A predictive model of fear of cancer recurrence for patients undergoing chemotherapy
| Autor: | Sunyoung Jung, Nah Mee Shin, Se Jin Hong |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Oncology medicine.medical_specialty Colorectal cancer media_common.quotation_subject medicine.medical_treatment Psychological intervention Breast Neoplasms Models Psychological Structural equation modeling 03 medical and health sciences Social support 0302 clinical medicine Breast cancer Optimism Surveys and Questionnaires Internal medicine Adaptation Psychological Republic of Korea medicine Humans 030212 general & internal medicine Aged media_common Aged 80 and over Chemotherapy business.industry Cancer Fear Middle Aged medicine.disease Cross-Sectional Studies Phobic Disorders 030220 oncology & carcinogenesis Female Neoplasm Recurrence Local Colorectal Neoplasms business |
| Zdroj: | Supportive Care in Cancer. 28:4173-4181 |
| ISSN: | 1433-7339 0941-4355 |
| DOI: | 10.1007/s00520-019-05245-7 |
| Popis: | A number of cancer patients experience fear of cancer recurrence (FCR), which affects their psychological adjustment. This study tested the hypothesized model of FCR to predict psychological adjustment in cancer patients undergoing chemotherapy. A total of 203 patients, who had been diagnosed with either breast cancer or colorectal cancer and were undergoing chemotherapy, were recruited from two university hospitals in Seoul, Korea. Data were collected using validated questionnaires and were analyzed using SPSS 24.0 and AMOS 25.0 program for structural equation modeling procedures. The fit index of the hypothesized model was appropriate. Symptom distress, contextual factors, FCR, and illness representations had statistically significant direct, indirect, and total effects on psychological adjustment. These variables explained 76% of the total variance of the psychological adjustment in cancer patients undergoing chemotherapy. Fear of cancer recurrence was a mediating factor for the effects of symptom distress, contextual factors, and illness representation on psychological adjustment. Based on these results, interventions aimed at reducing symptom distress and FCR, and improving social support, optimism, and illness representations, may be useful for the successful psychological adjustment of cancer patients undergoing chemotherapy. |
| Databáze: | OpenAIRE |
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