Fear of Cancer Recurrence and Its Negative Impact on Health-Related Quality of Life in Long-term Breast Cancer Survivors

Tran, Thi Xuan Mai; Jung, So‐Youn; Lee, Eun‐Gyeong; Cho, Heeyoun; Kim, Na Yeon; Shim, Sung Shine; Kim, Ho Young; Kang, Danbee; Cho, Juhee; Lee, Eun-Sook; Chang, Yoonjung; Cho, Hyunsoon

doi:10.4143/crt.2021.835

Cited by 34 publications

(22 citation statements)

References 30 publications

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“…Apart from examining its trajectory at specific time points, the impact of FCR on QOL in patients with lung cancer has rarely been explored. Current research on the impact of FCR on QOL in patients with cancer has primarily focussed on breast cancer (Schapira et al, 2022;Tran et al, 2022), gynaecological cancer (Tsai…”

Section: Backg Rou N Dmentioning

confidence: 99%

“…However, insufficient attention has been paid to patients with lung cancer with high risks of recurrence and metastasis. Most research is done using cross-sectional studies to explore FCR in patients with cancer (Simard et al, 2010;Tran et al, 2022) and focuses on assessing FCR levels and identifying influencing factors at specific time points.…”

Section: What Does This Paper Contribute To the Wider Global Clinical...mentioning

confidence: 99%

“…Internal factors including sociodemographic and clinical characteristics, coping behaviours and illness perceptions can influence the FCR course in patients with cancer (Simard et al., 2013; Zeng et al., 2018). For instance, female sex, younger age and lower educational levels all predict more severe FCR (Rha et al., 2022; Tran et al., 2022; Tsai et al., 2018). Cancer survivors with higher FCR tend to employ more reassurance coping strategies but perceive them as ineffective (Simard et al., 2010).…”

Section: Introductionmentioning

confidence: 99%

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Fear of recurrence in postoperative lung cancer patients: Trajectories, influencing factors and impacts on quality of life

Yang,

Li,

Lin

et al. 2023

Journal of Clinical Nursing

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AimsTo investigate the trajectory, influencing factors and dynamic relationships between fear of cancer recurrence (FCR) and quality of life (QOL) in lung cancer patients.DesignProspective longitudinal study.MethodsLongitudinal data from 310 lung cancer patients across three hospitals in China were assessed at 1, 3, 6 and 12 months postoperatively (T1–T4). Descriptive statistics characterised patient demographics, clinical characteristics, levels of FCR and QOL. A linear mixed‐effects model was employed to analyse FCR trajectories, identify influencing factors on these trajectories, and predict the impact of FCR on QOL.ResultsFCR changed significantly over time, with a slight decrease during T1–T2, an increase at T3 and gradual decline at T4. Higher fear levels were associated with female sex, suburban or rural residency, being a family breadwinner, presence of comorbidities and negative coping behaviours, and low family resilience. QOL negatively correlated with FCR, and FCR predicted lower QOL.ConclusionsAt 3 and 6 months postoperatively, lung cancer patients, especially women, suburban or rural residents, family breadwinners, those with comorbidities, negative coping behaviours and low family resilience, reported high levels of FCR. Healthcare providers should pay special attention to lung cancer patients especially during the period of 3–6 months post‐surgery and offer tailored interventions to improve their QOL.Implications for the Profession and Patient CareUnderstanding the FCR trajectories, its influencing factors and its negative impacts on QOL can guide the development of targeted interventions to reduce fear and enhance well‐being in patients with cancer.ImpactIdentifying the trajectories and influencing factors of fear of lung cancer recurrence in patients at different time points informs future research on targeted interventions to improve QOL.Reporting MethodThe study adhered to the guidelines outlined in the Statement on Reporting Observational Longitudinal Research.

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Section: Backg Rou N Dmentioning

confidence: 99%

Section: What Does This Paper Contribute To the Wider Global Clinical...mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Fear of recurrence in postoperative lung cancer patients: Trajectories, influencing factors and impacts on quality of life

Yang,

Li,

Lin

et al. 2023

Journal of Clinical Nursing

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“…A study demonstrated that a symptom cluster of anxiety, depression, fatigue, and pain adversely affected the QOL of women with breast cancer who were receiving radiotherapy or chemotherapy for this disease [9]. Evidence suggests that breast cancer survivors at any stage often experience fear of cancer recurrence, which may negatively affect their QOL [10,11]. Another study revealed that breast cancer survivors with depressive symptoms tend to have lower treatment adherence than those without such symptoms [12].…”

