Fear of cancer recurrence and physical well-being among Chinese cancer survivors: the role of conscientiousness, positive reappraisal and hopelessness

Liao, Kelly Yu Hsin; Yeung, Nelson C. Y.; Wong, Clifford; Warmoth, Krystal; Lü, Qian

doi:10.1007/s00520-016-3504-8

Cited by 11 publications

(7 citation statements)

References 54 publications

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“…The interaction between habitual reappraisal and stressful life events was also not significant when predicting self-reported physical health. Previous research has found habitual reappraisal to affect physical health in the context of health-related stressful experiences, such as when managing life-threatening diseases (Liao et al, 2017; Penley et al, 2002), and in older adulthood (Windsor, 2009). It may be that among young adults who are primarily physically healthy, the interaction between habitual reappraisal and stressful life events is less likely to be observed.…”

Section: Discussionmentioning

confidence: 99%

“…For example, a meta-analysis conducted in the early 2000s revealed the association between reappraisal and physical health outcomes was nonsignificant; the exception was in the context of stressful circumstances that were uncontrollable (Penley et al, 2002). Other studies suggest reappraisal may be beneficial when stress exposure is high (e.g., among cancer survivors; Liao et al, 2017). However, no prior empirical support has been found for reappraisal as a significant contributor to physical health or well-being in a relatively healthy, low-stress population.…”

Section: A Brief Review Of Reappraisal and Healthmentioning

confidence: 99%

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Reappraisal and health: How habitual reappraisal and reappraisal ability interact to protect against life stress in young adults.

Roos¹,

Bennett²

2023

Emotion

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Inadequate emotion regulation may underlie the development of psychopathology as well as worsened physical health, particularly in the context of life stress. Cognitive reappraisal is typically considered an adaptive strategy to manage negative emotions. However, the extent to which reappraisal is beneficial may hinge upon contextual and individual differences. Specifically, it is unclear whether and how the ability to reappraise effectively (i.e., reappraisal ability) and exposure to stressful life events moderate the association between habitual reappraisal and health. Using a series of questionnaires and an experimental task designed to measure the ability to effectively down-regulate sad emotions using reappraisal, the present study examined the interactive effects of habitual reappraisal, reappraisal ability, and exposure to stressful life events on depressive and anxiety symptoms as well as self-reported physical health in 400 young adults (62.5% women; mean age = 19.8 6 2.5). Results indicated that habitual reappraisal may protect against elevated depressive symptoms and worsened self-reported physical health for people exposed to more stressful life events. Moreover, reappraising often appeared to be particularly beneficial for those who were less effective in their attempts. Results for anxiety symptoms were not significant, although habitual reappraisal remained significantly associated with anxiety symptoms as a lower-order term. These findings provide novel contributions to the field of emotion regulation and health by clarifying that exposure to stressful life events is a key moderator in the association between reappraisal and some areas of health and by elucidating the important roles of both habitual reappraisal and reappraisal ability.

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Section: Discussionmentioning

confidence: 99%

Section: A Brief Review Of Reappraisal and Healthmentioning

confidence: 99%

Reappraisal and health: How habitual reappraisal and reappraisal ability interact to protect against life stress in young adults.

Roos¹,

Bennett²

2023

Emotion

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“…Although FCR research has been conducted hazardly in Western populations, few studies have been conducted with Chinese cancer patients or survivors, and of those they mostly investigated FCR itself and its association with quality of life 15‐19 . Only one study on Chinese cancer patients was identified in Hong Kong, which examined FCR and its association with meta‐cognition and neuroticism 19 .…”

Section: Introductionmentioning

confidence: 99%

Fear of cancer recurrence, supportive care needs, and the utilization of psychosocial services in cancer survivors: A cross‐sectional survey in Hong Kong

