Relationship between self-reported cognitive function and work-related outcomes in breast cancer survivors

Diane Von Ah, Susan Storey, Adele Crouch

This study examined the relationship between perceived cognitive function including perceived cognitive impairment (PCI) and perceived cognitive ability (PCA) and work ability, work performance, work productivity, and intention to leave employment in breast cancer survivors (BCS). A cross-sectional study design was used in the study. Employed BCS completed questionnaires assessing PCI and PCA (Functional Assessment of Cancer Therapy-Cognitive-3); emotional work demands (Self-Focused Emotional Labor Scale); and work ability index (WAI), work performance, work productivity (Work Limitations Questionnaire (WLQ), and intention to turnover. Separate regression models examined the relationship between PCI and PCA and work-related outcomes. Participants were 68 employed female BCS who were on average 52 (SD = 8.6) years old and 5 (SD = 3.8) years post-treatment with majority working full time. PCI was associated with poorer work ability (B = - 0.658), work performance (time-B = 0.647, physical-B = - 0.414, and mental-B = 0.689), and work productivity (B = 0.731), but not intent to leave work. PCA was related to higher levels of work ability (B = 0.472), work performance (time-B = - 0.462 and mental-B = - 0.453), and work productivity (β = - 0.494), but not physical demands or intent to turnover. Employed BCS with negative perceptions of cognitive function reported poorer work outcomes with the exception of the intent to leave employment. In contrast, positive views of one's cognitive abilities were related to improved ratings of work outcomes again with the exception of intent to leave employment. Healthcare providers need to assess and address perceived cognitive functioning to promote work-related outcomes in BCS.