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Exploring Fear of Cancer Recurrence in a Sample of Heterogeneous Distressed Cancer Patients with and Without a Psychiatric Disorder
Fear of Cancer Recurrence (FCR) is a concern among cancer patients. Recent insights suggest that FCR should be viewed as a distinct syndrome. However, few studies have explored its overlap with psychiatric morbidity. We examined this overlap in a sample of distressed cancer patients. Self-referred p...
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| Published in: | Journal of clinical psychology in medical settings 2021-09, Vol.28 (3), p.419-426 |
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| cites | cdi_FETCH-LOGICAL-c474t-5c42b2d941777ac8a3a445d63963176953d729eb36dc765ec68e11afb639b3243 |
| container_end_page | 426 |
| container_issue | 3 |
| container_start_page | 419 |
| container_title | Journal of clinical psychology in medical settings |
| container_volume | 28 |
| creator | Bisseling, Else M. Compen, Félix R. Schellekens, Melanie P. J. Thewes, Belinda Speckens, Anne E. M. van der Lee, Marije L. |
| description | Fear of Cancer Recurrence (FCR) is a concern among cancer patients. Recent insights suggest that FCR should be viewed as a distinct syndrome. However, few studies have explored its overlap with psychiatric morbidity. We examined this overlap in a sample of distressed cancer patients. Self-referred patients (
n
= 245) were assessed with the Structured Clinical Interview for DSM-IV-TR Axis-I disorders and the Fear of Cancer Recurrence Inventory-Short Form. Proportions of patients with and without a psychiatric disorder meeting validated cut-offs for screening and clinically relevant FCR were compared. The prevalence of psychiatric disorders was 36%. Clinically relevant FCR was found in 198 patients (81%). Patients with a current psychiatric disorder reported clinically relevant FCR more frequently (89%) compared to those with no disorder (77%). Of patients reporting clinically relevant FCR, the majority (61%) did not additionally meet the criteria for a psychiatric disorder. These findings suggest that there should be particular attention for patients with elevated levels of FCR, warranting FCR-specific treatment.
Trial registry number
Clinicaltrials.gov NCT02138513 |
| doi_str_mv | 10.1007/s10880-021-09776-2 |
| format | article |
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n
= 245) were assessed with the Structured Clinical Interview for DSM-IV-TR Axis-I disorders and the Fear of Cancer Recurrence Inventory-Short Form. Proportions of patients with and without a psychiatric disorder meeting validated cut-offs for screening and clinically relevant FCR were compared. The prevalence of psychiatric disorders was 36%. Clinically relevant FCR was found in 198 patients (81%). Patients with a current psychiatric disorder reported clinically relevant FCR more frequently (89%) compared to those with no disorder (77%). Of patients reporting clinically relevant FCR, the majority (61%) did not additionally meet the criteria for a psychiatric disorder. These findings suggest that there should be particular attention for patients with elevated levels of FCR, warranting FCR-specific treatment.
Trial registry number
Clinicaltrials.gov NCT02138513</description><identifier>ISSN: 1068-9583</identifier><identifier>EISSN: 1573-3572</identifier><identifier>DOI: 10.1007/s10880-021-09776-2</identifier><identifier>PMID: 34138447</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Cancer ; Emotions ; Family Medicine ; Fear ; General Practice ; Generalized anxiety disorder ; Health Psychology ; Humans ; Internet access ; Interviews ; Medical diagnosis ; Medicine ; Medicine & Public Health ; Mental disorders ; Mindfulness ; Neoplasm Recurrence, Local - epidemiology ; Participation ; Phobic Disorders ; Prevalence</subject><ispartof>Journal of clinical psychology in medical settings, 2021-09, Vol.28 (3), p.419-426</ispartof><rights>The Author(s) 2021</rights><rights>2021. The Author(s).</rights><rights>The Author(s) 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-5c42b2d941777ac8a3a445d63963176953d729eb36dc765ec68e11afb639b3243</citedby><cites>FETCH-LOGICAL-c474t-5c42b2d941777ac8a3a445d63963176953d729eb36dc765ec68e11afb639b3243</cites><orcidid>0000-0001-8397-7674 ; 0000-0001-5266-1554 ; 0000-0003-2457-2428 ; 0000-0002-4092-6161 ; 0000-0002-1316-7008 ; 0000-0002-9988-6694</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34138447$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bisseling, Else M.</creatorcontrib><creatorcontrib>Compen, Félix R.</creatorcontrib><creatorcontrib>Schellekens, Melanie P. J.</creatorcontrib><creatorcontrib>Thewes, Belinda</creatorcontrib><creatorcontrib>Speckens, Anne E. M.</creatorcontrib><creatorcontrib>van der Lee, Marije L.</creatorcontrib><title>Exploring Fear of Cancer Recurrence in a Sample of Heterogeneous Distressed Cancer Patients with and Without a Psychiatric Disorder</title><title>Journal of clinical psychology in medical settings</title><addtitle>J Clin Psychol Med Settings</addtitle><addtitle>J Clin Psychol Med Settings</addtitle><description>Fear of Cancer Recurrence (FCR) is a concern among cancer patients. Recent insights suggest that FCR should be viewed as a distinct syndrome. However, few studies have explored its overlap with psychiatric morbidity. We examined this overlap in a sample of distressed cancer patients. Self-referred patients (
n
= 245) were assessed with the Structured Clinical Interview for DSM-IV-TR Axis-I disorders and the Fear of Cancer Recurrence Inventory-Short Form. Proportions of patients with and without a psychiatric disorder meeting validated cut-offs for screening and clinically relevant FCR were compared. The prevalence of psychiatric disorders was 36%. Clinically relevant FCR was found in 198 patients (81%). Patients with a current psychiatric disorder reported clinically relevant FCR more frequently (89%) compared to those with no disorder (77%). Of patients reporting clinically relevant FCR, the majority (61%) did not additionally meet the criteria for a psychiatric disorder. These findings suggest that there should be particular attention for patients with elevated levels of FCR, warranting FCR-specific treatment.
