Fear of cancer recurrence: a significant concern among partners of prostate cancer survivors
Abstract
Objectives: The aims of the study were to (1) describe the prevalence of fear of cancer recurrence (FCR) in partners of prostate cancer (PCa) survivors; (2) to compare the proportions of high FCR in partners with high FCR in PCa survivors; (3) to explore partners' demographic and survivors' clinical characteristics associated with high FCR in partners; and (4) to identify the relationship between high FCR and health‐related quality of life (HRQoL) in partners. Methods: Questionnaires were sent to partners of disease‐free PCa survivors. Outcomes included FCR severity (Cancer Worry Scale [CWS]) and HRQoL (RAND‐36). The t and chi‐square tests were used to compare partner FCR with survivor FCR. Regression analyses were performed to determine if demographic and clinical characteristics were significantly associated with partner FCR. The multivariate analysis of variance identified differences in HRQoL between partners with high and low FCR. Results: Questionnaires were completed by 168 partners. Mean levels of FCR were comparable between partners and survivors ( P = .144). Thirty‐five percent of partners reported high FCR (CWS ≥ 14) compared to 38% of PCa survivors (CWS ≥ 13) ( P = .542). Higher survivor FCR and younger partner age were significantly associated with higher partner FCR. Partners with high FCR scored significantly lower on social functioning, emotional role functioning, mental health, general health, and vitality than those with low FCR (all P < .05). Conclusions: Findings from this study illustrate that FCR is a significant concern for partners of PCa survivors. Clinicians should be aware of partner FCR when delivering care to men with PCa.
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In couples, FCR experienced by one partner can influence the other partner's FCR.
“in couples, FCR experienced by one partner can influence the other partner’s FCR [9, 18, 19].”
Clinical FCR is associated with impairment in functioning, psychological distress, sleep difficulties, stress response symptoms, and lower quality of life in cancer survivors.
“clinical FCR is associated with impairment in functioning, psychological distress, sleep difficulties, stress response symptoms, and lower quality of life (QoL) [3–9].”
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- Authors
- van de Wal, M., Langenberg, S., Gielissen, M., Thewes, B., van Oort, I., & Prins, J.
- Affiliations
- Department of Medical Psychology Radboud University Medical Center Nijmegen The Netherlands
- Department of Medical Oncology Radboud University Medical Center Nijmegen The Netherlands
- Amsterdam UMC Location University of Amsterdam (NL)
- Radboud University Medical Center (NL)
- Department of Urology Radboud University Medical Center Nijmegen The Netherlands
- Venue
- Psycho-Oncology
- Publisher
- Wiley
- Published
- 2017-04-17
- Volume
- 26
- Issue
- 12
- Pages
- 2079-2085
- ISSN
- 1057-9249 (ISSN-L)
- 1099-1611
- OpenAlex
- W2599306424
- Cited by
- 37
- References
- 38
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 3 · 2023: 5 · 2022: 7 · 2021: 5 · 2020: 7 · 2019: 3 · 2018: 2 · 2017: 2
- FWCI
- 1.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psycho-Oncology (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- 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, prostate cancer survivors, partners of cancer patients, spousal caregivers, health-related quality of life, RAND-36, partner age, social functioning, emotional role functioning
- MeSH terms
- Adult, Aged, Anxiety, Cross-Sectional Studies, Fear, Female, Humans, Male, Middle Aged, Neoplasm Recurrence, Local, Phobic Disorders, Prostatic Neoplasms, Quality of Life, Surveys and Questionnaires, Regression Analysis, Prevalence, Survivors, Spouses
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