Cancer Related Fatigue and Optimism in Cancer Patients

Raisa Strebkova, Miroslava Petkova Petkova

Abstract


Summary: The symptoms of fatigue and exhaustion are considered to be the most common complaints among
patients with malignant diseases during the process of treatment and upon its completion. The manifestations of
fatigue can be physical, cognitive and emotional. Particularly interesting are the risk factors for the emergence of
fatigue which persists for months or years upon the completion of the treatment. A number of studies have discussed
the significance of the psychological factors such as the personality traits, the person’s behaviour and the lifestyle.
Objective: To examine the burden of fatigue among patients with malignant diseases undergoing radiotherapy and
long-term survivors and determine the effect of optimism on the burden of fatigue among them. Method: A
questionnaire; MFI-20-A multidimensional questionnaire on fatigue; Method of examining the generalized
expectations about the valence of the obtained results. 66 people with a confirmed oncological diagnosis were
included in the study, 36 of whom were undergoing radiotherapy at the time of the study. 30 of the examined people
have undergone radiotherapy and are presently long-term survivors who have lived over five years after being
diagnosed with the disease. Conclusion: The patients that were undergoing radiotherapy at that time manifested
more evident symptoms of fatigue within the dimensions of decreased motivation and decreased activity compared to
the patients belonging to the group of the long-term survivors. Optimism and the negative expectations correlate
significantly with the dimensions of fatigue in both groups of patients, as the most obvious is the negative correlation
of optimism with the decreased activity and the decreased motivation. The presence of optimism and low negative
expectations within the personality profile of patients with oncological diseases suggests lower levels of fatigue
regardless of the stage of the disease and the conducted treatment.


Full Text:

PDF

References


Allison, P.,J, Guichard, C, Gilain, L. (2000) A prospective investigation of dispositional optimism as a predictor of health-related quality of life in head and neck cancer patients. Quality of Life Research;9(8):951–960.

Bower, J.,E. Cancer-related fatigue: Mechanisms, risk factors, and treatments, Nat Rev Clin Oncol. 2014 October ; 11(10): 597–609

Bower, J.,E, Ganz, P.,A, Desmond, K.,A, Bernards, C, Rowland, J.,H, Meyerowitz, B.,E, Belin, T.,R. (2006). Fatigue in long-term breast carcinoma survivors. Cancer 106(4): 751–758.

Bower, J.,E, Ganz, P.,A, Desmond, K.,A, Rowland, J.,H, Meyerowitz, B.,E, Belin, T.,R. (2000). Fatigue in breast cancer survivors: occurrence, correlates, and impact on quality of life. J Clin Oncol 18:743–753

Carver, CS, Pozo, C, Harris, S.,D, Noriega, V, Scheier, M., F, Robinson, D.,S, Ketcham, A.,S, Moffat, F.,L, Jr, Clark K.,C. (1993). How coping mediates the effect of optimismondistress:Astudy of women with early stage breast cancer. J Pers Soc Psychol 65:375–390.

de Vries U , Reif, K, Peterman, F. Tumorbedingte Fatigue und ihre psychosozialen Belastungen November 2011, 85-92

Furst, C. & Ahsberg, E. (2001). Dimensions of fatigue during radiotherapy. Supportive Care in Cancer. July Volume 9, Issuse 5, pp. 355-360

Henselmans, I, Fleer, J, de Vries, J, Baas, P., C, Sanderman, R, Ranchor, A.,V. (2010). The adaptive effect of personal control when facing breast cancer: cognitive and behavioural mediators. Psychology and Health. 25(9):1023–1040.

Jane, T.,H, Gary, R., M, Joseph, A., R, Karen, M, Paul, O.(2005). Occurrence, severity, and longitudinal course of twelve common symptoms in 1129 consecutive patients during radiotherapy for cancer. J Pain Symptom Manage. 30:433-442.

Kuhnt, S, Brähler, E. (2010). Tumorassoziierte Fatigue. Psychother Psych Med 60: 402–411

Kurtz, Margot., E, Jay, C., Kurtz, Charles, W., Given, Barbara, A., Given. (2008).Patient Optimism and Mastery-Do They Play a Role in Cancer Patients' Management of Pain and Fatigue? Journal of Pain and Symptom Management , Volume 36 , Issue 1 , 1 – 10

Kyrdalen, A., E, Dahl, A., A, Hernes, E, Cvancarova., M, Fossa, S., D. (2010). Fatigue in hormone-naive prostate cancer patients treated with radical prostatectomy or definitive radiotherapy. Prostate Cancer Prostatic Dis. 13, 144–150

Miller, D., L, Manne, S., L, Taylor, K, Keates, J, Dougherty, J. (1996). Psychological distress and well-being in advanced cancer: the effects of optimism and coping. J Clin Psychol Med Settings 3: 115–130.

