Association between Catastrophizing, Subjective Symptoms, Upper Extremity Function, and Disability in Cancer Patients with Chemotherapy-induced Peripheral Neuropathy

Yuta Ikio; Akira Sagari; Jiro Nakano; Yasutaka Kondo; Futoshi Oda; Satoshi Oga; Takashi Hasegawa; Toshio Higashi

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Association between Catastrophizing, Subjective Symptoms, Upper Extremity Function, and Disability in Cancer Patients with Chemotherapy-induced Peripheral Neuropathy

VernacularTitle:化学療法誘発性末梢神経障害を呈したがん患者の破局的思考と自覚症状，上肢機能および生活障害との関連
Author: Yuta IKIO ¹ ; Akira SAGARI ² ; Jiro NAKANO ³ ; Yasutaka KONDO ⁴ ; Futoshi ODA ¹ ; Satoshi OGA ¹ ; Takashi HASEGAWA ¹ ; Toshio HIGASHI ²
Author Information

1. Japanese Red Cross Nagasaki Genbaku Hospital
2. Department of Medical and Dental Sciences, Nagasaki University Graduate School of Biomedical Sciences
3. School of Health Sciences, Faculty of Medicine, Shinshu University
4. Department of Physical Medicine and Rehabilitation, Kansai Medical University
Keywords: chemotherapy; peripheral neuropathy; catastrophizing; disability
From:Palliative Care Research 2020;15(4):331-338
CountryJapan
Language:Japanese
Abstract: Objective: We investigated the association between catastrophizing with regard to numbness and pain, subjective symptoms, upper extremity function, and disability in cancer patients with chemotherapy-induced peripheral neuropathy (CIPN). Method: We evaluated catastrophizing (pain catastrophizing scale [PCS] total score, rumination, helplessness, magnification), subjective symptoms of numbness and pain, upper extremity function, and disability in patients with hematological malignancy and gastrointestinal cancer who developed upper extremity CIPN. We calculated the Spearman’s rank correlation coefficient to determine the strength of the association. Result: A significant association was observed between catastrophizing and disability; however, upper extremity function was not significantly association with catastrophizing. Based on the PCS subscale scores, only rumination was significantly association with subjective symptoms. Conclusion: Functional assessment and approaches may not be sufficient to improve the activities of daily living in cancer patients with upper extremity CIPN, and assessment and approaches to cognitive aspects, such as catastrophizing, should also be considered.