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Fatigue 

Fatigue
Chapter:
Fatigue
Source:
Psycho-Oncology (3 ed.)
Author(s):

Yesne Alici

, Julienne E. Bower

, and William S. Breitbart

DOI:
10.1093/med/9780199363315.003.0027

Fatigue is a universal clinical finding among cancer patients. Fatigue is a highly distressing symptom of cancer, associated with decreased quality of life. Fatigue in cancer patients is significantly associated with depression, hopelessness, and overall psychological distress. Patients with cancer perceive fatigue as the most distressing symptom associated with cancer and its treatments, more distressing than pain, nausea, and vomiting. Despite its impact on patients and their caregivers, cancer-related fatigue is under-reported, under-diagnosed, and under-treated. Psycho-oncology clinicians should be familiar with major issues in assessment and management of fatigue to maximize symptoms control and improve quality of life in cancer patients. This chapter provides a comprehensive review of the prevalence, assessment, and evidence-based management of cancer-related fatigue.

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