Cognitive impairment in young adults after cancer treatment: A descriptive correlational study on levels and associations with disease-related, psychological, and lifestyle factors.

IF 1.5 4区医学 Q4 PSYCHOLOGY, SOCIAL Journal of Psychosocial Oncology Pub Date : 2025-01-01 Epub Date: 2024-12-26 DOI:10.1080/07347332.2024.2444276

Sitara Sharma, Jennifer Brunet

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Abstract

Purpose: Young adults report challenges concerning cancer--related cognitive impairment (CRCI). This study aimed to: (1) describe cognition in young adults post-cancer treatment using self-report and performance-based measures, and (2) examine associations between cognition and relevant disease-related, psychological, and lifestyle (physical activity; PA) factors.

Methods: Forty-six young adults (M_age = 31.4 ± 5.4 years; 91.3% female) completed web-based questionnaires and neuropsychological tests; data were analyzed via descriptive statistics and bivariate correlations.

Results: Most (60.9%) self-reported clinically meaningful CRCI and displayed poorer executive functioning and processing speed (but not working memory) than normative data. Disease-related factors, psychological factors, and PA had null-to-moderate (rs = -0.32-0.28), small-to-large (rs = -0.74-0.77), and trivial-to-moderate (rs = -0.16 - 0.36) correlations with cognition (respectively), with differences in magnitude between self--reported and objective cognition.

Conclusion: The observed correlations warrant further exploration in larger prospective studies, and trials should investigate causative mechanisms and specific PA parameters.

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年轻人癌症治疗后的认知障碍：一项与疾病相关、心理和生活方式因素水平和相关性的描述性研究

目的：年轻人报告癌症相关认知障碍（CRCI）的挑战。本研究旨在：(1)使用自我报告和基于绩效的测量方法描述年轻成年人癌症治疗后的认知；(2)检查认知与相关疾病、心理和生活方式(身体活动；PA)因素。方法：青年人46例(年龄= 31.4±5.4岁；91.3%女性)完成了基于网络的问卷调查和神经心理测试；通过描述性统计和双变量相关性分析数据。结果：大多数（60.9%）自我报告有临床意义的CRCI，表现出较差的执行功能和处理速度（但不包括工作记忆）。疾病相关因素、心理因素和PA与认知（分别）具有从零到中度（rs = -0.32-0.28）、从小到大（rs = -0.74-0.77）和从小到中度（rs = -0.16 - 0.36）的相关性，在自我报告和客观认知之间存在幅度差异。结论：观察到的相关性值得在更大规模的前瞻性研究中进一步探索，试验应该研究致病机制和特定的PA参数。

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来源期刊

Journal of Psychosocial Oncology PSYCHOLOGY, SOCIAL-

CiteScore

4.20

自引率

0.00%

发文量

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.