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Anxiety and fear of cancer recurrence and its association with supportive care needs and health-care service utilization in cancer patients
Purpose and methods We investigated the relationship between fear of cancer recurrence (FCR), anxiety, supportive care needs, and utilization of health-care services in a mixed sample of 335 cancer patients. We used validated questionnaires including the Fear of Progression Questionnaire-Short Form...
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| Published in: | Journal of cancer survivorship 2015-12, Vol.9 (4), p.567-575 |
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| container_end_page | 575 |
| container_issue | 4 |
| container_start_page | 567 |
| container_title | Journal of cancer survivorship |
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| creator | Sarkar, Susanne Sautier, Leon Schilling, Georgia Bokemeyer, Carsten Koch, Uwe Mehnert, Anja |
| description | Purpose and methods
We investigated the relationship between fear of cancer recurrence (FCR), anxiety, supportive care needs, and utilization of health-care services in a mixed sample of 335 cancer patients. We used validated questionnaires including the Fear of Progression Questionnaire-Short Form (FoP-Q-SF), the General Anxiety Disorder Scale (GAD-7) and the Supportive Care Needs Survey (SCNS-SF34). Health-care services utilization was measured by a self-constructed questionnaire recording the use of 22 health and supportive care offers.
Results
In our sample, 3.9 % of patients were classified as having high anxiety and 5.1 % had high FCR. Patients reported the highest unmet supportive care needs in the domain health system and information followed by psychological needs. Integrated care and complementary support services were the most frequently used (32 %) followed by medical (31 %), psychological (23 %), spiritual and religious (8 %) and other support services (9 %). Whereas anxiety was related to both unmet psychological and physical/daily living needs (
p
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| doi_str_mv | 10.1007/s11764-015-0434-2 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1731786164</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1731786164</sourcerecordid><originalsourceid>FETCH-LOGICAL-c442t-deaac3d1b99e16d82023eeedb1dddcf686c4829b8e176e1a076086be6b5f17c83</originalsourceid><addsrcrecordid>eNp1kc1q3TAQhUVpSdI0D5BNEHTTjVtJtiV5GUL_INBNuxayNO5V8JVdjZzk9hX60tW9TkIJdKVh5jtnBh1Czjl7zxlTH5BzJZuK8bZiTd1U4gU54V0tKiGkevlUt90xeY14w1grOi6OyLFoZRGq-oT8uYz3AfKO2ujpADbRaaDORgeJJnBLSlDqwzRkpBZxcsHmMEV6F_KG4jLPU8rhFooqAY0AHg_4BuyYN9Whi5BuQ7FZchjD71Ue4uOeuTQgZnxDXg12RDh7eE_Jj08fv199qa6_ff56dXlduaYRufJgras977sOuPRaMFFDWdtz770bpJau0aLrNZTfAW6ZkkzLHmTfDlw5XZ-Sd6vvnKZfC2A224AOxtFGmBY0XNVcacllU9C3z9CbaUmxXFco0alaC72n-Eq5NCEmGMycwtamneHM7JMya1KmJGX2SRlRNBcPzku_Bf-keIymAGIFsIziT0j_rP6v61-t46EE</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1729738284</pqid></control><display><type>article</type><title>Anxiety and fear of cancer recurrence and its association with supportive care needs and health-care service utilization in cancer patients</title><source>Springer Nature</source><creator>Sarkar, Susanne ; Sautier, Leon ; Schilling, Georgia ; Bokemeyer, Carsten ; Koch, Uwe ; Mehnert, Anja</creator><creatorcontrib>Sarkar, Susanne ; Sautier, Leon ; Schilling, Georgia ; Bokemeyer, Carsten ; Koch, Uwe ; Mehnert, Anja</creatorcontrib><description>Purpose and methods
We investigated the relationship between fear of cancer recurrence (FCR), anxiety, supportive care needs, and utilization of health-care services in a mixed sample of 335 cancer patients. We used validated questionnaires including the Fear of Progression Questionnaire-Short Form (FoP-Q-SF), the General Anxiety Disorder Scale (GAD-7) and the Supportive Care Needs Survey (SCNS-SF34). Health-care services utilization was measured by a self-constructed questionnaire recording the use of 22 health and supportive care offers.
