Loading…
Fear of Recurrence Impacts Health-Related Quality of Life and Continued Tobacco Use in Head and Neck Cancer Survivors
Objective: To examine the impact of fear of recurrence (FOR) on health-related quality of life (HRQOL) and tobacco use among head and neck cancer (HNC) survivors. Methods: A cross-sectional subset of patients (N = 138) from a large, prospective study of oncologic outcomes in HNC was assessed for FOR...
Saved in:
Published in: | Health psychology 2014-04, Vol.33 (4), p.373-381 |
---|---|
Main Authors: | , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that cite this one |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | cdi_FETCH-LOGICAL-a377t-a90c298378cd38ca73c85f9d2370100989177adad01e0fa6e70ae12db5fa65b83 |
---|---|
cites | |
container_end_page | 381 |
container_issue | 4 |
container_start_page | 373 |
container_title | Health psychology |
container_volume | 33 |
creator | Van Liew, Julia R. Christensen, Alan J. Howren, M. Bryant Hynds Karnell, Lucy Funk, Gerry F. |
description | Objective: To examine the impact of fear of recurrence (FOR) on health-related quality of life (HRQOL) and tobacco use among head and neck cancer (HNC) survivors. Methods: A cross-sectional subset of patients (N = 138) from a large, prospective study of oncologic outcomes in HNC was assessed for FOR, in addition to the parent study's ongoing assessments of HRQOL and tobacco use. FOR was measured using the Fear of Cancer Recurrence Inventory and HNC-specific HRQOL was assessed with the Head and Neck Cancer Inventory (HNCI). Tobacco use was patient-reported as "Current," "Previous," or "Never." Results: After controlling for relevant clinical and demographic variables, hierarchical regression analyses revealed that higher FOR significantly predicted lower HRQOL across all HNCI domains (eating (p < .05), aesthetics (p < .01), speech (p < .01), and social disruption (p = .001)) and increased tobacco use (p < .01). A total of 60.1% of the sample expressed clinically significant levels of FOR. These patients reported lower HRQOL (eating: p < .05, aesthetics: p < .05, social disruption: p < .05) and were more likely to be using tobacco compared with patients with subclinical FOR (26.6% and 4.9%, respectively; p < .01). Conclusions: Results suggest that FOR is prevalent among HNC survivors and is related to decreased HRQOL and increased tobacco use. |
doi_str_mv | 10.1037/a0032680 |
format | article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1514429358</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1514429358</sourcerecordid><originalsourceid>FETCH-LOGICAL-a377t-a90c298378cd38ca73c85f9d2370100989177adad01e0fa6e70ae12db5fa65b83</originalsourceid><addsrcrecordid>eNpdkWFr1EAQhhdR7LUK_gJZEKEg0dlMNrv7UQ5rC4dibT8vc5sJTc0lcTcp3L838a4W_DQs8-zDy7xCvFHwUQGaTwSAeWnhmVgph5AZq-C5WEFubFYqxBNxmtI9AORO65fiJEdjcmv1SkwXTFH2tbzmMMXIXWB5tRsojEleMrXjXXbNLY1cyR8Ttc24X-BNU7OkrpLrvhubbpq3N_2WQujlbWLZdMvf6i_xjcMvuabZG-XPKT40D31Mr8SLmtrEr4_zTNxefLlZX2ab71-v1p83Gc0Bx4wchNxZNDZUaAMZDFbXrprjgwJw1iljqKIKFENNJRsgVnm11fNDby2eifODd4j974nT6HdNCty21HE_Ja-0KorcoV7Qd_-h9_0UuzmdV1i6HFWh3ZMwxD6lyLUfYrOjuPcK_FKFf6xiRt8ehdN2x9U_8PH2M_D-CFAK1NZxPlKTnjhboCn1Ivpw4GggP6R9oDg2oeV0KGz0d0we0RceDeIfdZCd4Q</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1369231459</pqid></control><display><type>article</type><title>Fear of Recurrence Impacts Health-Related Quality of Life and Continued Tobacco Use in Head and Neck Cancer Survivors</title><source>EBSCOhost APA PsycARTICLES</source><creator>Van Liew, Julia R. ; Christensen, Alan J. ; Howren, M. Bryant ; Hynds Karnell, Lucy ; Funk, Gerry F.</creator><contributor>Kazak, Anne E</contributor><creatorcontrib>Van Liew, Julia R. ; Christensen, Alan J. ; Howren, M. Bryant ; Hynds Karnell, Lucy ; Funk, Gerry F. ; Kazak, Anne E</creatorcontrib><description><![CDATA[Objective: To examine the impact of fear of recurrence (FOR) on health-related quality of life (HRQOL) and tobacco use among head and neck cancer (HNC) survivors. Methods: A cross-sectional subset of patients (N = 138) from a large, prospective study of oncologic outcomes in HNC was assessed for FOR, in addition to the parent study's ongoing assessments of HRQOL and tobacco use. FOR was measured using the Fear of Cancer Recurrence Inventory and HNC-specific HRQOL was assessed