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  • Subjective cognitive functioning and associations with psychological distress in adult brain tumour survivors

    Author(s)
    Nicol, Chelsea
    Ownsworth, Tamara
    Cubis, Lee
    Nguyen, William
    Foote, Matthew
    Pinkham, Mark B
    Griffith University Author(s)
    Ownsworth, Tamara
    Year published
    2019
    Metadata
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    Abstract
    Purpose: The impact of brain tumour on subjective cognitive function (SCF) has received little attention despite the implications of these perceptions for quality of life. SCF consists of two related yet distinct components, perceived cognitive impairment (PCI) and perceived cognitive abilities (PCA). This study compared the SCF of adult brain tumour survivors and healthy controls and examined demographic, illness-related, and psychological factors associated with SCF. Method: Sixty-five adult survivors with primary brain tumour (age, 22–75 years), and 65 age- and sex-matched controls were recruited. Participants with brain ...
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    Purpose: The impact of brain tumour on subjective cognitive function (SCF) has received little attention despite the implications of these perceptions for quality of life. SCF consists of two related yet distinct components, perceived cognitive impairment (PCI) and perceived cognitive abilities (PCA). This study compared the SCF of adult brain tumour survivors and healthy controls and examined demographic, illness-related, and psychological factors associated with SCF. Method: Sixty-five adult survivors with primary brain tumour (age, 22–75 years), and 65 age- and sex-matched controls were recruited. Participants with brain tumour completed the Brief Test of Adult Cognition by Telephone, Functional Assessment of Cancer Therapy–Cognitive Function (FACT-Cog), ratings of physical symptoms, Depression Scale of the Depression Anxiety Stress Scales-21 (DASS-Depression), and Generalized Anxiety Disorder-7 (GAD-7) scale. Controls completed the FACT-Cog, DASS-Depression, and GAD-7. Results: Adult brain tumour survivors reported significantly greater PCI and lower PCA than controls, after accounting for anxiety. Higher PCI was significantly related to fatigue, pain, treatment-related side-effects, anxiety, and depression. Lower PCA was significantly associated with fatigue, pain, poorer objective cognitive function, lower education, anxiety, and depression. Anxiety uniquely accounted for 9–14% of variance in SCF. Conclusions: Adult brain tumour survivors were found to experience poorer SCF than healthy controls after accounting for anxiety. SCF was related to multiple factors after brain tumour; however, an independent association with anxiety was identified. Implications for Cancer Survivors: These findings highlight the potential value of psychological interventions targeting anxiety and cognitive effects to improve quality of survivorship after brain tumour.
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    Journal Title
    Journal of Cancer Survivorship
    DOI
    https://doi.org/10.1007/s11764-019-00784-8
    Note
    This publication has been entered into Griffith Research Online as an Advanced Online Version.
    Subject
    Oncology and carcinogenesis
    Psychology
    Brain tumour survivors
    Patient-reported outcomes
    Perceived cognitive abilities
    Perceived cognitive impairment
    Psychological distress
    Publication URI
    http://hdl.handle.net/10072/388042
    Collection
    • Journal articles

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