Towards the validation of a new, blended theoretical model of fear of cancer recurrence

被引：65

作者：

Lebel, Sophie ^{[1
]}

Maheu, Christine ^{[2
]}

Tomei, Christina ^{[1
]}

Bernstein, Lori J. ^{[3
,4
]}

Courbasson, Christine ^{[5
]}

Ferguson, Sarah ^{[6
,7
]}

Harris, Cheryl ^{[8
,9
]}

Jolicoeur, Lynne ^{[9
]}

Lefebvre, Monique ^{[9
]}

Muraca, Linda ^{[10
]}

Ramanakumar, Agnihotram V. ^{[11
]}

Singh, Mina ^{[12
]}

Parrott, Julia ^{[1
]}

Figueiredo, Danielle ^{[1
]}

机构：

[1] Univ Ottawa, Sch Psychol, 136 Jean Jacques Lussier,Room 4016, Ottawa, ON K1N 6N5, Canada

[2] McGill Univ, Ingram Sch Nursing, Montreal, PQ, Canada

[3] Princess Margaret Canc Ctr, Toronto, ON, Canada

[4] Univ Toronto, Toronto, ON, Canada

[5] Cognit Behav Dialect Behav & Humanist Therapy Ctr, Toronto, ON, Canada

[6] Princess Margaret Canc Ctr, Div Gynecol Oncol, Toronto, ON, Canada

[7] Univ Toronto, Dept Obstet & Gynecol, Toronto, ON, Canada

[8] Ottawa Hosp Res Inst, Ottawa, ON, Canada

[9] Ottawa Hosp, Ottawa, ON, Canada

[10] Mt Sinai Hosp, Toronto, ON, Canada

[11] McGill Univ, Ctr Hlth, Res Inst, Montreal, PQ, Canada

[12] York Univ, Sch Nursing, Toronto, ON, Canada

来源：

PSYCHO-ONCOLOGY | 2018年 / 27卷 / 11期

关键词：

breast cancer; cancer; coping; fear of cancer recurrence; gynecological cancer; illness uncertainty; model testing; oncology; path analyses; worry; GENERALIZED ANXIETY DISORDER; PSYCHOMETRIC PROPERTIES; ADDRESSING FEAR; UNCERTAINTY; BREAST; QUESTIONNAIRE; INTERVENTION; INTOLERANCE; SURVIVORS; EFFICACY;

D O I：

10.1002/pon.4880

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Objective Fear of cancer recurrence (FCR) is defined as "fear, worry, or concern about cancer returning or progressing". To date, only the seminal model proposed by Lee-Jones and colleagues has been partially validated, so additional model testing is critical to inform intervention efforts. The purpose of this study is to examine the validity of a blended model of FCR that integrates Leventhal's Common Sense Model, Mishel's Uncertainty in Illness Theory, and cognitive theories of worry. Methods Results Participants (n = 106) were women diagnosed with stage I to III breast or gynecological cancer who were enrolled in a Randomized Controlled Trial of a group cognitive-existential intervention for FCR. We report data from standardized questionnaires (Fear of Cancer Recurrence Inventory-Severity and Triggers subscales; Illness Uncertainty Scale; perceived risk of recurrence; Intolerance of Uncertainty Scale; Why do people Worry about Health questionnaire; Reassurance-seeking Behaviors subscale of the Health Anxiety Questionnaire, and the Reassurance Questionnaire) that participants completed before randomization. Path analyses were used to test the model. Following the addition of four paths, the model showed an excellent fit (chi 2 = 13.39, P = 0.20; comparative fit index = 0.99; root mean square error of approximation = 0.06). Triggers, perceived risk of recurrence, and illness uncertainty predicted FCR. FCR was associated with maladaptive coping. Positive beliefs about worrying and intolerance of uncertainty did not predict FCR but led to more maladaptive coping. Conclusions These results provide support for a blended FCR model.

引用

页码：2594 / 2601

页数：8