The DOI matches its Crossref record; 36 of the 36 references it cites were found in a registry or an index.
When fear of cancer recurrence becomes a clinical issue: a qualitative analysis of features associated with clinical fear of cancer recurrence
Abstract
Purpose Fear of cancer recurrence (FCR) is a common experience for cancer survivors. However, it remains unclear what characteristics differentiate non-clinical from clinical levels of FCR. The goal of this study was to investigate the potential hallmarks of clinical FCR.Methods A convenience sample of 40 participants (n = 19 female) was drawn from another study (Lebel et al. in Qual Life Res 25:311-321. doi: 10.1007/s11136-015-1088-2 , 2016). The semi-structured interview for fear of cancer recurrence (Simard and Savard in J Cancer Surviv 9:481-491. doi: 10.1007/s11764-015-0424-4 , 2015) was used to identify participants with non-clinical and clinical FCR and qualitative analysis of these interviews was performed.Results Individuals with clinical FCR reported the following features: death-related thoughts, feeling alone, belief that the cancer would return, experiencing intolerance of uncertainty, having cancer-related thoughts and imagery that were difficult to control, daily and recurrent, lasted 30 minutes or more, increased over time, caused distress and impacted their daily life. Triggers of FCR and coping strategies did not appear to be features of clinical FCR as they were reported by participants with a range of FCR scores.Conclusions While features of clinical FCR found in this analysis such as intrusive thoughts, distress and impact on functioning confirmed previous FCR research, other features spontaneously emerged from the interviews including "death-related thoughts," "feeling alone," and "belief that the cancer will return." The participants' descriptions of cancer-specific fear and worry suggest that FCR is a distinct phenomenon related to cancer survivorship, despite similarities with psychological disorders (e.g., Anxiety Disorders). Future research investigating the construct of FCR, and the distinguishing features of clinical FCR across a range of cancer types and gender is required.
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“FCR is associated with worry, ruminations, intrusive thoughts, the use of maladaptive coping strategies such as avoidance and excessive reassurance-seeking, and impaired functioning and quality of life [1, 22].”
From Fear of cancer recurrence in breast cancer survivors carrying a BRCA1 or 2 genetic mutation : a cross-sectional study (2024) · cites this paper as [22]
In the citing paper
“Fear of cancer recurrence has been associated with greater depression and anxiety symptoms, reduced quality of life, reduced engagement in social activities, and limited coping [13, 17, 62, 63].”
From Fear of depression recurrence among individuals with remitted depression: a qualitative interview study (2024) · cites this paper as [62]
Citations
Cites
Diagnostic and Statistical Manual of Mental Disorders
American Psychiatric Association (2013) · doi:10.1176/appi.books.9780890425596 · Cited by 116,369
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,845
Qualitative Data Analysis: An Expanded Sourcebook
(1994) · Journal of Environmental Psychology · doi:10.1016/s0272-4944(05)80231-2 · Cited by 48,420
Qualitative Inquiry and Research Design: Choosing Among Five Approaches
Lewis, S. (2015) · Health Promotion Practice · doi:10.1177/1524839915580941 · Cited by 22,105
How Many Interviews Are Enough?: An Experiment with Data Saturation and Variability
Guest, G., Bunce, A., & Johnson, L. (2006) · Field Methods · doi:10.1177/1525822x05279903 · Cited by 20,808
(2017) · Cited by 16,036
Fear of cancer recurrence in adult cancer survivors: a systematic review of quantitative studies
Simard, S., Thewes, B., Humphris, G., Dixon, M., Hayden, C., Mireskandari, S., & Ozakinci, G. (2013) · Journal of Cancer Survivorship · doi:10.1007/s11764-013-0272-z · Cited by 1,217
Self-citationSimard, S., & Savard, J. (2009) · Supportive Care in Cancer · doi:10.1007/s00520-008-0444-y · Cited by 608
Self-citationKoch, L., Jansen, L., Brenner, H., & Arndt, V. (2013) · Psycho-Oncology · doi:10.1002/pon.3022 · Cited by 511
Factors reported to influence fear of recurrence in cancer patients: a systematic review
Crist, J. V., & Grunfeld, E. A. (2013) · Psycho-Oncology · doi:10.1002/pon.3114 · Cited by 431
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Liu, M., Liu, L., Wang, H., Song, P., Li, J., Guo, W., & Liu, Y. (2023) · Research Square · doi:10.21203/rs.3.rs-2637747/v1
Oliveira, J., Neves, M. C., Bártolo, A., Sales, C. M. D., & Monteiro, S. O. M. (2025) · Psycho-Oncologie · doi:10.18282/po4364
Seo-Hee, C. H. O. I., Kim, Y., & Choe, Y. (2025) · Daehan imsang geon-gang jeungjin hakoeji/Daehan imsang geon'gang jeungjin haghoeji · doi:10.15384/kjhp.2025.00122
“This classification reflects a multidimensional approach to capturing clinically meaningful levels of recur-rence-related fear across multiple domains [10,11].”
