Fear of cancer recurrence and its predictors among cervical cancer survivors
Open accessAbstract
OBJECTIVE: To identify the characteristics of fear of cancer recurrence (FCR) in cervical cancer survivors (CCSs) and investigate the relationship of FCR with demographic and medical characteristics, level of quality of life (QOL), and psychological distress. We also aimed to determine the predictors of FCR. METHODS: The short version of the Fear of Progression Questionnaire (FoP-Q-SF), the Hospital Anxiety and Depression Scale (HADS), and the Functional Assessment of Cancer Therapy-Cervical (FACT-Cx) questionnaire were administered to 699 CCSs who had complete treatment at Songklanagarind Hospital between 2006 and 2016. Analysis was performed to determine potential predictors associated with FCR. RESULTS: Among the 12 items of the FoP-Q-SF, the 3 greatest fears were 1) worrying about what would happen to their family; 2) being afraid of pain; and 3) fear of disease progression. The prevalences of anxiety and depression disorder were 20.46% and 9.44%, respectively. CCSs who had FCR at the 5th quintile were more likely to have medical co-morbidities, low FACT-Cx scores in all domains and a high HADS scores (anxiety and depression disorder). Multivariate analysis showed that only anxiety disorder (odds ratio [OR]=4.99; p<0.001) and low FACT-Cx score (total) (OR=6.14; p<0.001) were identified as independent predictors for FCR at the 5th quintile. CONCLUSION: FCR is an important problem in cervical cancer which should be addressed during post-treatment care. Only anxiety disorder and low QOL were independently associated with high FCR.
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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].”
From It is time to address fear of cancer recurrence in family caregivers: protocol for the feasibility and acceptability of a randomized pilot study of the online version of the Family Caregiver–Fear Of Recurrence Therapy (FC-FORT) (2024) · cites this paper as [7]
The Introduction (page unavailable) links severe FCR with functional impairment, depressive syndromes, psychosocial distress, and lower quality of life. The Results and Discussion also associate high FCR with anxiety and low quality of life among cervical cancer survivors. The paper does not establish an association between FCR and sleep difficulties or stress-response symptoms; its mention of insomnia concerns anxiety, not FCR. (LLM, conf=0.88)
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- Authors
- Hanprasertpong, J., Geater, A., Jiamset, I., Padungkul, L., Hirunkajonpan, P., & Songhong, N.
- Affiliations
- Prince of Songkla University (TH)
- Songklanagarind Hospital (TH)
- Ministry of Public Health (TH)
- Corresponding author
- Hanprasertpong, Jitti
- ORCID
- Venue
- Journal of Gynecologic Oncology
- Publisher
- XMLink
- Published
- 2017
- Volume
- 28
- Issue
- 6
- Pages
- e72-e72
- ISSN
- 2005-0380 (ISSN-L)
- 2005-0399
- PMC
- PMC5641523
- OpenAlex
- W2736347197
- Cited by
- 86
- References
- 33
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 18 · 2023: 21 · 2022: 9 · 2021: 15 · 2020: 4 · 2019: 5 · 2018: 2 · 2017: 1
- FWCI
- 1.45
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- Journal of Gynecologic Oncology (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Funders
- Prince of Songkla University
- 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 › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Keywords
- fear of cancer recurrence, cervical cancer survivors, anxiety disorders, depression, quality of life, psychological distress, fear of progression, post-treatment care
- MeSH terms
- Cancer Survivors, Adult, Aged, Anxiety Disorders, Uterine Cervical Neoplasms, Cross-Sectional Studies, Depressive Disorder, Fear, Female, Humans, Middle Aged, Neoplasm Recurrence, Local, Prospective Studies, Quality of Life, Stress, Psychological, Thailand, Prevalence, Young Adult
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