Emotion-focused therapy for fear of cancer recurrence: A hospital-based exploratory outcome study.
Open accessAbstract
= .88) measures, with no cases of reliable deterioration, although most patients did not show clinically significant change by the end of therapy. The most frequent helpful in-session processes were client verbal expression of experience and work on parts of self; the most common immediate session impacts were positive feelings and self-realizations. EFT may be a useful alternative treatment for FCR. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Individual EFT has been used effectively with cancer populations, albeit in only a few studies.
“Individual EFT has also been used effectively with cancer populations, albeit in only a few studies.”
From Developing an emotion‐focused therapy model for fear of cancer recurrence: A case‐level task analysis. (2024) · cites this paper as Almeida et al.,2022
A hospital-based exploratory outcome study with 17 patients with different cancer diagnoses and presenting with FCR, among other cancer-related concerns, found significant pre- and postoutcome differences, both for client-generated and standardised measures.
“A hospital- based exploratory outcome study with 17 patients with different cancer diagnoses and presenting with FCR, among other cancer- related concerns, also found significant pre- and postoutcome differences, both for client- generated and standardised measures (Almeida et al.,2022).”
From Developing an emotion‐focused therapy model for fear of cancer recurrence: A case‐level task analysis. (2024) · cites this paper as Almeida et al.,2022
In the original larger study, the authors did not define the cancer-related issues to be treated in therapy; instead, FCR emerged as a salient issue for around 60% of the patients.
“This also relates to the fact that, in the original larger study, the authors did not define the cancer- related issues to be treated in therapy; instead, FCR emerged as a salient issue for around 60% of the patients (Almeida et al.,2022).”
From Developing an emotion‐focused therapy model for fear of cancer recurrence: A case‐level task analysis. (2024) · cites this paper as Almeida et al.,2022
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
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 · see citing works
Towards a standardised brief outcome measure: Psychometric properties and utility of the CORE–OM
Evans, C., Connell, J., Barkham, M., Margison, F., McGrath, G., Mellor-Clark, J., & Audin, K. (2002) · British Journal of Psychiatry · doi:10.1192/bjp.180.1.51 · Cited by 934 · see citing works
One in two cancer patients is significantly distressed: Prevalence and indicators of distress
Mehnert, A., Hartung, T. J., Friedrich, M., Vehling, S., Brähler, E., Härter, M., Keller, M., Schulz, H., Wegscheider, K., Weis, J., et al. (2018) · Psycho-Oncology · doi:10.1002/pon.4464 · Cited by 615 · see citing works
Simard, S., & Savard, J. (2009) · Supportive Care in Cancer · doi:10.1007/s00520-008-0444-y · Cited by 608 · see citing works
The impact of accommodating client preference in psychotherapy: a meta-analysis
Swift, J. K., Callahan, J. L., Cooper, M., & Parkin, S. R. (2018) · Journal of Clinical Psychology · doi:10.1002/jclp.22680 · Cited by 279 · see citing works
Fear of cancer recurrence: a systematic literature review of self‐report measures
Thewes, B., Butow, P., Zachariae, R., Christensen, S., Simard, S., & Gotay, C. (2012) · Psycho-Oncology · doi:10.1002/pon.2070 · Cited by 262 · see citing works
Connell, J., Barkham, M., Stiles, W. B., Twigg, E., Singleton, N., Evans, O., & Miles, J. N. V. (2007) · British Journal of Psychiatry · doi:10.1192/bjp.bp.105.017657 · Cited by 201 · see citing works
van de Wal, M., Thewes, B., Gielissen, M., Speckens, A., & Prins, J. (2017) · Journal of Clinical Oncology · doi:10.1200/jco.2016.70.5301 · Cited by 195 · see citing works
Existential distress in cancer: <scp>A</scp> lleviating suffering from fundamental loss and change
Vehling, S., & Kissane, D. W. (2018) · Psycho-Oncology · doi:10.1002/pon.4872 · Cited by 184 · see citing works
