Chemotherapy and Post-traumatic Stress in the Causation of Cognitive Dysfunction in Breast Cancer Patients,Journal of the National Cancer Institute

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Chemotherapy and Post-traumatic Stress in the Causation of Cognitive Dysfunction in Breast Cancer Patients
Journal of the National Cancer Institute ( IF 9.9 ) Pub Date : 2017-05-03 , DOI: 10.1093/jnci/djx057
Kerstin Hermelink ₁ , Markus Bühner ₂ , Philipp Sckopke ₂ , Franziska Neufeld ₁ , Judith Kaste ₁ , Varinka Voigt ₁ , Karin Münzel ₃ , Rachel Wuerstlein ₁ , Nina Ditsch ₁ , Karin Hellerhoff ₄ , Dorothea Rjosk-Dendorfer ₄ , Michael Braun ₅ , Franz Edler von Koch ₆ , Kristin Härtl _{1,

7} , Stephan Hasmüller _{1,

8} , Ingo Bauerfeind ₉ , Gerlinde Debus ₁₀ , Peter Herschbach ₁₁ , Sven Mahner ₁ , Nadia Harbeck ₁

Affiliation

Breast Center, Department of Gynecology and Obstetrics, CCCLMU University Hospital of Munich, Munich, Germany
Department of Psychology, Division of Psychological Methods and Assessment, Ludwig Maximilian University of Munich, Munich, Germany
Department of Psychology, Division of Neuropsychology, Ludwig Maximilian University of Munich, Munich, Germany
Institute for Clinical Radiology, CCCLMU University Hospital of Munich, Munich, Germany
Breast Center, Department of Gynecology, Red Cross Hospital, Munich, Germany
Breast Center, Department of Gynecology and Obstetrics, Dritter Orden Hospital, Munich, Germany
Hochschule Fresenius, University of Applied Sciences, Psychology School, Munich, Germany
Breast Center, Department of Gynecology and Obstetrics, District Hospital of Ebersberg, Ebersberg, Germany
Breast Center, Department of Gynecology and Obstetrics, Hospital of Landshut, Landshut, Germany
Breast Center, Department of Gynecology and Obstetrics, Helios Amper Hospital Dachau, Dachau, Germany
Department of Psychosomatic Medicine and Psychotherapy, Division of Psychosocial Oncology, Roman Herzog Comprehensive Cancer Center, Technical University of Munich, Munich, Germany

Cancer-related cognitive dysfunction has mostly been attributed to chemotherapy; this explanation, however, fails to account for cognitive dysfunction observed in chemotherapy-naïve patients. In a controlled, longitudinal, multisite study, we tested the hypothesis that cognitive function in breast cancer patients is affected by cancer-related post-traumatic stress.

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