National Comprehensive Cancer Network. (2011). Clinical practice guidelines in oncology. Cancer related fatigue.

Petkova, M. (2002). Subjective well-being and health, Kota, Stara Zagora

Petkova, M., Nikolov, V. (2011). Anger, depression and pain in patients with oncological diseases. Bulgarian Journal of Psychology. Collection of scientific reports. Sofia. No.3-4. p.597-602

Rotonda, C., Guillemin, F., Bonnetain, F., Velten, M., Conroy, T. (2013). Factors Associated With Fatigue After Surgery in Women With Early-Stage Invasive Breast Cancer. The Oncologist 18:467– 47

Scheier, M., F, & Carver, C., S. (1987). Dispositional optimism and physical well-being: the influence of generalized expectanci es on health. Journal of Personality, 55, 169-210.

Schou-Bredal, I., &Toien, K. (2017). Is Dispositional Optimism Associated with Fatigue in Breast Cancer Survivors? Psychology, 8 , 1762-1773.

Servae,s P, Verhagen, C, Bleijenberg, G.( 2002a).Fatigue in cancer patients during and after treatment: prevalence, correlates and interventions. Eur J Cancer. Jan; 38(1):27-43.

Simon AM, Zittoun R. (1999). Fatigue in cancer patients. Curr Opin Oncol. Jul; 11(4):244-9

Smets, EM, Garssen, B, Bonke, B De Haes, JC. (1995). The Multidimensional Fatigue Inventory (MFI) psychometric qualities of an instrument to assess fatigue. J Psychosom Res 39(3): 315–325.

Smets, EM., Garssen, B, Cull, A, de Haes, JC. (1996). Application of the multidimensional fatigue inventory (MFI-20) in cancer patients receiving radiotherapy. Br J Cancer 73(2): 241–245.

Stone, P., Richards, M., Hardy, J.(1998). Fatigue i n patients with cancer. Eur J Cancer. ct; 34(11):1670-6.

Thong, M., Floortje, M., van de Poll-Franse, L., Sprangers, M., van der Rijt, C., Barsevick, A., Knoop, H., Husson, O. (2018). Identifying the subtypes of cancer-related fatigue: results from the population-based PROFILES registry. Journal of Cancer Survivorship. February.Volume 12, Issue 1, pp 38–46

Valerianova, Z., Dimitrova, N., Atanasov, T. (2013). Cancer Illness in Bulgaria. Bulgarian National Cancer Registry. Sofia, 2015. vol. XXIV v. 12-54

Velichkov, A., M, Radoslavova, M, Rasheva. (1993). Method for Measuring the Generalized Expectations for Valency of Results (Optimism and Negative Expectations), Bulgarian Journal of Psychology, No. 3, 85-100

Von Ah D.M, Kang D.H, Carpenter J.S. (2008). Predictors of cancer-related fatigue in women with breast cancer before, during, and after adjuvant therapy. Cancer Nurs 31:134–144

Wang, X.,S, Giralt, S.,A, Mendoza, T.,R, Engstrom, M.,C, Johnson, B.,A, Peterson, N., Broemeling, L.,D, Cleeland, C.,S. Clinical factors associated with cancer-related fatigue in patients being treated for leukemia and non-Hodgkin’s Lymphoma. J Clin Oncol. 2002;20(5):1319-28.

Weis, J., Falle, H. (2012). Psychosoziale Folgen bei Langzeitüberlebenden einer Krebserkrankung, Marz505-508

Woo, B. Dibble, S., L, Piper, B., F, Keating, S., B, Weiss, M., C. (1998). Differences in fatigue by treatment methods in women with breast cancer. Oncol NursForum 25:915–20.




DOI: https://doi.org/10.5430/wjss.v5n2p40

Refbacks

  • There are currently no refbacks.


World Journal of Social Science     ISSN 2329-9347 (Print)  ISSN 2329-9355 (Online)

Copyright © Sciedu Press

To make sure that you can receive messages from us, please add the 'sciedu.ca' and ‘sciedupress.com’ domains to your e-mail 'safe list'. If you do not receive e-mail in your 'inbox', please check your 'spam' or 'junk' folder.