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Psychological coping factors associated with breast cancer-related fatigue : a systematic review of recent evidence for stages 0-III (2 015-2021)

Schaab, Michael (2021) Psychological coping factors associated with breast cancer-related fatigue : a systematic review of recent evidence for stages 0-III (2 015-2021).

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Full Text Status:Access to this publication is restricted
Embargo date:26 May 2025
Abstract:Background and research objective: Cancer-related fatigue (CRF) is a common, distressing, and difficult to treat symptom for both breast cancer patients and survivors. This review investigates psychological coping factors associated with breast CRF and how much evidence supports them. Method: A comprehensive literature search was conducted using variations of the keywords ‘Psychology’, ‘Breast Cancer’, ‘Fatigue’, and ‘Coping’. Articles discussing stage IV and/or metastatic breast cancer were excluded as well as articles discussing internal resources and predispositions. Seven articles with quantitative results published between January 2015 and April 2021 with a sample size of 100 or more breast cancer patients or survivors were included in the final sample. Sufficient inter-rater reliability between two raters was reached in the title, abstract and full-text scan. Results: Sense of coherence and reassurance of worth were negatively associated with total breast CRF. Subjective/perceived stress, meaning focused coping, and breast-related stereotype threat were positively associated with total breast CRF. Reassurance of worth, nurturance, and optimism were negatively associated with mental fatigue. Optimism was also negatively associated with reduced motivation. All of these relationships were significant (P<0.05). No significant relationships were found between any dimensions of breast CRF and attachment, social integration, and emotional control. A preliminary heuristic coping model was constructed based on the results. Discussion and conclusion: This review provides a preliminary heuristic model that can provide insight into psychological coping factors associated with breast CRF, inspire interventions, and illustrate gaps in the current literature. The need for further research to solidify the preliminary heuristic model is evident. Differing levels of evidence supporting each construct in regard to study design, number of measurements, or analysis method are discussed in this review.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:44 medicine, 77 psychology
Programme:Psychology MSc (66604)
Link to this item:https://purl.utwente.nl/essays/88496
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