Exploring the interconnectedness of fatigue, depression, anxiety and potential risk and protective factors in cancer patients: a network approach.
Researchers have extensively studied fatigue, depression and anxiety in cancer patients. Several risk and protective factors have been identified for these symptoms. As most studies address these constructs, independently from other symptoms and potential risk and protective factors, more insight in...
| Published in: | Journal of Behavioral Medicine Vol. 43; no. 4; pp. 553 - 564 |
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| Main Authors: | , , , , , |
| Format: | pictorial research tables/charts Journal Article |
| Published: |
Springer Nature
Aug2020
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=144640771&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 144640771 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01607715 JBM jtl: Journal of Behavioral Medicine issn: 01607715 maglogo: N pubinfo: dt: Aug2020 vid: 43 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 144640771 144640771 144640771 10.1007/s10865-019-00084-7 144640771 ppf: 553 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Exploring the interconnectedness of fatigue, depression, anxiety and potential risk and protective factors in cancer patients: a network approach. aug: au: Schellekens, Melanie P. J. Wolvers, Marije D. J. Schroevers, Maya J. Bootsma, Tom I. Cramer, Angélique O. J. van der Lee, Marije L. affil: Scientific Research Department, Centre for Psycho-Oncology, Helen Dowling Institute, Postbus 80, Professor Bronkhorstlaan 20, 3720 AB, Bilthoven, The Netherlands sug: subj: Cancer Patients Psychosocial Factors Cancer Fatigue Risk Factors Depression Risk Factors Anxiety Risk Factors Cancer Fatigue Prevention and Control Anxiety Prevention and Control Depression Prevention and Control Coping Risk Assessment Human Multivariate Analysis Cross Sectional Studies Help Seeking Behavior Psychiatric Care Support, Psychosocial Adaptation, Psychological Cognition Attitude to Illness Social Isolation Helplessness, Learned ab: Researchers have extensively studied fatigue, depression and anxiety in cancer patients. Several risk and protective factors have been identified for these symptoms. As most studies address these constructs, independently from other symptoms and potential risk and protective factors, more insight into the complex relationships among these constructs is needed. This study used the multivariate network approach to gain a better understanding of how patients' symptoms and risk and protective factors (i.e. physical symptoms, social withdrawal, illness cognitions, goal adjustment and partner support) are interconnected. We used cross-sectional data from a sample of cancer patients seeking psychological care (n = 342). Using network modelling, the relationships among symptoms of fatigue, depression and anxiety, and potential risk and protective factors were explored. Additionally, centrality (i.e. the number and strength of connections of a construct) and stability of the network were explored. Among risk factors, the relationship of helplessness and physical symptoms with fatigue stood out as they were stronger than most other connections in the network. Among protective factors, illness acceptance was most centrally embedded within the network, indicating it had more and stronger connections than most other variables in the network. The network identified key connections with risk factors (helplessness, physical symptoms) and a key protective factor (acceptance) at the group level. Longitudinal studies should explore these risk and protective factors in individual dynamic networks to further investigate their causal role and the extent to which such networks can inform us on what treatment would be most suitable for the individual cancer patient. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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