Show simple item record

Files in this item


Item metadata

dc.contributor.authorLebel, Sophie
dc.contributor.authorOzakinci, Gozde
dc.contributor.authorHumphris, Gerald
dc.contributor.authorMutsaers, Brittany
dc.contributor.authorThewes, Belinda
dc.contributor.authorPrins, Judith
dc.contributor.authorDinkel, Andreas
dc.contributor.authorButow, Phyllis
dc.contributor.authorUniv Ottawa
dc.identifier.citationLebel , S , Ozakinci , G , Humphris , G , Mutsaers , B , Thewes , B , Prins , J , Dinkel , A , Butow , P & Univ Ottawa 2016 , ' From normal response to clinical problem : definition and clinical features of fear of cancer recurrence ' , Supportive Care in Cancer , vol. 24 , no. 8 , pp. 3265-3268 .
dc.identifier.otherPURE: 242360083
dc.identifier.otherPURE UUID: 6ada63fb-68d9-4c10-89c1-1bdbb76b932d
dc.identifier.otherWOS: 000378884400002
dc.identifier.otherScopus: 84966713483
dc.identifier.otherORCID: /0000-0001-5869-3274/work/27163462
dc.identifier.otherWOS: 000378884400002
dc.identifier.otherORCID: /0000-0002-4601-8834/work/64033849
dc.description.abstractResearch to date on fear of cancer recurrence (FCR) shows that moderate to high FCR affects 22-87 % of cancer survivors and is associated with higher psychological morbidity (Simard et al J Cancer Surviv 7:300-322, 2013). Despite growing research interest in FCR, the lack of consensus on its definition and characteristics when it reaches a clinical level has impeded knowledge transfer into patient services. In order to address these gaps, expert researchers, policy makers, trainees, and patient advocates attended a 2-day colloquium at the University of Ottawa in August 2015. A Delphi method was used to identify the most relevant definition of FCR, and the attendees generated possible diagnostic characteristics of clinical FCR. After three rounds of discussion and voting, the attendees reached consensus on a new definition of FCR: "Fear, worry, or concern relating to the possibility that cancer will come back or progress." Regarding clinical FCR, five possible characteristics were proposed: (1) high levels of preoccupation, worry, rumination, or intrusive thoughts; (2) maladaptive coping; (3) functional impairments; (4) excessive distress; and (5) difficulties making plans for the future. The new proposed definition of FCR reflects the broad spectrum in which patients experience FCR. A consensual definition of FCR and the identification of the essential characteristics of clinical FCR are necessary to accurately and consistently measure FCR severity and to develop effective interventions to treat FCR. We hope this broad definition can encourage further research and the development of inclusive policies for all cancer patients and survivors who are struggling with this issue.
dc.relation.ispartofSupportive Care in Canceren
dc.rightsCopyright Springer-Verlag Berlin Heidelberg 2016. This work is made available online in accordance with the publisher’s policies. This is the author created, accepted version manuscript following peer review and may differ slightly from the final published version. The final published version of this work is available at /
dc.subjectFear of cancer recurrenceen
dc.subjectClinical fear of cancer recurrenceen
dc.subjectDelphi studyen
dc.subjectExpert opinionen
dc.subjectPsychosocial oncologyen
dc.subjectRC0254 Neoplasms. Tumors. Oncology (including Cancer)en
dc.subjectBF Psychologyen
dc.subjectSDG 3 - Good Health and Well-beingen
dc.titleFrom normal response to clinical problem : definition and clinical features of fear of cancer recurrenceen
dc.typeJournal itemen
dc.contributor.institutionUniversity of St Andrews. St Andrews Sustainability Instituteen
dc.contributor.institutionUniversity of St Andrews. School of Medicineen
dc.contributor.institutionUniversity of St Andrews. Health Psychologyen
dc.contributor.institutionUniversity of St Andrews. WHO Collaborating Centre for International Child & Adolescent Health Policyen
dc.description.statusPeer revieweden

This item appears in the following Collection(s)

Show simple item record