Dalnim Cho1,2, Qiao Chu3, Qian Lu4. 1. Department of Psychological Sciences, University of Connecticut, 406 Babbidge Rd, Unit 1020, Storrs, CT, 06269-1020, USA. dalnim.cho@uconn.edu. 2. Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, TX, 77030, USA. dalnim.cho@uconn.edu. 3. Department of Psychology, University of Houston, 126 Heyne Building, Houston, TX, 77204, USA. 4. Department of Psychology, University of Houston, 126 Heyne Building, Houston, TX, 77204, USA. qlu.ucla@gmail.com.
Abstract
PURPOSE: Most existing studies on fear of cancer recurrence (FCR) are exploratory without theoretical underpinnings and have been conducted among non-Hispanic Whites. Based on theoretical models, we hypothesized that more physical symptoms (pain and fatigue) would be associated with higher FCR, which, in turn would be related to lower emotional well-being among Chinese American breast cancer survivors. METHODS: Participants were 77 Chinese American women who were diagnosed with breast cancer of stages 0-III. A cross-sectional path analysis was conducted with a bootstrapping method. RESULTS: The final model showed that indirect paths from pain interference to emotional well-being and from fatigue to emotional well-being via FCR were significant. That is, higher levels of pain interference and fatigue were associated with higher FCR, which was further related to lower emotional well-being. CONCLUSIONS: To our best knowledge, this is the first theory-driven study that investigates FCR experiences among Chinese American breast cancer survivors. Our study might provide a more comprehensive understanding of FCR as it simultaneously shows predictors and a psychological consequence of FCR. Results need to be replicated in large, racially/ethnically diverse samples and longitudinal studies.
PURPOSE: Most existing studies on fear of cancer recurrence (FCR) are exploratory without theoretical underpinnings and have been conducted among non-Hispanic Whites. Based on theoretical models, we hypothesized that more physical symptoms (pain and fatigue) would be associated with higher FCR, which, in turn would be related to lower emotional well-being among Chinese American breast cancer survivors. METHODS:Participants were 77 Chinese American women who were diagnosed with breast cancer of stages 0-III. A cross-sectional path analysis was conducted with a bootstrapping method. RESULTS: The final model showed that indirect paths from pain interference to emotional well-being and from fatigue to emotional well-being via FCR were significant. That is, higher levels of pain interference and fatigue were associated with higher FCR, which was further related to lower emotional well-being. CONCLUSIONS: To our best knowledge, this is the first theory-driven study that investigates FCR experiences among Chinese American breast cancer survivors. Our study might provide a more comprehensive understanding of FCR as it simultaneously shows predictors and a psychological consequence of FCR. Results need to be replicated in large, racially/ethnically diverse samples and longitudinal studies.
Entities:
Keywords:
Asian American; Fatigue; Fear of cancer recurrence; Pain; Quality of life
Authors: M J Brady; D F Cella; F Mo; A E Bonomi; D S Tulsky; S R Lloyd; S Deasy; M Cobleigh; G Shiomoto Journal: J Clin Oncol Date: 1997-03 Impact factor: 44.544
Authors: M H J van den Beuken-van Everdingen; J M de Rijke; A G Kessels; H C Schouten; M van Kleef; J Patijn Journal: Ann Oncol Date: 2007-03-12 Impact factor: 32.976
Authors: Ana Claudia Garabeli Cavalli Kluthcovsky; Almir Antonio Urbanetz; Denise Siqueira de Carvalho; Eliane Mara Cesario Pereira Maluf; Geovana Cristina Schlickmann Sylvestre; Sergio Bruno Bonatto Hatschbach Journal: Support Care Cancer Date: 2011-10-13 Impact factor: 3.603
Authors: Daniel L Hall; Inga T Lennes; William F Pirl; Emily R Friedman; Elyse R Park Journal: Support Care Cancer Date: 2016-12-13 Impact factor: 3.603
Authors: José A E Custers; Marieke F M Gielissen; Johannes H W de Wilt; Aafke Honkoop; Tineke J Smilde; Dick-Johan van Spronsen; William van der Veld; Winette T A van der Graaf; Judith B Prins Journal: J Cancer Surviv Date: 2016-07-13 Impact factor: 4.442
Authors: Zhonglin Chen; Gan He; Yi Zhao; Chenyan Han; Lei Xu; Hong Jian; Qiao Chu; Yaping He Journal: Support Care Cancer Date: 2022-08-15 Impact factor: 3.359
Authors: An De Groef; Mira Meeus; Lauren C Heathcote; Louise Wiles; Mark Catley; Anna Vogelzang; Ian Olver; William B Runciman; Peter Hibbert; Lore Dams; Bart Morlion; G Lorimer Moseley Journal: J Cancer Surviv Date: 2022-03-11 Impact factor: 4.442