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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.date.accessioned2020-06-24T14:30:07Z
dc.date.available2020-06-24T14:30:07Z
dc.date.issued2020-06-09
dc.identifier268667656
dc.identifier7b988b21-6cf5-4c96-9623-d55b42ae1683
dc.identifier000543855900001
dc.identifier85087041507
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 . https://doi.org/10.3389/fpsyg.2020.01287en
dc.identifier.issn1664-1078
dc.identifier.otherBibtex: 10.3389/fpsyg.2020.01287
dc.identifier.otherORCID: /0000-0002-4601-8834/work/76386744
dc.identifier.urihttps://hdl.handle.net/10023/20142
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.format.extent9
dc.format.extent997180
dc.language.isoeng
dc.relation.ispartofFrontiers in Psychologyen
dc.subjectCanceren
dc.subjectChineseen
dc.subjectFear of recurrenceen
dc.subjectNewly diagnoseden
dc.subjectStructural equation modelingen
dc.subjectRC0254 Neoplasms. Tumors. Oncology (including Cancer)en
dc.subjectBF Psychologyen
dc.subjectNDASen
dc.subjectSDG 3 - Good Health and Well-beingen
dc.subject.lccRC0254en
dc.subject.lccBFen
dc.titleHigh fear of cancer recurrence in Chinese newly diagnosed cancer patientsen
dc.typeJournal articleen
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.identifier.doi10.3389/fpsyg.2020.01287
dc.description.statusPeer revieweden


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