Cognitive challenges while at work and work output in breast cancer survivors employed in a rapidly evolving economy
- 111 Downloads
To determine whether work output was related to cognitive limitations while at work in occupationally active breast cancer survivors (BCS) employed in a rapidly developing economy.
Measures of demographics, job type, job stress, general distress (anxiety, depression), fatigue, work-related cognitive limitations, and work output were obtained using self-report measures in a cross-sectional study in both BCS and controls (n = 267/group).
Groups had similar educational backgrounds, job types, and levels of job stress. The BCS group was a median of 3.2 years post-primary treatment, slightly older, more likely to be divorced, have children, and was more likely working part-time. The BCS group reported higher levels of fatigue, general distress, and lower levels of work output (p < .05). A multivariate regression adjusting for group differences indicated that cognitive symptoms at work were related to lower levels of quantity, quality, and timeliness of completed work in the BCS group (adj. R2 = .57, unstandardized coefficient = 1.062, 95% CI = .436 to 1.689).
When reported in the context of work, cognitive limitations were associated with lower levels of reported work output exclusively in the BCS group.
Implications for Cancer Survivors
This study provides further evidence that cognitive limitations reported in the context of work in a developing country is similar to that of BCS working in more developed economies and is specific to BCS and not healthy workers with similar job types and job stress. Solutions to this problem may be applicable across countries.
KeywordsBreast cancer survivors Fatigue and depression Cognitive function at work Work output Multicenter study
Compliance with ethical standards
The study protocol was approved by the Ethics Committees for Human Subjects at the four hospitals and the Hong Kong Polytechnic University.
Conflict of interest
All authors report no conflicts of interest. Dr. Feuerstein is Editor-in-Chief of JCSU; however, this paper went through peer review and revision.
The study protocol and all procedures performed in this study were approved by the Ethics Committees for Human Subjects at the four hospitals and the Hong Kong Polytechnic University.
Informed consent was obtained from all individual participants included in the study.
- 2.World Bank. The World Bank in China. 2018. http://www.worldbank.org/en/country/china/overview. Accessed March 2018.
- 4.China National Cancer Institute. Annual oncology report. Beijing: Ministry of Health, Bureau of Disease Prevention; 2012.Google Scholar
- 13.Dorland H, Abma F, Stewart R, Amick B, Ranchor A, Roelen C, et al. Fatigue and depressive symptoms improve but remain negatively related to work functioning over 18 months after return to work in cancer patients. J Cancer Surviv. 2018;12:371–8. https://doi.org/10.1007/s11764-018-0676-x.CrossRefPubMedPubMedCentralGoogle Scholar
- 15.Luo SX, Cheng ASK, Xiao SQ, Su YL, Feuerstein M. Breast cancer survivors report similar concerns related to return to work in developed and developing nations. J Occup Rehabil. 2018; https://doi.org/10.1007/s10926-018-9762-1.
- 18.Centers for Disease Control and Prevention. Behavioral risk factor surveillance system (BRFSS) survey questionnaire. Atlanta, GA: centers for disease control and. Prevention. 1999;Google Scholar
- 21.Huang H-S, Zhang J-P, Deng X-M, Xu L. Application of psychological rating scales for patients with cancer. Nurs L Clin PLA. 2006;23(5):59–62.Google Scholar
- 22.Zhang W, Wang W-L, Hong J-F, Chen Y. Research on critical value of hospital anxiety and depression scale in screening anxiety and depression of hospitalized cancer patients. Chin J Nurs. 2012;19(19):1–4.Google Scholar
- 30.Zeng Y, Cheng ASK, Song T, Sheng X, Zhang Y, Liu X, et al. Subjective cognitive impairment and brain structural networks in Chinese gynaecological cancer survivors compared with age-matched controls: a cross-sectional study. BMC Cancer. 2017 Nov 28;17(1):796. https://doi.org/10.1186/s12885-017-3793-4. CrossRefPubMedPubMedCentralGoogle Scholar
- 36.Zeng Y, Cheng ASK, Feuerstein M. Cognitive limitations at work among employed breast cancer survivors in China. Hoboken: Wiley-Blackwell; 2016. p. 2.Google Scholar
- 41.Zeng Y, Cheng ASK, Liu X, Feuerstein M. Symptom profiles, work productivity and quality of life among Chinese female cancer survivors. Gynecol Obstet (Sunnyvale). 2016;06 https://doi.org/10.4172/2161-0932.1000357.
- 43.Greidanus MA, de Boer AGEM, de Rijk AE, Tiedtke CM, Dierckx de Casterlé B, Frings-Dresen MHW, et al. Perceived employer-related barriers and facilitators for work participation of cancer survivors: a systematic review of employers' and survivors' perspectives. Psycho-Oncology. 2018;27(3):725–33.CrossRefGoogle Scholar
- 46.Fassier J-B, Lamort-Bouche M, Broc G, Guittard L, Peron J, Rouat S, et al. Developing a return to work intervention for breast cancer survivors with the intervention mapping protocol: challenges and opportunities of the needs assessment. Front Public Health. 2018;6 https://doi.org/10.3389/fpubh.2018.00035.
- 50.Kirsh D. A few thoughts on cognitive overload. 2000. http://intellectica.org/SiteArchives/archives/n30/30_01_Kirsh.pdf. Accessed July 2018.CrossRefGoogle Scholar
- 51.Xie H, Wang F, Hao Y, Chen J, An J, Wang Y, et al. The more total cognitive load is reduced by cues, the better retention and transfer of multimedia learning: a meta-analysis and two meta-regression analyses. PLoS One. 2017;12(8):e0183884. https://doi.org/10.1371/journal.pone.0183884.CrossRefPubMedPubMedCentralGoogle Scholar