Fear of cancer progression in patients with stage IA malignant melanoma
| Autor: | Andrea Forschner, Carmen Loquai, Axel Hauschild, Tina Mueller-Brenne, Ralf Gutzmer, Claus Garbe, Dirk Schadendorf, Tobias Wagner, Katharina C. Kähler, Patrick Terheyden, Matthias Augustin, Christine Blome, Lucie Heinzerling, Elisabeth Livingstone |
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| Rok vydání: | 2018 |
| Předmět: |
Oncology
Adult Male medicine.medical_specialty Medizin Anxiety Hospital Anxiety and Depression Scale 03 medical and health sciences 0302 clinical medicine Quality of life Risk Factors Internal medicine medicine Prevalence Humans 030212 general & internal medicine Stage (cooking) Melanoma Depression (differential diagnoses) Aged Aged 80 and over Psychiatric Status Rating Scales business.industry Cancer Fear Middle Aged medicine.disease humanities Logistic Models Phobic Disorders 030220 oncology & carcinogenesis Disease Progression Quality of Life Female Skin cancer medicine.symptom business Psychosocial |
| Zdroj: | European journal of cancer care. 27(5) |
| ISSN: | 1365-2354 |
| Popis: | We aimed to determine the prevalence and importance of fear of cancer progression (FoP) in melanoma patients with stage IA tumours to assess psychosocial and demographic factors associated with severity of FoP and to determine the relationship of FoP and quality of life (QoL). One hundred and thirty-six patients with stage IA melanoma completed the short version of the Fear of Progression Questionnaire (FoP-Q-SF), the Hospital Anxiety and Depression Scale (HADS) and the EORTC-QLQ-C30. We found a mean FoP-Q-SF sum score of 30.2 points (±8.4 points SD). In this study, 33% of patients reported high FoP at or above the cutoff-value of 34 points. Higher FoP was found in women (p < 0.01), young (p = 0.03) and employed (p = 0.02) patients. Being confronted with a cancer diagnosis in closely related persons predicted higher FoP (p < 0.01). FoP correlated positively with the HADS anxiety (r = 0.50, p < 0.01) and depression scales (r = 0.26, p < 0.01) and negatively with the EORTC-QLQ-C30 global health state (r = -0.32, p < 0.01). FoP is considerably prevalent in low-risk melanoma patients and associated with reduced QoL, cancer in related persons, women sex and participation in working life. Considerably high levels of FoP, even in patients with low-risk malignancies, underline the need for psychosocial support and psychotherapeutic interventions for melanoma patients. |
| Databáze: | OpenAIRE |
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