Otto, A. K., Szczesny, E. C., Soriano, E. C., Laurenceau, J.-P., & Siegel, S. D. (2016) · Health Psychology · doi:10.1037/hea0000400 · Cited by 110 · see citing works
Mutsaers, B., Jones, G., Rutkowski, N., Tomei, C., Séguin Leclair, C., Petricone-Westwood, D., Simard, S., & Lebel, S. (2016) · Supportive Care in Cancer · doi:10.1007/s00520-016-3248-5 · Cited by 109 · see citing works
Flagged first, then by citations
Research works printed but not linked: 37
- Almeida, S. N., Elliott, R., Silva, E. R., & Sales, C. M. D. (2019). Fear of cancer recurrence: A qualitative systematic review and meta-synthesis of patients ' experiences. Clinical Psychology Review , 68 , 13 -24. https:// doi.org/10.1016/j.cpr.2018.12.001 · DOI · Paper page
- Barkham, M., Mellor-clark, J., Connell, J., & Cahill, J. (2006). A CORE approach to practice-based evidence: A brief history of the origins and applications of the CORE-OM and CORE system. Counselling and Psychotherapy Research , 6 (1), 3 -15. https://doi.org/10.1080/1473314060 0581218 · DOI
- Butow, P. N., Turner, J., Gilchrist, J., Sharpe, L., Smith, A. B., Fardell, J. E., Tesson, S., O ' Connell, R., Girgis, A., Gebski, V. J., Asher, R., Mihalopoulos, C., Bell, M. L., Zola, K. G., Beith, J., & Thewes, B. (2017). Randomized trial of conquerfear: A novel, theoretically based psychosocial intervention for fear of cancer recurrence. Journal of Clinical Oncology , 35 (36), 4066 -4077. https://doi.org/10.1200/JCO.2017.73 .1257 · DOI
- Clarke, K. M. (1989). Creation of meaning: An emotional processing task in psychotherapy. Psychotherapy: Theory, Research, Practice, Training , 26 (2), 139 -148. https://doi.org/10.1037/h0085412 · DOI
- Connolly, A. (2016). Developing Emotion Focused Therapy for CAD in women with breast cancer: An analysis of six case studies [Doctoral Dissertation, University of Dublin, Trinity College]. http://www.tara.tcd.ie/bitstream/ handle/2262/89396/Final%20Connolly,%20Allison%20Thesis%20 2016.pdf?sequence=1
- Dieng, M., Butow, P. N., Costa, D. S. J., Morton, R. L., Menzies, S. W., Mireskandari, S., Tesson, S., Mann, G. J., Cust, A. E., & Kasparian, N. A. (2016). Psychoeducational intervention to reduce fear of cancer recurrence in people at high risk of developing another primary melanoma: Results of a randomized controlled trial. Journal of Clinical Oncology , 34 (36), 4405 -4414. https://doi.org/10.1200/JCO.2016.68.2278 · DOI · Paper page
- Dinkel, A., Herschbach, P., Berg, P., Waadt, S., Duran, G., EngstHastreiter, U., Henrich, G., & Book, K. (2012). Determinants of longterm response to group therapy for dysfunctional fear of progression in chronic diseases. Behavioral Medicine , 38 (1), 1 -5. https://doi.org/10 .1080/08964289.2011.640364
- Elliott, R. (2013). Person-centered/experiential psychotherapy for anxiety difficulties: Theory, research and practice. Person-Centered and Experiential Psychotherapies , 12 (1), 16 -32. https://doi.org/10.1080/14779757 .2013.767750 · DOI
- Elliott, R., & Timulak, L. (2005). Descriptive and interpretive approaches to qualitative research. In J. Miles & P. Gilbert (Eds.), A handbook of research methods for clinical and health psychology (pp. 147 -157). Oxford University Press. https://doi.org/10.1093/med:psych/9780198 527565.001.0001 · DOI
- Elliott, R., & Timulak, L. (2021). Essentials of descriptive-interpretive qualitative research: A generic approach . American Psychological Association. https://doi.org/10.1037/0000224-000 · DOI
- Elliott, R., Wagner, J., Sales, C. M. D., Rodgers, B., Alves, P., & Café, M. J. (2016). Psychometrics of the Personal Questionnaire: A client- generated outcome measure. Psychological Assessment , 28 (3), 263 -278. https://doi.org/10.1037/pas0000174 · DOI
- Elliott, R., Watson, J. C., Goldman, R. N., & Greenberg, L. S. (2004). Learning emotion-focused therapy: The process-experiential approach to change . American Psychological Association. https://doi.org/10 .1037/10725-000
- Elliott, R., Slatick, E., & Urman, M. (2001). Qualitative change process research on psychotherapy: Alternative strategies. In J. Frommer & D. L. Rennie (Eds.), Qualitative psychotherapy research: Methods and methodology (pp. 69 -111). Pabst Science Publishers.
