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:
CreatorsEmailORCIDORCID Put Code
Heidkamp, PaulaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Breidenbach, ClaraUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hiltrop, KatiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kowalski, ChristophUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Enders, AnnaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pfaff, HolgerUNSPECIFIEDorcid.org/0000-0001-9154-6575UNSPECIFIED
Weltermann, BirgittaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Geiser, FranziskaUNSPECIFIEDorcid.org/0000-0002-4212-9692UNSPECIFIED
Ernstmann, NicoleUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
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:
KeywordsLanguage
QUALITY-OF-LIFE; INFORMATION NEEDS; HEALTH LITERACY; PROGRESSION; WOMEN; ASSOCIATION; PREVALENCE; VALIDATION; DIAGNOSIS; DISTRESSMultiple languages
Oncology; Health Care Sciences & Services; RehabilitationMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/58145

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