A correlation study of fear of cancer recurrence, illness representation, self-regulation, and quality of life among gynecologic cancer survivors in Taiwan

Tsai, Li‐Yun; Lee, Shu-Chen; Wang, Kung-Liahng; Tsay, Shiow‐Luan; Tsai, Jung‐Mei

doi:10.1016/j.tjog.2018.10.014

Cited by 22 publications

(29 citation statements)

References 32 publications

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“…Indeed, context is theorized to play an important role in such processes: Leventhal's Common Sense Model (Leventhal et al, 2016) posits that the socio-cultural context (e.g., amount of social support) as important to interpret illness (e.g., functional impairments) and emotional (e.g., excessive emotional distress) outcomes. The Common Sense Model (Leventhal et al, 2016) would refer to an illness representation as well as increased vigilance in somatic sensations (Freeman-Gibb et al, 2017;Richardson et al, 2017;Tsai et al, 2018;Petricone-Westwood et al, 2019). Implications for researchers or clinicians could be the need for interventions tailored to specific treatment types; in other words, breast cancer patients receiving these specific treatments might experience higher levels of impairment that warrant particular interventions to also target their fear and anxiety.…”

Section: Overlapping Attributesmentioning

confidence: 99%

Fear of Cancer Recurrence, Health Anxiety, Worry, and Uncertainty: A Scoping Review About Their Conceptualization and Measurement Within Breast Cancer Survivorship Research

et al. 2021

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Objective: Fear of Cancer Recurrence (FCR), Health Anxiety (HA), worry, and uncertainty in illness are psychological concerns commonly faced by cancer patients. In survivorship research, these similar, yet different constructs are frequently used interchangeably and multiple instruments are used in to measure them. The lack of clear and consistent conceptualization and measurement can lead to diverse or contradictory interpretations. The purpose of this scoping review was to review, compare, and analyze the current conceptualization and measurements used for FCR, HA, worry, and uncertainty in the breast cancer survivorship literature to improve research and practice.Inclusion Criteria: We considered quantitative, qualitative, and mixed methods studies of breast cancer survivors that examined FCR, HA, worry, or uncertainty in illness as a main topic and included a definition or assessment of the constructs.Methods and Analysis: The six-staged framework was used to guide the scoping review process. Searches of PubMed, CINAHL, and PsycINFO databases were conducted. The principle-based qualitative analysis and simultaneous content analysis procedures were employed to synthesize and map the findings.Findings: After duplicate removal, the search revealed 3,299 articles, of which 82 studies met the inclusion criteria. Several critical attributes overlapped the four constructs, for example, all were triggered by internal somatic and external cues. However, several unique attributes were found (e.g., a sense of loss of security in the body is observed only among survivors experiencing FCR). Overall, findings showed that FCR and uncertainty in illness are more likely to be triggered by cancer-specific factors, while worry and HA have more trait-like in terms of characteristics, theoretical features, and correlates. We found that the measures used to assess each construct were on par with their intended constructs. Eighteen approaches were used to measure FCR, 15 for HA, 8 for worry, and 4 for uncertainty.Conclusion: While consensus on the conceptualization and measurement of the four constructs has not yet been reached, this scoping review identifies key similarities and differences to aid in their selection and measurement. Considering the observed overlap between the four studied constructs, further research delineating the unique attributes for each construct is warranted.

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Section: Overlapping Attributesmentioning

confidence: 99%

Fear of Cancer Recurrence, Health Anxiety, Worry, and Uncertainty: A Scoping Review About Their Conceptualization and Measurement Within Breast Cancer Survivorship Research

et al. 2021

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“…of life (including physical functioning, body pain, general health, vitality, social functioning, emotion and mental health) through mediating variables such as social support, fear of progression and self-regulation (Tsai et al, 2018). Researchers inferred that this relationship also existed among ILD patients: illness perception might affect the quality of life through a potential mediating variable.…”

Section: What Does This Paper Contribute To the Wider Global Community?mentioning

confidence: 99%

“…Prior studies explored the relationship between illness perception and quality of life among patients with other diseases such as cancer patients and stroke patients (Aydın Sayılan & Demir Doğan, 2020; Minshall et al, 2020). Their researches showed that patients' illness perception directly or indirectly affected patients' quality of life (including physical functioning, body pain, general health, vitality, social functioning, emotion and mental health) through mediating variables such as social support, fear of progression and self‐regulation (Tsai et al, 2018). Researchers inferred that this relationship also existed among ILD patients: illness perception might affect the quality of life through a potential mediating variable.…”