Chung

Cheng

2020

Psycho-Oncology

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Objective Fear of cancer recurrence (FCR) is the top‐ranked psychological concern in cancer survivors. We examined the prevalence of FCR and the relationships among FCR, supportive care needs, and the utilization of psychosocial services among Chinese cancer survivors. Methods This cross‐sectional, correlational study included 311 cancer survivors within 5 years of survivorship in Hong Kong. The participants were invited to complete an online survey: the Fear of Progression Questionnaire‐Short Form to assess FCR; the 34‐item Supportive Care Needs‐Short Form to assess supportive care needs, and a self‐constructed questionnaire to assess psychosocial services utilization. A score of ≥34 indicated FCR. Descriptive statistics and hierarchical regression analyses were performed. Results Of the participants surveyed, 38.3% were classified as having FCR. The most frequently reported supportive care needs in five domains were in the psychological domain (M = 39.5; SD = 27.6), followed by the health system and information domain (M = 38.6, SD = 26.9). Of the three categories of psychosocial services, informational/educational healthcare services were the most frequently utilized (81%), while the least utilized services were mental health/psychological well‐being support (46.9%). FCR was a consistent factor that was associated with needs in five domains (b = 8.73–39.58, all p < 0.001). However, FCR was not associated with any of the three categories of psychosocial services utilization. Conclusion FCR is frequent in cancer survivors. FCR may play an important role in supportive care needs, but not in psychosocial services utilization. There is an increasing demand to bridge the service gap between the need for and the use of mental health and psychological well‐being services.

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“…The evidence for correlations between FCR and age, gender and physical symptoms is strongest, whereby younger patients, female patients and patients with more symptoms experience more FCR 6. In contrast, social support, optimism, having detailed information and being conscientious correlate with having less FCR 6 9 10. Notably, associations between FCR and psychological factors (eg, metacognitions) are generally stronger than associations between FCR and demographic factors 11.…”

Section: Introductionmentioning

confidence: 96%

Study protocol of the BLANKET trial: a cluster randomised controlled trial on the (cost-) effectiveness of a primary care intervention for fear of cancer recurrence in cancer survivors

et al. 2019

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IntroductionMany successfully treated patients with cancer suffer from fear of cancer recurrence (FCR), affecting their quality of life and their physical, emotional, cognitive and social functioning. Effective psychological interventions for FCR exist but are not widely available, as they are typically offered by specialised psycho-oncology professionals and institutes. Concurrently, the role of primary care in cancer and survivorship care is increasing. Therefore, there could be a role for general practitioners (GPs) and mental health workers (MHWs) working in primary care in supporting patients with FCR. In the current study, the effectiveness of a primary care delivered FCR intervention will be evaluated.Methods and analysisA two-armed cluster randomised trial will be conducted. The primary outcome will be FCR severity; secondary outcomes will be FCR-related distress, healthcare uptake and healthcare costs. Primary care practices in the Netherlands will be invited to participate in the study. Participating practices will be stratified by size and socioeconomic status and randomised. In the control arm, practices will provide care as usual. In the intervention arm, practices will offer the cognitive–behavioural FCR intervention that is being studied, which consists of an intake with the GP and five sessions with the MHW. Patients who have finished successful curative treatment for cancer between 3 months and 10 years ago will be invited to participate in the study by invitation letter from their GPs. Participating patients will fill out questionnaires at baseline, after 3 months and after 12 months. Data on healthcare use will be collected from their electronic health records. Qualitative interviews are held at T1 with patients and practitioners in the intervention group.Ethics and disseminationThe Medical Research Ethics Committee (METC) Utrecht has reviewed the study in accordance with the Dutch Medical Research Involving Human Subjects Act (WMO) and other applicable Dutch and European regulations. Based on the requirements of the WMO, the METC Utrecht has issued an approval of the above-mentioned study. Any protocol amendments will be communicated to all relevant parties. Written consent is obtained from study participants. Results will be dispersed through peer-reviewed publications and scientific presentations.Trial registration numberNL7573 in the Netherlands Trial Register on 25-02-2019.

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Fear of cancer recurrence and physical well-being among Chinese cancer survivors: the role of conscientiousness, positive reappraisal and hopelessness

Abstract: Conscientiousness confers benefits on FCR and physical well-being through the mechanisms of positive reappraisal and decreased hopelessness.

Cited by 11 publications

References 54 publications

Reappraisal and health: How habitual reappraisal and reappraisal ability interact to protect against life stress in young adults.

Reappraisal and health: How habitual reappraisal and reappraisal ability interact to protect against life stress in young adults.

Fear of cancer recurrence, supportive care needs, and the utilization of psychosocial services in cancer survivors: A cross‐sectional survey in Hong Kong

Study protocol of the BLANKET trial: a cluster randomised controlled trial on the (cost-) effectiveness of a primary care intervention for fear of cancer recurrence in cancer survivors

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