ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2020
Higher levels of stress and different coping strategies are associated with greater morning and evening fatigue severity in oncology patients receiving chemotherapy.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 31 citations in OpenAlex.
- Long-Term Fatigue After Treatment for Breast Cancer.JAMA network open · 2026Article
- Heterogeneity and influencing factors of cancer-related fatigue among patients with cervical cancer undergoing brachytherapy: A cross-sectional analysis.Asia-Pacific journal of oncology nursing · 2025Article
- Relationship between fatigue and self-compassion and associated factors in patients with hematological cancer: A cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Observational
- The Inflammatory Footprint of Anti-Breast Cancer Treatments and Psychosocial Factors in Women Undergoing Chemotherapy.Biomedicines · 2025Article
- Article
- Various types of stress and greater use of disengagement coping are associated with worse sleep disturbance in oncology patients undergoing chemotherapy.Stress and health : journal of the International Society for the Investigation of Stress · 2024Article
- Beyond the symptom: the biology of fatigue.Sleep · 2023Review
- Prediction of morning fatigue severity in outpatients receiving chemotherapy: less may still be more.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Article
- Higher Stress in Oncology Patients is Associated With Cognitive and Evening Physical Fatigue Severity.Journal of pain and symptom management · 2023Article
- Impact of worst pain severity and morning fatigue profiles on oncology outpatients' symptom burden and quality of life.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Neuroendocrine Stress Axis-Dependence of Duloxetine Analgesia (Anti-Hyperalgesia) in Chemotherapy-Induced Peripheral Neuropathy.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2022Article
- Article
- Determination of Cutpoints for Symptom Burden in Oncology Patients Receiving Chemotherapy.Journal of pain and symptom management · 2022Article
- Article
- Prediction of evening fatigue severity in outpatients receiving chemotherapy: less may be more.Fatigue : biomedicine, health & behavior · 2021Article
- Stress and Symptom Burden in Oncology Patients During the COVID-19 Pandemic.Journal of pain and symptom management · 2020Article
- Network structures of general, physical and psychological fatigue in patients with metastatic colorectal cancer: Implications for targeted coping strategies.International journal of clinical and health psychology : IJCHPArticle
- Distinct Co-occurring Morning and Evening Fatigue Profiles in Patients With Gastrointestinal Cancers Receiving Chemotherapy.Cancer nursingArticle
- Distinct Profiles of Morning and Evening Fatigue Co-Occurrence in Patients During Chemotherapy.Nursing researchArticle
- Article
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Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
Abstract
purposeA cancer diagnosis and associated treatments are stressful experiences for most patients. Patients' perceptions of stress and their use of coping strategies may influence fatigue severity. This study extends our previous work describing distinct profiles of morning (i.e., Very Low, Low, High, and Very High) and evening (i.e., Low, Moderate, High, and Very High) fatigue in oncology patients by evaluating for differences in stress and coping strategies among these fatigue classes.
methodsThis longitudinal study evaluated for changes in morning and evening fatigue in oncology patients (n = 1332) over two cycles of chemotherapy (CTX). Patients completed measures of cumulative exposure to stressful life events (SLEs) (i.e., the Life Stressor Checklist-Revised), general stress (i.e., Perceived Stress Scale [PSS]), cancer-specific stress (i.e., Impact of Event Scale-Revised [IES-R]), and coping strategies (i.e., Brief Cope). Differences among the latent classes were evaluated using analyses of variance, Kruskal-Wallis, or chi-square tests.
resultsPatients in both the Very High morning and evening fatigue classes reported higher numbers of and a higher impact from previous SLEs and higher PSS scores than the other fatigue classes. The IES-R scores for the Very High morning fatigue class met the criterion for subsyndromal PTSD. Patients in the Very High evening fatigue class used a higher number of engagement coping strategies compared with the Very High morning fatigue class.
conclusionsOur findings suggest that interventions to reduce stress and enhance coping warrant investigation to decrease fatigue in patients undergoing CTX.
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