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20 - Behavioral strategies and rehabilitation

Published online by Cambridge University Press:  13 August 2009

By
Dona E. C. Locke ,
Jane H. Cerhan  and
James F. Malec
Edited by
Christina A. Meyers  and
James R. Perry
Christina A. Meyers
Affiliation:
University of Texas, M. D. Anderson Cancer Center
James R. Perry
Affiliation:
University of Toronto
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Summary

Significant cognitive impairment frequently accompanies cancer and cancer treatment for both adult and pediatric patients. As detailed in previous chapters, common cognitive complaints include cognitive slowing, deficits in attention, and memory inefficiencies. In people with brain tumors, cognitive impairments cause difficulty returning to work or school more often than physical impairments, and caregivers cite cognitive problems as the most difficult problems to manage (Meyers & Boake, 1993). For these reasons, evidence-based cognitive rehabilitation has the potential to meet prevalent needs for improving functional abilities in patients with cancer.

There is considerable focus in the literature on the general concept of quality of life in patients with many different kinds of cancer. Interventions to improve quality of life are often focused on symptoms of the cancer (e.g., physical limitations, decreased activity), physical symptoms related to treatment (e.g., fatigue, nausea, pain), health behavior change, or distress related to the diagnosis of cancer (e.g., Clark et al., 2003; Kuhn et al., 2005; Ronson & Body, 2002). However, very few studies specifically target cognitive symptoms in cancer patients and in fact, many studies exclude patients with cognitive impairment. Thus, the empirical literature on behavioral interventions for cognitive impairments in cancer patients is very limited.

In contrast, there is a long tradition of applying cognitive rehabilitation interventions in cases of acquired brain injury, specifically traumatic brain injury (TBI) and cerebral vascular accident (CVA).

Type
Chapter
Information
Cognition and Cancer , pp. 281 - 294
Publisher: Cambridge University Press
Print publication year: 2008

