title: Association of coping style, pain, age and depression with fatigue in women with primary breast cancer.
abstract: The purpose of this study was to explore the relative contributions of coping, depression, pain and age, in the experience of cancer related fatigue. A total of 353 women treated for primary breast cancer were assessed within one year of diagnosis using the Profile of Mood States, the Hospital Anxiety and Depression Scale and the mini-Mental Adjustment to Cancer Scale. Fatigue was positively associated with depression and pain, but inversely related to age. In contrast to our expectations, fighting spirit was not associated with less fatigue. A relationship between coping style and cancer-related fatigue was found exclusively for 'positive reappraisal', a combination of fighting spirit and fatalism. Detectable only in multivariate analysis together with depression, the results suggest a weak association between coping and fatigue. The relationship between cancer related fatigue, age and coping styles requires further exploration within longitudinal studies.
authors.affiliation: Department of Psychiatry and Psychotherapy, University Medical Center Freiburg, Germany. Katrin_reuter@psyallg.ukl.uni-freiburg.de
authors.forename: Katrin
authors.initials: K
authors.lastname: Reuter
authors.forename: Catherine C
authors.initials: CC
authors.lastname: Classen
authors.forename: Joseph A
authors.initials: JA
authors.lastname: Roscoe
authors.forename: Gary R
authors.initials: GR
authors.lastname: Morrow
authors.forename: Jeffrey J
authors.initials: JJ
authors.lastname: Kirshner
authors.forename: Richard
authors.initials: R
authors.lastname: Rosenbluth
authors.forename: Patrick J
authors.initials: PJ
authors.lastname: Flynn
authors.forename: Kathleen
authors.initials: K
authors.lastname: Shedlock
authors.forename: David
authors.initials: D
authors.lastname: Spiegel
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000367:Age Factors; D000368:Aged; D001943:Breast Neoplasms / Q000453:epidemiology* / Q000523:psychology*; D003710:Demography; D003863:Depression / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology; D005221:Fatigue / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D010146:Pain / Q000453:epidemiology / Q000523:psychology*; D011795:Surveys and Questionnaires