Exploring the relationship between diarrhea and fatigue that can occur during cancer treatment: Using structural equation modeling

Velda J. Gonzalez, Jason Beckstead, Maureen Groer, Susan McMillan, Desiree Ortiz, Sara Marrero, Leorey N. Saligan

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To examine the relationship of the symptoms of diarrhea and fatigue by testing a model that included multiple dimensions of the cancer-related-symptom experience. Methods: A secondary data analysis was conducted on data from the self-reports of 102 cancer patients co-experiencing diarrhea and fatigue during treatment at a comprehensive cancer center in the Southeastern United States. Structural equational modeling was employed to examine the relationship between the 2variables. Fatigue and diarrhea were assessed using items from the Cancer Symptom Scale. Results: The structural model results showed that (a) the model fit was adequate (b) diarrhea explained 7% of the variance in fatigue, and (c) the structural or path coefficient between diarrhea and fatigue was significant (0.267; p<0.05). Diarrhea had the strongest effect on fatigue interference (0.251). Conclusion: Diarrhea is a potential contributing factor to the symptom of fatigue and a potential target for interventions to prevent and ameliorate fatigue.

Original languageEnglish (US)
Pages (from-to)81-86
Number of pages6
JournalPuerto Rico Health Sciences Journal
Volume38
Issue number2
StatePublished - Jun 2019

Keywords

  • Cancer Symptom Scale
  • Cancer therapy–related symptoms
  • Diarrhea
  • Fatigue
  • Structural equational modeling
  • Fatigue/etiology
  • Humans
  • Middle Aged
  • Male
  • Latent Class Analysis
  • Diarrhea/etiology
  • Neoplasms/therapy
  • Adult
  • Female
  • Aged
  • Longitudinal Studies

ASJC Scopus subject areas

  • General Medicine

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