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Screening for fear of cancer recurrence : instrument validation and current status in early stage lung cancer patients

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Lee_2020_JFMA_Screening_CC.pdf (301.6Kb)
Date
06/2020
Author
Lee, Yun-Hsiang
Hu, Chan-Chuan
Humphris, Gerry
Huang, I-Chin
You, Kai-Lin
Jhang, Sin-Yuan
Chen, Jin-Shing
Lai, Yeur-Hur
Keywords
Cancer
Psychological distress
Fear of cancer recurrence
Psychometrics
RC0254 Neoplasms. Tumors. Oncology (including Cancer)
NDAS
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Abstract
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.
Citation
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
Publication
Journal of the Formosan Medical Association
Status
Peer reviewed
DOI
https://doi.org/10.1016/j.jfma.2019.10.007
ISSN
0929-6646
Type
Journal article
Rights
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/).
Collections
  • University of St Andrews Research
URI
http://hdl.handle.net/10023/19990

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