Fear of cancer progression and cancer-related intrusive cognitions in breast cancer survivors
Fear of cancer progression and cancer-related intrusive cognitions in breast cancer survivors
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DOI：
10.1002/pon.1481
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发表时间：
2009-12-01
期刊：
影响因子：
3.6
通讯作者：
Herschbach, Peter
中科院分区：
文献类型：
--
作者：
Mehnert, Anja;Berg, Petra;Herschbach, Peter
目的：为了评估的字符和频率的恐惧进展（FoP），并澄清其与癌症相关的侵入性认知在乳腺癌survivors.Methods的关系：一个样本的1083例患者被招募在这个横断面研究通过人口为基础的癌症登记平均47个月后诊断（66%的响应率）。参与者完成了自我报告的措施，评估癌症进展的恐惧（FoP-Q-SF），创伤后应激障碍症状（PCL-C），应对策略（DWI）和生活质量（QoL）（SF-8）。最常见的恐惧是在医生预约或检查之前感到紧张，以及害怕依赖陌生人进行日常生活活动。FoP与年轻、有孩子、疾病进展、化疗、感知的损伤量、身体和精神生活质量显著相关，但与初始诊断后的时间无关。在37%的样本中筛选出侵入性认知。我们发现FoP与侵入性思维（r = 0.63）、回避（r = 0.57）、过度觉醒（r = 0.54）和创伤后应激障碍诊断（r = 0.42）之间存在显著相关。与中度和高度FoP显着相关的因素包括抑郁的应对方式，以及积极的问题导向的应对方式，入侵，回避和hyperarousal symptoms（Nagelkerke的R-2 = 0.44）.Conclusions：本研究的结果提供了有关乳腺癌幸存者的焦虑的频率和性格的信息，并强调FoP与乳腺癌的生活现实的关系。结果表明，侵入性认知以及回避和过度觉醒症状似乎与未来导向的癌症复发恐惧密切相关。版权所有（C）2009约翰威利父子有限公司
Objective: To assess the character and frequency of fear of progression (FoP) and to clarify its relationship with cancer-related intrusive cognitions in breast cancer survivors.Methods: A sample of 1083 patients was recruited in this cross-sectional study through a population-based Cancer Registry an average of 47 month following diagnosis (66% response rate). Participants completed self-report measures assessing fear of cancer progression (FoP-Q-SF), posttraumatic stress-disorder symptoms (PCL-C), coping strategies (DWI) and quality of life (QoL) (SF-8).Results: In total, 23.6% of women were classified as having moderate to high FoP. Being nervous prior to doctors' appointments or examinations and being afraid of relying on strangers for activities of daily living were the most frequent fears. FoP was significantly associated with younger age, having children, disease progress, chemotherapy, perceived amount of impairments, physical and mental QoL, but not with time since initial diagnosis. Intrusive cognitions were screened in 37% of the sample. We found significant correlations between FoP and intrusive thoughts (r = 0.63), avoidance (r = 0.57), hyperarousal (r = 0.54) and posttraumatic stress disorder diagnosis (r = 0.42). Factors significantly associated with moderate and high FoP included a depressive coping style as well as an active problem-oriented coping style, intrusion, avoidance and hyperarousal symptoms (Nagelkerke's R-2 = 0.44).Conclusions: Findings of this study give information regarding the frequency and the character of anxiety in breast cancer survivors and underline the relation of FoP to the reality of living with breast cancer. Results suggest that intrusive cognitions as well as avoidance and hyperarousal symptoms seem to be closely related to future-oriented fears of cancer recurrence. Copyright (C) 2009 John Wiley & Sons, Ltd.