Universität zu Köln

Stadtbaeumer, Nele ORCID: 0000-0002-2070-0157, Mueller, Horst, Goergen, Helen, Kreissl, Stefanie, Borchmann, Peter and Mayer, Axel ORCID: 0000-0001-9716-878X (2020). The Interplay Between Cancer-Related Fatigue and Functional Health in Hodgkin Lymphoma Survivors. Health Psychol., 39 (10). S. 905 - 912. WASHINGTON: AMER PSYCHOLOGICAL ASSOC. ISSN 1930-7810

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Abstract

Objective: Cancer-related fatigue (CRF) is among the most distressing symptoms reported by cancer survivors as compromising their quality of life. This study investigates the complex interplay between CRF and functional health (FH) in survivors of Hodgkin lymphoma by using longitudinal data to clarify the etiology of CRF. Methods: Data from N = 3596 survivors (HD13-15) from the German Hodgkin Study Group was analyzed using bivariate latent curve models with structured residuals to model how the interplay between CRF and FH unfolds over time across and within individuals. CRF and FH were measured with the EORTC QLQ-C30. Assessed FH domains were physical, cognitive, emotional, social, and role functioning. Age at diagnosis, gender, country, baseline fatigue, and cancer stage were included as covariates. Results: The latent curve models with structured residuals had an adequate model fit (chi(2) = 416.63-548.28, df = 114, p <.001, root mean square error of approximation =.03, comparative fit index =.98 -.99, Tucker-Lewis index =.97-.98). On the between-person level, CRF and all FH domains were strongly negatively correlated (r = -.72 to r = -.84). On the within-person level, earlier CRF (rho(F) = -.05 to rho(F) = -.12) and FH deviations (rho(FH) = -.05 to rho(FH) = -.13) negatively predicted subsequent deviations of the respective other variable. Time-specific within-person improvements in physical, cognitive, and emotional functioning reduced CRF more than vice versa, whereas the effect of CRF was stronger for social functioning. Role functioning had a balanced relation with CRF. Conclusions: This analysis reveals a complex reciprocal relation between CRF and FH with distinct between- and within-person effects. The results contribute to a better understanding of CRF in survivors of Hodgkin lymphoma and could inform the development of much-needed targeted interventions.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Stadtbaeumer, Nele UNSPECIFIED orcid.org/0000-0002-2070-0157 UNSPECIFIED Mueller, Horst UNSPECIFIED UNSPECIFIED UNSPECIFIED Goergen, Helen UNSPECIFIED UNSPECIFIED UNSPECIFIED Kreissl, Stefanie UNSPECIFIED UNSPECIFIED UNSPECIFIED Borchmann, Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED Mayer, Axel UNSPECIFIED orcid.org/0000-0001-9716-878X UNSPECIFIED
URN:	urn:nbn:de:hbz:38-316672
DOI:	10.1037/hea0000921
Journal or Publication Title:	Health Psychol.
Volume:	39
Number:	10
Page Range:	S. 905 - 912
Date:	2020
Publisher:	AMER PSYCHOLOGICAL ASSOC
Place of Publication:	WASHINGTON
ISSN:	1930-7810
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language QUALITY-OF-LIFE; INTRAINDIVIDUAL VARIABILITY; OPEN-LABEL; DISEASE; RADIOTHERAPY; DEPRESSION; QLQ-C30; MODEL Multiple languages Psychology, Clinical; Psychology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/31667