TY - JOUR A1 - Kaiser, Jochen A1 - Dietrich, Jörg A1 - Amiri, Miena A1 - Rüschel, Isa A1 - Akbaba, Hazal A1 - Hantke, Nonda A1 - Fließbach, Klaus Konrad A1 - Senf, Bianca A1 - Solbach, Christine A1 - Bledowski, Christoph T1 - Cognitive performance and psychological distress in breast cancer patients at disease onset T2 - Frontiers in psychology N2 - Objective: Many cancer patients complain about cognitive dysfunction. While cognitive deficits have been attributed to the side effects of chemotherapy, there is evidence for impairment at disease onset, prior to cancer-directed therapy. Further debated issues concern the relationship between self-reported complaints and objective test performance and the role of psychological distress. Method: We assessed performance on neuropsychological tests of attention and memory and obtained estimates of subjective distress and quality of life in 27 breast cancer patients and 20 healthy controls. Testing in patients took place shortly after the initial diagnosis, but prior to subsequent therapy. Results: While patients showed elevated distress, cognitive performance differed on a few subtests only. Patients showed slower processing speed and poorer verbal memory than controls. Objective and self-reported cognitive function were unrelated, and psychological distress correlated more strongly with subjective complaints than with neuropsychological test performance. Conclusion: This study provides further evidence of limited cognitive deficits in cancer patients prior to the onset of adjuvant therapy. Self-reported cognitive deficits seem more closely related to psychological distress than to objective test performance. KW - breast cancer KW - cognitive functions KW - psychological distress KW - attention KW - memory Y1 - 2019 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/51758 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-517582 SN - 1664-1078 N1 - Copyright © 2019 Kaiser, Dietrich, Amiri, Rüschel, Akbaba, Hantke, Fliessbach, Senf, Solbach and Bledowski. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. VL - 10 IS - Art. 2584 SP - 1 EP - 9 PB - Frontiers Research Foundation CY - Lausanne ER -