title: Work productivity in brain tumor survivors.
abstract: OBJECTIVE
  To determine the association of symptom burden to work limitation among working survivors of malignant brain tumors.
  
  
  METHODS
  Working adults with malignant brain tumors (n = 95) and a non-cancer comparison (n = 131) group completed a web-based questionnaire. Measures of demographics, tumor type and treatment, fatigue, emotional distress, cognitive limitations, and factors that can positively impact work, including health behaviors and problem solving, were obtained.
  
  
  RESULTS
  Survivors of malignant brain tumors reported higher levels of work limitations and time off from work than the non-cancer group. Higher levels of symptom burden, lower levels of health behaviors, and more negative problem solving orientation were characteristic of the brain tumor survivor group. These variables were not differentially associated with work limitations among brain cancer survivors or the comparison group. Depressive symptoms, fatigue, cognitive limitations, sleep, and negative problem solving orientation were independently associated with work limitations, accounting for 65% of the variance in work limitations.
  
  
  CONCLUSIONS
  Despite higher levels of burden, poorer health behaviors, and negative problem solving coping style, modifiable factors account for most of the variance in work limitations for both groups. Efforts to modify these variables should be evaluated.
authors.affiliation: Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, Bethesda, Maryland 20814, USA. mfeuerstein@usuhs.mil
authors.forename: Michael
authors.initials: M
authors.lastname: Feuerstein
authors.forename: Jennifer A
authors.initials: JA
authors.lastname: Hansen
authors.forename: Lisseth C
authors.initials: LC
authors.lastname: Calvio
authors.forename: Leigh
authors.initials: L
authors.lastname: Johnson
authors.forename: Jonne G
authors.initials: JG
authors.lastname: Ronquillo
mesh_terms: D000328:Adult; D000368:Aged; D001932:Brain Neoplasms / Q000150:complications / Q000503:physiopathology*; D004526:Efficiency / Q000502:physiology*; D004651:Employment; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011795:Surveys and Questionnaires; D017741:Survivors