The Cognitive Symptom Checklist-Work in cancer patients is related with work functioning, fatigue and depressive symptoms: a validation study

H. F. Dorland*, F. I. Abma, C. A. M. Roelen, A. Smink, M. Feuerstein, B. C. Amick, A. V. Ranchor, U. Bultmann

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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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 alpha), 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 alpha = 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.

Original languageEnglish
Pages (from-to)545-552
Number of pages8
JournalJournal of cancer survivorship-Research and practice
Volume10
Issue number3
DOIs
Publication statusPublished - Jun-2016

Keywords

  • Cancer
  • Oncology
  • Cognitive symptom checklist
  • Work functioning
  • Internal consistency
  • Validity
  • CROSS-CULTURAL ADAPTATION
  • BREAST-CANCER
  • METHODOLOGICAL QUALITY
  • COSMIN CHECKLIST
  • SURVIVORS
  • VERSION
  • CHEMOTHERAPY
  • IMPAIRMENT
  • METAANALYSIS
  • LIMITATIONS

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