Which type of fear of cancer progression contributes to the quality of life of Romanian cancer patients during the COVID-19 pandemic?

Abstract

IntroductionFear of cancer progression (FoP) is one of the most frequently reported unmet needs invoked by the majority of cancer patients, which may significantly impair the quality of life (QoL) of patients. The major objective of the present cross-sectional study was to investigate the specificities of the relationship between different dimensions and intensity of FoP and different aspects of patients’ QoL during the COVID-19 pandemic in Romania.MethodsA nationwide sample of 330 participants completed a survey, including measures of demographic characteristics, medical variables, QoL, and FoP. Multivariate General Linear and Hierarchical Regression Models were conducted in order to assess the relationship between variables.ResultOur results indicate that less than a quarter of the sample experienced low, between 63 and 70% moderate, and 15% high levels of FoP. Our results also indicate that anxiety/worry related to the possibility of progression of the disease, and loss of independence produced significant differences with large effect sizes in all the dimensions of QoL.DiscussionOur results indicate that besides affective reactions, the fear of cancer survivors to lose independence, not being able to attend to their own lives, seems to be a considerable threat, especially in the context of Romanian health system which has difficulties in offering qualitative psychosocial care for cancer patients. The idea that patients will have to rely on others and may not function well independently, not being able to attend to their own lives, seems to be a considerable threat, next to the experienced affective reactions per se.

Quality of Life in Cancer Patients: The Modern Psycho-Oncologic Approach for Romania—A Review

“…Other Romanian-validated instruments that can be further used for assessing quality of life are the SF-36 (short-form health survey) [36], the EQ-5D-3L (EuroQOL-five dimensions, three levels), the 5L, 5D instrument [37,38], and KIDSCREEN-27 [39], which have been applied in several studies. In our review, we found 20 studies in Romania assessing distress, mental well-being, fear of progression, coping, irrational beliefs, and emotion thermometers [40][41][42][43]. Regarding Romanian cancer patients, the QLQ-C30 versions of the EORTC, FACT-B, and SF-36 were used to assess quality of life in five cross-sectional studies with a focus on breast cancer, laryngeal cancer, and other psychological variables [40,[44][45][46][47], as seen in Table 1.…”

“…In our review, we found 20 studies in Romania assessing distress, mental well-being, fear of progression, coping, irrational beliefs, and emotion thermometers [40][41][42][43]. Regarding Romanian cancer patients, the QLQ-C30 versions of the EORTC, FACT-B, and SF-36 were used to assess quality of life in five cross-sectional studies with a focus on breast cancer, laryngeal cancer, and other psychological variables [40,[44][45][46][47], as seen in Table 1. Emotional distress and a catastrophizing coping strategy had a negative effect on the QoL.…”