The DOI matches its Crossref record; 27 of the 27 references it cites were found in a registry or an index.
Fear of Cancer Recurrence and Its Impacts on Quality of Life in Family Caregivers of Patients With Head and Neck Cancers
Abstract
Background: Fear of cancer recurrence (FCR) is a major concern for family caregivers (FCs) caring for patients with head and neck cancers (HNCs). Purpose: This study (a) investigated the FCR experience of HNC FCs, (b) compared the differences in the FCR levels of FCs while taking care of patients with different lengths of time since completing major treatments (posttreatment durations), and (c) examined the correlation between FCR and quality of life (QOL) in these FCs. Methods: A cross-sectional study was conducted in the radiation outpatient department of a medical center in northern Taiwan. A set of questionnaires, including the Fear of Cancer Recurrence Inventory-Caregiver version and the Medical Outcomes Short-Form Health Survey, and a background information form were employed. One-way analysis of variance was used to examine the differences in the FCR and QOL among groups of FCs taking care of patients with different posttreatment durations (typically concurrent chemoradiotherapy). Pearson’s correlation was used to identify the relationship between FCR and QOL. Results: Two hundred fifty FCs were recruited in this study. The FCs used several coping and reassurance strategies to address their FCR experiences. Those FCs who cared for patients with short posttreatment durations (3–6 and 6–12 months) showed significantly higher overall FCR levels and higher FCR severity levels than those who cared for patients with long posttreatment durations (more than 5 years). High FCR was negatively correlated with physical and mental QOL. Conclusions/Implications for Practice: The results suggest that FCs caring for patients with a relatively short posttreatment duration experience higher levels of FCR than those caring for patients with a longer posttreatment duration. In clinical settings, healthcare providers should use posttreatment duration as an indicator of risk of FCR in caregivers to address FCR and provide appropriate support. Future research should develop and examine interventions to help HNC FCs cope effectively with their FCR and improve their QOL.
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“Finally, the self-report questionnaire we employed to assess QoL in our study (i.e., SF-12) was not specific for patients with HNC, despite it having been used in several studies investigating QoL in this population (i.e., [74–76]).”
From Psychological variables associated with quality of life in patients with head and neck cancer: the role of body image distress (2022) · cites this paper as [75]
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“The FCRI was evaluated by experts as having favorable validity and reliability (Simard & Savard, 2009).”
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Smith, A. ‘., Wu, V. S., Lambert, S., Lamarche, J., Lebel, S., Leske, S., & Girgis, A. (2022) · Journal of Cancer Survivorship · doi:10.1007/s11764-021-01109-4 · Cited by 48
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Metadata
- Authors
- Lin, C.-R., Chen, S.-C., Chang, J. T.-C., Fang, Y.-Y., & Lai, Y.-H.
- Affiliations
- Chang Gung University (TW)
- Chang Gung University of Science and Technology (TW)
- MSN, RN, Doctoral Student, School of Nursing, College of Medicine, National Taiwan University;.
- National Taiwan University (TW)
- Corresponding author
- Lai, Yeur-Hur
- Venue
- Journal of Nursing Research
- Published
- 2016-09
- Volume
- 24
- Issue
- 3
- Pages
- 240-248
- ISSN
- 1682-3141 (ISSN-L)
- OpenAlex
- W2497897855
- Cited by
- 31
- References
- 27
- Citations by year
- 2026: 5 · 2024: 3 · 2023: 3 · 2022: 4 · 2021: 5 · 2020: 4 · 2019: 2 · 2018: 1 · 2017: 4
- FWCI
- 1.26
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Nursing Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Chang Gung Medical Foundation
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Nursing › Research and Theory › Nursing care and research
- Health Sciences › Medicine › Otorhinolaryngology › Head and Neck Cancer Studies
- Keywords
- fear of cancer recurrence, family caregivers, head and neck cancer, quality of life, caregiver coping, concurrent chemoradiotherapy, caregiver support
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Aged, Aged, 80 and over, Cross-Sectional Studies, Family, Fear, Female, Head and Neck Neoplasms, Humans, Male, Middle Aged, Neoplasm Recurrence, Local, Quality of Life, Surveys and Questionnaires, Taiwan, Caregivers, Young Adult
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- CoChat. (2026). Citation check: Fear of Cancer Recurrence and Its Impacts on Quality of Life in Family Caregivers of Patients With Head and Neck Cancers. https://app.cochat.ai/papers/10.1097/jnr.0000000000000169
- The paper
- Lin, C.-R., Chen, S.-C., Chang, J. T.-C., Fang, Y.-Y., & Lai, Y.-H. (2016). Fear of Cancer Recurrence and Its Impacts on Quality of Life in Family Caregivers of Patients With Head and Neck Cancers. Journal of Nursing Research. https://doi.org/10.1097/jnr.0000000000000169