Selective impairment of attention networks in breast cancer patients receiving chemotherapy treatment

Psychooncology. 2014 Oct;23(10):1165-71. doi: 10.1002/pon.3539. Epub 2014 Apr 15.

Abstract

Introduction: Complaints about attention disorders are common among breast cancer survivors who have undergone chemotherapy treatment. However, it is not known whether these complaints indicate a global attention deficit or the selective impairment of attention networks.

Objective: This study sought to investigate the attentional abilities of breast cancer patients after chemotherapy treatment using the attention network test (ANT).

Methods: The participants included breast cancer patients who had undergone chemotherapy (CT, N = 58), patients who had not undergone chemotherapy (non-CT, N = 53), and matched healthy controls (HC, N = 55). All participants completed the ANT, which provides measures of three independent attention networks (alerting, orienting, and executive control) and neuropsychological background tests.

Results: Our results indicated that the chemotherapy-treated breast cancer patients had significant deficits in the alerting and executive control networks but not in the orienting network. The CT group scored significantly lower in several cognitive tasks, including attention, memory, and information processing tasks, relative to the other two groups. Additionally, significant correlations were found between information processing and the efficiency of the executive control network within the CT group.

Conclusions: These results suggest that the three attention networks were selectively impaired following chemotherapy treatment, which affected different brain areas in the breast cancer survivors.

Keywords: adjuvant chemotherapy; attention network test; breast cancer; cognitive function; oncology.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Antineoplastic Combined Chemotherapy Protocols / adverse effects
  • Attention / drug effects*
  • Attention / physiology
  • Brain / physiopathology*
  • Breast Neoplasms / drug therapy*
  • Breast Neoplasms / psychology*
  • Breast Neoplasms / surgery
  • Cognition
  • Cognition Disorders / chemically induced*
  • Executive Function
  • Female
  • Humans
  • Memory
  • Middle Aged
  • Nerve Net / physiopathology*
  • Neuropsychological Tests
  • Reaction Time