The influence of priming and pre-existing knowledge of chemotherapy-associated cognitive complaints on the reporting of such complaints in breast cancer patients

Objective: Many cancer patients report cognitive changes following chemotherapy. In social psychology, there is ample evidence that psychological and physical complaints can increase with increased accessibility of relevant schemata. The accessibility of related concepts in memory may be facilitated...

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Veröffentlicht in:Psycho-oncology (Chichester, England) England), 2009-06, Vol.18 (6), p.674-678
Hauptverfasser: Schagen, Sanne B., Das, Enny, van Dam, Frits S.A.M.
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container_title Psycho-oncology (Chichester, England)
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creator Schagen, Sanne B.
Das, Enny
van Dam, Frits S.A.M.
description Objective: Many cancer patients report cognitive changes following chemotherapy. In social psychology, there is ample evidence that psychological and physical complaints can increase with increased accessibility of relevant schemata. The accessibility of related concepts in memory may be facilitated through priming or by pre‐existing knowledge, resulting in an increase of reported complaints. We examined whether pre‐existing knowledge of chemotherapy‐associated cognitive problems and priming the ‘chemo‐brain’ schema increase the reporting of cognitive complaints. Methods: Two hundred and sixty‐one breast cancer patients were interviewed about cognitive problems and other cancer‐related symptoms. Preceding the interview, half of the patients were primed with an introduction letter to the study in which the occurrence of cognitive complaints and its relation with chemotherapy was explicated. The remaining patients received a neutral letter that did not mention this relationship. Results: Patients with pre‐existing knowledge about chemotherapy‐associated cognitive problems reported more cognitive complaints (M=3.04) than patients without this knowledge (M=2.21; p
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In social psychology, there is ample evidence that psychological and physical complaints can increase with increased accessibility of relevant schemata. The accessibility of related concepts in memory may be facilitated through priming or by pre‐existing knowledge, resulting in an increase of reported complaints. We examined whether pre‐existing knowledge of chemotherapy‐associated cognitive problems and priming the ‘chemo‐brain’ schema increase the reporting of cognitive complaints. Methods: Two hundred and sixty‐one breast cancer patients were interviewed about cognitive problems and other cancer‐related symptoms. Preceding the interview, half of the patients were primed with an introduction letter to the study in which the occurrence of cognitive complaints and its relation with chemotherapy was explicated. The remaining patients received a neutral letter that did not mention this relationship. Results: Patients with pre‐existing knowledge about chemotherapy‐associated cognitive problems reported more cognitive complaints (M=3.04) than patients without this knowledge (M=2.21; p&lt;0.001). The priming letter increased the reporting of cognitive complaints only for patients without a history of chemotherapy (p&lt;0.05). All effects were independent of negative affect, age and education level. Conclusion: Our study shows that facilitating the accessibility of concepts related to chemotherapy‐associated cognitive complaints directly increases the reporting of such complaints, in particular in patients without firsthand chemotherapy experience. This increase in prevalence of cognitive complaints following a chronically or temporarily accessible ‘chemo‐brain’ schema has relevant implications for clinical practice and for scientific research in this area. Copyright © 2008 John Wiley &amp; Sons, Ltd.</description><identifier>ISSN: 1057-9249</identifier><identifier>EISSN: 1099-1611</identifier><identifier>DOI: 10.1002/pon.1454</identifier><identifier>PMID: 19021129</identifier><identifier>CODEN: POJCEE</identifier><language>eng</language><publisher>Chichester, UK: John Wiley &amp; Sons, Ltd</publisher><subject>Accessibility ; Adaptation, Psychological ; Adult ; Affect - drug effects ; Aged ; Antineoplastic Agents - adverse effects ; Antineoplastic Agents - therapeutic use ; Attention - drug effects ; Breast cancer ; Breast Neoplasms - drug therapy ; Breast Neoplasms - psychology ; Chemotherapy ; Cognition &amp; reasoning ; Cognition Disorders - chemically induced ; Cognition Disorders - diagnosis ; Cognition Disorders - psychology ; cognitive complaints ; Cognitive skills ; Complaints ; Culture ; Fatigue - chemically induced ; Fatigue - psychology ; Female ; Humans ; Interview, Psychological ; Mental Recall - drug effects ; Middle Aged ; Oncology ; Patient Education as Topic ; Priming ; Set (Psychology) ; Sick Role ; Sleep Initiation and Maintenance Disorders - chemically induced ; Sleep Initiation and Maintenance Disorders - psychology ; Social psychology ; Studies</subject><ispartof>Psycho-oncology (Chichester, England), 2009-06, Vol.18 (6), p.674-678</ispartof><rights>Copyright © 2008 John Wiley &amp; Sons, Ltd.