The impact of cognitive impairment on self-regulatory styles in breast cancer survivors.
The impact of cognitive impairment on self-regulatory styles in breast cancer survivors.
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DOI：
10.1002/pon.5633
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发表时间：
2021-06
期刊：
影响因子：
3.6
通讯作者：
Lin JJ
中科院分区：
文献类型：
--
作者：
Becker JH;Ezratty C;Jahan N;Goel M;Harris YT;Lin JJ
认知障碍(CI)在乳腺癌幸存者(BC)中非常普遍，并可能成为促进健康行为的障碍。然而，CI可能影响自我调节或实施此类行为的动机的方式尚未被探索。我们评估了有CI的BCS是否比没有CI的BCS报告了更强的外部自我调节，以及在控制了抑郁之后这种关系是否持续。我们招募了患有糖尿病的BCS，并评估了执行健康的糖尿病管理行为(例如，饮食和锻炼)的认知和动机。参与者完成了一组认知电池，评估注意力、工作记忆、执行功能(EF)、处理速度(PS)、语言和记忆。治疗自我调节问卷(TSRQ)评估内在动机和外在动机。抑郁由流行病学研究中心抑郁量表上的≥16分确定。Wilcoxon秩和检验比较CI和TSRQ得分之间的相关性。参与者为118名老年人(平均年龄65岁)。有CI的受试者在注意力(p<；0.01)、PS(p=0.01)、EF(p<；0.01)、语言(p=0.02；p=0.04)和记忆(p=0.04；p=0.03)领域的外在自我调节得分高于无CI的受试者。在调整了抑郁因素后，CI与较高的外部自我调节分数之间的关系仍然显著。患有CI的BCS似乎更依赖于外部来源的动机来执行健康行为，而不考虑抑郁症。未来改善健康行为的研究和干预应该考虑筛查CI，并让CI患者的照顾者参与进来，以改善结果。
Cognitive impairment (CI) is highly prevalent in breast cancer survivors (BCS), and can be a barrier to health-promoting behaviours. However, the ways in which CI may affect self-regulation or motivation to perform such behaviours have not been explored. We assessed if BCS with CI report greater extrinsic self-regulation compared to those without CI and if this relationship persists after controlling for depression. We recruited BCS with diabetes and assessed cognition and motivation to perform healthy diabetes management behaviours (e.g., diet and exercise). Participants completed a cognitive battery evaluating attention, working memory, executive functioning (EF), processing speed (PS), language and memory. The Treatment Self-Regulation Questionnaire (TSRQ) assessed intrinsic versus extrinsic motivation. Depression was determined by a score ≥16 on the Center for Epidemiological Studies Depression Scale. Wilcoxon rank-sum test compared associations between CI and TSRQ scores. Participants were 118 older adults (mean age 65 years). Participants with CI in the following domains had higher extrinsic self-regulation scores compared to those without CI: attention (p < 0.01), PS (p = 0.01), EF (p < 0.01), language (p = 0.02; p = 0.04) and memory (p = 0.04; p = 0.03). After adjusting for depression, the relationship between CI and higher extrinsic self‐regulation scores remained significant. BCS with CI appear to rely more on external sources of motivation to perform health behaviours, regardless of depression. Future studies and interventions to improve health behaviours should consider screening for CI and involving caregivers for those with CI to improve outcomes.
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影响因子：
4
作者：
Janelsins MC;Kohli S;Mohile SG;Usuki K;Ahles TA;Morrow GR
通讯作者：
Morrow GR
DOI：
10.5539/gjhs.v8n6p128
发表时间：
2015-10-26
期刊：
Global journal of health science
影响因子：
--
作者：
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通讯作者：
Yoder W
影响因子：
168.9
作者：
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通讯作者：
Frier, Brian M.
影响因子：
45.3
作者：
Mandelblatt, Jeanne S.;Stern, Robert A.;Ahles, Tim
通讯作者：
Ahles, Tim
影响因子：
1.2
作者：
RADLOFF L S
通讯作者：
RADLOFF L S