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dc.contributor.authorLuo, Xian
dc.contributor.authorLi, Wengao
dc.contributor.authorYang, Yuan
dc.contributor.authorHumphris, Gerald
dc.contributor.authorZeng, Lijuan
dc.contributor.authorZhang, Zijun
dc.contributor.authorGarg, Samradhvi
dc.contributor.authorZhang, Bin
dc.contributor.authorSun, Hengwen
dc.identifier.citationLuo , X , Li , W , Yang , Y , Humphris , G , Zeng , L , Zhang , Z , Garg , S , Zhang , B & Sun , H 2020 , ' High fear of cancer recurrence in Chinese newly diagnosed cancer patients ' , Frontiers in Psychology , vol. 11 , 1287 .
dc.identifier.otherPURE: 268667656
dc.identifier.otherPURE UUID: 7b988b21-6cf5-4c96-9623-d55b42ae1683
dc.identifier.otherBibtex: 10.3389/fpsyg.2020.01287
dc.identifier.otherORCID: /0000-0002-4601-8834/work/76386744
dc.identifier.otherWOS: 000543855900001
dc.identifier.otherScopus: 85087041507
dc.descriptionAuthors thank the President Foundation of Nanfang Hospital, Southern Medical University (2007L001), and the Guangzhou Science and Technology Project (201804010132) for funding the study.en
dc.description.abstractBackground: Fear of cancer recurrence (FCR) is common among cancer patients and of high clinical relevance. This study explores the prevalence and correlates of FCR in Chinese newly diagnosed cancer population. Methods: This is a multicentre, cross-sectional study that includes 996 patients with mixed cancer diagnosis. All recently diagnosed patients completed a questionnaire consisting of the following: Fear of Progression Questionnaire-Short Form (FoP-Q-SF), General Anxiety Disorder Questionnaire (GAD-7), and Patient Health Questionnaire (PHQ-9). Univariate analyses, multivariate logistic regression analyses, and structural equation modeling (SEM) was performed to examine the association between tested variables and FCR. Results: Of the 996 patients, 643 (64.6%) reported high FCR (scored ≥ 34 in the FoP-Q-SF). Chemotherapy (OR = 1.941), Childhood severe illness experience (OR = 2.802), depressive (OR = 1.153), and anxiety (OR = 1.249) symptoms were positively associated with high FCR, while higher monthly income (OR = 0.592) was negatively associated with high FCR. SEM indicated that emotional disturbances (anxiety and depression) directly influenced FCR, while emotional disturbances partly mediated the association between personal monthly income and FCR. Conclusion: High FCR is a frequently reported problem among newly diagnosed cancer patients. Various factors increased the likelihood of the development of FCR. Flexible psychological interventions are needed for patients with high FCR.
dc.relation.ispartofFrontiers in Psychologyen
dc.rightsCopyright © 2020 Luo, Li, Yang, Humphris, Zeng, Zhang, Garg, Zhang and Sun. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.en
dc.subjectFear of recurrenceen
dc.subjectNewly diagnoseden
dc.subjectStructural equation modelingen
dc.subjectRC0254 Neoplasms. Tumors. Oncology (including Cancer)en
dc.subjectBF Psychologyen
dc.subjectSDG 3 - Good Health and Well-beingen
dc.titleHigh fear of cancer recurrence in Chinese newly diagnosed cancer patientsen
dc.typeJournal articleen
dc.description.versionPublisher PDFen
dc.contributor.institutionUniversity of St Andrews. School of Medicineen
dc.contributor.institutionUniversity of St Andrews. Sir James Mackenzie Institute for Early Diagnosisen
dc.contributor.institutionUniversity of St Andrews. WHO Collaborating Centre for International Child & Adolescent Health Policyen
dc.contributor.institutionUniversity of St Andrews. St Andrews Sustainability Instituteen
dc.contributor.institutionUniversity of St Andrews. Population and Behavioural Science Divisionen
dc.contributor.institutionUniversity of St Andrews. Health Psychologyen
dc.description.statusPeer revieweden

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