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Prevalence and factors associated with fear of recurrence in a mixed sample of young adults with cancer

Lane Breanna E., Garland Sheila N., Chalifour Karine, Eaton Geoff, Lebel Sophie, Galica Jacqueline, Maheu Christine et Simard Sébastien. (2019). Prevalence and factors associated with fear of recurrence in a mixed sample of young adults with cancer. Journal of Cancer Survivorship, 13, (6), p. 842-851.

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URL officielle: http://dx.doi.org/doi:10.1007/s11764-019-00802-9

Résumé

Purpose: This study examined the prevalence and factors associated with fear of cancer recurrence (FCR) in young adults (YAs).

Methods: YAs diagnosed with cancer between the ages of 15 and 39 in Canada (n = 461), who were currently 19 years or older, completed the Young Adults with Cancer in their Prime (YACPRIME) Study. The Fear of Cancer Recurrence Inventory Short Form (FCRI-SF) was the primary outcome. Scores ≥ 16 on the FCRI-SF indicate problematic levels and scores ≥ 22 represent clinically significant FCR. Covariates included demographic, clinical cancer variables, and co-morbid symptom measures. Univariate and multivariate logistic regression analyses were performed to identify variables associated with FCR.

Results: Participants were predominantly female (87%) with a mean age of 32 years (SD = 4.7). Problematic levels of FCR were present in 84% of YAs, and 59% met or exceeded the cutoff for clinically significant FCR. In the multivariate model, time since diagnosis of 5+ years was associated with a reduced likelihood of clinical FCR (Adjusted Odds Ratio [AOR] = 0.354; p = .004), while having a previous recurrence was related to increased likelihood (AOR = 3.468, p = .001). Other factors associated with clinical FCR in YAs were psychological distress (Mild: AOR = 2.947, p = .003; Moderate: AOR = 5.632, p < .0005; Severe: AOR = 8.877, p < .0005), and cancer-related body image dissatisfaction (AOR = 2.311, p = .004).

Conclusions: FCR is a pervasive problem for YAs diagnosed with cancer, with previous recurrence and psychological difficulties as factors associated with a higher degree of fear.

Implications: Psychosocial interventions for YAs targeting depression and anxiety should also prioritize the treatment of FCR.

Type de document:Article publié dans une revue avec comité d'évaluation
ISSN:1932-2259
Volume:13
Numéro:6
Pages:p. 842-851
Version évaluée par les pairs:Oui
Date:2019
Identifiant unique:10.1007/s11764-019-00802-9
Sujets:Sciences sociales et humaines > Sciences sociales > Psychologie
Sciences de la santé
Sciences de la santé > Sciences médicales
Sciences de la santé > Sciences médicales > Oncologie
Département, module, service et unité de recherche:Départements et modules > Département des sciences de la santé > Module de psychologie
Mots-clés:distress, fear of cancer recurrence, psychosocial oncology, young adults, détresse, peur, récidive tumorale, récidive de cancer, oncologie psychosociale, jeunes adultes
Déposé le:25 févr. 2021 21:42
Dernière modification:25 févr. 2021 21:42
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