Universität zu Köln

Heidkamp, Paula, Breidenbach, Clara, Hiltrop, Kati, Kowalski, Christoph, Enders, Anna, Pfaff, Holger ORCID: 0000-0001-9154-6575, Weltermann, Birgitta, Geiser, Franziska ORCID: 0000-0002-4212-9692 and Ernstmann, Nicole (2021). Individual courses and determinants of fear of cancer recurrence in long-term breast cancer survivors with and without recurrence. Support. Care Cancer, 29 (12). S. 7647 - 7658. NEW YORK: SPRINGER. ISSN 1433-7339

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Abstract

Objective This study investigated the prevalence, individual courses, and determinants of fear of cancer recurrence (FoR) in long-term breast cancer survivors (BCSs) with and without recurrence. Methods A total of 184 breast cancer survivors were surveyed at four measurement time points: during hospitalization (T1), 10 weeks (T2), 40 weeks (T3), and 5-6 years (T4) after hospital discharge. Descriptive statistics, chi-square tests, and logistic regression were performed. Results Respondents were females and 57 years old, on average. At T1, T3, and T4, 54.8%, 31.6%, and 29.7% of BCSs, respectively, were classified as having dysfunctional levels of FoR. Dysfunctional FoR decreased from T1 to T3 (chi(2)(1) = 17.11, p = 0.000; N = 163) and remained stable afterwards. Eight subgroups of individual courses of FoR over time could be described: (1) constant functional FoR; (2) constant dysfunctional FoR; (3) improving from dysfunctional to functional FoR from T1 to T3; (4) improving from dysfunctional to functional FoR from T3 to T4; (5) worsening from functional to dysfunctional FoR from T1 to T3; (6) worsening from functional to dysfunctional FoR from T3 to T4; (7) dysfunctional FoR at T1 and T4, and functional FoR in between; and (8) functional FoR at T1 and T4, and dysfunctional FoR in between. Logistic regression analysis revealed that being divorced/widowed, showing high levels of fatigue, being treated by chemotherapy, and having low confidence in treatment were associated with dysfunctional FoR 5 to 6 years after diagnosis (Nagelkerkes' Pseudo-R2 = 0.648). Conclusions The findings reveal that FoR is a significant issue in long-term BCSs and has the potential to become a persistent psychological strain. We emphasize the need for increased awareness of FoR among BCSs and the need for support programs.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Heidkamp, Paula UNSPECIFIED UNSPECIFIED UNSPECIFIED Breidenbach, Clara UNSPECIFIED UNSPECIFIED UNSPECIFIED Hiltrop, Kati UNSPECIFIED UNSPECIFIED UNSPECIFIED Kowalski, Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED Enders, Anna UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfaff, Holger UNSPECIFIED orcid.org/0000-0001-9154-6575 UNSPECIFIED Weltermann, Birgitta UNSPECIFIED UNSPECIFIED UNSPECIFIED Geiser, Franziska UNSPECIFIED orcid.org/0000-0002-4212-9692 UNSPECIFIED Ernstmann, Nicole UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-581453
DOI:	10.1007/s00520-021-06329-z
Journal or Publication Title:	Support. Care Cancer
Volume:	29
Number:	12
Page Range:	S. 7647 - 7658
Date:	2021
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-7339
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language QUALITY-OF-LIFE; INFORMATION NEEDS; HEALTH LITERACY; PROGRESSION; WOMEN; ASSOCIATION; PREVALENCE; VALIDATION; DIAGNOSIS; DISTRESS Multiple languages Oncology; Health Care Sciences & Services; Rehabilitation Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/58145