with the Head and Neck Cancer Inventory (HNCI). Tobacco use was patient-reported as "Current," "Previous," or "Never." Results: After controlling for relevant clinical and demographic variables, hierarchical regression analyses revealed that higher FOR significantly predicted lower HRQOL across all HNCI domains (eating (p < .05), aesthetics (p < .01), speech (p < .01), and social disruption (p = .001)) and increased tobacco use (p < .01). A total of 60.1% of the sample expressed clinically significant levels of FOR. These patients reported lower HRQOL (eating: p < .05, aesthetics: p < .05, social disruption: p < .05) and were more likely to be using tobacco compared with patients with subclinical FOR (26.6% and 4.9%, respectively; p < .01). Conclusions: Results suggest that FOR is prevalent among HNC survivors and is related to decreased HRQOL and increased tobacco use.]]></description><identifier>ISSN: 0278-6133</identifier><identifier>EISSN: 1930-7810</identifier><identifier>DOI: 10.1037/a0032680</identifier><identifier>PMID: 23772885</identifier><language>eng</language><publisher>Washington, DC: American Psychological Association</publisher><subject>Addictive behaviors ; Adult ; Adult and adolescent clinical studies ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Cross-Sectional Studies ; Fear ; Female ; Head (Anatomy) ; Head and Neck Neoplasms - psychology ; Health ; Health Related Quality of Life ; Human ; Humans ; Male ; Medical sciences ; Middle Aged ; Multiple tumors. Solid tumors. Tumors in childhood (general aspects) ; Neck (Anatomy) ; Neoplasm Recurrence, Local - psychology ; Neoplasms ; Otorhinolaryngology (head neck, general aspects and miscellaneous) ; Otorhinolaryngology. Stomatology ; Prospective Studies ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Quality of Life ; Quality of Life - psychology ; Regression Analysis ; Relapse (Disorders) ; Survivors ; Survivors - psychology ; Survivors - statistics & numerical data ; Tobacco Smoking ; Tobacco Use - psychology ; Tobacco, tobacco smoking ; Toxicology ; Tumors ; Young Adult</subject><ispartof>Health psychology, 2014-04, Vol.33 (4), p.373-381</ispartof><rights>2013 American Psychological Association</rights><rights>2015 INIST-CNRS</rights><rights>2013, American Psychological Association</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a377t-a90c298378cd38ca73c85f9d2370100989177adad01e0fa6e70ae12db5fa65b83</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28437650$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23772885$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Kazak, Anne E</contributor><creatorcontrib>Van Liew, Julia R.</creatorcontrib><creatorcontrib>Christensen, Alan J.</creatorcontrib><creatorcontrib>Howren, M. Bryant</creatorcontrib><creatorcontrib>Hynds Karnell, Lucy</creatorcontrib><creatorcontrib>Funk, Gerry F.</creatorcontrib><title>Fear of Recurrence Impacts Health-Related Quality of Life and Continued Tobacco Use in Head and Neck Cancer Survivors</title><title>Health psychology</title><addtitle>Health Psychol</addtitle><description><![CDATA[Objective: To examine the impact of fear of recurrence (FOR) on health-related quality of life (HRQOL) and tobacco use among head and neck cancer (HNC) survivors. Methods: A cross-sectional subset of patients (N = 138) from a large, prospective study of oncologic outcomes in HNC was assessed for FOR, in addition to the parent study's ongoing assessments of HRQOL and tobacco use. FOR was measured using the Fear of Cancer Recurrence Inventory and HNC-specific HRQOL was assessed with the Head and Neck Cancer Inventory (HNCI). Tobacco use was patient-reported as "Current," "Previous," or "Never." Results: After controlling for relevant clinical and demographic variables, hierarchical regression analyses revealed that higher FOR significantly predicted lower HRQOL across all HNCI domains (eating (p < .05), aesthetics (p < .01), speech (p < .01), and social disruption (p = .001)) and increased tobacco use (p < .01). A total of 60.1% of the sample expressed clinically significant levels of FOR. These patients reported lower HRQOL (eating: p < .05, aesthetics: p < .05, social disruption: p < .05) and were more likely to be using tobacco compared with patients with subclinical FOR (26.6% and 4.9%, respectively; p < .01). Conclusions: Results suggest that FOR is prevalent among HNC survivors and is related to decreased HRQOL and increased tobacco use.]]