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

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Title: "I couldn't connect the wires in my brain." Young adult cancer survivors' experience with cognitive functioning.
Authors: Tometich, Danielle B. (AUTHOR), Welniak, Taylor (AUTHOR), Gudenkauf, Lisa (AUTHOR), Maconi, Melinda L. (AUTHOR), Fulton, Hayden J. (AUTHOR), Martinez Tyson, Dinorah (AUTHOR), Zambrano, Kellie (AUTHOR), Hasan, Syed (AUTHOR), Rodriguez, Yvelise (AUTHOR), Bryant, Crystal (AUTHOR), Li, Xiaoyin (AUTHOR), Reed, Damon R. (AUTHOR), Oswald, Laura B. (AUTHOR), Galligan, Andrew (AUTHOR), Small, Brent J. (AUTHOR), Jim, Heather S. L. (AUTHOR)
Source: Psycho-Oncology. Mar2024, Vol. 33 Issue 3, p1-8. 8p.
Subjects: Prospective memory, Cancer survivors, Cognitive ability, Young adults, Cancer patients, Executive function
Abstract: 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. [ABSTRACT FROM AUTHOR]
Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: "I couldn't connect the wires in my brain." Young adult cancer survivors' experience with cognitive functioning.
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  Data: <searchLink fieldCode="AR" term="%22Tometich%2C+Danielle+B%2E%22">Tometich, Danielle B.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Welniak%2C+Taylor%22">Welniak, Taylor</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gudenkauf%2C+Lisa%22">Gudenkauf, Lisa</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Maconi%2C+Melinda+L%2E%22">Maconi, Melinda L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fulton%2C+Hayden+J%2E%22">Fulton, Hayden J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Martinez+Tyson%2C+Dinorah%22">Martinez Tyson, Dinorah</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zambrano%2C+Kellie%22">Zambrano, Kellie</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hasan%2C+Syed%22">Hasan, Syed</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rodriguez%2C+Yvelise%22">Rodriguez, Yvelise</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bryant%2C+Crystal%22">Bryant, Crystal</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Li%2C+Xiaoyin%22">Li, Xiaoyin</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Reed%2C+Damon+R%2E%22">Reed, Damon R.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Oswald%2C+Laura+B%2E%22">Oswald, Laura B.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Galligan%2C+Andrew%22">Galligan, Andrew</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Small%2C+Brent+J%2E%22">Small, Brent J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jim%2C+Heather+S%2E+L%2E%22">Jim, Heather S. L.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Psycho-Oncology%22">Psycho-Oncology</searchLink>. Mar2024, Vol. 33 Issue 3, p1-8. 8p.
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  Data: <searchLink fieldCode="DE" term="%22Prospective+memory%22">Prospective memory</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+survivors%22">Cancer survivors</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+ability%22">Cognitive ability</searchLink><br /><searchLink fieldCode="DE" term="%22Young+adults%22">Young adults</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+patients%22">Cancer patients</searchLink><br /><searchLink fieldCode="DE" term="%22Executive+function%22">Executive function</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: 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. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1002/pon.6309
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        Text: English
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      – SubjectFull: Cognitive ability
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      – SubjectFull: Young adults
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      – SubjectFull: Cancer patients
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      – SubjectFull: Executive function
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