Fear of Cancer Recurrence Inventory: development and initial validation of a multidimensional measure of fear of cancer recurrence

Simard, Sébastien; Savard, Josée

doi:10.1007/s00520-008-0444-y

Cited by 464 publications

(641 citation statements)

References 38 publications

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“…As many as two-thirds of women who undergo surgery for breast cancer report developing chronic pain (Peuckmann et al 2009), and women who develop chronic pain after breast cancer surgery demonstrate diminished HRQoL, including impaired physical functioning (Poleshuck et al 2006). Survivors of stages I, II, and III breast cancer have 5-year risks of recurrence of 7%, 11%, and 13%, respectively (Brewster et al 2008); and 22-99% report fear of their disease returning (Simard and Savard 2009). …”

Section: Introductionmentioning

confidence: 99%

Determinants of adherence to physical activity guidelines among overweight and obese African American breast cancer survivors: Implications for intervention approach.

Smith

Yoo

Ansa

et al. 2016

JCO

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Objective-Public health agencies encourage breast cancer survivors (BCSs) to follow their physical activity guidelines (PAGs). However, adherence to these guidelines is low. African American (AA) BCSs are more often overweight or obese and less likely than women of other races to report adherence to physical activity recommendations. This study examined socioeconomic, clinical, and psychosocial correlates with meeting PAGs.Design-AA women diagnosed and treated for breast cancer and participating in a breast cancer support group (N = 193) completed a lifestyle assessment tool capturing demographic characteristics; breast cancer diagnosis and treatment history; health-related quality of life; weight history, including body mass index and post-diagnosis weight gain; and physical activity. Logistic regressions were used to determine if these covariates were associated with meeting [>8.3 metabolic equivalent task (MET) hr/wk]; partially meeting (4.15-8.3 MET hr/wk); or not meeting (<4.15 MET hr/wk) PAGs.Results-Only 54% of AA BCSs reported meeting current PAGs. Participants reporting weight gain of ≤5 lbs post-diagnosis, and those who received surgical treatment for breast cancer were more likely to complete at least 8.3 MET hr/wk. Better physical functioning and lesser pain intensity were associated with meeting PAGs.CONTACT Benjamin E. Ansa, bansa@augusta.edu, Institute of Public & Preventive Health, Augusta University, 1120 15th Street, Augusta, GA, USA. Disclosure statementNo potential conflict of interest was reported by the authors. HHS Public AccessAuthor manuscript Ethn Health. Author manuscript; available in PMC 2018 February 01. Author Manuscript Author ManuscriptAuthor Manuscript Author ManuscriptConclusion-Several factors influence physical activity behaviors and are likely to be important in developing effective interventions to assist AA survivors manage their weight. It is essential that providers and breast cancer support groups that assist survivors to remain physically active and to manage their weight should be aware of these factors. These findings may help generate hypotheses for future research to undergird efforts to increase physical activity among African American BCSs.

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Section: Introductionmentioning

confidence: 99%

Determinants of adherence to physical activity guidelines among overweight and obese African American breast cancer survivors: Implications for intervention approach.

Smith

Yoo

Ansa

et al. 2016

JCO

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“…While mean levels of FCR were found to be lower in PCa survivors compared to those with breast, colorectal or lung cancer [2,6]; the prevalence of high FCR was higher in PCa survivors (32%, n ¼ 23) than colorectal cancer survivors (24%, n ¼ 10), but lower than in breast cancer survivors (40%, n ¼ 23) (significance testing was not conducted). Larger scale studies are needed to provide more insight in the prevalence and factors associated with high FCR in PCa survivors.…”

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confidence: 99%

“…The 42-item Fear of Cancer Recurrence Inventory (FCRI) is a psychometrically sound questionnaire used to assess multidimensional aspects of FCR [2,12]. Seven subscales were used: Triggers (8-items), Severity (9-items), Psychological Distress (4-items), Functioning Impairments (6-items), Insight (3-items), Reassurance seeking (3-items) and Coping (9-items).…”

Section: Fear Of Cancer Recurrence: Multidimensional Aspectsmentioning

confidence: 99%

“…Seven subscales were used: Triggers (8-items), Severity (9-items), Psychological Distress (4-items), Functioning Impairments (6-items), Insight (3-items), Reassurance seeking (3-items) and Coping (9-items). All items were scored on a scale from 0 ('not at all' or 'never') to 4 ('a great deal' or 'all the time') [2,12].…”