</rights><rights>Copyright John Wiley and Sons, Limited Jun 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4474-b071c3ae94a235c870ba33d564a720f4dd03ecc2021d67e44d457843f1a849ad3</citedby><cites>FETCH-LOGICAL-c4474-b071c3ae94a235c870ba33d564a720f4dd03ecc2021d67e44d457843f1a849ad3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpon.1454$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpon.1454$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,30980,30981,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19021129$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schagen, Sanne B.</creatorcontrib><creatorcontrib>Das, Enny</creatorcontrib><creatorcontrib>van Dam, Frits S.A.M.</creatorcontrib><title>The influence of priming and pre-existing knowledge of chemotherapy-associated cognitive complaints on the reporting of such complaints in breast cancer patients</title><title>Psycho-oncology (Chichester, England)</title><addtitle>Psycho-Oncology</addtitle><description>Objective: Many cancer patients report cognitive changes following chemotherapy. In social psychology, there is ample evidence that psychological and physical complaints can increase with increased accessibility of relevant schemata. The accessibility of related concepts in memory may be facilitated through priming or by pre‐existing knowledge, resulting in an increase of reported complaints. We examined whether pre‐existing knowledge of chemotherapy‐associated cognitive problems and priming the ‘chemo‐brain’ schema increase the reporting of cognitive complaints. Methods: Two hundred and sixty‐one breast cancer patients were interviewed about cognitive problems and other cancer‐related symptoms. Preceding the interview, half of the patients were primed with an introduction letter to the study in which the occurrence of cognitive complaints and its relation with chemotherapy was explicated. The remaining patients received a neutral letter that did not mention this relationship. Results: Patients with pre‐existing knowledge about chemotherapy‐associated cognitive problems reported more cognitive complaints (M=3.04) than patients without this knowledge (M=2.21; p&lt;0.001). The priming letter increased the reporting of cognitive complaints only for patients without a history of chemotherapy (p&lt;0.05). All effects were independent of negative affect, age and education level. Conclusion: Our study shows that facilitating the accessibility of concepts related to chemotherapy‐associated cognitive complaints directly increases the reporting of such complaints, in particular in patients without firsthand chemotherapy experience. This increase in prevalence of cognitive complaints following a chronically or temporarily accessible ‘chemo‐brain’ schema has relevant implications for clinical practice and for scientific research in this area. Copyright © 2008 John Wiley &amp; Sons, Ltd.</description><subject>Accessibility</subject><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Affect - drug effects</subject><subject>Aged</subject><subject>Antineoplastic Agents - adverse effects</subject><subject>Antineoplastic Agents - therapeutic use</subject><subject>Attention - drug effects</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - drug therapy</subject><subject>Breast Neoplasms - psychology</subject><subject>Chemotherapy</subject><subject>Cognition &amp; reasoning</subject><subject>Cognition Disorders - chemically induced</subject><subject>Cognition Disorders - diagnosis</subject><subject>Cognition Disorders - psychology</subject><subject>cognitive complaints</subject><subject>Cognitive skills</subject><subject>Complaints</subject><subject>Culture</subject><subject>Fatigue - chemically induced</subject><subject>Fatigue - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>Interview, Psychological</subject><subject>Mental Recall - drug effects</subject><subject>Middle Aged</subject><subject>Oncology</subject><subject>Patient Education as Topic</subject><subject>Priming</subject><subject>Set (Psychology)</subject><subject>Sick Role</subject><subject>Sleep Initiation and Maintenance Disorders - chemically induced</subject><subject>Sleep Initiation and Maintenance Disorders - psychology</subject><subject>Social psychology</subject><subject>Studies</subject><issn>1057-9249</issn><issn>1099-1611</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp90c1u1DAUBeAIgWgpSDwBslgAmxT_xR4vSwUFaWhZFFhaHvtmxm3GDnZCO4_Dm-J0IkBIsPKV_enIV6eqnhJ8TDCmr_sYjglv-L3qkGClaiIIuT_NjawV5eqgepTzFcYFK_GwOiAKU0KoOqx-XG4A-dB2IwQLKLaoT37rwxqZ4MoMNdz6PEwX1yHedODWd8puYBuHDSTT72qTc7TeDOCQjevgB_8dyrTtO-PDkFEMqFCUoI_pLqoE5NFu_jQ-oFUCkwdkTflJQr0ZPJSXx9WD1nQZnsznUfX53dvL0_f18uLsw-nJsracS16vsCSWGVDcUNbYhcQrw5hrBDeS4pY7hxlYS8viTkjg3PFGLjhriVlwZRw7ql7uc_sUv42QB7312ULXmQBxzFoKzpTCrCnyxX9lIxlWjZzg87_gVRxTKFtoSqkUWIgJvdojm2LOCVo9NWDSThOsp3Z1aVdP7Rb6bM4bV1twv-FcZwH1Htz4Dnb_DNKfLs7nwNmXiuH2lzfpWgvJZKO_np_ppfj45Y0kTGP2EyALv8A</recordid><startdate>200906</startdate><enddate>200906</enddate><creator>Schagen, Sanne B.