Prevalence and factors associated with fear of recurrence in a mixed sample of young adults with cancer.
Purpose: This study examined the prevalence and factors associated with fear of cancer recurrence (FCR) in young adults (YAs).Methods: YAs diagnosed with cancer between the ages of 15 and 39 in Canada (n = 461), who were currently 19 years or older, completed the Young Adults with Cancer in their Pr...
| Publicado en: | Journal of Cancer Survivorship Vol. 13; no. 6; pp. 842 - 852 |
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| Autores principales: | , , , , , , , |
| Formato: | Journal Article |
| Publicado: |
Springer Nature
Dec2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=139882246&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 139882246 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 19322259 46CU jtl: Journal of Cancer Survivorship issn: 19322259 maglogo: N pubinfo: dt: Dec2019 vid: 13 iid: 6 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 139882246 139882246 NLM31468324 10.1007/s11764-019-00802-9 NLM31468324 139882246 ppf: 842 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Prevalence and factors associated with fear of recurrence in a mixed sample of young adults with cancer. aug: au: Lane, Breanna E. Garland, Sheila N. Chalifour, Karine Eaton, Geoff Lebel, Sophie Galica, Jacqueline Maheu, Christine Simard, Sébastien affil: Department of Psychology, Faculty of Science, Memorial University of Newfoundland, 232 Elizabeth Avenue, A1B 3X9, St. John's, NL, Canada sug: subj: Fear Survivors Psychosocial Factors Neoplasms Prevalence Psychology Young Adult Female Adolescence Neoplasm Recurrence, Local Psychosocial Factors Adult Male Scales Adolescent: 13-18 years Adult: 19-44 years Female Male ab: Purpose: This study examined the prevalence and factors associated with fear of cancer recurrence (FCR) in young adults (YAs).Methods: YAs diagnosed with cancer between the ages of 15 and 39 in Canada (n = 461), who were currently 19 years or older, completed the Young Adults with Cancer in their Prime (YACPRIME) Study. The Fear of Cancer Recurrence Inventory Short Form (FCRI-SF) was the primary outcome. Scores ≥ 16 on the FCRI-SF indicate problematic levels and scores ≥ 22 represent clinically significant FCR. Covariates included demographic, clinical cancer variables, and co-morbid symptom measures. Univariate and multivariate logistic regression analyses were performed to identify variables associated with FCR.Results: Participants were predominantly female (87%) with a mean age of 32 years (SD = 4.7). Problematic levels of FCR were present in 84% of YAs, and 59% met or exceeded the cutoff for clinically significant FCR. In the multivariate model, time since diagnosis of 5+ years was associated with a reduced likelihood of clinical FCR (Adjusted Odds Ratio [AOR] = 0.354; p = .004), while having a previous recurrence was related to increased likelihood (AOR = 3.468, p = .001). Other factors associated with clinical FCR in YAs were psychological distress (Mild: AOR = 2.947, p = .003; Moderate: AOR = 5.632, p < .0005; Severe: AOR = 8.877, p < .0005), and cancer-related body image dissatisfaction (AOR = 2.311, p = .004).Conclusions: FCR is a pervasive problem for YAs diagnosed with cancer, with previous recurrence and psychological difficulties as factors associated with a higher degree of fear.Implications: Psychosocial interventions for YAs targeting depression and anxiety should also prioritize the treatment of FCR. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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