Screening and assessment for cognitive problems Book Section


Authors: Root, J. C.; Ryan, E.; Ahles, T. A.
Editors: Holland, J. C.; Breitbart, W. S.; Butow, P. N.; Jacobsen, P. B.; Loscalzo, M. J.; McCorkle, R.
Article/Chapter Title: Screening and assessment for cognitive problems
Abstract: (from the chapter) Cognitive dysfunction associated with cancer and cancer treatment has been increasingly recognized and reported by patients. In breast cancer survivors, the most widely investigated cancer cohort, cognitive dysfunction is experienced in 17%-75% of women, at time points between six months to 20 years after completion of treatment.' A majority of longitudinal studies utilizing objective cognitive assessments have found significant changes from pre- to post-treatment.' Interestingly, in two studies, cognitive dysfunction was found prior to adjuvant therapy in 20%-30% of patients diagnosed with breast cancer. Due to this research and the increasing awareness of potential cognitive difficulties by patients, objective measures of cognitive functioning that can detect subtle declines in function are necessary. This chapter focuses on the relative utility of brief and more extensive objective cognitive measures to detect cancer-associated cognitive dysfunction (CACD) in survivors. We will first discuss brief cognitive screening measures and their utility in detecting dysfunction, and then move on to more comprehensive neuropsychological assessment measures and their use in cancer survivors. The sensitivity and specificity of these measures in the detection of CACD, as well as their effect on patient outcomes, will be discussed. (PsycINFO Database Record (c) 2015 APA, all rights reserved).
Keywords: screening; diagnosis; cognitive problems
Book Title: Psycho-Oncology. 3rd ed
ISBN: 978-0-19-936331-5
Publisher: Oxford University Press  
Publication Place: Oxford, UK
Date Published: 2015-01-01
Start Page: 405
End Page: 410
Language: English
ACCESSION: Book: 2014-48591-050
DOI: 10.1093/med/9780199363315.003.0050
PROVIDER: Ovid Technologies
PROVIDER: psycinfo
DOI/URL:
Notes: Book Chapter: 50 -- Source: PsycINFO
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  1. Tim A Ahles
    184 Ahles
  2. Elizabeth Ryan
    20 Ryan
  3. James Charles Root
    113 Root