Section: Fear Of Cancer Recurrence: Multidimensional Aspectsmentioning

confidence: 99%

“…Fear of cancer recurrence (FCR) is the fear or worry that the disease will return or progress in the same organ or in another part of the body [1,2]. It is hypothesized that normal levels of FCR promote adequate threat monitoring behavior [3] whereas studies found that high FCR is associated with functional impairment [4], lower quality of life (QOL), distress and reassurance seeking behavior (e.g.…”

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Fear of cancer recurrence in prostate cancer survivors

et al. 2016

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Background High fear of cancer recurrence (FCR) is an understudied topic in prostate cancer (PCa) survivors. This study aimed to detect the prevalence, consequences and characteristics associated with high FCR in PCa survivors. Material and methods This cross-sectional study included patients diagnosed with localized PCa and treated with curative radical prostatectomy between 1992 and 2012. We administered the Cancer Worry Scale (CWS) to assess FCR severity (primary outcome measure). Secondary outcomes included distress, quality of life (QOL), post-traumatic symptoms, and multidimensional aspects of FCR. v

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Sensitivity of Preference-Based Quality-of-Life Measures for Economic Evaluations in Early-Stage Melanoma

et al. 2018

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IMPORTANCE The diagnosis of a life-threatening disease like melanoma can affect all aspects of a person's life, including health-related quality of life (HRQOL) and psychological aspects of melanoma such as fear of cancer recurrence (FCR). Economic evaluations of psychological interventions require preference-based (utility) instruments that are sensitive to changes in well-being and HRQOL; however, very few studies have evaluated the sensitivity of these instruments when used for people with melanoma. OBJECTIVE To compare utility scores from the multiple-attribute instrument Assessment of Quality of Life-8-Dimension Scale (AQoL-8D) with the mapped utility scores of the Functional Assessment of Cancer Therapy-Melanoma (FACT-M) and to investigate the sensitivity of both instruments in identifying the influence of FCR on HRQOL. DESIGN, SETTING, AND PARTICIPANTS This assessment of data from a randomized clinical trial of a psychoeducational intervention to reduce FCR, conducted at 3 high-risk melanoma clinics in Australia, evaluated 164 patients with early-stage melanoma and a high risk of developing a second primary melanoma. MAIN OUTCOMES AND MEASURES The FACT-M and AQoL-8D were used to assess HRQOL and FCR among the study participants. Concurrent validity was assessed by comparing the total and subdomain scores of the 2 instruments, and the strength of associations was assessed using Pearson correlation coefficient. Convergent validity was assessed by comparing participants' HRQOL, demographic, and clinical characteristics using the χ 2 test and F statistic. Both the FACT-M and AQoL-8D utilities were regressed on FCR Inventory (FCRI) severity scores to estimate the effect of elevated FCR on HRQOL. RESULTS A total of 164 participants completed the baseline questionnaires, but only 163 met all inclusion criteria and underwent the full analysis: 72 were women; 91 were men; and mean (SD) age was 58.2 (12.1) years. Both the AQoL-8D and FACT-M instruments showed good concurrent validity and could differentiate between relevant subgroups including level of FCRI severity. The AQoL-8D and FACT-M utilities were strongly correlated (r 2 = 0.57). Respondents had a mean (SD) AQoL-8D utility of 0.77 (0.2), and a mean (SD) FACT-M utility score of 0.76 (0.07). High levels of FCRI severity were associated with a decrease in utility of 0.12 (95% CI, −0.19 to −0.05) as measured by AQoL-8D, and a decrease of 0.03 (95% CI, −0.05 to −0.01) as measured by the FACT-M. CONCLUSIONS AND RELEVANCE For economic evaluations of psychological interventions in melanoma, the AQoL-8D and FACT-M are valid measures of utility; however, the AQoL-8D demonstrates greater sensitivity to FCRI severity. Our results suggest a significant association between FCR and HRQOL.

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Fear of Cancer Recurrence Inventory: development and initial validation of a multidimensional measure of fear of cancer recurrence

Abstract: This study suggests that the French-Canadian version of the FCRI is a reliable and valid instrument for evaluating the multidimensional aspects of the fear of cancer recurrence.

Cited by 464 publications

References 38 publications

Determinants of adherence to physical activity guidelines among overweight and obese African American breast cancer survivors: Implications for intervention approach.

Determinants of adherence to physical activity guidelines among overweight and obese African American breast cancer survivors: Implications for intervention approach.

Fear of cancer recurrence in prostate cancer survivors

Sensitivity of Preference-Based Quality-of-Life Measures for Economic Evaluations in Early-Stage Melanoma

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