Dyadic effects of fear of recurrence on the quality of life of cancer survivors and their caregivers
Abstract
Background Although the 5 years cancer survival rate has increased to 66%, fear of cancer recurrence (FOR) continues to be a major concern for both cancer survivors and their family caregivers. It remains unknown, however, to what extent cancer severity is associated with the level of FOR reported by each individual in the survivor-caregiver dyad, which, in turn, is also associated with their quality of life (QOL).Method A total of 455 cancer survivor-caregiver dyads, who participated in national surveys targeting 2 years post-diagnosis, provided complete data for variables studied.Results Results of the Actor Partner Interdependence Model suggested that higher cancer severity was related to greater levels of FOR among both survivors and caregivers, which, in turn, was related to poorer QOL. Caregivers' FOR was related to survivors' poorer physical health. The associations between FOR and QOL were significant, above and beyond those of general anxiety.Conclusion Findings suggest that as expected, cancer severity was significantly related to individuals' FOR, which, in turn, played a key role in their mental health. Caregivers' FOR was also related to survivors' physical health, which suggests that programs aimed to manage FOR effectively should be provided not only to survivors but also caregivers, thereby improving the QOL of each person.
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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
- Kim, Y., Carver, C. S., Spillers, R. L., Love-Ghaffari, M., & Kaw, C.-K.
- Affiliations
- University of Miami (US)
- American Cancer Society (US)
- Corresponding author
- Kim, Youngmee
- Venue
- Quality of Life Research
- Published
- 2011-06-21
- Volume
- 21
- Issue
- 3
- Pages
- 517-525
- ISSN
- 0962-9343 (ISSN-L)
- 1573-2649
- OpenAlex
- W2008089866
- Cited by
- 121
- References
- 57
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 7 · 2023: 8 · 2022: 9 · 2021: 12 · 2020: 11 · 2019: 10 · 2018: 10 · 2017: 6 · 2016: 11 · 2015: 9 · 2014: 7 · 2013: 3 · 2012: 7
- FWCI
- 2.67
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Quality of Life Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American Cancer Society
- 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 › Oncology › Global Cancer Incidence and Screening
- Keywords
- fear of cancer recurrence, cancer survivors, family caregivers, quality of life, cancer severity, dyadic effects, actor-partner interdependence, physical health, anxiety
- MeSH terms
- Adult, Anxiety, Fear, Female, Humans, Male, Neoplasm Recurrence, Local, Quality of Life, Severity of Illness Index, Chi-Square Distribution, Caregivers, Survivors
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