The Relationship Between Fear of Cancer Recurrence and Health Behaviors: A Nationwide Longitudinal Study of Cancer Survivors
The Relationship Between Fear of Cancer Recurrence and Health Behaviors: A Nationwide Longitudinal Study of Cancer Survivors
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DOI：
10.1037/hea0000754
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发表时间：
2019-07-01
影响因子：
4.2
通讯作者：
Westmaas, J. Lee
中科院分区：
文献类型：
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作者：
Leclair, Caroline Seguin;Lebel, Sophie;Westmaas, J. Lee
目的：本研究的目的是在一个大型混合癌症幸存者队列中，从早期到长期生存率，检查癌症复发恐惧（FCR）和2种健康行为，体力活动和水果和蔬菜摄入。方法：基于组的轨迹分析和重复测量方差分析是在美国癌症协会的癌症生存研究-I中收集的数据进行的。2337名10种癌症的幸存者在3个时间点（M =诊断后1.3、2.2和8.8年）完成了调查。结果：目前的研究发现了3个FCR轨迹聚类癌症幸存者的FCR严重程度：低（33.6%），中度（58.1%）和高（8.3%）。FCR随时间显著降低，并且每个轨迹组保持不同。高FCR组中普遍存在的患者特征为女性、年龄较小、西班牙裔、晚期癌症（II至III期）和非霍奇金淋巴瘤，以及对体力活动和水果和蔬菜摄入建议的依从性低。与其他组相比，高FCR组报告的这些健康行为也显着较少，尽管效应大小很小。结论：在整个生存轨迹中，FCR严重程度降低，但在3个轨迹组中仍然存在差异。未来的调查应询问每个FCR组的具体需求，以便随后制定有针对性的干预措施。FCR和健康行为之间的弱相关性被发现，高FCR组的个人报告较少的健康行为。未来的研究应该评估这种关系随着时间的推移的方向，以告知该亚组内的干预目标。
Objective: The goal of this study was to examine fear of cancer recurrence (FCR) and 2 health behaviors, physical activity and fruit and vegetable intake, from early to long-term survivorship in a large cohort of mixed cancer survivors. Method: Group-based trajectory analyses and repeated measures analysis of variance were conducted on data collected in the American Cancer Society's Studies of Cancer Survivorship-I. Two thousand three hundred thirty-seven survivors of 10 cancers completed the survey at 3 time points (M = 1.3, 2.2, and 8.8 years postdiagnosis). Results: The current study found 3 FCR trajectories clustering cancer survivors by FCR severity: low (33.6%), moderate (58.1%), and high (8.3%). FCR significantly decreased over time and remained distinct for each trajectory group. Patient characteristics prevalent in the high FCR group were being female, of younger age, Hispanic ethnicity, having advanced cancer stage (II to III) and non-Hodgkin lymphoma, and low adherence to physical activity and fruit and vegetable intake recommendations. The high FCR group also reported significantly fewer of these health behaviors compared with the other groups, albeit the effect size was small. Conclusions: Across the survivorship trajectory, FCR severity decreased but remained distinct for the 3 trajectory groups. Future investigations should inquire about the specific needs of each FCR group to subsequently develop targeted interventions. A weak association between FCR and health behaviors was found, with individuals in the high FCR group reporting less health behaviors. Future research should assess the direction of this relationship over time to inform intervention targets within this subgroup.