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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.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 .
dc.identifier.otherPURE: 262736040
dc.identifier.otherPURE UUID: 2584454b-35b3-4b1d-bc93-08188cc5f127
dc.identifier.otherORCID: /0000-0002-4601-8834/work/65345290
dc.identifier.otherORCID: /0000-0001-5869-3274/work/65345296
dc.identifier.otherScopus: 85076235078
dc.identifier.otherWOS: 000498406600001
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.rightsCopyright © 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
dc.subjectExpert consensusen
dc.subjectFear of cancer recurrrenceen
dc.subjectRC0254 Neoplasms. Tumors. Oncology (including Cancer)en
dc.subjectRC0321 Neuroscience. Biological psychiatry. Neuropsychiatryen
dc.subjectSDG 3 - Good Health and Well-beingen
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.description.statusPeer revieweden

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