Trajectories of fatigue in cancer patients during psychological care

Solveigh P Lingens; Mariët Hagedoorn; Lei Zhu; Adelita V Ranchor; Marije van der Lee; Bert Garssen; Maya J Schroevers; Robbert Sanderman; Martine M Goedendorp

doi:10.1080/08870446.2021.1916493

Trajectories of fatigue in cancer patients during psychological care

Solveigh P Lingens, Mariët Hagedoorn, Lei Zhu, Adelita V Ranchor, Marije van der Lee, Bert Garssen, Maya J Schroevers, Robbert Sanderman, Martine M Goedendorp^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

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Abstract

OBJECTIVE: Psycho-oncological institutions offer specialized care for cancer patients. Little is known how this care might impact fatigue. This study aimed to identify fatigue trajectories during psychological care, examined factors distinguishing these trajectories and predicted fatigue severity after nine months of psychological care.

DESIGN: Naturalistic, longitudinal study of 238 cancer patients receiving psycho-oncological care in the Netherlands. Data were collected before initiation of psychological care (T1) and three (T2) and nine months (T3) afterwards. Latent class growth analysis, repeated measure analyses (RMA) and linear regression analysis were performed.

MAIN OUTCOME MEASURES: Fatigue severity: Checklist Individual Strength.

RESULTS: Three fatigue trajectories were identified: high- (30%), moderate- (62%) and low-level fatigue (8%). While statistically significant decreases in fatigue were found, this decrease was not clinically relevant. RMA showed main effects for time for fatigue trajectories on depression, anxiety, personal control and illness cognitions. Fatigue severity and physical symptoms at T1, but not demographic or clinical factors, were predictive of fatigue severity at T3.

CONCLUSIONS: Fatigue is very common during psycho-oncological care, and notably not clinically improving. As symptoms of fatigue, depression, anxiety and physical symptoms often cluster, supplementary fatigue treatment should be considered when it is decided to treat other symptoms first.

Original language	English
Pages (from-to)	1002-1021
Number of pages	20
Journal	Psychology & Health
Volume	37
Issue number	8
Early online date	13-May-2021
DOIs	https://doi.org/10.1080/08870446.2021.1916493
Publication status	Published - 2022

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@article{c79eee2c1cc743f1bc76ac926a40d934,

title = "Trajectories of fatigue in cancer patients during psychological care",

abstract = "OBJECTIVE: Psycho-oncological institutions offer specialized care for cancer patients. Little is known how this care might impact fatigue. This study aimed to identify fatigue trajectories during psychological care, examined factors distinguishing these trajectories and predicted fatigue severity after nine months of psychological care.DESIGN: Naturalistic, longitudinal study of 238 cancer patients receiving psycho-oncological care in the Netherlands. Data were collected before initiation of psychological care (T1) and three (T2) and nine months (T3) afterwards. Latent class growth analysis, repeated measure analyses (RMA) and linear regression analysis were performed.MAIN OUTCOME MEASURES: Fatigue severity: Checklist Individual Strength.RESULTS: Three fatigue trajectories were identified: high- (30%), moderate- (62%) and low-level fatigue (8%). While statistically significant decreases in fatigue were found, this decrease was not clinically relevant. RMA showed main effects for time for fatigue trajectories on depression, anxiety, personal control and illness cognitions. Fatigue severity and physical symptoms at T1, but not demographic or clinical factors, were predictive of fatigue severity at T3.CONCLUSIONS: Fatigue is very common during psycho-oncological care, and notably not clinically improving. As symptoms of fatigue, depression, anxiety and physical symptoms often cluster, supplementary fatigue treatment should be considered when it is decided to treat other symptoms first.",

author = "Lingens, {Solveigh P} and Mari{\"e}t Hagedoorn and Lei Zhu and Ranchor, {Adelita V} and {van der Lee}, Marije and Bert Garssen and Schroevers, {Maya J} and Robbert Sanderman and Goedendorp, {Martine M}",

year = "2022",

doi = "10.1080/08870446.2021.1916493",

language = "English",

volume = "37",

pages = "1002--1021",

journal = "Psychology & Health",

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TY - JOUR

T1 - Trajectories of fatigue in cancer patients during psychological care

AU - Lingens, Solveigh P

AU - Hagedoorn, Mariët

AU - Zhu, Lei

AU - Ranchor, Adelita V

AU - van der Lee, Marije

AU - Garssen, Bert

AU - Schroevers, Maya J

AU - Sanderman, Robbert

AU - Goedendorp, Martine M

PY - 2022

Y1 - 2022

N2 - OBJECTIVE: Psycho-oncological institutions offer specialized care for cancer patients. Little is known how this care might impact fatigue. This study aimed to identify fatigue trajectories during psychological care, examined factors distinguishing these trajectories and predicted fatigue severity after nine months of psychological care.DESIGN: Naturalistic, longitudinal study of 238 cancer patients receiving psycho-oncological care in the Netherlands. Data were collected before initiation of psychological care (T1) and three (T2) and nine months (T3) afterwards. Latent class growth analysis, repeated measure analyses (RMA) and linear regression analysis were performed.MAIN OUTCOME MEASURES: Fatigue severity: Checklist Individual Strength.RESULTS: Three fatigue trajectories were identified: high- (30%), moderate- (62%) and low-level fatigue (8%). While statistically significant decreases in fatigue were found, this decrease was not clinically relevant. RMA showed main effects for time for fatigue trajectories on depression, anxiety, personal control and illness cognitions. Fatigue severity and physical symptoms at T1, but not demographic or clinical factors, were predictive of fatigue severity at T3.CONCLUSIONS: Fatigue is very common during psycho-oncological care, and notably not clinically improving. As symptoms of fatigue, depression, anxiety and physical symptoms often cluster, supplementary fatigue treatment should be considered when it is decided to treat other symptoms first.

AB - OBJECTIVE: Psycho-oncological institutions offer specialized care for cancer patients. Little is known how this care might impact fatigue. This study aimed to identify fatigue trajectories during psychological care, examined factors distinguishing these trajectories and predicted fatigue severity after nine months of psychological care.DESIGN: Naturalistic, longitudinal study of 238 cancer patients receiving psycho-oncological care in the Netherlands. Data were collected before initiation of psychological care (T1) and three (T2) and nine months (T3) afterwards. Latent class growth analysis, repeated measure analyses (RMA) and linear regression analysis were performed.MAIN OUTCOME MEASURES: Fatigue severity: Checklist Individual Strength.RESULTS: Three fatigue trajectories were identified: high- (30%), moderate- (62%) and low-level fatigue (8%). While statistically significant decreases in fatigue were found, this decrease was not clinically relevant. RMA showed main effects for time for fatigue trajectories on depression, anxiety, personal control and illness cognitions. Fatigue severity and physical symptoms at T1, but not demographic or clinical factors, were predictive of fatigue severity at T3.CONCLUSIONS: Fatigue is very common during psycho-oncological care, and notably not clinically improving. As symptoms of fatigue, depression, anxiety and physical symptoms often cluster, supplementary fatigue treatment should be considered when it is decided to treat other symptoms first.

U2 - 10.1080/08870446.2021.1916493

DO - 10.1080/08870446.2021.1916493

M3 - Article

C2 - 33985383

SN - 0887-0446

VL - 37

SP - 1002

EP - 1021

JO - Psychology & Health

JF - Psychology & Health

IS - 8

ER -

Trajectories of fatigue in cancer patients during psychological care

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