User:22ilovecats22/Breast cancer

Sandbox for breast cancer

Psychological Aspects and Supportive Care
'''Chemotherapy related cognitive impairment (CRCI) is another psychological aspect commonly associated with breast cancer patients, with about 10-40% of patients reporting symptoms.  Beginning in the late 1980's, evidence began to emerge that indicated problems with cognitive abilities such as executive functioning, verbal fluency, attention, and speed of processing for breast cancer patients after receiving chemotherapy. Research points to the neurotoxicity of chemotherapy in causing these cognitive impairments, yet there has been occurrence of breast cancer patients reporting cognitive impairments before chemotherapy has even begun.  Factors such as age, menopausal status, depression, anxiety, fatigue, and distress may additionally contribute this "brain fog" rather than the chemotherapy.  Patients experiencing cognitive impairment may have difficulty with their careers, duties and usual routines, which may cause frustration and thus affect quality of life.  While impairment may last for some patients up to 10 years , fortunately most symptoms subside within four years. [3] Treatment wise, there are several proposed pharmaceutical options such as methylphenidate, erythropoietin and modafinil.'''

In women with non-metastatic breast cancer, psychological interventions such as cognitive behavioral therapy can have positive effects on outcomes such as cognitive impairment, anxiety, depression and mood disturbance, and can also improve the quality of life. Physical activity interventions as well as yoga and meditation may also have beneficial effects on health related quality of life, cognitive impairment, anxiety, fitness and physical activity in women with breast cancer following adjuvant therapy.