Towards the validation of a new, blended theoretical model of fear of cancer recurrence

Lebel, Sophie; Maheu, Christine; Tomei, Christina; Bernstein, Lori J.; Courbasson, Christine; Ferguson, Sarah E.; Harris, Cheryl; Jolicoeur, Lynne; Lefebvre, Monique; Muraca, Linda; Ramanakumar, Agnihotram V.; Singh, Mina; Parrott, Julia; Figueirêdo, Danielle Samara Tavares de Oliveira

doi:10.1002/pon.4880

Cited by 55 publications

(85 citation statements)

References 35 publications

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“…It should be noted that many new models raised after Lee‐Jones et al's work. For instance, Lebel et al tested a blended model of FCR that integrates Leventhal's Common Sense Model, Mishel's Uncertainty in Illness Theory, and cognitive theories of worry. They found that integrated factors (eg, triggers, belief system, and intolerance of uncertainty) all played a critical role in the maintain of FCR.…”

Section: Discussionmentioning

confidence: 99%

The role of daily couple communication in the relationship between illness representation and fear of cancer recurrence in breast cancer survivors and their spouses

Wang

Schoebi

2019

Psycho-Oncology

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Objective Previous studies have shown the significance of illness representation in maintaining of fear of cancer recurrence (FCR). The current study explored the association of illness representation and fear of cancer recurrence in daily life among breast cancer survivors and their spouses, considering the role of daily couple communication. Methods A total of 54 couples in which the wives were breast cancer survivors were recruited to complete Brief Illness Perception Questionnaire and to report their communication information and fear of cancer recurrence in daily life. Results At the between‐person level, individuals with severer illness representation were likely to express more negative and less positive information in daily life, irrespective of whether they were patients or spouses. At the within‐person level, perceptions of positive information acted as a mediator between disclosures of positive/negative information and changes in FCR. Conclusions There were interactions of the relationship of illness representation to FCR between breast cancer survivors and their spouses. Daily couple communication played critical roles in the association between illness representation and FCR.

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Section: Discussionmentioning

confidence: 99%

The role of daily couple communication in the relationship between illness representation and fear of cancer recurrence in breast cancer survivors and their spouses

Wang

Schoebi

2019

Psycho-Oncology

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“…Similarly, we may ask “what coping strategies ameliorate fear of recurrence?” Patients with high intolerance of uncertainty and positive metacognitive beliefs about worry seem at a higher risk to engage in maladaptive behavioral processes such as avoidance, checking behaviors, and seeking constant reassurance from physicians . However, patients do not adopt the same coping responses, exemplified by Galica et al who found that the dimensions of the Fear of Cancer Recurrence Inventory (FCRI) did not load on a single second‐order factor, indicating that the subscales, including coping strategies, should not be combined into a total fear of cancer recurrence score.…”

Section: Who Is At Risk For and What Helps Existential Distress?mentioning

confidence: 99%

Existential distress in cancer: Alleviating suffering from fundamental loss and change

2018

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A severe life threatening illness can challenge fundamental expectations about security, interrelatedness with others, justness, controllability, certainty, and hope for a long and fruitful life. That distress and suffering but also growth and mastery may arise from confrontation with an existentially threatening stressor is a longstanding idea. But only recently have researchers studied existential distress more rigorously and begun to identify its distinct impact on health care outcomes.Operationalizations of existential distress have included fear of cancer recurrence, death anxiety, demoralization, hopelessness, dignity-related distress, and the desire for hastened death. These focus in varying emphasis on fear of death, concern about autonomy, suffering, or being a burden to others; a sense of profound loneliness, pointlessness or hopelessness; grief, regret, or embitterment about what has been missed in life; and shame if dignity is lost or expectations about coping are not met.We provide an overview of conceptual issues, diagnostic approaches, and treatments to alleviate existential distress. Although the two meta-analyses featured in this special issue indicate the progress that has been made, many questions remain unresolved. We suggest how the field may move forward through defining a threshold for clinically significant existential distress, investigating its comorbidity with other psychiatric conditions, and inquiring into adjustment processes and mechanisms underlying change in existential interventions. We hope that this special issue may inspire progress in this promising area of research to improve recognition and management of a central psychological state in cancer care. KEYWORDScancer, death anxiety, demoralization, existential distress, existential suffering, existential therapy, fear of cancer recurrence, hopelessness, sense of dignity

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“…Psychological distress covers a wide spectrum ranging from normal feelings of vulnerability to problems that can become disabling, such as depression, anxiety, or extensive worries 7 . Results from previous studies in cancer patients showed that fear of cancer recurrence (FCR), defined as fear, worry, or concern about cancer returning or progressing, has been identified as one of the most common psychological challenges 8,9 . Studies on cancer worry in screening populations are limited and primarily conducted in screening populations with increased cancer risk 10,11 .…”

Section: Introductionmentioning

confidence: 99%

Psychological distress and quality of life following positive fecal occult blood testing in colorectal cancer screening

et al. 2020

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Objective This study aimed to assess psychological functioning, quality of life, and regret about screening after a positive fecal immunochemical test (FIT) and subsequent colonoscopy, and to evaluate changes over time. Methods This is a prospective cohort study. Individuals aged 55 to 75 with a positive FIT that were referred for colonoscopy between July 2017 and November 2018, were invited to complete questionnaires related to psychological distress and health‐related quality of life at three predefined time points: before colonoscopy, after histopathology result notification, and after 6 months. Four questionnaires were used: the Psychological Consequences Questionnaire (PCQ), the six‐item Cancer Worry Scale (CWS), the Decision Regret Scale (DRS), and the 36‐item Short‐Form (SF‐36). Results A total of 1066 participants out of 2151 eligible individuals were included. Patients with cancer showed a significant increase in psychological dysfunction (P = .01) and cancer worry (P = .008) after colonoscopy result notification, and a decline to pre‐colonoscopy measurements after 6 months. In the no‐cancer groups, psychological dysfunction and cancer worry significantly decreased over time (P < .05) but there was no ongoing decline. After 6 months, 17% of participants with no cancer experienced high level of cancer worry (CWS ≥ 10). Yet, only 5% reported high level of regret about screening participation (DRS > 25). A good global quality of life was reported in participants with no cancer. Conclusion Some psychological distress remains up to 6 months after colonoscopy in participants who tested false‐positive in the Dutch bowel cancer screening program.

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Towards the validation of a new, blended theoretical model of fear of cancer recurrence

Abstract: These results provide support for a blended FCR model.

Cited by 55 publications

References 35 publications

The role of daily couple communication in the relationship between illness representation and fear of cancer recurrence in breast cancer survivors and their spouses

The role of daily couple communication in the relationship between illness representation and fear of cancer recurrence in breast cancer survivors and their spouses

Existential distress in cancer: Alleviating suffering from fundamental loss and change

Psychological distress and quality of life following positive fecal occult blood testing in colorectal cancer screening

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