- Elliott, R., & Greenberg, L. S. (2007). The essence of process-experiential/ emotion-focused therapy. American Journal of Psychotherapy , 61 (3), 241 -254. https://doi.org/10.1176/appi.psychotherapy.2007.61.3.241 · DOI
- Elliott, R., Greenberg, L. S., Watson, J., Timulak, L., & Freire, E. (2013). Research on humanistic-experiential psychotherapies. In M. J. Lambert (Ed.), Bergin & Garfield ' s handbook of psychotherapy and behavior change (6th ed., pp. 495 -538). Wiley.
- Elliott, R., Watson, J., Timulak, L., & Sharbanee, J. (in press). Research on humanistic-experiential psychotherapies: updated review. In M. Barkham, W. Lutz, & L. Castonguay (Eds.), Bergin and Garfield ' s handbook of psychotherapy and behavior change (7th ed.). John Wiley & Sons Inc.
- Goldman, R. N., & Greenberg, L. S. (2015). Case formulation in emotionfocused therapy: Co-creating clinical maps for change . American Psychological Association. https://doi.org/10.1037/14523-000 · DOI
- Greenberg, L. S., Rice, L. N., & Elliott, R. (1993). Facilitating emotional change: The moment-by-moment process . Guilford Press.
- Herschbach, P., Book, K., Dinkel, A., Berg, P., Waadt, S., Duran, G., Engst-Hastreiter, U., & Henrich, G. (2010). Evaluation of two group therapies to reduce fear of progression in cancer patients. Supportive Care in Cancer , 18 (4), 471 -479. https://doi.org/10.1007/s00520-009 -0696-1 · DOI
- Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology , 59 (1), 12 -19. https://doi .org/10.1037/0022-006X.59.1.12 · DOI · Paper page
- Klagsbrun, J., Lennox, S. L., & Summers, L. (2010). Effect of ' Clearing a Space ' on quality of life in women with breast cancer. USABPJ , 9 (2), 48 -53.
- Lebel, S., Ozakinci, G., Humphris, G., Mutsaers, B., Thewes, B., Prins, J., Dinkel, A., & Butow, P., & University of Ottawa. (2016). From normal response to clinical problem: Definition and clinical features of fear of cancer recurrence. Supportive Care in Cancer , 24 (8), 3265 -3268. https://doi.org/10.1007/s00520-016-3272-5 · DOI · Paper page
- Leichsenring, F., Abbass, A., Hilsenroth, M. J., Luyten, P., Munder, T., Rabung, S., & Steinert, C. (2018). ' Gold standards, ' plurality and monocultures: The need for diversity in psychotherapy. Frontiers in Psychiatry , 9 , Article 159. https://doi.org/10.3389/fpsyt.2018.00159 · DOI
- Llewelyn, S. P. (1988). Psychological therapy as viewed by clients and therapists. The British Journal of Clinical Psychology/The British Psychological Society , 27 (3), 223 -237. https://doi.org/10.1111/j.2044-8260 .1988.tb00779.x · DOI
- McHugh, M. L. (2012). Interrater reliability: The kappa statistic. Biochemia Medica , 22 (3), 276 -282. https://doi.org/10.11613/BM.2012.031 · DOI · Paper page
- McLean, L. M., Walton, T., Rodin, G., Esplen, M. J., & Jones, J. M. (2013). A couple-based intervention for patients and caregivers facing end-stage cancer: Outcomes of a randomized controlled trial. PsychoOncology , 22 (1), 28 -38. https://doi.org/10.1002/pon.2046 · DOI
- Mehnert, A., Berg, P., Henrich, G., & Herschbach, P. (2009). Fear of cancer progression and cancer-related intrusive cognitions in breast cancer survivors. Psycho-Oncology , 18 (12), 1273 -1280. https://doi.org/10 .1002/pon.1481
