Fatigue in adolescents with cancer compared to healthy adolescents.
Fatigue in adolescents with cancer compared to healthy adolescents.
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DOI：
10.1002/pbc.24706
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发表时间：
2013-11
影响因子：
3.2
通讯作者：
Schwartz, Lisa A.
中科院分区：
文献类型：
--
作者：
Daniel, Lauren C.;Brumley, Lauren D.;Schwartz, Lisa A.
癌症相关疲劳是癌症治疗最普遍和最令人衰弱的副作用之一，青少年一直认为癌症相关疲劳是治疗中最令人痛苦的方面之一。由于疲劳在没有癌症的青少年中也很高，因此目前的研究旨在描述相对于对照组的青少年癌症患者的疲劳，并确定这种疲劳的关联。了解这一点对于了解癌症青少年相对于健康青少年的问题程度以及了解谁最有可能出现疲劳和相关痛苦非常重要。患有癌症的青少年及其照顾者（n =102）和没有慢性健康状况史的青少年及其照顾者（n =97）完成了多维疲劳量表和抑郁，生活质量（QoL），影响，应对和家庭功能的措施。与没有慢性健康状况的青少年相比，患有癌症的青少年及其照顾者在所有领域都报告了更多的青少年疲劳（除了青少年报告的认知疲劳）。高疲劳与青少年抑郁症状多、生活质量差、负性情感高、正性情感少和行为脱离应对方式显著相关。疲劳与积极应对或家庭功能无关。患有癌症的青少年比没有慢性健康状况的同龄人更容易感到疲劳。疲劳的报告与心理健康的多个指标密切相关，这表明疲劳可能是评估和管理改善青少年生活质量的重要癌症相关症状。
Cancer-related fatigue is one of the most pervasive and debilitating side-effects of cancer treatment and adolescents consistently rate cancer-related fatigue as one of the most distressing aspects of treatment. Because fatigue is also high in adolescents without cancer, the current study aims to describe fatigue in adolescents with cancer relative to a control group and to identify associates of such fatigue. Knowing this is important for understanding the extent of the problem in adolescents with cancer relative to healthy adolescents and for understanding who is most at risk for fatigue and related distress. Adolescents with cancer and their caregivers (n =102) and adolescents without a history of chronic health conditions and their caregivers (n =97) completed the Multidimensional Fatigue Scale and measures of depression, quality of life (QoL), affect, coping, and family functioning. Adolescents with cancer and their caregivers reported significantly more adolescent fatigue across all domains (with the exception of adolescent reports of cognitive fatigue) relative to adolescents without chronic health conditions. Higher fatigue was significantly related to adolescent report of more symptoms of depression, poorer QoL, higher negative affect, less positive affect, and behavioral disengagement coping style. Fatigue was not related to active coping or family functioning. Adolescents with cancer experience significantly more fatigue than peers without chronic health conditions. Reports of fatigue are closely related to multiple indicators of psychosocial well-being, suggesting that fatigue may be an important cancer-related symptom to assess and manage to improve adolescent QoL.
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