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Beyond the fear that lingers: The interaction between fear of cancer recurrence and rumination in relation to depression and anxiety symptoms

Liu Jianlin, Peh Chao-Xu, Simard Sébastien, Griva Konstadina et Mahendran Rathi. (2018). Beyond the fear that lingers: The interaction between fear of cancer recurrence and rumination in relation to depression and anxiety symptoms. Journal of Psychosomatic Research, 11, p. 120-126.

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URL officielle: https://doi.org/10.1016/j.jpsychores.2018.06.004

Résumé

Objective: The Fear of Cancer Recurrence (FCR) is reported to be a normal response to cancer, but little is known about the interaction between FCR and maladaptive cognitive processes, which may increase the risk for depression and anxiety disorders among cancer survivors. Previous studies have shown the influence of rumination on depression and anxiety in other populations. Thus, the present study aimed to examine how FCR and rumination may relate to depression and anxiety symptoms among cancer survivors.

Methods: The present study included cancer survivors (N = 388) who had completed their active treatment at the National University Cancer Institute Singapore, and achieved complete remission from cancer. All participants completed self-report measures of FCR (Fear of Cancer Recurrence Inventory), rumination (Rumination Response Scale), depression, and anxiety symptoms (Hospital Anxiety and Depression Scale).

Results: The present study observed that (1) FCR and rumination were associated with more severe depression and anxiety symptoms, and (2) the interaction between FCR and rumination was associated with more severe depressive symptoms (p = .01). Specifically, rumination was significantly associated with higher depressive symptoms in individuals with high FCR (p < .001), while rumination was not associated with depressive symptoms in individuals with low FCR (p > .05).

Conclusion: Habitual rumination may be a maladaptive cognitive style to cope with high FCR. Therefore, the present study's findings elucidate the moderating effect of rumination on FCR, and such findings may better inform psychological interventions to reduce the risk of depression and anxiety among cancer survivors who experience high FCR.

Type de document:Article publié dans une revue avec comité d'évaluation
Volume:11
Pages:p. 120-126
Version évaluée par les pairs:Oui
Date:2018
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:Cancer recurrence, rumination, depression, anxiety, récidive de cancer, peur, dépression, anxiété
Déposé le:21 déc. 2018 01:07
Dernière modification:21 déc. 2018 01:57
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