- Mitchell, A. J., Chan, M., Bhatti, H., Halton, M., Grassi, L., Johansen, C., & Meader, N. (2011). Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: A meta-analysis of 94 interview-based studies. The Lancet Oncology , 12 (2), 160 -174. https://doi.org/10.1016/S1470-2045(11)70002-X · DOI · Paper page
- Rudy, L., Maheu, C., Körner, A., Lebel, S., & Gélinas, C. (2020). The FCR1: Initial validation of a single-item measure of fear of cancer recurrence. Psycho-Oncology , 29 (4), 788 -795. https://doi.org/10.1002/pon.5350 · DOI
- Sales, C., Moleiro, C. M. M., Evans, C., & Alves, P. C. G. (2012). The Portuguese version of the CORE-OM: translation, adaptation, and preliminary study of psychometric properties. Arquives of Clinical Psychiatry , 39 (2), 54 -59. https://doi.org/10.1590/S0101-60832012000200003 · DOI
- Sarkar, S., Scherwath, A., Schirmer, L., Schulz-Kindermann, F., Neumann, K., Kruse, M., Dinkel, A., Kunze, S., Balck, F., Kröger, N., Koch, U., & Mehnert, A. (2014). Fear of recurrence and its impact on quality of life in patients with hematological cancers in the course of allogeneic hematopoietic SCT. Bone Marrow Transplantation , 49 (9), 1217 -1222. https://doi.org/10.1038/bmt.2014.139 · DOI · Paper page
- Stone, C., & Elliott, R. (2011). Clients ' experience of research within a research clinic setting. Counselling Psychology Review , 26 (4), 71 -86.
- Tauber, N. M., O ' Toole, M. S., Dinkel, A., Galica, J., Humphris, G., Lebel, S., Maheu, C., Ozakinci, G., Prins, J., Sharpe, L., Smith, A. B., Thewes, B., Simard, S., & Zachariae, R. (2019). Effect of psychological intervention on fear of cancer recurrence: A systematic review and meta-analysis. Journal of Clinical Oncology , 37 (31), 2899 -2915. https://doi.org/10.1200/JCO.19.00572 · DOI · Paper page
- Timulak, L. (2007). Identifying core categories of client-identified impact of helpful events in psychotherapy: A qualitative meta-analysis. Psychotherapy Research , 17 (3), 305 -314. https://doi.org/10.1080/10503300600608116 · DOI
- Timulak, L., Keogh, D., Chigwedere, C., Wilson, C., Ward, F., Hevey, D., Griffin, P., Jacobs, L., & Irwin, B. (2018). A comparison of emotionfocused therapy and cognitive-behavioural therapy in the treatment of generalised anxiety disorder: Study protocol for a randomised controlled trial. Trials , 19 (1), 1 -11. https://doi.org/10.1186/s13063-018-2892-0 · DOI
- van de Wal, M., van de Poll-Franse, L., Prins, J., & Gielissen, M. (2016). Does fear of cancer recurrence differ between cancer types? A study from the population-based PROFILES registry. Psycho-Oncology , 25 (7), 772 -778. https://doi.org/10.1002/pon.4002 · DOI
- Yalom, I. D. (1981). Existential psychotherapy . Cambridge University Press. https://doi.org/10.1017/CBO9781107415324.004 · DOI · Paper page
Cited by
Sorted by citations
Bentley, G., Zamir, O., Dahabre, R., Perry, S., Karademas, E. C., Poikonen‐Saksela, P., Mazzocco, K., Sousa, B., & Pat‐Horenczyk, R. (2023) · Cancers · doi:10.3390/cancers15184590 · Cited by 16 · see citing works
“Specifically, although enhancing positive cognitive–emotion regulation strategies has been found effective for managing FCR among cancer patients in clinical studies [50,51], this connection is not evident when considering it as an inherent personal tendency.”
