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dc.contributor.authorMutsaers, Brittany
dc.contributor.authorButow, Phyllis
dc.contributor.authorDinkel, Andreas
dc.contributor.authorHumphris, Gerald Michael
dc.contributor.authorMaheu, Christine
dc.contributor.authorOzakinci, Gozde
dc.contributor.authorPrins, Judith
dc.contributor.authorSharpe, Louise
dc.contributor.authorSmith, Allen "Ben"
dc.contributor.authorLebel, Sophie
dc.date.accessioned2020-12-07T15:54:45Z
dc.date.available2020-12-07T15:54:45Z
dc.date.issued2019-11-25
dc.identifier262736040
dc.identifier2584454b-35b3-4b1d-bc93-08188cc5f127
dc.identifier85076235078
dc.identifier000498406600001
dc.identifier.citationMutsaers , 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.5283en
dc.identifier.issn1057-9249
dc.identifier.otherORCID: /0000-0002-4601-8834/work/65345290
dc.identifier.otherORCID: /0000-0001-5869-3274/work/65345296
dc.identifier.urihttps://hdl.handle.net/10023/21072
dc.description.abstractObjective: 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.
dc.format.extent986564
dc.language.isoeng
dc.relation.ispartofPsycho-Oncologyen
dc.subjectCanceren
dc.subjectOncologyen
dc.subjectDefinitionen
dc.subjectDelphien
dc.subjectExpert consensusen
dc.subjectFear of cancer recurrrenceen
dc.subjectRC0254 Neoplasms. Tumors. Oncology (including Cancer)en
dc.subjectRC0321 Neuroscience. Biological psychiatry. Neuropsychiatryen
dc.subjectNDASen
dc.subjectSDG 3 - Good Health and Well-beingen
dc.subject.lccRC0254en
dc.subject.lccRC0321en
dc.titleIdentifying the key characteristics of clinical fear of cancer recurrence : an international Delphi studyen
dc.typeJournal articleen
dc.contributor.institutionUniversity of St Andrews. Sir James Mackenzie Institute for Early Diagnosisen
dc.contributor.institutionUniversity of St Andrews. Population and Behavioural Science Divisionen
dc.contributor.institutionUniversity of St Andrews. WHO Collaborating Centre for International Child & Adolescent Health Policyen
dc.contributor.institutionUniversity of St Andrews. Health Psychologyen
dc.contributor.institutionUniversity of St Andrews. St Andrews Sustainability Instituteen
dc.contributor.institutionUniversity of St Andrews. School of Medicineen
dc.identifier.doi10.1002/pon.5283
dc.description.statusPeer revieweden
dc.date.embargoedUntil2020-11-25


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