</creator><creator>Das, Enny</creator><creator>van Dam, Frits S.A.M.</creator><general>John Wiley &amp; 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reasoning</topic><topic>Cognition Disorders - chemically induced</topic><topic>Cognition Disorders - diagnosis</topic><topic>Cognition Disorders - psychology</topic><topic>cognitive complaints</topic><topic>Cognitive skills</topic><topic>Complaints</topic><topic>Culture</topic><topic>Fatigue - chemically induced</topic><topic>Fatigue - psychology</topic><topic>Female</topic><topic>Humans</topic><topic>Interview, Psychological</topic><topic>Mental Recall - drug effects</topic><topic>Middle Aged</topic><topic>Oncology</topic><topic>Patient Education as Topic</topic><topic>Priming</topic><topic>Set (Psychology)</topic><topic>Sick Role</topic><topic>Sleep Initiation and Maintenance Disorders - chemically induced</topic><topic>Sleep Initiation and Maintenance Disorders - psychology</topic><topic>Social psychology</topic><topic>Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schagen, Sanne B.</creatorcontrib><creatorcontrib>Das, Enny</creatorcontrib><creatorcontrib>van Dam, Frits S.A.M.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><jtitle>Psycho-oncology (Chichester, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schagen, Sanne B.</au><au>Das, Enny</au><au>van Dam, Frits S.A.M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The influence of priming and pre-existing knowledge of chemotherapy-associated cognitive complaints on the reporting of such complaints in breast cancer patients</atitle><jtitle>Psycho-oncology (Chichester, England)</jtitle><addtitle>Psycho-Oncology</addtitle><date>2009-06</date><risdate>2009</risdate><volume>18</volume><issue>6</issue><spage>674</spage><epage>678</epage><pages>674-678</pages><issn>1057-9249</issn><eissn>1099-1611</eissn><coden>POJCEE</coden><abstract>Objective: Many cancer patients report cognitive changes following chemotherapy. In social psychology, there is ample evidence that psychological and physical complaints can increase with increased accessibility of relevant schemata. The accessibility of related concepts in memory may be facilitated through priming or by pre‐existing knowledge, resulting in an increase of reported complaints. We examined whether pre‐existing knowledge of chemotherapy‐associated cognitive problems and priming the ‘chemo‐brain’ schema increase the reporting of cognitive complaints. Methods: Two hundred and sixty‐one breast cancer patients were interviewed about cognitive problems and other cancer‐related symptoms. Preceding the interview, half of the patients were primed with an introduction letter to the study in which the occurrence of cognitive complaints and its relation with chemotherapy was explicated. The remaining patients received a neutral letter that did not mention this relationship. Results: Patients with pre‐existing knowledge about chemotherapy‐associated cognitive problems reported more cognitive complaints (M=3.04) than patients without this knowledge (M=2.21; p&lt;0.001). The priming letter increased the reporting of cognitive complaints only for patients without a history of chemotherapy (p&lt;0.05). All effects were independent of negative affect, age and education level. Conclusion: Our study shows that facilitating the accessibility of concepts related to chemotherapy‐associated cognitive complaints directly increases the reporting of such complaints, in particular in patients without firsthand chemotherapy experience. This increase in prevalence of cognitive complaints following a chronically or temporarily accessible ‘chemo‐brain’ schema has relevant implications for clinical practice and for scientific research in this area. Copyright © 2008 John Wiley &amp; Sons, Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley &amp; Sons, Ltd</pub><pmid>19021129</pmid><doi>10.1002/pon.1454</doi><tpages>5</tpages></addata></record>
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subjects Accessibility
Adaptation, Psychological
Adult
Affect - drug effects
Aged
Antineoplastic Agents - adverse effects
Antineoplastic Agents - therapeutic use
Attention - drug effects
Breast cancer
Breast Neoplasms - drug therapy
Breast Neoplasms - psychology
Chemotherapy
Cognition & reasoning
Cognition Disorders - chemically induced
Cognition Disorders - diagnosis
Cognition Disorders - psychology
cognitive complaints
Cognitive skills
Complaints
Culture
Fatigue - chemically induced
Fatigue - psychology
Female
Humans
Interview, Psychological
Mental Recall - drug effects
Middle Aged
Oncology
Patient Education as Topic
Priming
Set (Psychology)
Sick Role
Sleep Initiation and Maintenance Disorders - chemically induced
Sleep Initiation and Maintenance Disorders - psychology
Social psychology
Studies
title The influence of priming and pre-existing knowledge of chemotherapy-associated cognitive complaints on the reporting of such complaints in breast cancer patients
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