A holistic profile for cancer-related fatigue for women with breast cancer - a qualitative study.

IF 1.9 3区心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY

Psychology & Health Pub Date : 2025-06-01 Epub Date: 2023-12-18 DOI:10.1080/08870446.2023.2289457

Kim A E Wijlens, Lian Beenhakker, Annemieke Witteveen, Ester J M Siemerink, Liesbeth Jansen, Christine Gernaat, Melanie P J Schellekens, Sabine Siesling, Miriam M R Vollenbroek-Hutten, Christina Bode

{"title":"A holistic profile for cancer-related fatigue for women with breast cancer - a qualitative study.","authors":"Kim A E Wijlens, Lian Beenhakker, Annemieke Witteveen, Ester J M Siemerink, Liesbeth Jansen, Christine Gernaat, Melanie P J Schellekens, Sabine Siesling, Miriam M R Vollenbroek-Hutten, Christina Bode","doi":"10.1080/08870446.2023.2289457","DOIUrl":null,"url":null,"abstract":"Objective: Cancer- related fatigue (CRF) is one of the most reported long-term effects after breast cancer and severely impacts quality of life. To come towards optimal treatment of multidimensional CRF, the first step is to use a holistic approach to develop a holistic patient profile including the patient's experience and impact of CRF on their life. Methods and measures: Four semi- structured focus groups with twenty- seven breast cancer patients and fourteen interviews with healthcare professionals (HCPs) were held. Reflexive thematic analysis was used to define (sub)themes for the holistic patient profile. The themes of the interviews and focus groups were compared for validity. Results: Breast cancer patients and HCPs described the same five major themes, consisting of experience of CRF, impact and consequences, coping, personality, and CRF treatment. Experience of CRF consists of cognitive, emotional, and physical aspects. Impact and consequences include work, family, partner relation, social contact and hobbies, body, and misunderstanding. Coping consists of twelve (mal)adaptive strategies. Personality and CRF treatment were summarised as themes. Conclusions: A first holistic patient profile was introduced for CRF for breast cancer. This profile can be conceptualized into a questionnaire to collect information for personalized treatment recommendations and monitoring of CRF over time.","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"1037-1061"},"PeriodicalIF":1.9000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychology & Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/08870446.2023.2289457","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/12/18 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"PSYCHOLOGY, MULTIDISCIPLINARY","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: Cancer- related fatigue (CRF) is one of the most reported long-term effects after breast cancer and severely impacts quality of life. To come towards optimal treatment of multidimensional CRF, the first step is to use a holistic approach to develop a holistic patient profile including the patient's experience and impact of CRF on their life. Methods and measures: Four semi- structured focus groups with twenty- seven breast cancer patients and fourteen interviews with healthcare professionals (HCPs) were held. Reflexive thematic analysis was used to define (sub)themes for the holistic patient profile. The themes of the interviews and focus groups were compared for validity. Results: Breast cancer patients and HCPs described the same five major themes, consisting of experience of CRF, impact and consequences, coping, personality, and CRF treatment. Experience of CRF consists of cognitive, emotional, and physical aspects. Impact and consequences include work, family, partner relation, social contact and hobbies, body, and misunderstanding. Coping consists of twelve (mal)adaptive strategies. Personality and CRF treatment were summarised as themes. Conclusions: A first holistic patient profile was introduced for CRF for breast cancer. This profile can be conceptualized into a questionnaire to collect information for personalized treatment recommendations and monitoring of CRF over time.

查看原文本刊更多论文

乳腺癌妇女癌症相关疲劳的整体概况--一项定性研究。

目的：与癌症相关的疲劳（CRF）是乳腺癌术后报告最多的长期影响之一，严重影响生活质量。要实现对多维度 CRF 的最佳治疗，首先要采用整体方法，建立全面的患者档案，包括患者的经历和 CRF 对其生活的影响。方法和措施：对 27 名乳腺癌患者进行了四次半结构式焦点小组讨论，并对医疗保健专业人员（HCPs）进行了 14 次访谈。采用了反思性主题分析法来确定患者整体概况的（子）主题。对访谈和焦点小组的主题进行了有效性比较。结果乳腺癌患者和保健医生描述了相同的五大主题，包括 CRF 体验、影响和后果、应对、个性和 CRF 治疗。CRF 体验包括认知、情感和身体方面。影响和后果包括工作、家庭、伴侣关系、社会接触和爱好、身体和误认。应对方法包括十二种（不良）适应策略。人格和 CRF 治疗被总结为主题。得出结论：首次针对乳腺癌 CRF 引入了整体患者档案。可将该档案概念化为调查问卷，以收集个性化治疗建议和长期 CRF 监测所需的信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Psychology & Health Multiple-

CiteScore

7.30

自引率

3.00%

发文量

期刊介绍： Psychology & Health promotes the study and application of psychological approaches to health and illness. The contents include work on psychological aspects of physical illness, treatment processes and recovery; psychosocial factors in the aetiology of physical illnesses; health attitudes and behaviour, including prevention; the individual-health care system interface particularly communication and psychologically-based interventions. The journal publishes original research, and accepts not only papers describing rigorous empirical work, including meta-analyses, but also those outlining new psychological approaches and interventions in health-related fields.