></description><subject>Addictive behaviors</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Cross-Sectional Studies</subject><subject>Fear</subject><subject>Female</subject><subject>Head (Anatomy)</subject><subject>Head and Neck Neoplasms - psychology</subject><subject>Health</subject><subject>Health Related Quality of Life</subject><subject>Human</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Multiple tumors. Solid tumors. Tumors in childhood (general aspects)</subject><subject>Neck (Anatomy)</subject><subject>Neoplasm Recurrence, Local - psychology</subject><subject>Neoplasms</subject><subject>Otorhinolaryngology (head neck, general aspects and miscellaneous)</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Prospective Studies</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Quality of Life</subject><subject>Quality of Life - psychology</subject><subject>Regression Analysis</subject><subject>Relapse (Disorders)</subject><subject>Survivors</subject><subject>Survivors - psychology</subject><subject>Survivors - statistics & numerical data</subject><subject>Tobacco Smoking</subject><subject>Tobacco Use - psychology</subject><subject>Tobacco, tobacco smoking</subject><subject>Toxicology</subject><subject>Tumors</subject><subject>Young Adult</subject><issn>0278-6133</issn><issn>1930-7810</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNpdkWFr1EAQhhdR7LUK_gJZEKEg0dlMNrv7UQ5rC4dibT8vc5sJTc0lcTcp3L838a4W_DQs8-zDy7xCvFHwUQGaTwSAeWnhmVgph5AZq-C5WEFubFYqxBNxmtI9AORO65fiJEdjcmv1SkwXTFH2tbzmMMXIXWB5tRsojEleMrXjXXbNLY1cyR8Ttc24X-BNU7OkrpLrvhubbpq3N_2WQujlbWLZdMvf6i_xjcMvuabZG-XPKT40D31Mr8SLmtrEr4_zTNxefLlZX2ab71-v1p83Gc0Bx4wchNxZNDZUaAMZDFbXrprjgwJw1iljqKIKFENNJRsgVnm11fNDby2eifODd4j974nT6HdNCty21HE_Ja-0KorcoV7Qd_-h9_0UuzmdV1i6HFWh3ZMwxD6lyLUfYrOjuPcK_FKFf6xiRt8ehdN2x9U_8PH2M_D-CFAK1NZxPlKTnjhboCn1Ivpw4GggP6R9oDg2oeV0KGz0d0we0RceDeIfdZCd4Q</recordid><startdate>20140401</startdate><enddate>20140401</enddate><creator>Van Liew, Julia R.</creator><creator>Christensen, Alan J.</creator><creator>Howren, M. Bryant</creator><creator>Hynds Karnell, Lucy</creator><creator>Funk, Gerry F.</creator><general>American Psychological Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7RZ</scope><scope>PSYQQ</scope><scope>7X8</scope></search><sort><creationdate>20140401</creationdate><title>Fear of Recurrence Impacts Health-Related Quality of Life and Continued Tobacco Use in Head and Neck Cancer Survivors</title><author>Van Liew, Julia R. ; Christensen, Alan J. ; Howren, M. Bryant ; Hynds Karnell, Lucy ; Funk, Gerry F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a377t-a90c298378cd38ca73c85f9d2370100989177adad01e0fa6e70ae12db5fa65b83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Addictive behaviors</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Cross-Sectional Studies</topic><topic>Fear</topic><topic>Female</topic><topic>Head (Anatomy)</topic><topic>Head and Neck Neoplasms - psychology</topic><topic>Health</topic><topic>Health Related Quality of Life</topic><topic>Human</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Multiple tumors. Solid tumors. Tumors in childhood (general aspects)</topic><topic>Neck (Anatomy)</topic><topic>Neoplasm Recurrence, Local - psychology</topic><topic>Neoplasms</topic><topic>Otorhinolaryngology (head neck, general aspects and miscellaneous)</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Prospective Studies</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Quality of Life</topic><topic>Quality of Life - psychology</topic><topic>Regression Analysis</topic><topic>Relapse (Disorders)</topic><topic>Survivors</topic><topic>Survivors - psychology</topic><topic>Survivors - statistics & numerical data</topic><topic>Tobacco Smoking</topic><topic>Tobacco Use - psychology</topic><topic>Tobacco, tobacco smoking</topic><topic>Toxicology</topic><topic>Tumors</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Van Liew, Julia R.</creatorcontrib><creatorcontrib>Christensen, Alan J.</creatorcontrib><creatorcontrib>Howren, M. Bryant</creatorcontrib><creatorcontrib>Hynds Karnell, Lucy</creatorcontrib><creatorcontrib>Funk, Gerry F.