TY - JOUR
AU1 - Padin, Avelina
AU2 - Wilson, Stephanie
AU3 - Bailey, Brittney
AU4 - Malarkey, William
AU5 - Lustberg, Maryam
AU6 - Farrar, William
AU7 - Povoski, Stephen
AU8 - Agnese, Doreen
AU9 - Reinbolt, Raquel
AU1 - Wesolowski, Robert
AU1 - Williams, Nicole
AU1 - Sardesai, Sagar
AU1 - Ramaswamy, Bhuvaneswari
AU1 - Noonan, Anne
AU1 - Vandeusen, Jeffrey
AU1 - Haas, Garrie
AU1 - Kiecolt-Glaser, Janice
AB - Background Prior to treatment, breast cancer patients are less physically fit compared to peers; during cancer treatment, their fitness typically declines. Depressive symptoms are associated with reduced activity up to 5 years post-treatment, but research has not identified mechanisms linking depression and lower activity. The current study assessed relationships among breast cancer patients’ depression and perceived exertion during exercise as well as heart rate, an objective indicator of exertion. Methods Participants were 106 breast cancer patients, stages I–IIIA, who completed surgery but had not started adjuvant treatment. Heart rate and self-rated exertion, measured using the Borg Scale of Perceived Exertion, were assessed every 2 min during a graded exercise test. Depression was assessed using the CES-D and a structured clinical interview. Results Compared to women below the CES-D clinical cutoff, women with significant depressive symptoms reported steeper increases in exertion during the exercise test (p = .010) but had similar heart rates (p = .224) compared to women below the cutoff. Major depression history was unrelated to perceived exertion (ps > .224) and heart rate (ps > .200) during exercise. Conclusions Women with currently elevated depressive symptoms experienced exercise as more difficult compared to women below the CES-D cutoff, 
TI - Physical Activity After Breast Cancer Surgery: Does Depression Make Exercise Feel More Effortful than It Actually Is?
JF - International Journal of Behavioral Medicine
DO - 10.1007/s12529-019-09778-3
DA - 2019-02-28
UR - https://www.deepdyve.com/lp/springer-journals/physical-activity-after-breast-cancer-surgery-does-depression-make-04UXC4BsmB
SP - 237
EP - 246
VL - 26
IS - 3
DP - DeepDyve
ER -