Fear of Recurrence in Advanced Cancer Patients: Sociodemographic, Clinical, and Psychological Correlates
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View abstract on PubMed
Summary
This summary is machine-generated.Fear of cancer recurrence is high in 72% of advanced cancer patients. Younger age, female sex, and psychological distress are linked to higher fear, necessitating targeted support for improved patient care.
Area Of Science
- Oncology
- Psychological Oncology
- Cancer Survivorship
Background
- Fear of cancer recurrence (FCR) significantly impacts advanced cancer patients, leading to emotional distress and increased healthcare use.
- Understanding FCR is crucial for managing the psychosocial well-being of patients with advanced cancer undergoing systemic treatment.
Purpose Of The Study
- To analyze the prevalence of FCR in advanced cancer patients receiving systemic treatment.
- To investigate the association between FCR and sociodemographic, clinical, and psychological factors.
Main Methods
- A multicenter cross-sectional study involving 1195 patients with advanced cancer across 15 Spanish oncology departments.
- Data collection included demographic information and validated questionnaires: Cancer Worry Scale, Brief Symptom Inventory, Mishel Uncertainty in Illness Scale, and Duke-UNC-11 Functional Social Support Questionnaire (DUFSSQ).
Main Results
- 72% of patients reported high levels of FCR.
- High FCR was associated with being female, younger age, lower education, worse survival estimates, and higher levels of depression, anxiety, somatic symptoms, uncertainty, and social support.
- Multivariate analysis identified younger age, shorter survival estimates, higher depression/anxiety, greater uncertainty, and stronger social support as predictors of high FCR.
Conclusions
- Distinct FCR profiles exist in advanced cancer patients, influenced by demographic and psychosocial factors.
- Findings highlight the need for tailored interventions and support systems to address FCR in this population.
- Further research is warranted to explore the impact of FCR on patient care and well-being.
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