Fear of cancer recurrence and its predictors among cervical cancer survivors
Fear of cancer recurrence and its predictors among cervical cancer survivors
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DOI：
10.3802/jgo.2017.28.e72
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发表时间：
2017-11-01
影响因子：
3.9
通讯作者：
Songhong, Nartya
中科院分区：
文献类型：
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作者：
Hanprasertpong, Jitti;Geater, Alan;Songhong, Nartya
目的：了解宫颈癌存活者对癌症复发的恐惧(FCR)特征，并探讨其与人口学、医学特征、生活质量(QOL)及心理健康状况的关系。方法：采用简式进展恐惧问卷(FOP-Q-SF)、医院焦虑抑郁量表(HADS)和癌症治疗-宫颈功能评估问卷(FACT-CX)对2006-2016年间在Songklanagarind医院接受完整治疗的699名CCSS患者进行问卷调查。结果：在FOP-Q-SF的12个条目中，最大的3个恐惧是：1)担心家人会发生什么事；2)害怕疼痛；3)害怕疾病进展。焦虑和抑郁障碍的患病率分别为20.46%和9.44%。FCR在第五位的CCSS患者更有可能合并疾病，所有领域的FACT-CX得分较低，HADS得分(焦虑和抑郁障碍)较高。多因素分析显示只有焦虑症(优势比[OR]=4.99；P
Objective: To identify the characteristics of fear of cancer recurrence (FCR) in cervical cancer survivors (CCSs) and investigate the relationship of FCR with demographic and medical characteristics, level of quality of life (QOL), and psychological distress. We also aimed to determine the predictors of FCR.Methods: The short version of the Fear of Progression Questionnaire (FoP-Q-SF), the Hospital Anxiety and Depression Scale (HADS), and the Functional Assessment of Cancer Therapy-Cervical (FACT-Cx) questionnaire were administered to 699 CCSs who had complete treatment at Songklanagarind Hospital between 2006 and 2016. Analysis was performed to determine potential predictors associated with FCR.Results: Among the 12 items of the FoP-Q-SF, the 3 greatest fears were 1) worrying about what would happen to their family; 2) being afraid of pain; and 3) fear of disease progression. The prevalences of anxiety and depression disorder were 20.46% and 9.44%, respectively. CCSs who had FCR at the 5th quintile were more likely to have medical co-morbidities, low FACT-Cx scores in all domains and a high HADS scores (anxiety and depression disorder). Multivariate analysis showed that only anxiety disorder (odds ratio [OR]=4.99; p