The relationship between acceptance,fatigue, and subjective cognitive impairment in hematologic cancer survivors |
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| Authors: | Katharina Kuba Gregor Weißflog Heide Götze Francisco García-Torres Anja Mehnert Peter Esser |
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| Institution: | 1. Department of Medical Psychology and Medical Sociology, University Medical Center Leipzig, Leipzig, Germany;2. Department of Psychology, University of Cordoba / IMIBIC Health Research Institute / Reina Sofía University of Cordoba, Spain |
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| Abstract: | Background/Objective: Cancer and its treatment can have a detrimental impact on psychological well-being. Acceptance as the basis of acceptance and commitment therapy (ACT) has shown beneficial effects on depression and anxiety. However, its relationship to fatigue and cognitive impairment has not been investigated. A protective effect of acceptance may open up a new target for psychological intervention.Method: A cross-sectional postal survey was undertaken. 922 hematological cancer survivors (≥ 2.5 years post diagnosis) were recruited through two regional cancer registries in Germany. Acceptance (AAQ-II), fatigue (BFI) and subjective cognitive impairment (AFI) were assessed.Results: Higher levels of acceptance were negatively associated with fatigue and subjective cognitive impairment (R2= .34 and R2= .26, respectively). The relationship between fatigue and fatigue-related impairment of daily life was weaker for survivors with high acceptance.Conclusions: Acceptance is strongly associated with fatigue and subjective cognitive impairment. ACT may be useful to reduce symptoms of fatigue and subjective cognitive impairment in cancer survivors. |
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