The longitudinal course of emotional and cognitive factors of fear of cancer recurrence in breast cancer patients and their partners.
The longitudinal course of emotional and cognitive factors of fear of cancer recurrence in breast cancer patients and their partners.
复制标题
乳腺癌患者及其伴侣对癌症复发恐惧的情绪和认知因素的纵向过程。
DOI：
10.1002/pon.5914
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发表时间：
2022
期刊：
影响因子：
3.6
通讯作者：
Laurenceau,Jean-Philippe
中科院分区：
文献类型：
--
作者：
Otto,AmyK;Soriano,EmilyC;LoSavio,StefanieT;Siegel,ScottD;Perndorfer,Christine;Fenech,AlyssaL;Laurenceau,Jean-Philippe
虽然癌症复发恐惧（FCR）已被概念化为一个具有情感和认知成分的多维结构，但很少有工作区分或评估这两种成分。此外，大多数现有的研究没有包括癌症患者的亲密伴侣，尽管他们也经历了FCR。本研究旨在（1）确定FCR是否更好地概念化为一个单一的或多维的结构，随着时间的推移，在人内的水平和（2）在患者和他们的partners.MethodsFemale早期乳腺癌患者和他们的合作伙伴（N= 78对夫妇）完成了五个评估后的第一年诊断挖掘FCR的情感和认知元素的相应轨迹模型。多水平验证性因素分析被用来评估FCR的因素结构，和多变量潜在增长曲线模型被用来估计轨迹的情感和认知FCR.ResultsFCR是最好的概念化为两个不同的，但相关的情感和认知因素。在患者和合作伙伴，情绪FCR下降超过第一年后诊断平均，而认知FCR并没有随着时间的推移而改变.ConclusionsFindings支持FCR作为一个多维结构的概念化，并强调在未来的研究中区分情感和认知成分的FCR的潜在重要性。
ObjectiveAlthough fear of cancer recurrence (FCR) has been conceptualized as a multidimensional construct with emotional and cognitive components, little work has distinguished or assessed both components. Further, most existing research has not included intimate partners of cancer patients, although they also experience FCR. This study aimed to (1) determine whether FCR is better conceptualized as a singular or multidimensional construct at the within‐person level over time and (2) model the corresponding trajectories in patients and their partners.MethodsFemale early stage breast cancer patients and their partners (N= 78 couples) completed up to five assessments over the first year post‐diagnosis tapping both emotional and cognitive elements of FCR. Multilevel confirmatory factor analysis was used to evaluate FCR's factor structure, and multivariate latent growth curve modeling was used to estimate trajectories of emotional and cognitive FCR.ResultsFCR was best conceptualized as two distinct but related emotional and cognitive factors. In patients and partners, emotional FCR decreased over the first year post‐diagnosis on average, while cognitive FCR did not change over time.ConclusionsFindings support the conceptualization of FCR as a multidimensional construct and underscore the potential importance of distinguishing emotional and cognitive components of FCR in future research.