Results
In our sample, 3.9 % of patients were classified as having high anxiety and 5.1 % had high FCR. Patients reported the highest unmet supportive care needs in the domain health system and information followed by psychological needs. Integrated care and complementary support services were the most frequently used (32 %) followed by medical (31 %), psychological (23 %), spiritual and religious (8 %) and other support services (9 %). Whereas anxiety was related to both unmet psychological and physical/daily living needs (
p
< 0.01), FCR was associated with unmet supportive care needs in all five domains further including needs with regard to health system and information, patient care, and sexuality (
p
< 0.01). However, higher levels of anxiety and FCR were not related to higher utilization of health-care services.
Conclusion
Our findings show that FCR plays a significant role in unmet supportive care needs in cancer patients but not for health-care service utilization.
Implications for Cancer Survivors
We recommend that clinicians monitor supportive care needs in patients struggling with FCR and anxiety.</description><identifier>ISSN: 1932-2259</identifier><identifier>EISSN: 1932-2267</identifier><identifier>DOI: 10.1007/s11764-015-0434-2</identifier><identifier>PMID: 25676473</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anxiety ; Anxiety - epidemiology ; Anxiety - therapy ; Cancer ; Cross-Sectional Studies ; Fear & phobias ; Fear - psychology ; Female ; Health Informatics ; Health Promotion and Disease Prevention ; Health Services - utilization ; Health Services Needs and Demand - statistics & numerical data ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Neoplasms - pathology ; Neoplasms - psychology ; Neoplasms - therapy ; Oncology ; Palliative Care ; Primary Care Medicine ; Psychotherapy ; Public Health ; Quality of Life Research ; Recurrence ; Surveys and Questionnaires ; Survivor ; Survivors ; Young Adult</subject><ispartof>Journal of cancer survivorship, 2015-12, Vol.9 (4), p.567-575</ispartof><rights>Springer Science+Business Media New York 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-deaac3d1b99e16d82023eeedb1dddcf686c4829b8e176e1a076086be6b5f17c83</citedby><cites>FETCH-LOGICAL-c442t-deaac3d1b99e16d82023eeedb1dddcf686c4829b8e176e1a076086be6b5f17c83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25676473$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sarkar, Susanne</creatorcontrib><creatorcontrib>Sautier, Leon</creatorcontrib><creatorcontrib>Schilling, Georgia</creatorcontrib><creatorcontrib>Bokemeyer, Carsten</creatorcontrib><creatorcontrib>Koch, Uwe</creatorcontrib><creatorcontrib>Mehnert, Anja</creatorcontrib><title>Anxiety and fear of cancer recurrence and its association with supportive care needs and health-care service utilization in cancer patients</title><title>Journal of cancer survivorship</title><addtitle>J Cancer Surviv</addtitle><addtitle>J Cancer Surviv</addtitle><description>Purpose and methods
We investigated the relationship between fear of cancer recurrence (FCR), anxiety, supportive care needs, and utilization of health-care services in a mixed sample of 335 cancer patients. We used validated questionnaires including the Fear of Progression Questionnaire-Short Form (FoP-Q-SF), the General Anxiety Disorder Scale (GAD-7) and the Supportive Care Needs Survey (SCNS-SF34). Health-care services utilization was measured by a self-constructed questionnaire recording the use of 22 health and supportive care offers.
Results
In our sample, 3.9 % of patients were classified as having high anxiety and 5.1 % had high FCR. Patients reported the highest unmet supportive care needs in the domain health system and information followed by psychological needs. Integrated care and complementary support services were the most frequently used (32 %) followed by medical (31 %), psychological (23 %), spiritual and religious (8 %) and other support services (9 %). Whereas anxiety was related to both unmet psychological and physical/daily living needs (
p
< 0.01), FCR was associated with unmet supportive care needs in all five domains further including needs with regard to health system and information, patient care, and sexuality (
p
< 0.01). However, higher levels of anxiety and FCR were not related to higher utilization of health-care services.
