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Exploring fear of cancer recurrence in a sample of heterogeneous distressed cancer patients with and without a psychiatric disorder

Bisseling,Else M.
; 
Compen,Felix R.
; 
Schellekens,Melanie P. J.
; 
Thewes,Belinda
; 
Speckens,Anne E. M.
; 
van der Lee,Marije L.
Abstract
Fear of Cancer Recurrence (FCR) is a concern among cancer patients. Recent insights suggest that FCR should be viewed as a distinct syndrome. However, few studies have explored its overlap with psychiatric morbidity. We examined this overlap in a sample of distressed cancer patients. Self-referred patients (n = 245) were assessed with the Structured Clinical Interview for DSM-IV-TR Axis-I disorders and the Fear of Cancer Recurrence Inventory-Short Form. Proportions of patients with and without a psychiatric disorder meeting validated cut-offs for screening and clinically relevant FCR were compared. The prevalence of psychiatric disorders was 36%. Clinically relevant FCR was found in 198 patients (81%). Patients with a current psychiatric disorder reported clinically relevant FCR more frequently (89%) compared to those with no disorder (77%). Of patients reporting clinically relevant FCR, the majority (61%) did not additionally meet the criteria for a psychiatric disorder. These findings suggest that there should be particular attention for patients with elevated levels of FCR, warranting FCR-specific treatment. Trial registry number Clinicaltrials.gov NCT02138513
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2021
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Tilburg University Research Output Collection
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Keywords
Cancer, Oncology, Psychiatric disorder, Psychological distress, Fear of cancer recurrence, HOSPITAL ANXIETY, DEPRESSION SCALE, BREAST-CANCER, YOUNG-WOMEN, PREVALENCE, COMORBIDITY, PROGRESSION, VALIDATION, RUMINATION, VALIDITY, SDG 3 - Good Health and Well-being
Citation
Bisseling, E M, Compen, F R, Schellekens, M P J, Thewes, B, Speckens, A E M & van der Lee, M L 2021, 'Exploring fear of cancer recurrence in a sample of heterogeneous distressed cancer patients with and without a psychiatric disorder', Journal of Clinical Psychology in Medical Settings, vol. 28, no. 3, pp. 419-426. https://doi.org/10.1007/s10880-021-09776-2
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https://hdl.handle.net/20.500.14602/76735
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info:eu-repo/semantics/openAccess
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