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- Title
Association of Fatigue with Perceived Stress in Chinese Women with Early Stage Breast Cancer Awaiting Adjuvant Radiotherapy.
- Authors
Ho, Rainbow T. H.; Kwan, Tracy T. C.; Cheung, Irene K. M.; Chan, Caitlin K. P.; Lo, Phyllis H. Y.; Yip, Paul S. F.; Luk, Mai‐yee; Chan, Cecilia L. W.
- Abstract
Cancer-related fatigue (CRF) is common in women with breast cancer, but little is known of its relationship with perceived stress. We conducted a cross-sectional study to explore the associations of CRF with perceived stress, anxiety, depression, pain and sleep quality in 133 Chinese women (aged 25-68 years) with early stage breast cancer. The majority of women had completed surgery and chemotherapy and were awaiting radiotherapy. Self-administered questionnaires consisting of the Brief Fatigue Inventory, Perceived Stress Scale-10, Hospital Anxiety and Depression Scale, Brief Pain Inventory, and Pittsburgh Sleep Quality Index were used to collect data. Forty-five per cent of the women were severely fatigued. Compared with local healthy women and US breast cancer patients, the group's mean perceived stress score was significantly higher (both p < 0.01). Higher perceived stress (β = 0.18, p = 0.032), higher anxiety (β = 0.30, p < 0.001) and higher pain severity (β = 0.38, p < 0.001) were associated with increased severity of CRF. The association of CRF with perceived stress was partially mediated by anxiety, suggesting a possible pathway from cancer and cancer treatment to CRF via stress appraisals and emotional distress. The findings indicate the importance of monitoring the psychological status of patients during treatment. Copyright © 2013 John Wiley & Sons, Ltd.
- Subjects
CHINA; HONG Kong (China); ANXIETY; BREAST tumors; CANCER complications; MENTAL depression; FATIGUE (Physiology); PAIN; PROBABILITY theory; PSYCHOLOGICAL tests; QUESTIONNAIRES; RESEARCH funding; SLEEP; PSYCHOLOGICAL stress; CROSS-sectional method; DATA analysis software; BRIEF Pain Inventory
- Publication
Stress & Health: Journal of the International Society for the Investigation of Stress, 2015, Vol 31, Issue 3, p214
- ISSN
1532-3005
- Publication type
Article
- DOI
10.1002/smi.2548