Self‐efficacy and fear of cancer progression during the year following diagnosis of breast cancer

Melchior, Hanne; Büscher, Cathrin; Thorenz, Andrea; Grochocka, Anna; Koch, Uwe; Watzke, Birgit

doi:10.1002/pon.2054

Cited by 55 publications

(44 citation statements)

References 39 publications

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“…Bandura suggested that reducing individuals' stress reactions, changing their negative emotional states, and correcting misinterpretations of their physical states are ways to enhance self‐efficacy. Furthermore, Melchior et al suggested that, as FOP changes only slightly over time, the efforts to enhance self‐efficacy and intervene FOP soon after the diagnosis are warranted. One example of an effective approach to intervene depression is a brief behavioral activation and problem‐solving therapy, which has been applied to depressed breast cancer patients .…”

Section: Discussionmentioning

confidence: 99%

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Does depression decrease the moderating effect of self‐efficacy in the relationship between illness perception and fear of progression in breast cancer?

2017

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Section: Discussionmentioning

confidence: 99%

“…Previous studies also demonstrated the association between self‐efficacy and FOP . Melchior et al examined the association between FOP and general self‐efficacy in a prospective study with breast cancer patients.…”

Section: Introductionmentioning

confidence: 99%

Does depression decrease the moderating effect of self‐efficacy in the relationship between illness perception and fear of progression in breast cancer?

2017

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“…Furthermore, fear of cancer recurrence in young BCS with children may be especially distressing. Previous research demonstrates that young BCS with children report greater fear of cancer recurrence because of the potential consequences a recurrence could have on their families, their ability to parent and their children's well-being [15,50]. Connell et al [4] noted that the most commonly reported major personal concern in relation to fear of cancer progression and recurrence in a group of young BCS with children was the future welfare of their children.…”

Section: Discussionmentioning

confidence: 99%

Motherhood and Well-Being in Young Breast Cancer Survivors

Wan

Arès

Gareau

et al. 2018

Breast Cancer Manag.

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Practice pointsr 15 elements of well-being were identified in the literature and exploratory factor analysis revealed a four-factor structure of well-being in breast cancer survivors (BCS): recurrence worries, physical health, psychological adjustment and illness intrusiveness. r Analyses revealed that there was a stronger relationship between psychological adjustment and illness intrusiveness for young BCS with children. r Psychological distress (i.e., lack of psychological adjustment), illness intrusiveness and fear of recurrence co-occurred more frequently in young BCS with children than in BCS without children, thus potentially compromising their well-being. r Our findings indicate that young BCS with children are most in need of screening and interventions in these areas, and such initiatives should be incorporated in their medical care and visits.Aim: This exploratory study aimed to examine differences in well-being between young breast cancer survivors (BCS) with and without children. Materials & methods: Participants (n = 816) completed an online survey relating to quality of life, illness intrusiveness, fear of cancer recurrence, stress and social support. Results: Exploratory and confirmatory factor analyses revealed similar models of well-being between both groups, but with a stronger relationship between psychological adjustment and illness intrusiveness for BCS with children (r = -0.779, 95% CI: -0.711, -0.848 vs r = -0.525, 95% CI: -0.423, -0.627). Conclusion: Parenting compromises the overall well-being of young BCS with children and they would therefore benefit from interventions and social and oncological support programs, especially for those caring for minor children. In a recent population-based study of cancer survivors, Weaver et al. [1] examined the prevalence of parental cancer via the United States National Health Interview Survey (2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007); they identified 13,385 adults with a history of cancer with one or more minor children under the age of 18. Only adults with minor children who were diagnosed with cancer less than 2 years before the survey were included in the study (n = 1769), but of that subset, approximately 85% of them were diagnosed under the age of 45 [1]. In the USA, the average age of breast cancer diagnosis is 61 years for women; but 11% of all new cases occur in women under the age of 45 [2]. Following these guidelines, we operationalized 'young breast cancer survivors' as individuals with a diagnosis of cancer under the age of 45 and who were currently considered cancer free [2]. A diagnosis of breast cancer at a young age can interfere with the demands of early adulthood and the short-and long-term effects of treatment can be especially problematic for this group [3]. Young breast cancer survivors with children (BCS with children) may, therefore, be a particularly vulnerable group because the stressors that accompany motherhood may compound the difficulties Breast Cancer Manag. (Epub ahead of print)

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“…A demographic factor associated with fear of recurrence is age, as young age in general, and young age at diagnosis is an important predictor of fear of recurrence 127,128 . Sex, education and marital status do not have a clear correlation with fear of recurrence 125,127 , whereas having children seems to be related to higher levels of fear 129 . Among disease-and treatment-related factors, time from diagnosis shows no association with fear of recurrence 125 and progression of the disease shows conflicting results 122,130 .…”

Section: Determinants Of Fear Of Recurrencementioning

confidence: 76%

Anxiety and Fear of Recurrence Despite a Good Prognosis: An Interview Study with Differentiated Thyroid Cancer Patients

Hedman

Strang

Djärv

et al. 2017

Thyroid

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Self‐efficacy and fear of cancer progression during the year following diagnosis of breast cancer

Abstract: Findings that low SE is associated with high FoP can help to improve the treatment of dysfunctional fears in breast cancer patients. As FoP changes only slightly over time, treatment to enhance SE and reduce FoP should be initiated soon after disease disclosure.

Cited by 55 publications

References 39 publications

Does depression decrease the moderating effect of self‐efficacy in the relationship between illness perception and fear of progression in breast cancer?

Does depression decrease the moderating effect of self‐efficacy in the relationship between illness perception and fear of progression in breast cancer?

Motherhood and Well-Being in Young Breast Cancer Survivors

Anxiety and Fear of Recurrence Despite a Good Prognosis: An Interview Study with Differentiated Thyroid Cancer Patients

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