Section: Introductionmentioning

confidence: 99%

Relationship between illness perception, fear of progression and quality of life in interstitial lung disease patients: A cross‐sectional study

Liu

Qin

et al. 2021

Journal of Clinical Nursing

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Aims and objectives:This study aimed to investigate whether fear of progression mediates the association between illness perception and quality of life among interstitial lung disease patients.Background: So far, the physiological treatment of interstitial lung disease is limited.In addition to immunosuppressants such as glucocorticoids, two anti-fibrosis drugs (pirfenidone and nintedanib) have shown moderately beneficial effects on slowing the progression of interstitial lung disease fibrosis. However, none of these drugs has shown reliable or strong beneficial effects on improving quality of life. Psychological care and mental health support strategies focusing on improving patients' quality of life are particularly important. Design: A cross-sectional study.Methods: A convenience sample of patients suffering from interstitial lung disease were enrolled from August to December 2019. Data including sociodemographic and clinical characteristics, illness perception, fear of progression and quality of life were collected. The descriptive analysis and Pearson correlations were analysed by SPSS 26.0 (IBM Corp.). PROCESS v3.4 (by Andrew F. Hayes) macro was applied to analyse the mediating effects. We used the STROBE checklist to report the results.Results: Both illness perception and fear of progression were correlated with quality of life. Fear of progression mediated the association between illness perception and quality of life. The indirect effect was 0.121, and the proportion of intermediary effect in the main effect was 26.36%. Conclusion:Interstitial lung disease patients experience relatively poor quality of life and fear of progression exerts a mediating role between illness perception and quality of life. Relevance to clinical practice:This study alerts medical staff to pay attention to negative illness perception and excessive fear, which is helpful to formulate effective interventions to manage interstitial lung disease patients' quality of life.

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“…Fear of cancer recurrence is de ned as: "Fear, worry or concern relating to the possibility that cancer will come back or progress" [3, p.3266]. Although, some degree of FCR may be adaptive in terms of alerting the patient to signs of new or recurring cancer and encouraging positive health behaviors [4], clinical levels of FCR are associated with psychological comorbidity -anxiety and depression [5,6] reduced quality of life [7] increased health-care costs due to more frequent emergency room visits [8], and avoidance of tests to identify recurrence in time [2]. Thus, Leeson et al [9] highlighted the primary importance of addressing FCR among gynecological cancer survivors.…”

Section: Introductionmentioning

confidence: 99%

The Intrapersonal and Interpersonal Processes of Fear of Recurrence Among Cervical Cancer Survivors - A Qualitative Research.

Hamama‐Raz

Shinan-Altman

Levkovich

2021

Preprint

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Objective: Cervical cancer often takes an emotional and mental toll on the affected woman. Fear of cancer recurrence was identified as one of the most prominent unmet needs in patients and survivors. The present study sought to explore meaning of fear of cancer recurrence among cervical cancer survivors owing to the paucity of studies regarding this population. Methods: In this qualitative research, semi structured interviews conducted with 15 cervical cancer survivors. Interviewees' mean age was 41.33 years (range 34-47 years) and time since diagnosis ranged from six months to seven years (mean - 3.1 years). Results: Three central themes emerged that represent intrapersonal and interpersonal processes that begin with relief from fears of cancer recurrence, alongside acknowledgement of being no longer resilient, representing the intrapersonal level. Next, an interpersonal level that included mutual fears shared by the interviewee and her partner, reflected either by coping together or coping alone. Finally, fear of recurrence became a combination of intrapersonal and interpersonal processes manifested by the greatest fear - death, expressed by both the interviewee and her family members. Conclusions: The present findings revealed that the meaning of fear of cancer recurrence represents intrapersonal and interpersonal processes encompassing three factors – uncertainty, social-cognitive processing and death anxiety. Accordingly, potential psycho-social treatment options could be tailored specific to the dominance of these factors for cervical cancer survivor.

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A correlation study of fear of cancer recurrence, illness representation, self-regulation, and quality of life among gynecologic cancer survivors in Taiwan

Cited by 22 publications

References 32 publications

Fear of Cancer Recurrence, Health Anxiety, Worry, and Uncertainty: A Scoping Review About Their Conceptualization and Measurement Within Breast Cancer Survivorship Research

Fear of Cancer Recurrence, Health Anxiety, Worry, and Uncertainty: A Scoping Review About Their Conceptualization and Measurement Within Breast Cancer Survivorship Research

Relationship between illness perception, fear of progression and quality of life in interstitial lung disease patients: A cross‐sectional study

The Intrapersonal and Interpersonal Processes of Fear of Recurrence Among Cervical Cancer Survivors - A Qualitative Research.

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