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    Psychosomatics. 2009 Sep-Oct;50(5):440-7.

    Cancer-related fatigue and its associations with depression and anxiety: a systematic review.

    Source

    Psychology Department, Indiana University Purdue University, Indianapolis, IN 46202, USA. lfbrown@iupui.edu

    Abstract

    BACKGROUND:

    Fatigue is an important symptom in cancer and has been shown to be associated with psychological distress.

    OBJECTIVE:

    This review assesses evidence regarding associations of cancer-related fatigue with depression and anxiety.

    METHOD:

    Database searches yielded 59 studies reporting correlation coefficients or odds ratios.

    RESULTS:

    The combined sample size was 12,103. Almost all studies showed a correlation of fatigue with depression and with anxiety. However, 31 different instruments were used to assess fatigue, suggesting a lack of consensus on measurement.

    CONCLUSION:

    This review confirms the association of fatigue with depression and anxiety. Directionality needs to be better delineated in longitudinal studies.

    PMID:
    19855028
    [PubMed - indexed for MEDLINE]
    PMCID:
    PMC2902246
    Free PMC Article

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