An examination of distress, sleep, and fatigue in metastatic breast cancer patients

Catherine E. Mosher; Katherine N. DuHamel

doi:10.1002/pon.1873

journal article Nov 24, 2010

An examination of distress, sleep, and fatigue in metastatic breast cancer patients

Catherine E. Mosher Katherine N. DuHamel

Psycho-Oncology Vol. 21 No. 1 pp. 100-107 · Wiley

View at Publisher Save 10.1002/pon.1873

Abstract

AbstractObjective: Few studies have used rapid screening instruments to document the prevalence of distress among metastatic breast cancer patients. This study used the one‐item Distress Thermometer (DT) to assess distress in this population. Anxiety and depressive symptoms, sleep problems, fatigue, and mental health service use were assessed for patients who met the cutoff on the DT for probable distress (score ⩾4).Methods: A total of 173 metastatic breast cancer patients rated their distress on the DT. Respondents who met study eligibility criteria (n = 90), including a score ⩾4 on the DT, completed a telephone survey 1 week later that assessed anxiety, depressive symptoms, sleep problems, and fatigue. Associations of study outcomes with demographic and medical characteristics were computed.Results: Sixty percent of the 173 patients met the cutoff for probable distress on the DT. Meeting this cutoff was not associated with age, ethnicity, time since diagnosis, or medical treatments. The majority (61%) of respondents who were classified as distressed on the DT reported clinically significant anxiety or depressive symptoms 1 week later. On average, these patients also showed significant fatigue and sleep disturbance, with 70% reporting decrements in sleep quality. Only 29% of patients with significant anxiety or depressive symptoms accessed mental health services.Conclusions: Results point to a high prevalence of distress, sleep problems, and fatigue across demographic and medical subgroups of metastatic breast cancer patients. A rapid one‐item screening tool may be used to identify patients with a potential need for psychosocial assessment and intervention. Copyright © 2010 John Wiley & Sons, Ltd.

Topics

No keywords indexed for this article. Browse by subject →

References

42

[1]

10.1093/annonc/mdf101

[2]

10.1017/s1478951508000606

[3]

10.1017/s1478951506060068

[4]

10.1111/j.1440-1614.2004.01358.x

[5]

10.1111/j.1440-1614.2004.01385.x

[6]

10.1037/a0018165

[7]

10.1002/cncr.22980

[8]

10.1016/s0889-8588(02)00013-8

[9]

Fatigue is the Most Important Symptom for Advanced Cancer Patients Who Have Had Chemotherapy

Zeeshan Butt, Sarah K. Rosenbloom, Amy P. Abernethy et al.

Journal of the National Comprehensive Cancer Netwo... 10.6004/jnccn.2008.0036

[10]

10.1007/s00520-009-0577-7

[11]

10.1016/j.jpainsymman.2009.04.025

[12]

10.1016/j.biopsycho.2006.11.002

[13]

10.1046/j.1524-4741.2002.08606.x

[14]

10.1002/pon.1122

[15]

10.1016/s0959-8049(98)00167-1

[16]

10.1038/sj.bjc.6602012

[17]

10.1111/j.1365-2354.2005.00541.x

[18]

10.1007/s00520-008-0466-5

[19]

Winningham ML "Fatigue and the cancer experience: the state of the knowledge" Oncol Nurs Forum (1994)

[20]

10.1002/(sici)1097-0142(19980515)82:10<1904::aid-cncr13>3.0.co;2-x

[21]

10.1016/j.lungcan.2006.10.001

[22]

10.1002/cncr.20940

[23]

10.1002/pon.1589

[24]

10.1007/s00520-009-0614-6

[25]

A Short Portable Mental Status Questionnaire for the Assessment of Organic Brain Deficit in Elderly Patients†

Eric Pfeiffer

Journal of the American Geriatrics Society 10.1111/j.1532-5415.1975.tb00927.x

[26]

The CES-D Scale

Lenore Sawyer Radloff

Applied Psychological Measurement 10.1177/014662167700100306

[27]

The Hospital Anxiety and Depression Scale

A. S. Zigmond, R. P. Snaith

Acta Psychiatrica Scandinavica 10.1111/j.1600-0447.1983.tb09716.x

[28]

The validity of the Hospital Anxiety and Depression Scale

Ingvar Bjelland, Alv A Dahl, Tone Tangen Haug et al.

Journal of Psychosomatic Research 10.1016/s0022-3999(01)00296-3

[29]

10.1038/bjc.1991.305

[30]

The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research

Daniel J. Buysse, Charles F. Reynolds, Timothy H. Monk et al.

Psychiatry Research 10.1016/0165-1781(89)90047-4

[31]

10.1016/j.jpainsymman.2003.12.002

[32]

10.1016/s0022-3999(97)00298-5

[33]

Measuring fatigue and other anemia-related symptoms with the Functional Assessment of Cancer Therapy (FACT) measurement system

Suzanne B. Yellen, David F. Cella, KIMBERLY WEBSTER et al.

Journal of Pain and Symptom Management 10.1016/s0885-3924(96)00274-6

[34]

Cella D "The Functional Assessment of Cancer Therapy‐Anemia (FACT‐An) Scale: a new tool for the assessment of outcomes in cancer anemia and fatigue" Semin Hematol (1997)

[35]

10.1186/1472-684x-4-7

[36]

10.1093/oxfordjournals.annonc.a010605

[37]

10.1002/cncr.10245

[38]

10.1002/1099-1611(200101/02)10:1<19::aid-pon501>3.0.co;2-6

[39]

10.1002/cncr.21532

[40]

Edwards AG "Psychological interventions for women with metastatic breast cancer" Cochrane Database Syst Rev (2008) 10.1002/14651858.cd004253.pub3

[41]

10.6004/jnccn.2007.0010

[42]

National Comprehensive Cancer Network "Distress management: clinical practice guidelines in oncology" J Natl Compr Canc Netw (2010) 10.6004/jnccn.2010.0034

Cited By

80

Depression, anxiety and stress among metastatic breast cancer patients on chemotherapy in China

Yi-Qiang Guo, Qing-Mei Ju · 2023

BMC Nursing

Metrics

80

Citations

42

References

Details

Published: Nov 24, 2010
Vol/Issue: 21(1)
Pages: 100-107
License: View

Authors

Cite This Article

Catherine E. Mosher, Katherine N. DuHamel (2010). An examination of distress, sleep, and fatigue in metastatic breast cancer patients. Psycho-Oncology, 21(1), 100-107. https://doi.org/10.1002/pon.1873

An examination of distress, sleep, and fatigue in metastatic breast cancer patients

You May Also Like