ArticleBMJ open2024
Investigating fear of cancer recurrence among female breast cancer survivors and their spouses in southwest China: a cross-sectional study.
Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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11 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.
- Cancer patient distress and health service use is linked with carer distress: evidence from a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Pooled it
- Factors influencing fear of cancer recurrence in breast cancer survivors: a multicenter cross-sectional study.BMC women's health · 2026Article
- Dyadic family hardiness and coping styles on fear of cancer recurrence in adolescent malignant bone tumor patients and caregivers.Scientific reports · 2026Article
- Cognitive appraisal, negative coping, and family resilience among acute leukemia patients and their primary family caregivers: an actor-partner interdependence mediation model of quality of life.Frontiers in psychology · 2026Article
- Dyadic coping and fear of cancer progression among patients with hepatocellular carcinoma and their spouses in China: An actor-partner interdependence model.Asia-Pacific journal of oncology nursing · 2025Article
- Factors associated with fear of disease progression among older spousal caregivers of cancer patients: a cross-sectional study.BMC nursing · 2025Article
- Latent profile analysis of fear of progression in Chinese hematologic malignancy survivors.Scientific reports · 2025Article
- Characteristics and influencing factors of fear of cancer recurrence among family caregivers of breast cancer patients: a latent class analysis.BMC nursing · 2025Article
- Latent profile analysis of family adaptation in breast cancer patients-cross-sectional study.Scientific reports · 2024Article
- Article
- Fear of disease progression, self-management efficacy, and family functioning in patients with breast cancer: a cross-sectional relationship study.Frontiers in psychology · 2024Article
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Authors and funding
6 authors at 1 institution in 1 country.
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Abstract
objectivesExamining fear of cancer recurrence (FCR) among breast cancer survivors and their spouses, and the protective effect of family resilience on FCR among couples affected by breast cancer.
designCross-sectional survey design.
settingTen general grade IIIa (>500 beds) hospitals in southwest China.
participantsOverall, 392 early breast cancer survivors and their spousal caregivers (N=392) were recruited from cancer centres in hospitals. PRIMARY AND SECONDARY OUTCOME MEASURES: Spouses' and survivors' FCR were the primary outcome measures. Family resilience and perceived stress were the secondary outcome measures. Using a convenience sampling method, we collected data on-site using paper questionnaires. The Chinese version of the Family Resilience Assessment Scale, Perceived Stress Scale, Fear of Progression Questionnaire Short Form and Fear of Progression Questionnaire-Short Form for spouses were used to evaluate the outcomes.
resultsThe model accounted for 66.3% and 53.6% of the variance in spouses' FCR and survivors' FCR, respectively. Family resilience directly negatively affected perceived stress and spouses' and survivors' FCR (β=-0.22; β=-0.13; β=-0.19). Perceived stress was a partial mediator of the association between family resilience and survivors' FCR (β=-0.070; 95% CI :-0.151 to -0.022). Spouses' FCR partially mediated the association between family resilience and survivors' FCR (β=-0.048; 95% CI= -0.092 to -0.015). Perceived stress and spouses' FCR played a significant chain-mediated role between family resilience and survivors' FCR (β=-0.061; 95% CI: -0.119 to -0.022).
conclusionsFamily-centred approaches to reducing survivors' perceived stress can improve the psychological well-being of couples affected by breast cancer and ultimately reduce FCR. Medical staff should consider the psychological feelings of survivors and their spousal caregivers when devising the intervention plan, which should address the families' potential and mobilise family and community resources for increasing family resilience.
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