| Title |
Are the effects of cognitive behavior therapy for severe fatigue in cancer survivors sustained up to 14 years after therapy?
|
|---|---|
| Published in |
Journal of Cancer Survivorship, April 2018
|
| DOI | 10.1007/s11764-018-0690-z |
| Pubmed ID | |
| Authors |
Lidewij D. Van Gessel, Harriët J. G. Abrahams, Hetty Prinsen, Gijs Bleijenberg, Marianne Heins, Jos Twisk, Hanneke W. M. Van Laarhoven, Stans C. A. H. H. V. M. Verhagen, Marieke F. M. Gielissen, Hans Knoop |
| Abstract |
Cognitive behavior therapy (CBT) reduces cancer-related fatigue (CRF) in cancer survivors in the short term. We examined fatigue levels up to 14 years after CBT. Eligible participants of two randomized controlled trials who had completed CBT for CRF and a post-treatment assessment were contacted (n = 81). Fatigue was assessed with the subscale "fatigue severity" of the Checklist Individual Strength (CIS-fatigue). The course of fatigue over time was examined with linear mixed model analyses. Fatigue levels of participants were compared to matched population controls at long-term follow-up. We tested with multiple regression analysis if fatigue at follow-up was predicted by the patients' fatigue level and fatigue-perpetuating factors directly after CBT (post-CBT). Seventy-eight persons completed a follow-up assessment (response rate = 96%, mean time after CBT = 10 years). The mean level of fatigue increased from 23.7 (SD = 11.1) at post-CBT to 34.4 (SD = 12.4) at follow-up (p < 0.001). Population controls (M = 23,9, SD = 11.4) reported lower fatigue levels than participants. Half of the patients (52%) who were recovered from severe fatigue at post-CBT (CIS-fatigue < 35) were still recovered at long-term follow-up. Patients with lower fatigue levels at post-CBT were less likely to show relapse. Despite initial improvement after CBT, levels of fatigue deteriorated over time. Half of the patients who were recovered from severe fatigue after CBT still scored within normal ranges of fatigue at long-term follow-up. It should be explored how to help patients with a relapse of severe fatigue following an initially successful CBT. They may profit from CBT again, or another evidence-based intervention for fatigue (like mindfulness or exercise therapy). Future research to gain insight into reasons for relapse is warranted. |
X Demographics
The data shown below were collected from the profiles of 2 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Australia | 1 | 50% |
| Canada | 1 | 50% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Scientists | 1 | 50% |
| Members of the public | 1 | 50% |
Mendeley readers
The data shown below were compiled from readership statistics for 90 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 90 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 15 | 17% |
| Student > Ph. D. Student | 12 | 13% |
| Student > Bachelor | 9 | 10% |
| Researcher | 8 | 9% |
| Student > Doctoral Student | 4 | 4% |
| Other | 11 | 12% |
| Unknown | 31 | 34% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 19 | 21% |
| Psychology | 15 | 17% |
| Medicine and Dentistry | 12 | 13% |
| Biochemistry, Genetics and Molecular Biology | 4 | 4% |
| Sports and Recreations | 3 | 3% |
| Other | 6 | 7% |
| Unknown | 31 | 34% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 17 April 2018.
All research outputs
#14,223,188
of 23,577,654 outputs
Outputs from Journal of Cancer Survivorship
#693
of 1,022 outputs
Outputs of similar age
#178,201
of 330,413 outputs
Outputs of similar age from Journal of Cancer Survivorship
#11
of 15 outputs
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