Individual differences in physical symptom burden and psychological responses in individuals with chronic lymphocytic leukemia
Open accessAbstract
Chronic lymphocytic leukemia (CLL) is an incurable illness, with some patients requiring no treatment until disease progression. Burden from physical symptoms has been associated with depression, anxiety, and stress in cancer patients. Additionally, patient factors, i.e., individual differences, have been associated with worse psychological outcomes. There are few psychological studies of CLL, with no examination of individual differences. A cross-sectional design studied the covariation of symptom burden with depressive and anxiety symptoms and cancer-specific stress, and tested patients' individual differences as predictors and as moderators. CLL patients (N = 112) receiving active surveillance participated. They were Caucasian (100 %) and predominately male (55 %) with a mean age of 61; most (62.5 %) had stage 0 disease. A composite measure of physical symptom burden (CLL symptoms, fatigue, pain, impaired functional status) was tested as a predictor of psychological responses. Individual differences in psychiatric history and social support were tested as moderators. Using multiple linear regression, greater symptom burden covaried with higher levels of depressive and anxiety symptoms and cancer stress (ps < .05). Those with a psychiatric history, low social support, and low relationship satisfaction with one's partner reported greater symptom burden and more psychological symptoms and stress (ps < .05). Findings suggest that CLL patients in surveillance with a psychiatric history and/or low social support are at risk for greater distress when coping with high symptom burden. These new data clarify the experience of CLL surveillance and identify characteristics of patients with heightened risk for symptom burden, stress, and anxiety or depressive symptoms.
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Active coping strategies are linked to positive affect, better psychological adjustment, and decreased depression.
“Active coping strategies, for example, have been linked to positive affect, better psychological adjustment, and decreased depression while passive strategies are linked to poorer outcomes such as increased pain and depression 258, 267–270.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [268]
Passive coping strategies are linked to poorer outcomes such as increased pain and depression.
“while passive strategies are linked to poorer outcomes such as increased pain and depression 258, 267–270.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [268]
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- Authors
- Morrison, E. J., Flynn, J. M., Jones, J., Byrd, J. C., & Andersen, B. L.
- Affiliations
- Mayo Clinic (US)
- Norton Healthcare (US)
- The Ohio State University (US)
- Corresponding author
- Morrison, Eleshia J.
- Venue
- Annals of Hematology
- Published
- 2016-08-19
- Volume
- 95
- Issue
- 12
- Pages
- 1989-1997
- ISSN
- 0939-5555 (ISSN-L)
- 1432-0584
- PMC
- PMC9097783
- OpenAlex
- W2513641012
- Cited by
- 25
- References
- 68
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2022: 3 · 2021: 4 · 2020: 3 · 2019: 2 · 2018: 7
- FWCI
- 1.62
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Annals of Hematology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (CA098133)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Genetics › Chronic Lymphocytic Leukemia Research
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Keywords
- chronic lymphocytic leukemia, physical symptom burden, depression, anxiety, individual differences, active surveillance, social support, psychiatric history, relationship satisfaction, fatigue, pain, functional status, psychological distress
- MeSH terms
- Adult, Aged, Cross-Sectional Studies, Female, Humans, Individuality, Male, Middle Aged, Stress, Psychological, Leukemia, Lymphocytic, Chronic, B-Cell, Cost of Illness
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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