Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
Journal of Cancer Survivorship
Erschienen in: Journal of Cancer Survivorship 4/2015

01.12.2015

Anxiety and fear of cancer recurrence and its association with supportive care needs and health-care service utilization in cancer patients

verfasst von: Susanne Sarkar, Leon Sautier, Georgia Schilling, Carsten Bokemeyer, Uwe Koch, Anja Mehnert

Erschienen in: Journal of Cancer Survivorship | Ausgabe 4/2015

Einloggen, um Zugang zu erhalten

Abstract

Purpose and methods

We investigated the relationship between fear of cancer recurrence (FCR), anxiety, supportive care needs, and utilization of health-care services in a mixed sample of 335 cancer patients. We used validated questionnaires including the Fear of Progression Questionnaire-Short Form (FoP-Q-SF), the General Anxiety Disorder Scale (GAD-7) and the Supportive Care Needs Survey (SCNS-SF34). Health-care services utilization was measured by a self-constructed questionnaire recording the use of 22 health and supportive care offers.

Results

In our sample, 3.9 % of patients were classified as having high anxiety and 5.1 % had high FCR. Patients reported the highest unmet supportive care needs in the domain health system and information followed by psychological needs. Integrated care and complementary support services were the most frequently used (32 %) followed by medical (31 %), psychological (23 %), spiritual and religious (8 %) and other support services (9 %). Whereas anxiety was related to both unmet psychological and physical/daily living needs (p < 0.01), FCR was associated with unmet supportive care needs in all five domains further including needs with regard to health system and information, patient care, and sexuality (p < 0.01). However, higher levels of anxiety and FCR were not related to higher utilization of health-care services.

Conclusion

Our findings show that FCR plays a significant role in unmet supportive care needs in cancer patients but not for health-care service utilization.

