“I couldn't connect the wires in my brain.” Young adult cancer survivors' experience with cognitive functioning

Objective There is a dearth of literature describing young adult (YA) cancer survivors' experiences with cancer‐related cognitive impairment (CRCI). We aimed to elucidate CRCI among YA cancer survivors and identify potentially modifiable risk factors. Methods We conducted individual qualitative...

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Vydáno v:Psycho-oncology (Chichester, England) Ročník 33; číslo 3; s. e6309 - n/a
Hlavní autoři: Tometich, Danielle B., Welniak, Taylor, Gudenkauf, Lisa, Maconi, Melinda L., Fulton, Hayden J., Martinez Tyson, Dinorah, Zambrano, Kellie, Hasan, Syed, Rodriguez, Yvelise, Bryant, Crystal, Li, Xiaoyin, Reed, Damon R., Oswald, Laura B., Galligan, Andrew, Small, Brent J., Jim, Heather S. L.
Médium: Journal Article
Jazyk:angličtina
Vydáno: England Wiley Subscription Services, Inc 01.03.2024
Témata:
Adult
Attention
Brain
Cancer
Cancer Survivors - psychology
Cognition
Cognitive ability
Cognitive Dysfunction - etiology
Cognitive functioning
Cognitive impairment
Coping
Coping strategies
Efficacy
Emotions
Enrollments
Executive function
Health planning
Humans
Long term memory
Medical diagnosis
Medical treatment
Memory
Mental health
Neoplasms - psychology
Prospective memory
Protective factors
psycho‐oncology
Recall
Religion
Religious beliefs
Risk factors
Sleep disorders
Social factors
Social isolation
Social support
Stress
Survivor
Treatment methods
Yoga
Young Adult
young adult cancer survivors
Young adults
attention
cognitive impairment
memory
young adult cancer survivors
psycho-oncology
ISSN:1057-9249, 1099-1611, 1099-1611
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Shrnutí:Objective There is a dearth of literature describing young adult (YA) cancer survivors' experiences with cancer‐related cognitive impairment (CRCI). We aimed to elucidate CRCI among YA cancer survivors and identify potentially modifiable risk factors. Methods We conducted individual qualitative interviews with YA cancer survivors aged 18–30 years at study enrollment and used applied thematic analysis to identify themes across three topics (i.e., affected cognitive abilities, risk and protective factors influencing the impact of CRCI, and strategies for coping with CRCI). Results YA cancer survivors (N = 20) were, on average, 23 years old at diagnosis and 26 years old when interviewed. Diverse cancer types and treatments were represented; most participants (85%) had completed cancer treatment. Participants described experiences across three qualitative topics: (1) affected cognitive abilities (i.e., concentration and attention, prospective memory, and long‐term memory), (2) Risk factors (i.e., fatigue, sleep problems, mood, stress/distractions, and social isolation) and protective factors (i.e., social support), and (3) coping strategies, including practical strategies that helped build self‐efficacy (e.g., writing things down, reducing distractions), beneficial emotion‐focused coping strategies (e.g., focus on health, faith/religion), strategies with mixed effects (i.e., apps/games, medications/supplements, and yoga), and “powering through” strategies that exacerbated stress. Conclusions YA cancer survivors experience enduring cognitive difficulties after treatment. Specific concerns highlight the importance of attention and executive functioning impairments, long‐term memory recall, and sensitivity to distractions. Future work is needed to improve assessment and treatment of CRCI among YA cancer survivors.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
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Author Contributions: Conceptualization – D.B.T., D.M.T., A.G., B.J.S., H.S.L.J; Methodology – D.B.T, D.M.T., L.B.O., A.G., B.J.S., H.S.L.J; Software – D.B.T., M.L.M., H.J.F.; Validation – D.B.T., M.L.M., H.J.F., X.L.; Formal analysis – D.B.T., M.L.M., H.J.F., X.L.; Investigation – K.Z., S.H., Y.R., C.B.; Resources – D.B.T., D.M.T., D.R.R., A.G., B.J.S., H.S.L.J; Data curation – D.B.T., M.L.M., H.J.F., X.L.; Writing—original draft preparation – D.B.T., T.W., H.S.L.J.; Writing—review and editing – all authors; Visualization, D.B.T., T.W., L.G.; Supervision – D.M.T., L.B.O., A.G., B.J.S., H.S.L.J; Project administration, D.B.T., Y.R., C.B.; Funding acquisition, D.B.T., H.S.L.J. All authors have read and agreed to the published version of the manuscript.
ISSN:1057-9249
1099-1611
1099-1611
DOI:10.1002/pon.6309