1. Prevalence and clinical and psychological correlates of high fear of cancer recurrence in patients newly diagnosed with head and neck cancer
- Author
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Mirosevic, Spela, Thewes, Belinda, van Herpen, Carla, Kaanders, Johannes, Merkx, Thijs, Humphris, Gerry, Baatenburg de Jong, Robert J., Langendijk, Johannes A., Leemans, C. René, Terhaard, Chris H. J., Verdonck-de Leeuw, Irma M., Takes, Robert, Prins, Judith, NET-QUBIC Consortium, University of St Andrews. Sir James Mackenzie Institute for Early Diagnosis, University of St Andrews. Population and Behavioural Science Division, University of St Andrews. WHO Collaborating Centre for International Child & Adolescent Health Policy, University of St Andrews. Health Psychology, University of St Andrews. St Andrews Sustainability Institute, University of St Andrews. School of Medicine, Damage and Repair in Cancer Development and Cancer Treatment (DARE), Guided Treatment in Optimal Selected Cancer Patients (GUTS), Otorhinolaryngology and Head and Neck Surgery, Otolaryngology / Head & Neck Surgery, CCA - Cancer Treatment and quality of life, APH - Mental Health, and APH - Personalized Medicine
- Subjects
Male ,Human sexuality ,Anxiety ,0302 clinical medicine ,Cancer Survivors ,RA0421 ,Surveys and Questionnaires ,RA0421 Public health. Hygiene. Preventive Medicine ,Prevalence ,030212 general & internal medicine ,Head and neck cancer ,Depression (differential diagnoses) ,Depression ,Smoking ,Fear ,Middle Aged ,anxiety ,Women's cancers Radboud Institute for Health Sciences [Radboudumc 17] ,fear of recurrence ,Head and Neck Neoplasms ,030220 oncology & carcinogenesis ,depression ,Disease Progression ,Regression Analysis ,Major depressive disorder ,Original Article ,Female ,medicine.symptom ,Rare cancers Radboud Institute for Health Sciences [Radboudumc 9] ,medicine.medical_specialty ,BF Psychology ,NDAS ,BF ,chemical and pharmacologic phenomena ,Cancer recurrence ,smoking ,RC0254 ,03 medical and health sciences ,All institutes and research themes of the Radboud University Medical Center ,SDG 3 - Good Health and Well-being ,Internal medicine ,Interview, Psychological ,Fear of recurrence ,medicine ,Humans ,In patient ,Depressive Disorder, Major ,Extraversion and introversion ,RC0254 Neoplasms. Tumors. Oncology (including Cancer) ,business.industry ,Original Articles ,medicine.disease ,Cross-Sectional Studies ,Otorhinolaryngology ,head and neck cancer ,Neoplasm Recurrence, Local ,business - Abstract
Funding information: Dutch Cancer Society (KWF- Alpe d'Huzes); Medical Faculty Ljubljana, Department of Family Medicine; Slovenian Research Agency (Young Researcher Program). Background: Patients with head and neck cancer (HNC) are vulnerable to fear of cancer recurrence (FCR) and psychiatric morbidity. We investigated the prevalence of high FCR and demographic, clinical, psychological, and psychiatric factors associated with high FCR prior to the start of the treatment. Methods: In a cross-sectional substudy of the large ongoing prospective NET-QUBIC study questionnaires and psychiatric interviews of 216 patients newly diagnosed with HNC were analyzed. Results: High FCR was observed in 52.8% of patients and among those 21.1% also had a lifetime history of selected anxiety or major depressive disorder. FCR was not related to any clinical characteristics; however, younger age, higher anxiety symptoms, introversion, greater needs for support regarding sexuality, and being an exsmoker were significantly associated with higher FCR. Conclusion: Factors associated with high FCR provide us with a better conceptual understanding of FCR in patients newly diagnosed with HNC. Publisher PDF
- Published
- 2019