Implications for Cancer Survivors

We recommend that clinicians monitor supportive care needs in patients struggling with FCR and anxiety.
Literatur
1.
Zabora J, BrintzenhofeSzoc K, Curbow B, Hooker C, Piantadosi S. The prevalence of psychological distress by cancer site. Psychooncology. 2001;10:19–28.CrossRefPubMed
2.
Linden W, Vodermaier A, MacKenzie R, Greig D. Anxiety and depression after cancer diagnosis: prevalence rates by cancer type, gender, and age. J Affect Disord. 2012;141:343–51.CrossRefPubMed
3.
Mitchell AJ, Chan M, Bhatti H, et al. Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: a meta-analysis of 94 interview-based studies. Lancet Oncol. 2011;12:160–74.CrossRefPubMed
4.
Vehling S, Koch U, Ladehoff N, et al. Prevalence of affective and anxiety disorders in cancer: systematic literature review and meta-analysis. Psychother Psychosom Med Psychol. 2012;62:249–58.CrossRefPubMed
5.
6.
Diagnostic and Statistical Manual of Mental Disorders. DSM-IV-TR. 4th ed. Arlington, VA: American Psychiatric Assoc; 2009.
7.
World Health Organization. The international statistical classification of diseases and related health problems ICD-10: 2012.
8.
Mehnert A, Vehling S, Scheffold K, et al. Prevalence of adjustment disorder, acute and posttraumatic stress disorders as well as somatoform disorders in cancer patients—a systematic literature review. Psychother Psychosom Med Psychol. 2013;63(12):466–72.CrossRefPubMed
9.
Mols F, Helfenrath KA, Vingerhoets AJJM, Coebergh JWW, van de Poll-Franse LV. Increased health care utilization among long-term cancer survivors compared to the average Dutch population: a population-based study. Int J Cancer. 2007;121:871–7.CrossRefPubMed
10.
Beesley V, Eakin E, Steginga S, Aitken J, Dunn J, Battistutta D. Unmet needs of gynaecological cancer survivors: implications for developing community support services. Psychooncology. 2008;17:392–400.CrossRefPubMed
11.
Armes J, Crowe M, Colbourne L, et al. Patients’ supportive care needs beyond the end of cancer treatment: a prospective, longitudinal survey. J Clin Oncol. 2009;27:6172–9.CrossRefPubMed
12.
McDowell ME, Occhipinti S, Ferguson M, Dunn J, Chambers SK. Predictors of change in unmet supportive care needs in cancer. Psychooncology. 2010;19:508–16.CrossRefPubMed
13.
Harrison JD, Young JM, Price MA, Butow PN, Solomon MJ. What are the unmet supportive care needs of people with cancer? A systematic review. Support Care Cancer. 2009;17:1117–28.CrossRefPubMed
14.
Harrison SE, Watson EK, Ward AM, et al. Primary health and supportive care needs of long-term cancer survivors: a questionnaire survey. J Clin Oncol. 2011;29:2091–8.CrossRefPubMed
15.
Chambers SK, Girgis A, Occhipinti S, et al. Psychological distress and unmet supportive care needs in cancer patients and carers who contact cancer helplines. Eur J Cancer Care (Engl). 2012;21:213–23.CrossRef
16.
Fiszer C, Dolbeault S, Sultan S, Brédart A. Prevalence, intensity, and predictors of the supportive care needs of women diagnosed with breast cancer: a systematic review. Psychooncology. 2014;23:361–74.CrossRefPubMed
17.
Schmid-Büchi S, Halfens RJG, Müller M, Dassen T, van den Borne B. Factors associated with supportive care needs of patients under treatment for breast cancer. Eur J Oncol Nurs. 2013;17:22–9.CrossRefPubMed
18.
Richardson MA, Sanders T, Palmer JL, Greisinger A, Singletary SE. Complementary/alternative medicine use in a comprehensive cancer center and the implications for oncology. J Clin Oncol. 2000;18:2505–14.PubMed
19.
Chan JM, Elkin EP, Silva SJ, Broering JM, Latini DM, Carroll PR. Total and specific complementary and alternative medicine use in a large cohort of men with prostate cancer. Urology. 2005;66:1223–8.CrossRefPubMed
20.
Eakin EG, Strycker LA. Awareness and barriers to use of cancer support and information resources by HMO patients with breast, prostate, or colon cancer: patient and provider perspectives. Psychooncology. 2001;10:103–13.CrossRefPubMed
21.
Ezendam NPM, Nicolaije KAH, Boll D, et al. Health care use among endometrial cancer survivors: a study from PROFILES, a population-based survivorship registry. Int J Gynecol Cancer. 2013;23:1258–65.CrossRefPubMed
22.
Lebel S, Tomei C, Feldstain A, Beattie S, McCallum M. Does fear of cancer recurrence predict cancer survivors’ health care use? Support Care Cancer. 2013;21:901–6.CrossRefPubMed
23.
Thewes B, Butow P, Bell ML, et al. Fear of cancer recurrence in young women with a history of early-stage breast cancer: a cross-sectional study of prevalence and association with health behaviours. Support Care Cancer. 2012;20:2651–9.CrossRefPubMed
24.
Bleichhardt G, Hiller W. Pathological features, health care utilization, and media use in behavior therapy outpatients with health anxiety. Verhaltenstherapie Verhaltensmedizin. 2006;27:29–41.
25.
Mehnert A, Herschbach P, Berg P, Henrich G, Koch U. Progredienzangst bei Brustkrebspatientinnen–Validierung der Kurzform des Progredienzangstfragebogens PA-F-KF. Z Psychosom Med Psychother. 2006;52:274–88.PubMed
26.
Sarkar S, Scherwath A, Schirmer L, et al. Fear of recurrence and its impact on quality of life in patients with hematological cancers in the course of allogeneic hematopoietic SCT. Bone Marrow Transplant. 2014;49:1217–22.CrossRefPubMed
27.
Spitzer RL, Kroenke K, Williams JBW, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006;166:1092–7.CrossRefPubMed
28.
Löwe B, Decker O, Müller S, et al. Validation and standardization of the generalized anxiety disorder screener (GAD-7) in the general population. Med Care. 2008;46:266–74.CrossRefPubMed
29.
Bonevski B, Sanson-Fisher R, Girgis A, Burton L, Cook P, Boyes A. Evaluation of an instrument to assess the needs of patients with cancer. Supportive care review group. Cancer. 2000;88:217–25.CrossRefPubMed
30.
Boyes A, Girgis A, Lecathelinais C. Brief assessment of adult cancer patients’ perceived needs: development and validation of the 34-item Supportive Care Needs Survey (SCNS-SF34). J Eval Clin Pract. 2009;15:602–6.CrossRefPubMed
31.
Lehmann C, Koch U, Mehnert A. Psychometric properties of the German version of the Short-Form Supportive Care Needs Survey Questionnaire (SCNS-SF34-G). Support Care Cancer. 2012;20:2415–24.CrossRefPubMed
32.
Minstrell M, Winzenberg T, Rankin N, Hughes C, Walker J. Supportive care of rural women with breast cancer in Tasmania, Australia: changing needs over time. Psychooncology. 2008;17:58–65.CrossRefPubMed
33.
Griesser A, Vlastos G, Morel L, Beaume C, Sappino A, Haller G. Socio-demographic predictors of high support needs in newly diagnosed breast cancer patients. Eur J Cancer Care. 2011;20:466–74.CrossRef
34.
Lam WWT, Au AHY, Wong JHF, et al. Unmet supportive care needs: a cross-cultural comparison between Hong Kong Chinese and German Caucasian women with breast cancer. Breast Cancer Res Treat. 2011;130:531–41.CrossRefPubMed
35.
Maguire R, Papadopoulou C, Kotronoulas G, Simpson MF, McPhelim J, Irvine L. A systematic review of supportive care needs of people living with lung cancer. Eur J Oncol Nurs. 2013;17:449–64.CrossRefPubMed
36.
Smith A, Hyde YM, Stanford D. Supportive care needs of cancer patients: a literature review. Palliat Support Care. 2014:1–5.
37.
Boyes AW, Clinton-McHarg T, Waller AE, Steele A, D’Este CA, Sanson-Fisher RW. Prevalence and correlates of the unmet supportive care needs of individuals diagnosed with a haematological malignancy. Acta Oncol. 2014:1–8.
38.
Beesley VL, Price MA, Webb PM, O’Rourke P, Marquart L, Butow PN. Changes in supportive care needs after first-line treatment for ovarian cancer: identifying care priorities and risk factors for future unmet needs. Psychooncology. 2013;22:1565–71.CrossRefPubMed
39.
Kissane D. Beyond the psychotherapy and survival debate: the challenge of social disparity, depression and treatment adherence in psychosocial cancer care. Psychooncology. 2009;18:1–5.CrossRefPubMed
40.
Metadaten
Titel
Anxiety and fear of cancer recurrence and its association with supportive care needs and health-care service utilization in cancer patients
verfasst von
Susanne Sarkar
Leon Sautier
Georgia Schilling
Carsten Bokemeyer
Uwe Koch
Anja Mehnert
Publikationsdatum
01.12.2015
Verlag
Springer US
Erschienen in
Journal of Cancer Survivorship / Ausgabe 4/2015
Print ISSN: 1932-2259
Elektronische ISSN: 1932-2267
DOI
https://doi.org/10.1007/s11764-015-0434-2

