ArticlePsycho-oncology2017
Group-based trajectory modeling of fear of disease recurrence among women recently diagnosed with gynecological cancers.
Article in Psycho-oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Fear of cancer recurrence trajectory during radiation treatment and follow-up into survivorship of patients with breast cancer.BMC cancer · 2018Trial
- Fear of Cancer Recurrence and Associated Factors Among Women with Female Cancer: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Step-by-step: A clinical pathway for stepped care management of fear of cancer recurrence-results of a three-round online delphi consensus process with Australian health professionals and researchers.Journal of cancer survivorship : research and practice · 2026Article
- "It's All My Fault": A Qualitative Case Study of Self-Disgust in Women with Gynecological Malignancies.Psychology research and behavior management · 2026Article
- Patients' Emotional Experiences and Life Changes Following a Diagnosis of Skin Cancer: A Qualitative Study Comparing Melanoma and Squamous Cell Carcinoma.Journal of clinical medicine · 2025Article
- Activation and Preparedness for Survivorship Care Among Survivors of Oral and Oropharyngeal Cancers.Head & neck · 2025Article
- Predicting psychological distress in advanced ovarian cancer patients during the COVID-19 pandemic.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Article
- Impact of fear of recurrence in patients with cancer on caregivers' psychological health: A meta-analysis.Asia-Pacific journal of oncology nursing · 2023Review
- A prospective study of psychological distress among patients with advanced cancer and their caregivers.Cancer medicine · 2023Article
- Introducing FCR6-Brain: Measuring fear of cancer recurrence in brain tumor patients and their caregivers.Neuro-oncology practice · 2022Article
- Change in worry over time among Hispanic women with thyroid cancer.Journal of cancer survivorship : research and practice · 2022Article
- Individual courses and determinants of fear of cancer recurrence in long-term breast cancer survivors with and without recurrence.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Article
- Examining fear of cancer recurrence in primary brain tumor patients and their caregivers using the Actor-Partner Interdependence Model.Psycho-oncology · 2021Article
- Longitudinal course and predictors of communication and affect management self-efficacy among women newly diagnosed with gynecological cancers.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectiveFear of cancer recurrence is an important clinical phenomenon and is associated with decrements in life domains. The study goals were to characterize patterns of global fear of recurrence (FOR) and 4 domains of fear (health, role, womanhood, and death worry) over time in women who were diagnosed with gynecological cancer and to identify demographic, medical, and psychological predictors of FOR.
methodOne hundred eighteen women participating in the usual care arm of a randomized trial completed the Concerns about Recurrence scale as well as measures of depressive symptoms, cancer-specific distress, coping, coping efficacy, and social network responses at 4 time points. The majority of the sample was diagnosed with stage 3 ovarian cancer.
resultsGroup-based trajectory modeling identified subgroups of women with high-stable (49.1%), high-decreasing (25.3%), and low-stable (25.5%) trajectories for global FOR. For role worries, 3 similar group trajectories were identified. For health worries, modeling identified subgroups with high-decreasing (19.1%) and low-increasing (80.9%) trajectories. For womanhood worries, modeling identified subgroups with high-increasing (15.7%) and low-decreasing (84.2%) trajectories. Young age, metastatic cancer, depression, cancer distress, holding back, and lower coping efficacy were associated with the high-stable global FOR and at least 1 domain of FOR.
conclusionAlmost half of the women recently diagnosed with gynecological cancer evidence persistently elevated FOR over the 6-month period postdiagnosis. Psychological interventions to reduce FOR may be more effective if they focus on teaching patients coping skills, as well as greater comfort expressing cancer-specific concerns to others.
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