ArticleStress and health : journal of the International Society for the Investigation of Stress2023
Fear of cancer recurrence as a pathway from fatigue to psychological distress in mothers who are breast cancer survivors.
Article in Stress and health : journal of the International Society for the Investigation of Stress, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Reproductive outcomes of pregnancy after breast cancer: an updated systematic review and meta-analysis.Frontiers in oncology · 2025Pooled it
- Unmet supportive care needs of breast cancer survivors: a systematic scoping review.BMC cancer · 2023Pooled it
- The association between uncertainty in illness and fear of cancer recurrence or progression in breast cancer patients: the parallel mediating roles of coping styles and the moderating role of perceived social support.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- 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
- Multidimensional fatigue and its impact on work productivity, mood and quality of life in long-term survivors following definitive intensity-modulated radiotherapy for oropharyngeal cancer: A cross-sectional study.Journal of cancer survivorship : research and practice · 2026Article
- Obstetric Complications and Pregnancy Outcomes in Cancer Survivors: A Systematic Review and Meta-Analysis.Cancers · 2025Review
- Mediating effects of rumination on insomnia in cancer survivors: Influences of cancer-related fatigue, fear of recurrence, and psychological distress.Cancer medicine · 2024Article
- Factors influencing psychological distress among breast cancer survivors using machine learning techniques.Scientific reports · 2024Article
- Assessment of the Relationship between Fear of Cancer Recurrence, Spiritual Well-Being, and Mental Health among Cancer Patients: A Cross-Sectional Study.Nursing reports (Pavia, Italy) · 2024Article
- Core and bridge symptoms of demoralization in Chinese female cancer patients: a network analysis.Frontiers in psychiatry · 2024Article
- Fear of cancer recurrence as a pathway from fatigue to psychological distress in mothers who are breast cancer survivors.Stress and health : journal of the International Society for the Investigation of Stress · 2023Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Fatigue is prevalent and pervasive among breast cancer survivors. Mothers are particularly susceptible to fatigue due to the ongoing demands of their caring role. While fatigue has been associated with psychological distress in prior research, the pathway by which fatigue translates into psychological distress is unclear. Given the theoretical and empirical links between fatigue, fear of cancer recurrence (FCR) and psychological distress, the role of FCR in mediating the relationship between fatigue and psychological distress in mothers who are breast cancer survivors was investigated. Ninety-two mothers who were breast cancer survivors completed the Depression, Anxiety and Stress Scale, PROMIS-Cancer Fatigue Short Form and Concerns About Cancer Recurrence scale in an online survey. Mediation analysis via PROCESS was used to examine whether fatigue predicted depression, anxiety or stress through FCR. Fear of cancer recurrence mediated the relationships between fatigue and anxiety and fatigue and stress, while fatigue directly predicted depression. This study highlights FCR as a potential pathway to anxiety and stress in response to ongoing fatigue, and as a mechanism of action to reduce psychological distress among mothers who are breast cancer survivors. Future research examining this pathway from fatigue to psychological distress should also explore the nature of mothers' fears about their cancer recurring.
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