scholarly journals Fear of cancer recurrence: testing a cognitive formulation across time in women with ovarian cancer

2021 ◽  
Author(s):  
Lindsey Torbit
Keyword(s):  
Ovarian Cancer ◽  
Cancer Patients ◽  
Predictive Validity ◽  
Emotional Experience ◽  
Cognitive Model ◽  
Cancer Recurrence ◽  
Model Fit ◽  
Data Driven ◽  
Fear Of Cancer Recurrence ◽  
Fear Of Cancer

Background: Lee-Jones and colleagues (1997) have proposed a comprehensive cognitive model of fear of cancer recurrence (FCR), however little research has utilized or fully tested this conceptual model. Additionally, the cross-sectional nature of most studies limits our understanding of the trajectory of FCR over time, and longitudinal research is greatly needed. Method: Patients completed assessment measures at baseline (Time 1) and three months post-baseline (Time 2). The three aims of this study were to (1) test the cognitive model of FCR within an ovarian cancer population; (2) examine model stability; and (3) test the predictive validity of the model. Results: An exploratory factor analysis (EFA) suggested a more parsimonious four-factor model relative to Lee-Jones et al.’s suggested model. Using the results of the EFA, structural equation modeling (SEM) was used to analyze the data-driven model, with findings revealing excellent model fit at Time 1,  2 (60, N=283) = 130.48, p< .001,  2 /df = 1.84, CFI = 0.95, RMSEA = .06, SRMR = .06. This same model was examined at Time 2, with findings revealing acceptable model fit;  2 (60, N=201) = 121.15, p < .001,  2 /df = 2.02, CFI =0.93, RMSEA = .07, SRMR = .07, thus confirming that configural invariance was met. Tests of predictive validity indicated that using the components of FCR at Time 1 to predict consequences at Time 2 resulted in adequate model fit, 2 (84, N=283) = 167.17, p < .001, CFI =0.94, RMSEA = .06, SRMR = .07,  2 /df = 1.99; however, the regression paths from the emotional experience and cognitive appraisals were not significant predictors of behavioural responses at Time 2. Discussion: Findings demonstrated that the emotional experience of FCR may be far more complex for ovarian cancer patients than previously suggested which has important treatment implications. The current study is the first to evaluate the relative stability of the components of a data-driven model of FCR, with results revealing that the majority of ovarian cancer patients experience FCR, which is stable across a three-month period. Findings suggest that screening for FCR would be beneficial across the cancer experience.

scholarly journals Fear of cancer recurrence: testing a cognitive formulation across time in women with ovarian cancer

2021 ◽  
Author(s):  
Lindsey Torbit
Keyword(s):  
Ovarian Cancer ◽  
Cancer Patients ◽  
Predictive Validity ◽  
Emotional Experience ◽  
Cognitive Model ◽  
Cancer Recurrence ◽  
Model Fit ◽  
Data Driven ◽  
Fear Of Cancer Recurrence ◽  
Fear Of Cancer

Background: Lee-Jones and colleagues (1997) have proposed a comprehensive cognitive model of fear of cancer recurrence (FCR), however little research has utilized or fully tested this conceptual model. Additionally, the cross-sectional nature of most studies limits our understanding of the trajectory of FCR over time, and longitudinal research is greatly needed. Method: Patients completed assessment measures at baseline (Time 1) and three months post-baseline (Time 2). The three aims of this study were to (1) test the cognitive model of FCR within an ovarian cancer population; (2) examine model stability; and (3) test the predictive validity of the model. Results: An exploratory factor analysis (EFA) suggested a more parsimonious four-factor model relative to Lee-Jones et al.’s suggested model. Using the results of the EFA, structural equation modeling (SEM) was used to analyze the data-driven model, with findings revealing excellent model fit at Time 1,  2 (60, N=283) = 130.48, p< .001,  2 /df = 1.84, CFI = 0.95, RMSEA = .06, SRMR = .06. This same model was examined at Time 2, with findings revealing acceptable model fit;  2 (60, N=201) = 121.15, p < .001,  2 /df = 2.02, CFI =0.93, RMSEA = .07, SRMR = .07, thus confirming that configural invariance was met. Tests of predictive validity indicated that using the components of FCR at Time 1 to predict consequences at Time 2 resulted in adequate model fit, 2 (84, N=283) = 167.17, p < .001, CFI =0.94, RMSEA = .06, SRMR = .07,  2 /df = 1.99; however, the regression paths from the emotional experience and cognitive appraisals were not significant predictors of behavioural responses at Time 2. Discussion: Findings demonstrated that the emotional experience of FCR may be far more complex for ovarian cancer patients than previously suggested which has important treatment implications. The current study is the first to evaluate the relative stability of the components of a data-driven model of FCR, with results revealing that the majority of ovarian cancer patients experience FCR, which is stable across a three-month period. Findings suggest that screening for FCR would be beneficial across the cancer experience.