Section: Introductionmentioning

confidence: 99%

Immediate Impact of Mindfulness-Based Cognitive Therapy on Women with Breast Cancer: A Systematic Review and Meta‐analysis

Chang¹,

Chang

2022

Preprint

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Background Mindfulness-based cognitive therapy (MBCT) may have positive physiological and psychological benefits for patients with breast cancer, in addition to enhancing their quality of life. However, few studies have involved synthesis of the relevant literature to confirm these effects. This meta-analysis examined the associations between MBCT and various symptoms after Western medicine–based drug treatment. Methods This study considered randomized controlled trials (RCTs) as well as non-RCTs comparing MBCT interventions and control protocols for the alleviation of symptoms among women with breast cancer. We calculated pooled mean differences (MDs), standardized mean differences (SMDs), and 95% confidence intervals (CIs) by using random effects models to estimate summary effect sizes. Results Thirteen RCTs and non-RCTs with 20–245 participants were considered in our systematic review; for our meta-analysis, 11 of these studies were eligible for assessment. The pooled meta-analysis results revealed that at the end of the MBCT intervention, participants’ anxiety (SMD, − 0.70; 95% CI, − 1.26 to − 0.13; I2 = 69%), pain (SMD, − 0.64; 95% CI, − 0.92 to − 0.37; I2 = 0%), and depression (SMD, − 0.65; 95% CI, − 1.14 to − 0.17; I2 = 75%) levels had significantly decreased, and their mindfulness (MD, 8.83; 95% CI, 3.88 to 13.78; I2 = 68%) levels significantly increased. Conclusion Our results suggest that MBCT is highly beneficial and cost-effective as an intervention for patients who have received treatment for breast cancer.

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“…Compared to the initial diagnosis, the recurrence of breast cancer is a destructive and very distressing event for the sufferers, and although they expected the initial treat-ment to destroy and control the proliferation of all malignant cells, they face the return of cancer again (6). And this has caused most of the survivors of primary breast cancer to worry and fear and have negative emotional feelings in most of the survivors of early breast cancer (7).…”

mentioning

confidence: 99%

Facilitating and Inhibiting Factors in Deciding to Start Retreatment in Survivors of Breast Cancer Recurrence

Matbouei¹,

Samsami²,

Soleimani³

2023

Int J Cancer Manag

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Background: Cancer recurrence is an important care challenge for breast cancer survivors. It is necessary to understand and identify the barriers and facilitators that affect the decision to start retreatment by those facing breast cancer recurrence compared to factors affecting their decision to start the initial treatment, which is different. Objectives: This study is part of a qualitative study with a grounded theory approach, which was conducted to explain the facilitating and inhibiting factors affecting the decision to start retreatment in survivors of breast cancer recurrence, using a qualitative content analysis method. Methods: This study was conducted based on the experiences of 16 patients with breast cancer recurrence and 2 oncologists to confirm the findings of the effective inhibiting and facilitating factors in patients’ decisions to start retreatment for breast cancer recurrence in one of the hospitals in Tehran, Iran. The samples were selected, using the purposeful sampling method trying to have maximum diversity. Data were collected through in-depth semi-structured telephone interviews from November 2020 to November 2021 and analyzed, using the conventional content analysis method following the Elo and Kyngas method, which includes 3 phases, including the preparation phase, the organizing phase, and the reporting phase. Credibility, transferability, dependability, confirmability, and authenticity were used for determining the trustworthiness of data. Results: Both groups of inhibiting and facilitating factors were divided into 5 categories, including individual factors, social factors, family factors, illness characteristics, and treatment-related factors. Also, each category included sub-categories in two groups of inhibiting and facilitating factors affecting the decision to start treatment again. Conclusions: Based on the results of the present study, it is necessary to increase the awareness of patients with breast cancer by the treatment staff about the possibility of recurrence and to know the factors influencing their decision-making process to start retreatment. Nurses should play the role of advisors, educators, and supporters of the patients in this field.

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Fear of Cancer Recurrence and Its Negative Impact on Health-Related Quality of Life in Long-term Breast Cancer Survivors

Cited by 34 publications

References 30 publications

Fear of recurrence in postoperative lung cancer patients: Trajectories, influencing factors and impacts on quality of life

Fear of recurrence in postoperative lung cancer patients: Trajectories, influencing factors and impacts on quality of life

Immediate Impact of Mindfulness-Based Cognitive Therapy on Women with Breast Cancer: A Systematic Review and Meta‐analysis

Facilitating and Inhibiting Factors in Deciding to Start Retreatment in Survivors of Breast Cancer Recurrence

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