Kanser Nüks Korkusu ve Kişilik Özellikleri Arasındaki İlişki: Bir Sistematik Derleme Çalışması
Yastıbaş, C., & Erdem, B. (2025) · OSMANGAZİ JOURNAL OF MEDICINE · doi:10.20515/otd.1722713
Gumuchian, S. T., Boyle, A., Hazel, L., & Ellenbogen, M. A. (2024) · Figshare · doi:10.6084/m9.figshare.25264468
Gumuchian, S. T., Boyle, A., Hazel, L., & Ellenbogen, M. A. (2024) · Figshare · doi:10.6084/m9.figshare.25264376
Eyrenci, A., Ertuna, L., & Bahçivan, O. (2026) · BMC Psychology · doi:10.1186/s40359-026-04915-6
“Qualitative research further indicates that individuals experiencing high FCR often struggle with loneliness, intrusive thoughts, and uncertainty about the future, factors that can interfere with daily functioning and emotional well-being [8, 9].”
Ma, H., Yang, Y., Cariola, L. A., & Gillanders, D. (2026) · Supportive Care in Cancer · doi:10.1007/s00520-026-10985-4
“Additionally, the recurring thoughts triggered by physical symptoms and medical checkups correspond to findings on intrusive thoughts in cancer research (Almeida et al. 2019; Mutsaers et al. 2016; Zhang et al. 2022).”
Fear of cancer occurrence in breast cancer previvors: a scoping review of the literature
Torrisi, C., Ward, J. M., & Champion, V. L. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1887732
Metadata
- Authors
- Mutsaers, B., Jones, G., Rutkowski, N., Tomei, C., Séguin Leclair, C., Petricone-Westwood, D., Simard, S., & Lebel, S.
- Affiliations
- University of Ottawa (CA)
- Institut universitaire de cardiologie et de pneumologie de Québec (CA)
- Corresponding author
- Mutsaers, Brittany
- Venue
- Supportive Care in Cancer
- Published
- 2016-05-12
- Volume
- 24
- Issue
- 10
- Pages
- 4207-4218
- ISSN
- 0941-4355 (ISSN-L)
- 1433-7339
- OpenAlex
- W2388194414
- Cited by
- 109
- References
- 36
- Citations by year
- 2026: 5 · 2025: 14 · 2024: 15 · 2023: 15 · 2022: 20 · 2021: 11 · 2020: 6 · 2019: 8 · 2018: 7 · 2017: 8
- FWCI
- 4.14
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Supportive Care in Cancer (publishedVersion)
- PubMed (publishedVersion)
- Constellation (Université du Québec à Chicoutimi) (acceptedVersion)
- Funders
- University of Ottawa
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- fear of cancer recurrence, cancer survivors, death-related thoughts, intolerance of uncertainty, intrusive thoughts, cancer-related worry, psychological distress, coping strategies
- MeSH terms
- Adaptation, Psychological, Aged, Aged, 80 and over, Anxiety, Fear, Female, Humans, Male, Middle Aged, Neoplasm Recurrence, Local, Neoplasms, Survivors
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