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When fear of cancer recurrence becomes a clinical issue : a qualitative analysis of features associated with clinical fear of cancer recurrence

Mutsaers Brittany, Jones Goerden, Rutkowski Nicole, Tomei Christina, Séguin Leclair Caroline, Petricone-Westwood Danielle, Simard Sébastien et Lebel Sophie. (2016). When fear of cancer recurrence becomes a clinical issue : a qualitative analysis of features associated with clinical fear of cancer recurrence. Supportive care in cancer, 24, (10), p. 4207-4118.

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PURPOSE : Fear of cancer recurrence (FCR) is a common experience for cancer survivors. However, it remains unclear what characteristics differentiate non-clinical from clinical levels of FCR. The goal of this study was to investigate the potential hallmarks of clinical FCR.

METHODS: A convenience sample of 40 participants (n = 19 female) was drawn from another study (Lebel et al. in Qual Life Res 25:311-321. doi: 10.1007/s11136-015-1088-2 , 2016). The semi-structured interview for fear of cancer recurrence (Simard and Savard in J Cancer Surviv 9:481-491. doi: 10.1007/s11764-015-0424-4 , 2015) was used to identify participants with non-clinical and clinical FCR and qualitative analysis of these interviews was performed.

RESULTS: Individuals with clinical FCR reported the following features: death-related thoughts, feeling alone, belief that the cancer would return, experiencing intolerance of uncertainty, having cancer-related thoughts and imagery that were difficult to control, daily and recurrent, lasted 30 minutes or more, increased over time, caused distress and impacted their daily life. Triggers of FCR and coping strategies did not appear to be features of clinical FCR as they were reported by participants with a range of FCR scores.

CONCLUSIONS: While features of clinical FCR found in this analysis such as intrusive thoughts, distress and impact on functioning confirmed previous FCR research, other features spontaneously emerged from the interviews including "death-related thoughts," "feeling alone," and "belief that the cancer will return." The participants' descriptions of cancer-specific fear and worry suggest that FCR is a distinct phenomenon related to cancer survivorship, despite similarities with psychological disorders (e.g., Anxiety Disorders). Future research investigating the construct of FCR, and the distinguishing features of clinical FCR across a range of cancer types and gender is required.

Type de document:Article publié dans une revue avec comité d'évaluation
Pages:p. 4207-4118
Version évaluée par les pairs:Oui
Date:Octobre 2016
Sujets:Sciences sociales et humaines > Sciences sociales > Psychologie
Sciences de la santé
Département, module, service et unité de recherche:Départements et modules > Département des sciences de la santé > Module de psychologie
Mots-clés:Clinical fear of cancer recurrence, fear of cancer recurrence, psychosocial oncology, qualitative analysis, semi-structured interview, récidive de cancer, peur de récidive de cancer, oncologie psychosociale, analyse qualitative, entrevues semi-structurées
Déposé le:15 déc. 2017 01:55
Dernière modification:15 déc. 2017 01:55
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