Screening for fear of cancer recurrence : instrument validation and current status in early stage lung cancer patients
MetadataShow full item record
Altmetrics Handle Statistics
Altmetrics DOI Statistics
Background Fear of cancer recurrence (FCR) is one of the most distressing concerns for cancer patients. A psychometrically validated brief scale is urgently needed for use in busy clinical oncology settings. This study aimed to (1) develop and validate the 7-item fear of cancer recurrence scale Chinese version (FCR7-C), and (2) explore the severity of FCR in post-operative early-stage lung cancer patients in Taiwan. Methods Early-stage lung cancer patients were recruited from a medical center in Taiwan. The FCR7-C was evaluated for content and construct validity and internal consistency reliability. Construct validity of FCR7-C was determined by the empirically supported correlation and confirmatory factor analysis (CFA). Results A total of 160 subjects were recruited. The FCR7-C was shown to have satisfactory content validity and internal consistency reliability (Cronbach's α = 0.9). The uni-dimensional structure was confirmed by CFA that showed a good fit for the model. The FCR7-C score correlates positively with the degree of most of the physical symptoms, anxiety, and depression, but correlates negatively with patient age, performance status, and quality of life. We found that 81.9% of patients reported at least some FCR, with a mean FCR severity of 15.18 (SD = 7.78). Conclusion FCR7-C is a brief screening tool with good psychometrics. Patients with early-stage lung cancer still revealed mild to moderate level of FCR. Applying the FCR7-C for to screen cancer patients’ distress and further develop personalized psychological interventions would be strongly suggested.
Lee , Y-H , Hu , C-C , Humphris , G , Huang , I-C , You , K-L , Jhang , S-Y , Chen , J-S & Lai , Y-H 2020 , ' Screening for fear of cancer recurrence : instrument validation and current status in early stage lung cancer patients ' , Journal of the Formosan Medical Association , vol. 119 , no. 6 , pp. 1101-1108 . https://doi.org/10.1016/j.jfma.2019.10.007
Journal of the Formosan Medical Association
Copyright © 2019, Formosan Medical Association. Published by Elsevier Taiwan LLC. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Items in the St Andrews Research Repository are protected by copyright, with all rights reserved, unless otherwise indicated.
Showing items related by title, author, creator and subject.
"Will it affect our chances of having children?" and feeling "like a ticking bomb" —the fertility concerns and fears of cancer progression and recurrence in cancer treatment decision-making among young women diagnosed with gynaecological or breast cancer Sobota, Aleksandra; Ozakinci, Gozde (2021-06-02) - Journal articleObjective: Cancer treatment decision making process is particularly fraught with challenges for young women because the treatment can affect their reproductive potential. Among many factors affecting the process, fears of ...
Determinants of fertility issues experienced by young women diagnosed with breast or gynaecological cancer - a quantitative, cross-cultural study Sobota, Aleksandra; Ozakinci, Gozde (2018-09-06) - Journal articleBackground. Although there is a recognition of the importance of fertility to young women with cancer, we do not know who is at risk of distress related to fertility issues following diagnosis. We investigated the determinants ...
A systematic review of the supportive care needs of people living with and beyond cancer of the colon and/or rectum Kotronoulas, Grigorios; Papadopoulou, Constantina; Cunningham, Kathryn; Simpson, Mhairi; Maguire, Roma (2017-08) - Journal itemPurpose: Gaining a clear understanding of the health needs and concerns of people with cancer of the colon and/or rectum can help identify ways to offer a comprehensive care package. Our aim was to systematically assess ...