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PsycARTICLES (ProQuest)</collection><collection>ProQuest One Psychology</collection><collection>MEDLINE - Academic</collection><jtitle>Health psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Van Liew, Julia R.</au><au>Christensen, Alan J.</au><au>Howren, M. Bryant</au><au>Hynds Karnell, Lucy</au><au>Funk, Gerry F.</au><au>Kazak, Anne E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fear of Recurrence Impacts Health-Related Quality of Life and Continued Tobacco Use in Head and Neck Cancer Survivors</atitle><jtitle>Health psychology</jtitle><addtitle>Health Psychol</addtitle><date>2014-04-01</date><risdate>2014</risdate><volume>33</volume><issue>4</issue><spage>373</spage><epage>381</epage><pages>373-381</pages><issn>0278-6133</issn><eissn>1930-7810</eissn><abstract><![CDATA[Objective: To examine the impact of fear of recurrence (FOR) on health-related quality of life (HRQOL) and tobacco use among head and neck cancer (HNC) survivors. Methods: A cross-sectional subset of patients (N = 138) from a large, prospective study of oncologic outcomes in HNC was assessed for FOR, in addition to the parent study's ongoing assessments of HRQOL and tobacco use. FOR was measured using the Fear of Cancer Recurrence Inventory and HNC-specific HRQOL was assessed with the Head and Neck Cancer Inventory (HNCI). Tobacco use was patient-reported as "Current," "Previous," or "Never." Results: After controlling for relevant clinical and demographic variables, hierarchical regression analyses revealed that higher FOR significantly predicted lower HRQOL across all HNCI domains (eating (p < .05), aesthetics (p < .01), speech (p < .01), and social disruption (p = .001)) and increased tobacco use (p < .01). A total of 60.1% of the sample expressed clinically significant levels of FOR. These patients reported lower HRQOL (eating: p < .05, aesthetics: p < .05, social disruption: p < .05) and were more likely to be using tobacco compared with patients with subclinical FOR (26.6% and 4.9%, respectively; p < .01). Conclusions: Results suggest that FOR is prevalent among HNC survivors and is related to decreased HRQOL and increased tobacco use.]]></abstract><cop>Washington, DC</cop><pub>American Psychological Association</pub><pmid>23772885</pmid><doi>10.1037/a0032680</doi><tpages>9</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0278-6133 |
ispartof | Health psychology, 2014-04, Vol.33 (4), p.373-381 |
issn | 0278-6133 1930-7810 |
language | eng |
recordid | cdi_proquest_miscellaneous_1514429358 |
source | EBSCOhost APA PsycARTICLES |
subjects | Addictive behaviors Adult Adult and adolescent clinical studies Aged Aged, 80 and over Biological and medical sciences Cross-Sectional Studies Fear Female Head (Anatomy) Head and Neck Neoplasms - psychology Health Health Related Quality of Life Human Humans Male Medical sciences Middle Aged Multiple tumors. Solid tumors. Tumors in childhood (general aspects) Neck (Anatomy) Neoplasm Recurrence, Local - psychology Neoplasms Otorhinolaryngology (head neck, general aspects and miscellaneous) Otorhinolaryngology. Stomatology Prospective Studies Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Quality of Life Quality of Life - psychology Regression Analysis Relapse (Disorders) Survivors Survivors - psychology Survivors - statistics & numerical data Tobacco Smoking Tobacco Use - psychology Tobacco, tobacco smoking Toxicology Tumors Young Adult |
title | Fear of Recurrence Impacts Health-Related Quality of Life and Continued Tobacco Use in Head and Neck Cancer Survivors |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T20%3A10%3A21IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Fear%20of%20Recurrence%20Impacts%20Health-Related%20Quality%20of%20Life%20and%20Continued%20Tobacco%20Use%20in%20Head%20and%20Neck%20Cancer%20Survivors&rft.jtitle=Health%20psychology&rft.au=Van%20Liew,%20Julia%20R.&rft.date=2014-04-01&rft.volume=33&rft.issue=4&rft.spage=373&rft.epage=381&rft.pages=373-381&rft.issn=0278-6133&rft.eissn=1930-7810&rft_id=info:doi/10.1037/a0032680&rft_dat=%3Cproquest_cross%3E1514429358%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-a377t-a90c298378cd38ca73c85f9d2370100989177adad01e0fa6e70ae12db5fa65b83%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1369231459&rft_id=info:pmid/23772885&rfr_iscdi=true |