Weitere Artikel der Ausgabe 4/2015

Journal of Cancer Survivorship 4/2015 Zur Ausgabe

OriginalPaper

Physical activity and survival among Hispanic and non-Hispanic white long-term breast cancer survivors and population-based controls

OriginalPaper

Hormonal dysfunction is frequent in cancer survivors treated with radiotherapy to the head and neck region

OriginalPaper

Comorbid condition care quality in cancer survivors: role of primary care and specialty providers and care coordination

Erratum

Erratum to: Sick leave and disability pension in Hodgkin lymphoma survivors by stage, treatment, and follow-up time—a population-based comparative study

Review

A systematic review of axillary web syndrome (AWS)

Review

Telephone, print, and Web-based interventions for physical activity, diet, and weight control among cancer survivors: a systematic review

Neu im Fachgebiet Onkologie

Adjuvante Immuntherapie verlängert Leben bei RCC

25.04.2024 Nierenkarzinom Nachrichten

Nun gibt es auch Resultate zum Gesamtüberleben: Eine adjuvante Pembrolizumab-Therapie konnte in einer Phase-3-Studie das Leben von Menschen mit Nierenzellkarzinom deutlich verlängern. Die Sterberate war im Vergleich zu Placebo um 38% geringer.

Alectinib verbessert krankheitsfreies Überleben bei ALK-positivem NSCLC

25.04.2024 NSCLC Nachrichten

Das Risiko für Rezidiv oder Tod von Patienten und Patientinnen mit reseziertem ALK-positivem NSCLC ist unter einer adjuvanten Therapie mit dem Tyrosinkinase-Inhibitor Alectinib signifikant geringer als unter platinbasierter Chemotherapie.

Bei Senioren mit Prostatakarzinom auf Anämie achten!

24.04.2024 DGIM 2024 Nachrichten

Patienten, die zur Behandlung ihres Prostatakarzinoms eine Androgendeprivationstherapie erhalten, entwickeln nicht selten eine Anämie. Wer ältere Patienten internistisch mitbetreut, sollte auf diese Nebenwirkung achten.

ICI-Therapie in der Schwangerschaft wird gut toleriert

23.04.2024 Medikamente in Schwangerschaft und Stillzeit Nachrichten

Müssen sich Schwangere einer Krebstherapie unterziehen, rufen Immuncheckpointinhibitoren offenbar nicht mehr unerwünschte Wirkungen hervor als andere Mittel gegen Krebs.

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise