical diagnosis and treatment

Assessment of cancer-related fatigue: Implications for clinical diagnosis and treatment
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DOI:
10.1634/theoncologist.12-s1-11
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发表时间:
2007-01-01
期刊:
影响因子:
5.8
通讯作者:
Morrow, Gary R.
Morrow, Gary R.
中科院分区:
医学2区
文献类型:
--
作者:
Jean-Pierre, Pascal;Figueroa-Moseley, Colmar D.;Morrow, Gary R.

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癌症相关性疲劳(CRF)是大多数癌症患者在治疗期间和治疗后相当长一段时间内经历的一种非常普遍和使人衰弱的症状。认识到CRF对患者的心理社会和认知功能以及他们的生活质量的重要性,已经推动了广泛的评估工具的开发,用于筛查和诊断CRF。超过20种不同的措施已被用于评估CRF从一维或多维的角度。一维测量通常是单一问题量表,通常侧重于确定CRF的发生和严重程度,而多维测量也可以检查CRF在身体,社会情感和认知功能的几个领域的影响。本文提供了一个概述和批评的措施,通常用于评估CRF。单一问题评估是最常用和最有用的方法。还讨论了促进CRF可靠评估的策略。
Cancer-related fatigue (CRF) is a highly prevalent and debilitating symptom experienced by most cancer patients during, and often for considerable periods after, treatment. The recognition of the importance of CRF to patients' psychosocial and cognitive functioning, as well as to their quality of life, has driven the development of a wide range of assessment tools for screening and diagnosis of CRF. Over 20 different measures have been used to assess CRF from either a unidimensional or multidimensional perspective. Unidimensional measures are often single-question scales that generally focus on identifying the occurrence and severity of CRF, whereas multidimensional measures may also examine the effect of CRF across several domains of physical, socio-emotional, and cognitive functioning. This paper provides an overview and critique of measures commonly used to assess CRF. Single-question assessment is the most commonly used and the most useful methodology. Strategies to facilitate reliable assessment of CRF are also discussed.