Ecological momentary assessment of fatigue following breast cancer treatment
Ecological momentary assessment of fatigue following breast cancer treatment
复制标题
DOI：
10.1023/b:jobm.0000047608.03692.0c
复制
发表时间：
2004-10-01
影响因子：
3.1
通讯作者：
Andrykowski, MA
中科院分区：
文献类型：
--
作者：
Curran, SL;Beacham, AO;Andrykowski, MA
疲劳是癌症治疗期间和之后经常经历的常见和衰弱症状。一个生态瞬时评估（EMA）的方法被用来检查乳腺癌幸存者的治疗结束疲劳的昼夜模式。25名乳腺癌（BC）幸存者在治疗后6-26个月，年龄匹配的健康女性（HC，n = 25）和良性乳腺问题女性（BBP; n = 24）完成了连续5天的疲劳，疼痛和情绪的4个每日日记测量。还评估了日记评估时参与的活动类型，以及每日计步器活动水平和夜间睡眠持续时间。虽然BC幸存者报告了相对于BBP和HC组更高水平的疲劳，但在情绪、活动类型或水平、睡眠持续时间或疲劳的昼夜模式方面没有明显的组间差异。结果证实，疲劳可能在癌症治疗结束后很长时间内继续经历，同时质疑其临床意义，并证明EMA方法对癌症相关疲劳研究的价值。
Fatigue is a common and debilitating symptom often experienced during and following cancer treatment. An Ecological Momentary Assessment (EMA) approach was used to examine the diurnal pattern of off-treatment fatigue in breast cancer survivors. Twenty-five breast cancer (BC) survivors 6-26 months posttreatment and age-matched groups of healthy women (HC, n = 25) and women with benign breast problems (BBP; n = 24) completed four daily diary measures of fatigue, pain, and mood for 5 consecutive days. Type of activity engaged in at the time of the diary assessments, as well as daily pedometer activity level, and nightly sleep duration were also assessed. While BC survivors reported greater levels of fatigue relative to BBP and HC groups, no group differences in mood, activity type or level, sleep duration, or diurnal pattern of fatigue were evident The results confirm that fatigue may continue to be experienced long after conclusion of cancer treatment while questioning its clinical significance, provide insight into potential etiological mechanisms underlying off-treatment fatigue in, and demonstrate the value of EMA approaches to the study of cancer-related fatigue.