Conclusion
Our findings show that FCR plays a significant role in unmet supportive care needs in cancer patients but not for health-care service utilization.
Implications for Cancer Survivors
We recommend that clinicians monitor supportive care needs in patients struggling with FCR and anxiety.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anxiety</subject><subject>Anxiety - epidemiology</subject><subject>Anxiety - therapy</subject><subject>Cancer</subject><subject>Cross-Sectional Studies</subject><subject>Fear & phobias</subject><subject>Fear - psychology</subject><subject>Female</subject><subject>Health Informatics</subject><subject>Health Promotion and Disease Prevention</subject><subject>Health Services - utilization</subject><subject>Health Services Needs and Demand - statistics & numerical data</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neoplasms - pathology</subject><subject>Neoplasms - psychology</subject><subject>Neoplasms - therapy</subject><subject>Oncology</subject><subject>Palliative Care</subject><subject>Primary Care Medicine</subject><subject>Psychotherapy</subject><subject>Public Health</subject><subject>Quality of Life Research</subject><subject>Recurrence</subject><subject>Surveys and Questionnaires</subject><subject>Survivor</subject><subject>Survivors</subject><subject>Young Adult</subject><issn>1932-2259</issn><issn>1932-2267</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNp1kc1q3TAQhUVpSdI0D5BNEHTTjVtJtiV5GUL_INBNuxayNO5V8JVdjZzk9hX60tW9TkIJdKVh5jtnBh1Czjl7zxlTH5BzJZuK8bZiTd1U4gU54V0tKiGkevlUt90xeY14w1grOi6OyLFoZRGq-oT8uYz3AfKO2ujpADbRaaDORgeJJnBLSlDqwzRkpBZxcsHmMEV6F_KG4jLPU8rhFooqAY0AHg_4BuyYN9Whi5BuQ7FZchjD71Ue4uOeuTQgZnxDXg12RDh7eE_Jj08fv199qa6_ff56dXlduaYRufJgras977sOuPRaMFFDWdtz770bpJau0aLrNZTfAW6ZkkzLHmTfDlw5XZ-Sd6vvnKZfC2A224AOxtFGmBY0XNVcacllU9C3z9CbaUmxXFco0alaC72n-Eq5NCEmGMycwtamneHM7JMya1KmJGX2SRlRNBcPzku_Bf-keIymAGIFsIziT0j_rP6v61-t46EE</recordid><startdate>20151201</startdate><enddate>20151201</enddate><creator>Sarkar, Susanne</creator><creator>Sautier, Leon</creator><creator>Schilling, Georgia</creator><creator>Bokemeyer, Carsten</creator><creator>Koch, Uwe</creator><creator>Mehnert, Anja</creator><general>Springer US</general><general>Springer Nature B.V</general><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>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20151201</creationdate><title>Anxiety and fear of cancer recurrence and its association with supportive care needs and health-care service utilization in cancer patients</title><author>Sarkar, Susanne ; Sautier, Leon ; Schilling, Georgia ; Bokemeyer, Carsten ; Koch, Uwe ; Mehnert, Anja</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-deaac3d1b99e16d82023eeedb1dddcf686c4829b8e176e1a076086be6b5f17c83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anxiety</topic><topic>Anxiety - epidemiology</topic><topic>Anxiety - therapy</topic><topic>Cancer</topic><topic>Cross-Sectional Studies</topic><topic>Fear & phobias</topic><topic>Fear - psychology</topic><topic>Female</topic><topic>Health Informatics</topic><topic>Health Promotion and Disease Prevention</topic><topic>Health Services - utilization</topic><topic>Health Services Needs and Demand - statistics & numerical data</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neoplasms - pathology</topic><topic>Neoplasms - psychology</topic><topic>Neoplasms - therapy</topic><topic>Oncology</topic><topic>Palliative Care</topic><topic>Primary Care Medicine</topic><topic>Psychotherapy</topic><topic>Public Health</topic><topic>Quality of Life Research</topic><topic>Recurrence</topic><topic>Surveys and