Fear of cancer recurrence in adolescent patients with malignant bone tumors: a cross-section survey

• Published in: BMC public health 2024-06, Vol.24 (1), p.1471-9, Article 1471
• Main Authors: Ye, Qun, Xue, Meng, Yu, Qun-Fei, Ren, Ying, Long, Yao, Yao, Yu-Hong, Du, Jin-Lei, Ye, Tian, Feng, Xiu-Qin
• Format: Article
• Language: English
• Subjects: Adaptation, Psychological; Adolescent; Adolescents; Bone cancer; Bone Neoplasms - psychology; Bone tumors; Cancer; Care and treatment; Chemotherapy; Child; China; Communication; Coping; Coping styles; Cross-Sectional Studies; Development and progression; Disease; Family hardiness; Fear; Fear - psychology; Fear of cancer recurrence; Female; Health aspects; Hospitals; Humans; Influencing factors; Likert scale; Male; Malignant bone tumor; Medical prognosis; Neoplasm Recurrence, Local - psychology; Patients; Per capita; Prostate; Psychological aspects; Questionnaires; Regression analysis; Relapse; Social aspects; Surveys; Surveys and Questionnaires; Teenagers; Tumors; Variables; Youth
• ISSN: 1471-2458; 1471-2458
• DOI: 10.1186/s12889-024-18963-3

Adolescent malignant-bone tumor patients' fear of cancer recurrence is a significant psychological issue, and exploring the influencing factors associated with fear of cancer recurrence in this population is important for developing effective interventions. This study is to investigate the current status and factors influencing fear of cancer recurrence (FCR) related to malignant bone-tumors in adolescent patients, providing evidence for future targeted mental health support and interventions. A cross-sectional survey. In total, 269 adolescent malignant-bone tumor cases were treated at two hospitals in Zhejiang Province, China from January 2023 to December 2023. Patients completed a General Information Questionnaire, Fear of Progression Questionnaire-Short Form (FoP-Q-SF), Family Hardiness Index (FHI), and a Simple Coping Style Questionnaire (SCSQ). Univariate and multivariable logistic regressions analysis were used to assess fear of cancer recurrence. A total of 122 (45.4%) patients experienced FCR (FoP-Q-SF ≥ 34). Logistic regression analysis analyses showed that per capita-monthly family income, tumor stage, communication between the treating physician and the patient, patient's family relationships, family hardiness a positive coping score, and a negative coping score were the main factors influencing FCR in these patients (P