Symptom cluster of emotional distress, fatigue and cognitive difficulties among young and older breast cancer survivors: The mediating role of subjective stress

To examine the nature of the symptom cluster of emotional distress, fatigue, and cognitive difficulties in young and older breast cancer survivors (BCS); To assess the mediating role of subjective stress and coping strategies (emotional control and meaning-focused coping) in the association between...

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Bibliographic Details
Published in:Journal of geriatric oncology 2018-09, Vol.9 (5), p.469-475
Main Authors: Levkovich, Inbar, Cohen, Miri, Alon, Shirly, Kuchuk, Iryna, Nissenbaum, Bella, Evron, Ella, Pollack, Simon, Fried, Georgeta
Format: Article
Language:English
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Summary:To examine the nature of the symptom cluster of emotional distress, fatigue, and cognitive difficulties in young and older breast cancer survivors (BCS); To assess the mediating role of subjective stress and coping strategies (emotional control and meaning-focused coping) in the association between age and symptom cluster. Participants were 170 BCS, stages I-III, 1–12 months post-chemotherapy, filled-out the Fatigue, Emotional Control, Meaning—focused Coping, Emotional Distress and the Cognitive Difficulties Questionnaires. Statistical analyses included tests for difference between-groups Pearson correlations and Structural Equation Modeling for the assessment of the study model. Older BCS (aged 60–82) reported lower levels of emotional distress (M = 0.87, SD = 0.87), fatigue (M = 3.85, SD = 2.38), and cognitive difficulties (M = 1.17, SD = 1.07) compared to the younger BCS (aged 24–59) (emotional distress M = 1.17, SD = 0.85, fatigue M = 5.02, SD = 2.32, and cognitive difficulties M = 1.66, SD = 1.23, p 
ISSN:1879-4068
1879-4076
DOI:10.1016/j.jgo.2018.05.002