Fear of cancer recurrence and its predictive factors among Iranian cancer patients

Aghdam, Alireza Mohajjel; Rahmani, Azad; Nejad, Zahra Kochaki; Ferguson, Caleb; Mohammadpoorasl, Asghar; Sanaat, Zohreh

doi:10.4103/0973-1075.132632

Cited by 21 publications

(9 citation statements)

References 30 publications

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“…Overall, the most psychologically frail group was represented by female patients, aged between 46 and 65, and those in employment, confirming data from many other published sources in which supportive care program need emerged, in order to cope, especially for female patients. [16][17][18][19] There is support for the role of gender in other literature when considering the prevalence of psychological distress as women are consistently reported to be more distressed than men, partly due the division of responsibilities and privileges afforded to each sex in today's society. During this pandemic, these gender differences were highlighted in female patients and health workers.…”

Section: Discussionmentioning

confidence: 94%

Cancer patient perspective in the arena of COVID‐19 pandemic

et al. 2021

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Objective The coronavirus disease 2019 (COVID‐19) outbreak has been declared a global pandemic of unprecedented proportions. Italy is a country which has been heavily affected. Cancer patients are at a higher risk owing to their intrinsic fragility related to their underlying disease and oncologic treatment. Against this backdrop, we conducted a survey to investigate how patients perceived their condition, clinical management and availability of information during the pandemic. Methods Between 15 April and 1 May 2020 a survey was submitted to cancer patients at oncology departments in the Marche region. Questions regarding the perception of personal safety, continuity of cancer care, information quality and psychological distress. Results Seven hundred patients participated in the survey; 59% were female and 40% were aged between 46 and 65. The majority of the participants perceived compliance with appropriate safety standards by cancer care providers and 80% were reassured about their concerns during the medical interview. 40% were worried of being at a higher risk of infection and 71% felt they were at a greater risk because of chemotherapy. 55% felt that postponing cancer treatment could reduce its efficacy, however 76% declared they did not feel abandoned at the time of treatment postponement. Patients between 46 and 65 years declared a significant reduction in sleep ( p < 0.01) and in concentration ( p = 0.03). Conclusions The emergency care offered to cancer patients has been deemed satisfactory in terms of both safety standards and care management. However, the majority of participants perceived the mutual negative influence between their oncologic disease and the risk of infection highlighting the need for special measures to ensure safe continuity of care.

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Section: Discussionmentioning

confidence: 94%

Cancer patient perspective in the arena of COVID‐19 pandemic

et al. 2021

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“…Definitions Dimensions Cancer 1. Fear or anxiety of cancer recurrence in primary location or its metastasis in other organs [31] E,C 2. The fear that cancer could return or progress in the same place or in another part of the body.…”

Section: Diseasementioning

confidence: 99%

Health anxiety and illness-related fears across diverse chronic illnesses: A systematic review on conceptualization, measurement, prevalence, course, and correlates

et al. 2020

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Background Patients with chronic diseases commonly report fears of illness or symptoms recurring or worsening. These fears have been addressed from an illness-specific perspective (e.g., fear of cancer recurrence), a generic illness perspective (e.g., fear of progression), and a psychiatric perspective (DSM-5 illness anxiety disorder and somatic symptom disorder). The broader concept of health anxiety (HA) can also be applied to patients with a chronic disease. This review was conducted to investigate the conceptual, theoretical, measurementoverlap, and differences between these distinct perspectives. We also aimed to summarize prevalence, course, and correlates of these fears in different chronic illnesses.

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“…This questionnaire was developed by Mehnert et al, 21 which has been applied in patients with systemic sclerosis 22 and cancer 23 with high reliability and validity. It consists of 12 items measuring two domains (Physiological health domain and social family domain).…”

Section: Methodsmentioning

confidence: 99%

The quality of life in papillary thyroid microcarcinoma patients undergoing lobectomy or total thyroidectomy: A cross‐sectional study

et al. 2021

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Objective Papillary thyroid microcarcinoma (PTMC) has a good prognosis and a long survival time, surgery is the common treatment including total thyroidectomy (TT) and unilateral lobectomy (LT), but recent studies showed that TT does not show an advantage over LT for PTMC in preventing cancer recurrence and reducing mortality. Given this, the health‐related quality of life (HRQoL) has become one of the important factors that physicians must consider when making treatment decisions. The aim of this study was to compare the HRQoL of patients between undergoing TT and LT. Methods From October 2019 to December 2019, 69 PTMC patients were enrolled in our study, including 34 in the LT group and 35 in the TT group, respectively. We used three questionnaires which included the 36‐item short‐form health survey (SF‐36), thyroid cancer‐specific quality of life (THYCA‐QOL), and Fear of Progression Questionnaire‐Short Form (FoP‐Q‐SF) for each patient to evaluate their scores of HRQoL. Results According to the SF‐36, the scores of the domain for the role limitation due to physical problems, emotional problems, and social function (RP, RE, and SF) as well as Physical Component Summary (PCS) and Mental Component Summary (MCS) showed a significant negative linear association between the LT group and TT group: RP (coefficient [coef]: −33.953 [confidence interval (CI) −51.187 to −16.720], p < 0.001, RE (coef: −21.633 [CI −39.500 to −3.766], p = 0.018), SF (coef: −10.169 [CI −19.586 to −0.752], p = 0.035)and PCS (coef: −10.571 [CI −17.768 to −3.373], p = 0.005), MCS (coef: −10.694 [CI −19.465 to −1.923], p = 0.018). The THYCA‐QOL showed that the scores of the TT group were higher than that of the LT group in the problem of scar (coef: 16.245 [CI 1.697 to 30.794], p = 0.029 according to the multivariate analysis), suggesting a higher level of complaint in the TT group. There was no statistically significant difference in the scores of FoP‐Q‐SF between the two groups. Conclusions In patients with PTMC, LT offers an advantage over TT in terms of HRQoL, which supports the role of LT as an alternative strategy to TT.

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Fear of cancer recurrence and its predictive factors among Iranian cancer patients

Cited by 21 publications

References 30 publications

Cancer patient perspective in the arena of COVID‐19 pandemic

Cancer patient perspective in the arena of COVID‐19 pandemic

Health anxiety and illness-related fears across diverse chronic illnesses: A systematic review on conceptualization, measurement, prevalence, course, and correlates

The quality of life in papillary thyroid microcarcinoma patients undergoing lobectomy or total thyroidectomy: A cross‐sectional study

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