Trial registry number
Clinicaltrials.gov NCT02138513</description><subject>Cancer</subject><subject>Emotions</subject><subject>Family Medicine</subject><subject>Fear</subject><subject>General Practice</subject><subject>Generalized anxiety disorder</subject><subject>Health Psychology</subject><subject>Humans</subject><subject>Internet access</subject><subject>Interviews</subject><subject>Medical diagnosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental disorders</subject><subject>Mindfulness</subject><subject>Neoplasm Recurrence, Local - epidemiology</subject><subject>Participation</subject><subject>Phobic Disorders</subject><subject>Prevalence</subject><issn>1068-9583</issn><issn>1573-3572</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9UU1v1DAUtBCItgt_gAOyxIVLij9j54KEti2tVKkVH-JoOc7bXVfZONgO0HP_OE63LYUDJ4_kmXnz3iD0ipJDSoh6lyjRmlSE0Yo0StUVe4L2qVS84lKxpwWTWleN1HwPHaR0RQhpNGfP0R4XlGsh1D66Of419iH6YY1PwEYcVnhpBwcRfwI3xQgFYz9giz_b7djDTDiFDDGsYYAwJXzkU46QEnT3ykubPQw54Z8-b7AdOvytgDDl4nKZrt3G2xy9m5UhdhBfoGcr2yd4efcu0NeT4y_L0-r84uPZ8sN55YQSuZJOsJZ1jaBKKeu05VYI2dW8qTlVdSN5p1gDLa87p2oJrtZAqV21hdFyJvgCvd_5jlO7hc6VjNH2Zox-a-O1Cdabv38GvzHr8MNoITVVshi8vTOI4fsEKZutTw763t6ewjApGJeNLFdeoDf_UK_CFIeynmGaCCJrpuZEbMdyMaQUYfUQhhIzd2x2HZvSsbnt2LAiev14jQfJfamFwHeENM7FQvwz-z-2vwEKabNV</recordid><startdate>20210901</startdate><enddate>20210901</enddate><creator>Bisseling, Else M.</creator><creator>Compen, Félix R.</creator><creator>Schellekens, Melanie P. 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J. ; Thewes, Belinda ; Speckens, Anne E. 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n
= 245) were assessed with the Structured Clinical Interview for DSM-IV-TR Axis-I disorders and the Fear of Cancer Recurrence Inventory-Short Form. Proportions of patients with and without a psychiatric disorder meeting validated cut-offs for screening and clinically relevant FCR were compared. The prevalence of psychiatric disorders was 36%. Clinically relevant FCR was found in 198 patients (81%). Patients with a current psychiatric disorder reported clinically relevant FCR more frequently (89%) compared to those with no disorder (77%). Of patients reporting clinically relevant FCR, the majority (61%) did not additionally meet the criteria for a psychiatric disorder. These findings suggest that there should be particular attention for patients with elevated levels of FCR, warranting FCR-specific treatment.
Trial registry number
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| ispartof | Journal of clinical psychology in medical settings, 2021-09, Vol.28 (3), p.419-426 |
| issn | 1068-9583 1573-3572 |
| language | eng |
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| subjects | Cancer Emotions Family Medicine Fear General Practice Generalized anxiety disorder Health Psychology Humans Internet access Interviews Medical diagnosis Medicine Medicine & Public Health Mental disorders Mindfulness Neoplasm Recurrence, Local - epidemiology Participation Phobic Disorders Prevalence |
| title | Exploring Fear of Cancer Recurrence in a Sample of Heterogeneous Distressed Cancer Patients with and Without a Psychiatric Disorder |
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