Fear of cancer recurrence in prostate cancer survivors.

نویسندگان

  • Marieke van de Wal
  • Inge van Oort
  • Joost Schouten
  • Belinda Thewes
  • Marieke Gielissen
  • Judith Prins
چکیده

Background High fear of cancer recurrence (FCR) is an understudied topic in prostate cancer (PCa) survivors. This study aimed to detect the prevalence, consequences and characteristics associated with high FCR in PCa survivors. Material and methods This cross-sectional study included patients diagnosed with localized PCa and treated with curative radical prostatectomy between 1992 and 2012. We administered the Cancer Worry Scale (CWS) to assess FCR severity (primary outcome measure). Secondary outcomes included distress, quality of life (QOL), post-traumatic symptoms, and multidimensional aspects of FCR. χ(2)-tests, t-tests and Pearson's correlations examined the relationship between FCR and medical/demographic characteristics. MANOVA analyses and χ2-tests identified differences between PCa survivors with high and low FCR. Results Two hundred eighty-three PCa survivors (median age of 70.0 years) completed the questionnaires a median time of 7.1 years after surgery. About a third (36%) of all PCa survivors experienced high FCR. High FCR was associated with lower QOL, more physical problems, higher distress and more post-traumatic stress symptoms. PCa survivors with high FCR reported disease-related triggers (especially medical examinations), felt helpless and experienced problems in social relationships. High FCR was associated with a younger age and having received adjuvant radiotherapy. Conclusions Results illustrate that FCR is a significant problem in PCa survivors. Younger men and those treated with adjuvant radiotherapy are especially at risk. Those with high FCR experience worse QOL and higher symptom burden. Health care providers should pay specific attention to this problem and provide appropriate psychosocial care when needed.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Effectiveness of Transpersonal Therapy (Spiritual Therapy, Yoga-Meditation) in Reducing Fear of Cancer Recurrence in Breast Cancer Survivors: A Randomized Controlled Trial

Introduction: Psycho-spiritual therapy (mind-body spirituality) is a multidimensional, transpersonal, and integrative intervention for breast cancer survivors. This study aimed to determine the effectiveness of counseling based on transpersonal psychotherapy (spirituality therapy, mind and body) in reducing the fear of recurrence in breast cancer survivors. Methods: This was a randomized contro...

متن کامل

Relationship between cognitive flexibility and fear of cancer recurrence in breast cancer patients

Introduction: Breast cancer is one of the most common chronic diseases and the second leading cause of death among women. Fear of cancer recurrence is a major problem for many cancer survivors. Since cognitive flexibility refers to an individual's assessment of the controllability of stressful conditions, we decided to examine the relationship between cognitive flexibility and fear of breast ca...

متن کامل

Association between prostate specific antigen change over time and prostate cancer recurrence risk: a joint model

Background: Prostate specific antigen (PSA) is an important biomarker to monitor patients after treated with radiation therapy (RT). The aim of this study is to evaluate the relationship between the PSA data and prostate cancer recurrence using the joint modeling. Methods: This historical cohort study was performed on 422 prostate cancer patients. Inclusion criteria included: patients with loc...

متن کامل

The Mediating Role of Mental Adjustment in Relationships between Cognitive Processing, with Post-Traumatic Stress Symptoms and Fear of Cancer Recurrence, in Patient with Cancer

Introduction: The purpose of this study was to investigate the mediating role of mental adjustment in the relationship between cognitive processing with post-traumatic stress symptoms and fear of recurrence in patients with cancer. Method: This is a cross-sectional study with a convenience sampling method. A total of 200 women and man with one of the types of cancer (breast, blood and gastroint...

متن کامل

Effect of written Exposure Therapy (WET) Vs Mindfulness-Based Stress Reduction(MBSR) on Post-Traumatic Stress Symptoms and Fear of Recurrence in Patients with Breast Cancer

Introduction: Breast cancer (BC) is the most common cancer diagnosed in women in Worldwide.A breast cancer diagnosis can be a life-changing and stressful experience that can lead to chronic mental health conditions such as posttraumatic stress disorder (PTSD) and fear of cancer recurrence(FCR). This study examined the effect of written exposure therapy and mindfulness-based stress reduction on...

متن کامل

A family-based model to predict fear of recurrence for cancer survivors and their caregivers.

Although fear of cancer recurrence is a great concern among survivors and their families, few studies have examined predictors of fear of recurrence. The purpose of this study was to identify factors associated with fear of recurrence in a population-based sample (N = 246) and determine if survivors and family caregivers influenced one another's fear of recurrence. A family framework guided the...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Acta oncologica

دوره 55 7  شماره 

صفحات  -

تاریخ انتشار 2016