Yuan Yang1, Hengwen Sun2, Ting Liu1, Jingying Zhang1, Hongmei Wang3, Weijiang Liang4, Yu Chen5, Bin Zhang6. 1. Department of Psychiatry, Southern Medical University Nanfang Hospital, Guangzhou, Guangdong 510515, China. 2. Department of Radiotherapy, Cancer Centre, Guangdong General Hospital, Guangzhou, Guangdong 510080, China. 3. Department of Radiotherapy, Southern Medical University Nanfang Hospital, Guangzhou, Guangdong 510515, China. 4. Department of Oncology, Southern Medical University Nanfang Hospital, Guangzhou, Guangdong 510515, China. 5. Nursing School, Southern Medical University, Guangzhou, Guangdong 510515, China. 6. Department of Psychiatry, Southern Medical University Nanfang Hospital, Guangzhou, Guangdong 510515, China. Electronic address: zhang73bin@hotmail.com.
Abstract
OBJECTIVE: Fear of progression (FoP) is a widespread problem among cancer patients and is considered to be one of the most distressing psychological consequences of cancer. The aim of this study was to investigate the association of sociodemographic, clinical, and psychological variables to FoP in Chinese cancer patients. METHODS: In this cross-sectional study, six hundred and thirty-six cancer patients were recruited. All participants were asked to complete a personal information sheet, the Chinese version of Fear of Progression Questionnaire-Short Form (FoP-Q-SF), Patient Health Questionnaire (PHQ-9) and General Anxiety Disorder Questionnaire (GAD-7). Descriptive statistics and hierarchical multiple regression was conducted to analyze the data. RESULTS: Hierarchical multiple regression revealed that childhood severe illness experience (P = .011), stress (P < .001), anxiety (P < .001), depressive symptom (P < .001) and personality (P = .042) were independently predictive of higher FoP. The final regression model explained up to 40.0% (adjusted R square: 38.8%) of the observed variance. CONCLUSION: There are a number of factors that increase the likelihood of the development of FoP. The findings underline the necessity to provide effective psychological intervention for patients with high FoP in the future.
OBJECTIVE: Fear of progression (FoP) is a widespread problem among cancerpatients and is considered to be one of the most distressing psychological consequences of cancer. The aim of this study was to investigate the association of sociodemographic, clinical, and psychological variables to FoP in Chinese cancerpatients. METHODS: In this cross-sectional study, six hundred and thirty-six cancerpatients were recruited. All participants were asked to complete a personal information sheet, the Chinese version of Fear of Progression Questionnaire-Short Form (FoP-Q-SF), Patient Health Questionnaire (PHQ-9) and General Anxiety Disorder Questionnaire (GAD-7). Descriptive statistics and hierarchical multiple regression was conducted to analyze the data. RESULTS: Hierarchical multiple regression revealed that childhood severe illness experience (P = .011), stress (P < .001), anxiety (P < .001), depressive symptom (P < .001) and personality (P = .042) were independently predictive of higher FoP. The final regression model explained up to 40.0% (adjusted R square: 38.8%) of the observed variance. CONCLUSION: There are a number of factors that increase the likelihood of the development of FoP. The findings underline the necessity to provide effective psychological intervention for patients with high FoP in the future.
Authors: Mona L Peikert; Laura Inhestern; Konstantin A Krauth; Gabriele Escherich; Stefan Rutkowski; Daniela Kandels; Louis J Schiekiera; Corinna Bergelt Journal: J Cancer Surviv Date: 2021-07-23 Impact factor: 4.062