Current approaches to managing fear of cancer recurrence; a descriptive survey of psychosocial and clinical health professionals
Abstract
Objective: Fear of cancer recurrence (FCR) is common amongst cancer survivors and help with this problem is the most frequently reported unmet need in this population. This study investigated how FCR is perceived and managed by clinical health professionals (medical and nursing staff) and psychosocial professionals in oncology settings. Methods: Clinical health professionals and psychosocial professionals in oncology settings received emailed invitations from their professional organisation to participate in an online survey. Results: Data from 77 clinical health professionals and 64 psychosocial professionals indicate that FCR is perceived as common and challenging to manage. Thirty‐one percent of psychosocial professionals estimated FCR is present in >50% of cancer survivors seen in their practise. Only a minority (21%) of clinical staff reported always referring patients with high levels of FCR to psychosocial support. Strategies for managing FCR differed considerably amongst psychosocial professionals, and most reported that aspects of acceptance and commitment therapy and/or cognitive behaviour therapy were helpful. Greater than 99% of participants were interested in training to help patients manage FCR. Conclusions: Fear of cancer recurrence is commonly identified in oncology settings and a common focus of discussion in follow‐up care. However, patients with high levels of FCR are not routinely referred to psychosocial staff, and barriers to referral to psychosocial care should be investigated. The diversity of approaches reported by psychosocial professionals suggests lack of consensus regarding management of FCR, indicating that the development effective, theoretical‐based intervention and evidence‐based intervention for FCR is a matter of priority. Copyright © 2013 John Wiley & Sons, Ltd.
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- Authors
- Thewes, B., Brebach, R., Dzidowska, M., Rhodes, P., Sharpe, L., & Butow, P.
- Affiliations
- The University of Sydney (AU)
- Corresponding author
- Thewes, B.
- Venue
- Psycho-Oncology
- Publisher
- Wiley
- Published
- 2013-11
- Volume
- 23
- Issue
- 4
- Pages
- 390-396
- ISSN
- 1057-9249 (ISSN-L)
- 1099-1611
- OpenAlex
- W1556460072
- Cited by
- 99
- References
- 29
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 11 · 2023: 9 · 2022: 7 · 2021: 10 · 2020: 6 · 2019: 7 · 2018: 7 · 2017: 11 · 2016: 9 · 2015: 9 · 2014: 4
- FWCI
- 3.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psycho-Oncology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
- Keywords
- fear of cancer recurrence, cancer survivors, psychosocial support, acceptance and commitment therapy, cognitive behavioral therapy, unmet needs, health professional perceptions, psychosocial interventions
- MeSH terms
- Attitude of Health Personnel, Fear, Humans, Medical Oncology, Neoplasm Recurrence, Local, Oncology Nursing, Practice Patterns, Physicians', Psychology, Social Work, Cognitive Behavioral Therapy, Survivors, Practice Patterns, Nurses', Acceptance and Commitment Therapy
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