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首页> 外文期刊>Psycho-Oncology: Journal of the Psychological Social and Behavioral Dimensions of Cancer >Cognitive performance of breast cancer survivors in daily life: Role of fatigue and depressed mood
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Cognitive performance of breast cancer survivors in daily life: Role of fatigue and depressed mood

机译：日常生活中乳腺癌幸存者的认知性能：疲劳和情绪抑郁的作用

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Abstract Objective Cancer and its treatment are associated with long‐term cognitive deficits. However, most studies of cancer patients have used traditional, office‐based cognitive evaluations instead of assessing patients in their daily lives. Recent research in cognitive aging suggests that variability in performance may be a sensitive indicator of cognitive decline. Using ecological momentary assessment (EMA), we examined cognitive variability among breast cancer survivors and evaluated whether ratings of fatigue and depressed mood were associated with cognition. Methods Participants were 47 women (M age = 53.3 years) who completed treatment for early stage breast cancer 6 to 36 months previously. Smartphones were preloaded with cognitive tests measuring processing speed, executive functioning, and memory, as well as rating scales for fatigue and depressed mood. Participants were prompted five times per day over a 14‐day period to complete EMA cognitive tasks and fatigue and depressed mood ratings. Results Cognitive variability was observed across all three EMA cognitive tasks. Processing speed responses were slower at times that women rated themselves as more fatigued than their average ( P .001). Ratings of depressed mood were not associated with cognition. Conclusions This study is the first to report cognitive variability in the daily lives of women treated for breast cancer. Performance was worse on a measure of processing speed at times when a woman rated her fatigue as greater than her own average. The ability to identify moments when cognition is most vulnerable may allow for personalized interventions to be applied at times when they are most needed.
机译：摘要目的癌症及其治疗与长期认知赤字有关。然而，大多数对癌症患者的研究使用了传统的，办公室的认知评估，而不是评估日常生活中的患者。最近的认知老龄化的研究表明，性能的可变性可能是认知下降的敏感指标。使用生态瞬间评估（EMA），我们检查了乳腺癌幸存者之间的认知变异，并评估了疲劳和抑郁情绪的评级是否与认知有关。方法参与者是47名女性（M龄= 53.3岁），他以前完成了早期乳腺癌治疗6至36个月。智能手机用认知测试，测量加工速度，高管功能和记忆以及疲劳和抑郁情绪的评级鳞片。参与者每天促进五次，超过14天的时间，以完成EMA认知任务和疲劳和抑郁情绪评级。结果在所有三个EMA认知任务中观察到认知变异性。加工速度响应在女性额定自身比平均值更疲劳（P＆ .001）。抑郁情绪的评级与认知无关。结论本研究是第一个在为乳腺癌治疗的妇女的日常生活中报告认知变异。当一个女人达到比她自己平均水平的疲劳程度时，性能在加工速度的衡量标准更糟糕。当认知最脆弱时识别时刻的能力可能允许在最需要的时候允许在其时应用的个性化干预措施。

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