BackgroundFear of progression after cancer recurrence: a mixed methods study
Stewart, R. J., Humphris, G. M., Donaldson, J., & Cruickshank, S. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1479540 · Cited by 9 · see citing works
“There are often contradictory findings about the role of clinical variables in relation to fear levels (Simard et al., 2013), but higher FCR/FOP levels are often linked to those of lower age, and those who have young children (Simard et al., 2013; Crist and Grunfeld, 2013).”
BackgroundInfluentialSivandian, M., & Falahzade, H. (2025) · Journal of Education and Health Promotion · doi:10.4103/jehp.jehp_1358_23 · Cited by 3 · see citing works
“…shown that EFT is effective in reducing pain intensity in patients with chronic headaches, [28] improving catastrophic beliefs about pain and positive cognitive emotion regulation in chronic pain patients, [29] reducing fear of disease recurrence, [30] and coping strategies in patients with pain.”
Emotion Regulation Interventions for Cancer Patients and Their Relatives: A Systematic Review
Naeyaert, A., Fournier, V., Caton, L., Gandolphe, M.-C., Duprez, C., Laroussi-Libeault, L., der Haegen, M.-C. V., Antoine, P., & Lamore, K. (2026) · Cancer Medicine · doi:10.1002/cam4.71514 · Cited by 3 · see citing works
“This phase addressed a range of topics, such as understanding emotions [39–41], the emotional impact of cancer [36] or basic metacognition concepts (i.e., decentering from and reappraisal of emotional experiences) [42].”
InfluentialEilert, N., Murphy, N.-J., Cummins, H., Houlihan, E., & Krawczyk, J. (2024) · Pilot and Feasibility Studies · doi:10.1186/s40814-024-01524-1 · Cited by 3 · see citing works
“Qualitative data obtained via the focus group, the HAT and GSRS forms were analysed separately using the descriptive and interpretative approach, which has previously been used in oncology populations and lends itself to the analysis of data from various sources [38, 39].”
MethodAlmeida, S. N., Elliott, R., Silva, E. R., & Sales, C. M. D. (2024) · Counselling and Psychotherapy Research · doi:10.1002/capr.12624 · Cited by 2 · see citing works
Self-citationInterventions to Reduce Fear of Cancer Recurrence Among People With Cancer: Scoping Review
Li, N., Wensley, C. J., Reynolds, L., Baraza, W., Leyton, T. O., & Jull, A. (2026) · JMIR Cancer · doi:10.2196/81579 · Cited by 2 · see citing works
“%) studies used Lebel et al definition [37-54], and 1 (3.6”
InfluentialOkutan, Ş., Kapıkıran, G., Cіcі, R., & Aktura, S. Ç. (2026) · Cancer Medicine · doi:10.1002/cam4.72307
“Almeida et al. [31] reported that EFT was not effective in cancer patients experiencing fear of recurrence.”
Defining fear of cancer recurrence using Rodgers’ evolutionary concept analysis
Liu, C.-M., & He, L. (2025) · Psycho-Oncologie · doi:10.18282/po4100
- Authors
- Almeida, S. N., Elliott, R., Silva, E. R., & Sales, C. M. D.
- Affiliations
- Instituto Português de Oncologia Francisco Gentil (PT)
- University of Strathclyde (GB)
- Universidade do Porto (PT)
- Corresponding author
- Almeida, Susana N.
- Venue
- Psychotherapy
- Published
- 2022-06
- Volume
- 59
- Issue
- 2
- Pages
- 261-270
- ISSN
- 0033-3204 (ISSN-L)
- 1939-1536
- OpenAlex
- W4205277673
- Cited by
- 12
- References
- 0
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 4 · 2023: 2
- FWCI
- 1.83
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- other-oa
- Locations
- Psychotherapy (publishedVersion)
- PubMed (publishedVersion)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion, other-oa)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- emotion-focused therapy, fear of cancer recurrence, cancer survivors, treatment outcomes, self-realization, hospital-based psychotherapy
- MeSH terms
- Emotion-Focused Therapy, Adult, Fear, Hospitals, Humans, Neoplasm Recurrence, Local, Quality of Life, Outcome Assessment, Health Care
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review