ArticleHealth and quality of life outcomes2018
Unidimensional scales for fears of cancer recurrence and their psychometric properties: the FCR4 and FCR7.
Article in Health and quality of life outcomes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 70 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Development and Feasibility of a Communication Training Package for Therapeutic Radiographers to Manage Emotional Talk With Breast Cancer Patients in Treatment
A Pilot Trial of the Mini-AFTERc Intervention to Manage Fear of Cancer Recurrence in Breast Cancer Patients
Who cites it
70 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- How prevalent is fear of cancer recurrence beyond 5 years: a systematic review of validated assessments across tumour types.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Pooled it
- A systematic mixed studies review of fear of cancer recurrence in families and caregivers of adults diagnosed with cancer.Journal of cancer survivorship : research and practice · 2022Pooled it
- The Relationship Between Fears of Cancer Recurrence and Patient Gender: A Systematic Review and Meta-Analysis.Frontiers in psychology · 2021Pooled it
- The relationship between fears of cancer recurrence and patient age: A systematic review and meta-analysis.Cancer reports (Hoboken, N.J.) · 2020Pooled it
- An integrated lifestyle intervention for mitigation of adverse effects associated with androgen deprivation therapy for prostate cancer (STAMINA): a multicentre, randomised trial.The Lancet. Oncology · 2026Trial
- The Impact of a Physical Activity Intervention on Cognitive and Mental Health Outcomes in Cancer Survivors.Psycho-oncology · 2026Trial
- "Getting Out of a Dark Place": a qualitative exploration of the impact, current coping, and what people with breast cancer hope to gain by participating in a fear of recurrence clinical trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Trial
- Trial
- Managing cancer and living meaningfully (CALM) in adults with malignant glioma: a proof-of-concept phase IIa trial.Journal of neuro-oncology · 2022Trial
- Fear of cancer recurrence trajectory during radiation treatment and follow-up into survivorship of patients with breast cancer.BMC cancer · 2018Trial
- Designing for delivery: a Delphi study of feasibility-informed implementation strategies for a fear of cancer recurrence clinical pathway.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Introducing the Ottawa Clinical Fear of Recurrence-Self-Report; A New Assessment Tool for Clinical Fear of Cancer Recurrence.Psycho-oncology · 2026Article
- Fear of Cancer Recurrence and Coping in Young Breast Cancer Survivors: A Secondary Analysis.Cancer medicine · 2026Observational
- Distinct fatigue profiles and psychological mechanisms among breast cancer survivors: A latent profile and mediation analysis.Dusunen adam : Bakirkoy Ruh ve Sinir Hastaliklari Hastanesi yayin organi · 2026Article
- How Extreme Is It Anyways?: An Empirical Investigation Into the Prevalence and Strength of Extreme Response Style.Educational and psychological measurement · 2026Article
- Cohort profile: the National Early Gastrointestinal Cancer Cohort (NEGCC) study in China.Surgical endoscopy · 2026Article
- Longitudinal relationships of malnutrition risk, sleep disturbance, and fear of cancer recurrence in thyroid cancer patients: a cross-lagged panel model.Frontiers in nutrition · 2026Article
- Reproductive concerns in young women with cervical cancer: latent profiles and key influencing factors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Article
- Fertility anxiety partially mediates depression and recurrence fear in reproductive-age cervical cancer patients: A cross-sectional study.World journal of clinical oncology · 2025Article
10 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe assessment of fear of recurrence (FCR) is crucial for understanding an important psychological state in patients diagnosed and treated for cancer. The study aim was to determine psychometric details of a seven question self-report scale (FCR7) and a short form (FCR4) based upon items already used in various extensive measures of FCR.
methodsTwo consecutive samples of patients (breast and colorectal) were recruited from a single specialist cancer centre. The survey instrument contained the FCR7 items, Hospital Anxiety and Depression Scale (HADS), and demographic details. Clinical information was obtained from patient hospital records. Statistical analyses were performed using classical test and item response theory approaches, to demonstrate unidimensional factor structure and testing key parameters. Construct validity was inspected through nomological and theoretical prediction.
resultsInternal consistency was demonstrated by alpha coefficients (FCR4: 0.93 and FCR7: 0.92). Both scales (FCR7 & FCR4) were associated with the HADs subscales as predicted. Patients who experienced chemotherapy, minor aches/pains, thought avoidance of cancer and high cancer risk belief were more fearful. Detailed inspection of item responses profile provided some support for measurement properties of scales.
conclusionThe internal consistency, and pattern of key associations and discriminability indices provided positive psychometric evidence for these scales. The brief measures of FCR may be considered for audit, screening or routine use in clinical service and research investigations.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.