Patterns of objective physical functioning and perception of mood and fatigue in posttreatment breast cancer patients and healthy controls: an ambulatory psychophysiological investigation.
OBJECTIVE: To monitor objective physiological and self-report measures among apparently disease-free breast cancer patients (n = 33) in the first 2 years of posttreatment recovery, using a cross-sectional design, and compare findings with women without histories of cancer or other serious disorders...
| Publicado en: | Psychosomatic Medicine Vol. 70; no. 7; pp. 819 - 829 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
2008 Sep
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105557841&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105557841 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00333174 2C8 jtl: Psychosomatic Medicine issn: 00333174 maglogo: N pubinfo: dt: 2008 Sep vid: 70 iid: 7 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 105557841 105557841 2010056311 10.1097/psy.0b013e31818106f1 NLM18725433 105557841 ppf: 819 ppct: 10 formats: tig: atl: Patterns of objective physical functioning and perception of mood and fatigue in posttreatment breast cancer patients and healthy controls: an ambulatory psychophysiological investigation. aug: au: Grossman P Deuring G Garland SN Campbell TS Carlson LE affil: Department of Psychosomatic Medicine, Division of Internal Medicine, University of Basel Hospital, Basel, Switzerland. sug: subj: Affect Breast Neoplasms Psychosocial Factors Exercise Physiology Fatigue Psychosocial Factors Monitoring, Physiologic Methods Perception Activities of Daily Living Psychosocial Factors Breast Neoplasms Rehabilitation Breast Neoplasms Therapy Cross Sectional Studies Electrocardiography Exercise Psychosocial Factors Fatigue Etiology Female Funding Source Heart Function Tests Methods Middle Age Motor Activity Physiology Quality of Life Psychosocial Factors Respiratory Function Tests Methods Self Disclosure Survivors Psychosocial Factors Time Factors Human Middle Aged: 45-64 years Female ab: OBJECTIVE: To monitor objective physiological and self-report measures among apparently disease-free breast cancer patients (n = 33) in the first 2 years of posttreatment recovery, using a cross-sectional design, and compare findings with women without histories of cancer or other serious disorders (n =33). Time-since-treatment also served as an independent variable. Few studies have examined adjustment of breast cancer patients after primary treatment or objectively characterized posttreatment, everyday patterns of functioning. METHODS: A 24-hour ambulatory minute-by-minute cardiorespiratory functioning and accelerometry activity were measured during one day, together with multiple repeated assessments of mood and fatigue. Traditional retrospective measures of well-being were also evaluated. Our ambulatory methodology permitted estimation of physiological rhythms of cardiorespiratory and accelerometry activity. RESULTS: Patients reported lower ambulatory levels of energy and poorer mood during the daytime than controls. Time-since-treatment was related directly to both momentary mood and energy as well as to objective measures of activity and respiratory parameters. Retrospective self-reports of impaired mood and symptoms persisted in patients, independently of time-since-treatment and of ambulatory physical or physiological activity. Ambulatory self-report data were associated with concurrent respiratory measures. Chemotherapy-related elevation of heart rate was found but was unrelated to self-report measures. CONCLUSIONS: Impaired sense of well being based on retrospective measures is not associated with pattern of physical or physiological functioning after treatment for breast cancer. However, ambulatory, momentary levels of mood and fatigue seem to be related to concurrent ventilatory activity and time-since-treatment. This is the first investigation that relates ambulatory and retrospective measures of affect and fatigue to concurrent, real-life physical functioning. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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