Exploring anxiety as an influencing factor of the impact of exercise and mind-body prehabilitation on cognitive functioning among women undergoing breast cancer surgery.

IF 1.5 4区 医学 Q4 PSYCHOLOGY, SOCIAL Journal of Psychosocial Oncology Pub Date : 2024-01-01 Epub Date: 2023-12-04 DOI:10.1080/07347332.2023.2282021
Robert Knoerl, Timothy S Sannes, Anita Giobbie-Hurder, Elizabeth S Frank, Anne McTiernan, Eric P Winer, Melinda L Irwin, Jennifer A Ligibel
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Abstract

Objective: The purpose of this secondary analysis was to describe the prevalence of anxiety, depression, and perceived stress among women newly diagnosed with breast cancer and the impact of baseline and changes in anxiety on cognitive functioning following exercise and mind-body prehabilitation interventions.

Methods: The sample consisted of 49 women with newly diagnosed breast cancer (stages I-III) who planned to undergo breast cancer surgery at two academic cancer centers. Participants were randomized to receive an exercise or mind-body prehabilitation intervention between the time of diagnosis and breast cancer surgery. Participants completed self-report measures of anxiety, depression (HADS), perceived stress, and cognitive functioning (EORTC-QLQ-C30) at study enrollment and prior to surgery (post-intervention). The relationships between change in cognitive functioning and change in anxiety among all participants were estimated using linear regression modeling.

Results: A significant proportion of women with newly diagnosed breast cancer had clinically significant anxiety (34.0%). Greater anxiety was moderately associated with worse cognitive functioning (r = -0.33) at baseline. Linear modeling found that changes in cognitive functioning and anxiety were inversely related: Each one-unit decrease in anxiety was associated with a two-unit improvement in cognitive function (p = .06).

Conclusions: Anxiety was common in women with newly diagnosed breast cancer and was related to worse cognitive functioning. Assessment of anxiety at the time of diagnosis may allow for earlier anxiety management and subsequent improvement in cognitive functioning.

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探讨焦虑作为运动和身心康复对乳腺癌手术妇女认知功能影响的影响因素。
目的:本次要分析的目的是描述新诊断为乳腺癌的女性中焦虑、抑郁和感知压力的患病率,以及运动和身心康复干预后焦虑基线和变化对认知功能的影响。方法:样本包括49名新诊断的乳腺癌(I-III期)妇女,她们计划在两家学术癌症中心接受乳腺癌手术。在诊断到乳腺癌手术期间,参与者被随机分配接受锻炼或身心康复干预。参与者在研究入组时和手术前(干预后)完成焦虑、抑郁(HADS)、感知压力和认知功能(EORTC-QLQ-C30)的自我报告测量。使用线性回归模型估计所有参与者的认知功能变化与焦虑变化之间的关系。结果:新诊断乳腺癌的女性有显著比例的临床显著焦虑(34.0%)。在基线时,更大的焦虑与更差的认知功能中度相关(r = -0.33)。线性模型发现,认知功能的变化和焦虑呈负相关:焦虑每减少一个单位,认知功能就会改善两个单位(p = .06)。结论:焦虑在新诊断乳腺癌的女性中很常见,并与认知功能恶化有关。在诊断时对焦虑进行评估可能有助于早期的焦虑管理和随后的认知功能改善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Psychosocial Oncology
Journal of Psychosocial Oncology PSYCHOLOGY, SOCIAL-
CiteScore
4.20
自引率
0.00%
发文量
36
期刊介绍: Here is your single source of integrated information on providing the best psychosocial care possible from the knowledge available from many disciplines.The Journal of Psychosocial Oncology is an essential source for up-to-date clinical and research material geared toward health professionals who provide psychosocial services to cancer patients, their families, and their caregivers. The journal—the first interdisciplinary resource of its kind—is in its third decade of examining exploratory and hypothesis testing and presenting program evaluation research on critical areas, including: the stigma of cancer; employment and personal problems facing cancer patients; patient education.
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Correction. Understanding the patient-spouse communication experience during chemotherapy for gastric cancer: A qualitative study. Quality of life and unmet needs of late-stage and metastatic colorectal cancer survivors: An integrative review. The meaning-making process in the re-entry phase: A qualitative focus group study with patients treated for breast cancer or melanoma. Adaptation and feasibility of the Swedish Promoting Resilience in Stress Management intervention targeting adolescents and young adults newly diagnosed with cancer.
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