Cited by 72Cancer survivorship and careAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesChildhood Cancer Survivors' Quality of Life

Beyond the fear that lingers: The interaction between fear of cancer recurrence and rumination in relation to depression and anxiety symptoms

Liu, Jianlin, Peh, Chao-Xu, Simard, Sébastien, Griva, Konstadina, Mahendran, Rathi·2018·Journal of Psychosomatic Research

Abstract

Objective The Fear of Cancer Recurrence (FCR) is reported to be a normal response to cancer, but little is known about the interaction between FCR and maladaptive cognitive processes, which may increase the risk for depression and anxiety disorders among cancer survivors. Previous studies have shown the influence of rumination on depression and anxiety in other populations. Thus, the present study aimed to examine how FCR and rumination may relate to depression and anxiety symptoms among cancer survivors.Methods The present study included cancer survivors (N = 388) who had completed their active treatment at the National University Cancer Institute Singapore, and achieved complete remission from cancer. All participants completed self-report measures of FCR (Fear of Cancer Recurrence Inventory), rumination (Rumination Response Scale), depression, and anxiety symptoms (Hospital Anxiety and Depression Scale).Results The present study observed that (1) FCR and rumination were associated with more severe depression and anxiety symptoms, and (2) the interaction between FCR and rumination was associated with more severe depressive symptoms (p = .01). Specifically, rumination was significantly associated with higher depressive symptoms in individuals with high FCR (p < .001), while rumination was not associated with depressive symptoms in individuals with low FCR (p > .05).Conclusion Habitual rumination may be a maladaptive cognitive style to cope with high FCR. Therefore, the present study's findings elucidate the moderating effect of rumination on FCR, and such findings may better inform psychological interventions to reduce the risk of depression and anxiety among cancer survivors who experience high FCR.

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Crossref · 10.1016/j.jpsychores.2018.06.004

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  • FIR in cancer is associated with lower mood, greater depression and anxiety, reduced quality of life, and lower engagement in health behaviours.

    “FIR in cancer is associated with lower mood, greater depression and anxiety, reduced quality of life, and lower engagement in health behaviours [17–20].”
  • 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.

    “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].”

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Authors
Liu, J., Peh, C.-X., Simard, S., Griva, K., & Mahendran, R.
Affiliations
  • National University of Singapore (SG)
  • Université du Québec à Chicoutimi (CA)
  • Nanyang Technological University (SG)
Corresponding author
Mahendran, Rathi
Venue
Journal of Psychosomatic Research
Publisher
Elsevier BV
Published
2018-08
Volume
111
Pages
120-126
ISSN
0022-3999 (ISSN-L)
OpenAlex
W2806761015
Cited by
72
References
43
Citations by year
2026: 6 · 2025: 19 · 2024: 14 · 2023: 11 · 2022: 6 · 2021: 7 · 2020: 4 · 2019: 4 · 2018: 1
FWCI
1.50
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Psychosomatic Research (publishedVersion)
  • PubMed (publishedVersion)
  • Constellation (Université du Québec à Chicoutimi) (submittedVersion)
  • DR-NTU (Nanyang Technological University) (submittedVersion)
Funders
Singapore Cancer Society Cancer Research Grant 2014 (R-177-000-049-592)
Topics
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
Keywords
fear of cancer recurrence, rumination, depression, anxiety, cancer survivors, maladaptive coping, moderating effect, psychological intervention
MeSH terms
Cancer Survivors, Rumination, Cognitive, Adaptation, Psychological, Adult, Aged, Anxiety, Depression, Fear, Female, Follow-Up Studies, Humans, Male, Middle Aged, Neoplasm Recurrence, Local, Phobic Disorders

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