title: The Cognitive Symptom Checklist-Work in cancer patients is related with work functioning, fatigue and depressive symptoms: a validation study.
abstract: The study objectives are to translate the 21-item Cognitive Symptom Checklist-Work (CSC-W21) to Dutch (CSC-W DV) and to validate the CSC-W DV in working cancer patients.
  
  
  
  The CSC-W21 was cross-culturally translated and adapted to a Dutch version. In this 19-item version, the dichotomous response option was changed to an ordinal five-point scale. A validation study of the CSC-W DV was conducted among cancer patients who had returned to work during or following cancer treatment. Internal consistency (Cronbach's α), structural validity (exploratory factor analysis) and construct validity (hypothesis testing) were evaluated.
  
  
  
  In a cohort of 364 cancer patients, 341 (94 %) completed the CSC-W DV (aged 50.6 ± 8.6 years, 60 % women). Exploratory factor analysis revealed two subscales 'working memory' and 'executive function'. The internal consistency of the total scale and subscales was high (Cronbach's α = 0.93-0.95). Hypothesis testing showed that self-reported cognitive limitations at work were related to work functioning (P < 0.001), fatigue (P = 0.001) and depressive symptoms (P < 0.001), but not to self-rated health (P = 0.14).
  
  
  
  The CSC-W DV showed high internal consistency and reasonable construct validity for measuring work-specific cognitive symptoms in cancer patients. The CSC-W DV was associated in expected ways with work functioning, fatigue and depressive symptoms.
  
  
  
  It is important to enhance knowledge about cognitive symptoms at work in cancer patients, to guide and support cancer patients as good as possible when they are back at work and to improve their work functioning over time.
authors.affiliation: Department of Health Sciences, Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1, FA10, Room 616, 9713 AV, Groningen, The Netherlands. h.f.dorland@umcg.nl.
authors.forename: H F
authors.initials: HF
authors.lastname: Dorland
authors.affiliation: Department of Health Sciences, Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1, FA10, Room 616, 9713 AV, Groningen, The Netherlands.
authors.forename: F I
authors.initials: FI
authors.lastname: Abma
authors.affiliation: Department of Health Sciences, Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1, FA10, Room 616, 9713 AV, Groningen, The Netherlands.|ArboNed Occupational Health Services, Utrecht, The Netherlands.
authors.forename: C A M
authors.initials: CA
authors.lastname: Roelen
authors.affiliation: Department of Health Psychology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
authors.forename: A
authors.initials: A
authors.lastname: Smink
authors.affiliation: Department of Medical and Clinical Psychology and Preventive Medicine and Biometrics, The Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
authors.forename: M
authors.initials: M
authors.lastname: Feuerstein
authors.affiliation: Department of Health Policy and Management, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA.|Institute for Work & Health, Toronto, ON, Canada.
authors.forename: B C
authors.initials: BC
authors.lastname: Amick
authors.affiliation: Department of Health Psychology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
authors.forename: A V
authors.initials: AV
authors.lastname: Ranchor
authors.affiliation: Department of Health Sciences, Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1, FA10, Room 616, 9713 AV, Groningen, The Netherlands.
authors.forename: U
authors.initials: U
authors.lastname: Bültmann
mesh_terms: D000328:Adult; D057189:Checklist; D003071:Cognition; D003431:Cross-Cultural Comparison; D003863:Depression / Q000175:diagnosis / Q000453:epidemiology; D005221:Fatigue / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology* / Q000534:rehabilitation; D011594:Psychometrics / Q000379:methods; D015203:Reproducibility of Results; D057566:Self Report; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology* / Q000706:statistics & numerical data; D014937:Work / Q000523:psychology*; D014938:Work Capacity Evaluation
keywords: Cancer; Cognitive symptom checklist; Internal consistency; Oncology; Validity; Work functioning