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Identifying the key characteristics of clinical fear of cancer recurrence : an international Delphi study

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Mustaers_2019_Delphi_AAM.pdf (963.4Kb)
Date
25/11/2019
Author
Mutsaers, Brittany
Butow, Phyllis
Dinkel, Andreas
Humphris, Gerald Michael
Maheu, Christine
Ozakinci, Gozde
Prins, Judith
Sharpe, Louise
Smith, Allen "Ben"
Lebel, Sophie
Keywords
Cancer
Oncology
Definition
Delphi
Expert consensus
Fear of cancer recurrrence
RC0254 Neoplasms. Tumors. Oncology (including Cancer)
RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
NDAS
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Abstract
Objective: Without an agreed‐upon set of characteristics that differentiate clinical from non‐clinical levels of fear of cancer recurrence (FCR), it is difficult to ensure that FCR severity is appropriately measured, and that those in need of intervention are identified. The objective of this study was to establish expert consensus on the defining features of clinical FCR. Method: A three‐round Delphi was used to reach consensus on the defining features of clinical FCR. Sixty‐five experts in FCR (researchers, psychologists, physicians, nurses, allied health professionals) were recruited to suggest and rate potential features of clinical FCR. Participants who indicated they could communicate diagnoses within their clinical role were also asked to consider the application of established DSM‐5 and proposed ICD‐11 diagnostic criteria (Health Anxiety, Illness Anxiety Disorder, Somatic Symptom Disorder) to clinical FCR. Results: Participants’ ratings suggested that the following 4 features are key characteristics of clinical FCR: 1) high levels of preoccupation; 2) high levels of worry; 3) that are persistent; and 4) hypervigilance to bodily symptoms. Of participants whose professional role allowed them to diagnose mental disorders 84% indicated it would be helpful to diagnose clinical FCR, but the use of established diagnostic criteria related to health anxiety or somatic‐related disorders to clinical FCR was not supported. This suggests that participants consider clinical FCR as a presentation that is specific to cancer survivors. Conclusion: Clinical FCR was conceptualized as a multi‐dimensional construct. Further research is needed to empirically validate the proposed defining features.
Citation
Mutsaers , B , Butow , P , Dinkel , A , Humphris , G M , Maheu , C , Ozakinci , G , Prins , J , Sharpe , L , Smith , A & Lebel , S 2019 , ' Identifying the key characteristics of clinical fear of cancer recurrence : an international Delphi study ' , Psycho-Oncology , vol. Early View . https://doi.org/10.1002/pon.5283
Publication
Psycho-Oncology
Status
Peer reviewed
DOI
https://doi.org/10.1002/pon.5283
ISSN
1057-9249
Type
Journal article
Rights
Copyright © 2019 John Wiley & Sons, Ltd. This work has been made available online in accordance with publisher policies or with permission. Permission for further reuse of this content should be sought from the publisher or the rights holder. This is the author created accepted manuscript following peer review and may differ slightly from the final published version. The final published version of this work is available at https://doi.org/10.1002/pon.5283
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  • University of St Andrews Research
URI
http://hdl.handle.net/10023/21072

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