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References

Bourgeois, MS, Burgio, LD, Schulz, R, Beach, S, Palmer, B (1997). Modifying repetitive verbalizations of community-dwelling patients with AD. Gerontologist 37: 30–39.CrossRefGoogle ScholarPubMed
Butler, RW, Copeland, DR (2002). Attentional processes and their remediation in children treated for cancer: a literature review and the development of a therapeutic approach. J Intl Neuropsychol Soc 8: 115–124.CrossRefGoogle ScholarPubMed
Cicerone, KD, Dahlberg, C, Kalmar, Ket al. (2000). Evidence-based cognitive rehabilitation: recommendations for clinical practice. Arch Phys Med Rehabil 81: 1596–1615.CrossRefGoogle ScholarPubMed
Cicerone, KD, Dahlberg, C, Malec, JFet al. (2005). Evidence-based cognitive rehabilitation: updated review of the literature from 1998–2002. Arch Phys Med Rehabil 86: 1681–1692.CrossRefGoogle Scholar
Clare, L, Woods, RT, Moniz Cook, ED, Orrell, M, Spector, A (2005). Cognitive rehabilitation and cognitive training for early-stage Alzheimer's disease and vascular dementia. Cochrane Library 2.Google Scholar
Clark, MM, Bostwick, JM, Rummans, TA (2003). Group and individual treatment strategies for distress in cancer patients. Mayo Clin Proc 78: 1538–1543.CrossRefGoogle ScholarPubMed
Cole, RP, Scialla, SJ, Bednarz, L (2000). Functional recovery in cancer rehabilitation. Arch Phys Med Rehabil 81: 623–627.CrossRefGoogle ScholarPubMed
Davies, E, Hall, S, Clark, C. (2003). Two year survival after malignant cerebral glioma: patient and relative reports of handicap, psychiatric symptoms, and rehabilitation. Disabil Rehabil 25: 259–266.CrossRefGoogle ScholarPubMed
Vreese, LP, Neri, M, Fioravanti, M, Belloi, L, Zanetti, O (2001). Memory rehabilitation in Alzheimer's disease: a review of progress. Int J Geriatr Psychiatry, 16: 794–806.CrossRefGoogle ScholarPubMed
Fasotti, L, Kovacs, F, Eling, PATM, Brouwer, WH (2000). Time pressure management as a compensatory strategy training after closed head injury. Neuropsychol Rehabil 10: 47–65.CrossRefGoogle Scholar
Huang, ME, Cifu, DX, Keyser-Marus, L (1998). Functional outcome after brain tumor and acute stroke: a comparative analysis. Arc Phys Med Rehabil 79: 1386–1390.CrossRefGoogle ScholarPubMed
Kirshblum, S, O'Dell, MW, Ho, C, Barr, K (2001). Rehabilitation of persons with central nervous system cancer. Cancer Suppl 92: 1029–1038.3.0.CO;2-P>CrossRefGoogle Scholar
Kuhn, GK, Boesen, E, Ross, L, Johansen, C (2005). Evaluation and outcome of behavioural changes in the rehabilitation of cancer patients: a review. Eur J Cancer 41: 216–224.CrossRefGoogle ScholarPubMed
Levine, B, Downey-Lamb, MM (2002). Design and evaluation of rehabilitation experiments. In Eslinger, PJ (ed.) Neuropsychological Interventions: Clinical Research and Practice. New York: The Guilford Press.Google Scholar
Loewenstein, DA, Acevedo, A, Czaja, SJ, Duara, R (2004). Cognitive rehabilitation of mildly impaired Alzheimer's disease patients on cholinesterase inhibitors. J Geriatr Psychiatry 12: 395–402.CrossRefGoogle ScholarPubMed
Malec, JF, Cicerone, KD (2006). Cognitive rehabilitation. In Evans, RW (ed.) Neurology and Trauma (2nd edn.) (pp. 238–261). New York: Oxford University Press.Google Scholar
Marciniak, CM, Sliwa, JA, Heinemann, AW, Semik, PE (2001). Functional outcomes of persons with brain tumors after inpatient rehabilitation. Arch Phys Med Rehabil 82: 457–463.CrossRefGoogle ScholarPubMed
Meyers, CA, Boake, C (1993). Neurobehavioral disorders in brain tumor patients: rehabilitation strategies. Cancer Bull 45: 362–364.Google Scholar
Millis, S, Johnston, M (eds.) (2003). Clinical trials in medical rehabilitation: enhancing rigor and relevance. Am J Phys Med Rehabil 82 [Suppl. 1].Google Scholar
Movsas, SB, Chang, VT, Tunkel, RS, Vipul, SV, Ryan, LS, Millis, SR (2003). Rehabilitation needs of an inpatient medical oncology unit. Arch Phys Med Rehabil 84: 1642–1646.CrossRefGoogle ScholarPubMed
Nezu, AM, Nezu, CM, Friedman, SH, Faddis, S, Houts, PS (1998). Helping Cancer Patients Cope. Washington DC: American Psychological Association.Google Scholar
Nezu, AM, Nezu, CM, Felgoise, SH, McClure, KS, Houts, PS (2003). Project genesis: assessing the efficacy of problem solving therapy for distressed adult cancer patients. J Consult Clin Psychol 71: 1036–1048.CrossRefGoogle ScholarPubMed
NIH Consensus Statement Online 1998 October 26–28. Rehabilitation of Persons With Traumatic Brain Injury. NIH Consensus Statement 1998 Oct 26–28; 16(1): 1–41.
O'Dell, MW, Barr, K, Spanier, D, Warnick, RE (1998). Functional outcome of inpatient rehabilitation in persons with brain tumors. Arch Phys Med Rehabil 79: 1530–1534.CrossRefGoogle ScholarPubMed
Ownsworth, TL, McFarland, K (1999). Memory remediation in long-term acquired brain injury: two approaches in diary training. Brain Injury 13: 605–626.CrossRefGoogle ScholarPubMed
Ownsworth, TL, McFarland, K, Young, RM (2000). Self-awareness and psychosocial functioning following acquired brain injury: an evaluation of a group support programme. Neuropsychol Rehabil 10: 465–484.CrossRefGoogle Scholar
Ronson, A, Body, JJ (2002). Psychosocial rehabilitation of cancer patients after curative therapy. Support Care Cancer 10: 281–291.CrossRefGoogle ScholarPubMed
Sherer, M, Meyers, CA, Bergloff, P (1997). Efficacy of postacute brain injury rehabilitation for patients with primary malignant brain tumors. Cancer 80: 250–257.3.0.CO;2-T>CrossRefGoogle ScholarPubMed
Sohlberg, MM, Mateer, CA (1989). Training use of compensatory memory books: a three stage behavioral approach. J Clin Exp Neuropsychol 11: 871–891.CrossRefGoogle ScholarPubMed
Sohlberg, MM, McLaughlin, KA, Pavese, A, Heidrich, A, Posner, MI (2000). Evaluation of attention process training and brain injury education in persons with acquired brain injury. J Clin Exp Neuropsychol 22: 656–676.CrossRefGoogle ScholarPubMed
Sutor, B, Rummans, TA, Smith, GE (2001). Management of behavioral disturbances in nursing home patients with dementia. Mayo Clin Proc 76: 540–550.CrossRefGoogle ScholarPubMed
Cramen, DY, Mathes-Von Cramen, MN (1991). Problem solving deficits in brain injured patients: a therapeutic approach. Neuropsychol Rehabil 1: 45–64.CrossRefGoogle Scholar

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