Fear of cancer recurrence in adolescent and young adult cancer survivors: A systematic review of the literature
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OBJECTIVE: The current systematic review aims to provide an overview of fear of cancer recurrence (FCR) in adolescent and young adult cancer survivors (15-39 years at cancer diagnosis, AYAs). METHODS: MEDLINE, PubMed, PsycINFO, and Embase databases were independently searched to identify relevant quantitative articles. PRISMA systematic review procedures were followed with quality assessment. RESULTS: Seventeen studies were included in the current review. All were quantitative studies that utilized a cross-sectional study design. Seven articles reported results of FCR prevalence, six studied determinants related to FCR, and 11 articles provided information about consequences of FCR. Prevalence of FCR ranged from 31% to 85.2% among AYA survivors. Associations between sociodemographic/clinical variables and FCR were inconsistent. Psychological distress and higher treatment intensity were positively associated with higher FCR levels. Lower scores on levels of physical, psychological functioning, and overall health-related quality of life (QoL) were identified as consequences of increased FCR. CONCLUSION: FCR appears to be a prevalent concern among adolescent and young adult cancer populations. Adequate assessment to determine need for support and intervention is still required. Longitudinal studies in AYAs are warranted to understand the development and potential influence of FCR. Age-appropriate and flexible psychological care would be more successful potentially with this crucial background information.
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The fear of cancer returning and progressing in the same organ or another part of the body is one of the most common and distressing concerns among cancer survivors.
“As the fear of cancer returning and progressing in the same organ or another part of the body is one of the most common and distressing concerns among cancer survivors”
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- Authors
- Yang, Y., Li, W., Wen, Y., Wang, H., Sun, H., Liang, W., Zhang, B., & Humphris, G.
- Affiliations
- University of Macau (MO)
- Newcastle University (GB)
- Nanfang Hospital (CN)
- Guangdong General Hospital (CN)
- University of St Andrews (GB)
- Corresponding author
- Humphris, Gerry
- Venue
- Psycho-Oncology
- Publisher
- Wiley
- Published
- 2019-02-17
- Volume
- 28
- Issue
- 4
- Pages
- 675-686
- ISSN
- 1057-9249 (ISSN-L)
- 1099-1611
- OpenAlex
- W2911393783
- Cited by
- 121
- References
- 59
- Citations by year
- 2026: 11 · 2025: 17 · 2024: 23 · 2023: 22 · 2022: 18 · 2021: 12 · 2020: 14 · 2019: 4
- FWCI
- 2.56
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Psycho-Oncology (publishedVersion)
- PubMed (publishedVersion)
- St Andrews Research Repository (St Andrews Research Repository) (submittedVersion)
- Newcastle University ePrints (Newcastle Univesity)
- Funders
- President Foundation of Nanfang Hospital (2017L001)
- Science and technology project of Guangdong Province (2015A030302025)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Keywords
- fear of cancer recurrence, adolescent and young adult cancer survivors, cancer survivorship, psychological distress, health-related quality of life, treatment intensity, sociodemographic factors, psychological functioning, psychological support
- MeSH terms
- Cancer Survivors, Adolescent, Anxiety, Cross-Sectional Studies, Fear, Female, Humans, Male, Neoplasm Recurrence, Local, Neoplasms, Phobic Disorders, Quality of Life, Prevalence, Young Adult
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