Association of coping style, pain, age and depression with fatigue in women with primary breast cancer.
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.
Reuter
Katrin
K
Department of Psychiatry and Psychotherapy, University Medical Center Freiburg, Germany. Katrin_reuter@psyallg.ukl.uni-freiburg.de
Classen
Catherine C
CC
Roscoe
Joseph A
JA
Morrow
Gary R
GR
Kirshner
Jeffrey J
JJ
Rosenbluth
Richard
R
Flynn
Patrick J
PJ
Shedlock
Kathleen
K
Spiegel
David
D
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