A feasibility and acceptability study of an adaptation of the Mindful Self-Compassion program for adult cancer patients

2019 ◽  
Vol 18 (2) ◽  
pp. 130-140
Author(s):  
Joanne Brooker ◽  
John Julian ◽  
Jeremy Millar ◽  
H. Miles Prince ◽  
Melita Kenealy ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Controlled Trial ◽  
Cancer Recurrence ◽  
Psychosocial Interventions ◽  
Fear Of Cancer Recurrence ◽  
Mental Wellbeing ◽  
Post Intervention ◽  
Self Compassion ◽  
Psychosocial Wellbeing ◽  
Fear Of Cancer

AbstractObjectivesPsychosocial interventions that mitigate psychosocial distress in cancer patients are important. The primary aim of this study was to examine the feasibility and acceptability of an adaptation of the Mindful Self-Compassion (MSC) program among adult cancer patients. A secondary aim was to examine pre–post-program changes in psychosocial wellbeing.MethodThe research design was a feasibility and acceptability study, with an examination of pre- to post-intervention changes in psychosocial measures. A study information pack was posted to 173 adult cancer patients 6 months–5 years post-diagnosis, with an invitation to attend an eight-week group-based adaptation of the MSC program.ResultsThirty-two (19%) consented to the program, with 30 commencing. Twenty-seven completed the program (mean age: 62.93 years, SD 14.04; 17 [63%] female), attending a mean 6.93 (SD 1.11) group sessions. There were no significant differences in medico-demographic factors between program-completers and those who did not consent. However, there was a trend toward shorter time since diagnosis in the program-completers group. Program-completers rated the program highly regarding content, relevance to the concerns of cancer patients, and the likelihood of recommending the program to other cancer patients. Sixty-three percent perceived that their mental wellbeing had improved from pre- to post-program; none perceived a deterioration in mental wellbeing. Small-to-medium effects were observed for depressive symptoms, fear of cancer recurrence, stress, loneliness, body image satisfaction, mindfulness, and self-compassion.Significance of resultsThe MSC program appears feasible and acceptable to adults diagnosed with non-advanced cancer. The preliminary estimates of effect sizes in this sample suggest that participation in the program was associated with improvements in psychosocial wellbeing. Collectively, these findings suggest that there may be value in conducting an adequately powered randomized controlled trial to determine the efficacy of the MSC program in enhancing the psychosocial wellbeing of cancer patients.

scholarly journals Fear of cancer recurrence and its predictive factors among Iranian cancer patients

2014 ◽  
Vol 20 (2) ◽  
pp. 128 ◽  
Author(s):  
Azad Rahmani ◽  
Zohreh Sanaat ◽  
AlirezaMohajjel Aghdam ◽  
ZahraKochaki Nejad ◽  
Caleb Ferguson ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Predictive Factors ◽  
Cancer Recurrence ◽  
Fear Of Cancer Recurrence ◽  
Fear Of Cancer

Initial validation of the Danish version of the Fear of Cancer Recurrence Inventory (FCRI) in colorectal cancer patients

2018 ◽  
Vol 12 (6) ◽  
pp. 723-732 ◽  
Author(s):  
Ida Hovdenak Jakobsen ◽  
Mette Moustgaard Jeppesen ◽  
Sébastien Simard ◽  
Henriette Vind Thaysen ◽  
Søren Laurberg ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Patients ◽  
Cancer Recurrence ◽  
Fear Of Cancer Recurrence ◽  
Initial Validation ◽  
Danish Version ◽  
Fear Of Cancer ◽  
Colorectal Cancer Patients

Mindfulness-Based Interventions

2021 ◽  
pp. 429-437
Author(s):  
Linda E. Carlson
Keyword(s):  
Breast Cancer ◽  
Cognitive Function ◽  
Cancer Survivors ◽  
Randomized Controlled Trials ◽  
Cancer Patients ◽  
Cancer Recurrence ◽  
Fear Of Cancer Recurrence ◽  
Controlled Trials ◽  
Mindfulness Skills ◽  
Fear Of Cancer

Mindfulness-based interventions (MBIs) train participants in mindfulness skills thorough the practice of regular meditation and gentle yoga. This chapter describes the characteristics of MBIs and discusses their suitability for cancer patients and survivors, then summarizes the literature supporting their efficacy. Dozens of randomized controlled trials (RCTs) now show sustained benefits for cancer survivors across a range of outcomes including distress, anxiety, stress, depression, fatigue, cognitive function, fear of cancer recurrence, sleep, and pain. Online and app-based MBIs also show promise. The bulk of the research, however, comes from women with breast cancer; more studies with other types of cancer survivors, as well as people with advanced cancer, is warranted.

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