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Published in: Journal of Cancer Survivorship 6/2018

01-12-2018

Cognitive challenges while at work and work output in breast cancer survivors employed in a rapidly evolving economy

Authors: Andy S. K. Cheng, Yingchun Zeng, Xiangyu Liu, Shaxin Liu, Stella W. C. Cheng, Cindy T. T. Kwok, Raymond C. K. Chung, Jianfei Xie, Michael Feuerstein

Published in: Journal of Cancer Survivorship | Issue 6/2018

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Abstract

Objective

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.

Methods

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).

Results

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).

Conclusion

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.
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Metadata
Title
Cognitive challenges while at work and work output in breast cancer survivors employed in a rapidly evolving economy
Authors
Andy S. K. Cheng
Yingchun Zeng
Xiangyu Liu
Shaxin Liu
Stella W. C. Cheng
Cindy T. T. Kwok
Raymond C. K. Chung
Jianfei Xie
Michael Feuerstein
Publication date
01-12-2018
Publisher
Springer US
Published in
Journal of Cancer Survivorship / Issue 6/2018
Print ISSN: 1932-2259
Electronic ISSN: 1932-2267
DOI
https://doi.org/10.1007/s11764-018-0712-x

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