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Cognitive changes in multiethnic Asian breast cancer patients: a focus group study
Y T Cheung1, M Shwe1, Y P Tan2
1Department of Pharmacy, National University of Singapore, Singapore.
Summary
Asian breast cancer patients often experience cognitive changes during chemotherapy, commonly known as "chemobrain." This study highlights their daily life impacts and coping strategies, emphasizing the need for culturally sensitive care.
Area of Science:
- Oncology
- Neuroscience
- Psychosocial Oncology
Background:
- Investigating the patient experience of chemotherapy-associated cognitive changes in multiethnic Asian breast cancer patients.
- Understanding the impact of these cognitive changes on daily life and identifying coping mechanisms.
Purpose of the Study:
- To describe the lived experiences of Asian breast cancer patients undergoing chemotherapy.
- To explore the impact of chemotherapy-induced cognitive changes on their daily functioning.
- To identify effective coping strategies used by patients.
Main Methods:
- Conducted eight structured focus group discussions with 43 chemotherapy-receiving breast cancer patients.
- Discussions were held in English or Chinese and facilitated by trained psychosocial oncologists and medical social workers.
Main Results:
- Participants were unfamiliar with the term 'chemobrain' but recognized cognitive changes like memory loss and decision-making difficulties.
- Cognitive changes were viewed holistically, linked to fatigue, aging, anxiety, and mood changes.
- Patients employed strategies like playing mahjong, qi gong, and alternative medicines to cope with cognitive effects and fatigue.
Conclusions:
- The term 'chemobrain' is not widely understood by Asian cancer patients, despite significant daily life impacts.
- Culturally relevant approaches are crucial for evaluating and managing chemotherapy-related cognitive changes in this population.
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