[논문]Changes in Attentional Function in Patients From Before Through 12 Months After Breast Cancer Surgery

Kohler, Carmen; Chang, Ming; Allemann-Su, Yu-Yin; Vetter, Marcus; Jung, Miyeon; Jung, Misook; Conley, Yvette; Paul, Steven; Kober, Kord M.; Cooper, Bruce A.; Smoot, Betty; Levine, Jon D.; Miaskowski, Christine; Katapodi, Maria C.

doi:10.1016/j.jpainsymman.2020.01.001

[해외논문] Changes in Attentional Function in Patients From Before Through 12 Months After Breast Cancer Surgery 원문보기

Journal of pain and symptom management, v.59 no.6, 2020년, pp.1172 - 1185

Kohler, Carmen (Medical Oncology, University Hospital Basel) , Chang, Ming (Department of Clinical Research, Nursing Science, University of Basel) , Allemann-Su, Yu-Yin (Department of Clinical Research, Nursing Science, University of Basel) , Vetter, Marcus (Medical Oncology, University Hospital Basel) , Jung, Miyeon (College of Nursing, Chungnam National University) , Jung, Misook (School of Nursing, Indiana University) , Conley, Yvette (School of Nursing, University of Pittsburgh) , Paul, Steven (School of Nursing, University of California San Francisco) , Kober, Kord M. (School of Nursing, University of California San Francisco) , Cooper, Bruce A. (School of Nursing, University of California San Francisco) , Smoot, Betty (School of Medicine, University of California San Francisco) , Levine, Jon D. (School of Medicine, University of California San Francisco) , Miaskowski, Christine (School of) , Katapodi, Maria C.

Abstract ▼ AI-Helper

Abstract Context Although approximately 75% of patients with breast cancer report changes in attentional function, little is known about how demographic, clinical, symptom, and psychosocial adjustment (e.g., coping) characteristics influence changes in the trajectories of attentional function over time. Objectives This study evaluated interindividual variability in the trajectories of self-reported attentional function and determined which demographic, clinical, symptom, and psychosocial adjustment characteristics were associated with initial levels and with changes in attentional function from before through 12 months after breast cancer surgery. Methods Before surgery, 396 women were enrolled. Attentional Function Index (AFI) was completed before and nine times within the first 12 months after surgery. Hierarchical linear modeling was used to determine which characteristics were associated with initial levels and trajectories of attentional function. Results Given an estimated preoperative AFI score of 6.53, for each additional month, the estimated linear rate of change in AFI score was an increase of 0.054 (P < 0.001). Higher levels of comorbidity, receipt of adjuvant chemotherapy, higher levels of trait anxiety, fatigue, and sleep disturbance, and lower levels of energy and less sense of control were associated with lower levels of attentional function before surgery. Patients who had less improvements in attentional function over time were nonwhite, did not have a lymph node biopsy, had received hormonal therapy, and had less difficulty coping with their disease. Conclusion Findings can be used to identify patients with breast cancer at higher risk for impaired self-reported cognitive function and to guide the prescription of more personalized interventions.

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