Questionnaires</topic><topic>Survivor</topic><topic>Survivors</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sarkar, Susanne</creatorcontrib><creatorcontrib>Sautier, Leon</creatorcontrib><creatorcontrib>Schilling, Georgia</creatorcontrib><creatorcontrib>Bokemeyer, Carsten</creatorcontrib><creatorcontrib>Koch, Uwe</creatorcontrib><creatorcontrib>Mehnert, Anja</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>ProQuest Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cancer survivorship</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sarkar, Susanne</au><au>Sautier, Leon</au><au>Schilling, Georgia</au><au>Bokemeyer, Carsten</au><au>Koch, Uwe</au><au>Mehnert, Anja</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anxiety and fear of cancer recurrence and its association with supportive care needs and health-care service utilization in cancer patients</atitle><jtitle>Journal of cancer survivorship</jtitle><stitle>J Cancer Surviv</stitle><addtitle>J Cancer Surviv</addtitle><date>2015-12-01</date><risdate>2015</risdate><volume>9</volume><issue>4</issue><spage>567</spage><epage>575</epage><pages>567-575</pages><issn>1932-2259</issn><eissn>1932-2267</eissn><abstract>Purpose and methods
We investigated the relationship between fear of cancer recurrence (FCR), anxiety, supportive care needs, and utilization of health-care services in a mixed sample of 335 cancer patients. We used validated questionnaires including the Fear of Progression Questionnaire-Short Form (FoP-Q-SF), the General Anxiety Disorder Scale (GAD-7) and the Supportive Care Needs Survey (SCNS-SF34). Health-care services utilization was measured by a self-constructed questionnaire recording the use of 22 health and supportive care offers.
Results
In our sample, 3.9 % of patients were classified as having high anxiety and 5.1 % had high FCR. Patients reported the highest unmet supportive care needs in the domain health system and information followed by psychological needs. Integrated care and complementary support services were the most frequently used (32 %) followed by medical (31 %), psychological (23 %), spiritual and religious (8 %) and other support services (9 %). Whereas anxiety was related to both unmet psychological and physical/daily living needs (
p
< 0.01), FCR was associated with unmet supportive care needs in all five domains further including needs with regard to health system and information, patient care, and sexuality (
p
< 0.01). However, higher levels of anxiety and FCR were not related to higher utilization of health-care services.
Conclusion
Our findings show that FCR plays a significant role in unmet supportive care needs in cancer patients but not for health-care service utilization.
Implications for Cancer Survivors
We recommend that clinicians monitor supportive care needs in patients struggling with FCR and anxiety.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>25676473</pmid><doi>10.1007/s11764-015-0434-2</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-2259 |
| ispartof | Journal of cancer survivorship, 2015-12, Vol.9 (4), p.567-575 |
| issn | 1932-2259 1932-2267 |
| language | eng |
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| source | Springer Nature |
| subjects | Adolescent Adult Aged Aged, 80 and over Anxiety Anxiety - epidemiology Anxiety - therapy Cancer Cross-Sectional Studies Fear & phobias Fear - psychology Female Health Informatics Health Promotion and Disease Prevention Health Services - utilization Health Services Needs and Demand - statistics & numerical data Humans Male Medicine Medicine & Public Health Middle Aged Neoplasms - pathology Neoplasms - psychology Neoplasms - therapy Oncology Palliative Care Primary Care Medicine Psychotherapy Public Health Quality of Life Research Recurrence Surveys and Questionnaires Survivor Survivors Young Adult |
| title | Anxiety and fear of cancer recurrence and its association with supportive care needs and health-care service utilization in cancer patients |
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