Skip to main content
Erschienen in: Supportive Care in Cancer 11/2012

01.11.2012 | Original Article

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

verfasst von: B. Thewes, P. Butow, M. L. Bell, J. Beith, R. Stuart-Harris, M. Grossi, A. Capp, D. Dalley, the FCR Study Advisory Committee

Erschienen in: Supportive Care in Cancer | Ausgabe 11/2012

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Fear of cancer recurrence (FCR) is common and associated with younger age. This study aimed to explore the prevalence and correlates of FCR amongst younger survivors of early breast cancer.

Subjects

A total of 218 women aged 18–45 were diagnosed with stage 0–2 breast cancer at least 1 year earlier.

Methods

The participants completed a web-based survey including a validated measure of FCR and items exploring medical surveillance practices and health care use.

Results

A total of 70% of participants reported clinical levels of FCR. Higher FCR was associated with higher frequency of unscheduled visits to the GP, higher frequency of breast self-examination and other forms of self-examination for cancer, not having mammograms or ultrasounds or other forms of cancer screening in the past year, more complementary therapy use and the use of counselling and support groups.

Conclusions

Young women with breast cancer are particularly vulnerable to FCR. The present study provides preliminary evidence that FCR is associated with higher health costs and lower surveillance rates which may compromise health outcomes. Routine screening for FCR in follow-up care is recommended.
Literatur
1.
Zurück zum Zitat Saphner T, Tormey D, Gray R (1996) Annual hazard rates of recurrence for breast cancer after primary therapy. J Clin Oncol 14(10):2738–2746PubMed Saphner T, Tormey D, Gray R (1996) Annual hazard rates of recurrence for breast cancer after primary therapy. J Clin Oncol 14(10):2738–2746PubMed
2.
Zurück zum Zitat Vickberg SMJ (2003) The Concerns About Recurrence Scale (CARS): a systematic measure of women’s fears about the possibility of breast cancer reccurrence. Ann Behav Med 25(1):16–24PubMedCrossRef Vickberg SMJ (2003) The Concerns About Recurrence Scale (CARS): a systematic measure of women’s fears about the possibility of breast cancer reccurrence. Ann Behav Med 25(1):16–24PubMedCrossRef
3.
Zurück zum Zitat Lee-Jones C, Humphries G, Dixon R, Hatcher M (1997) Fear of cancer recurrence; a literature review and proposed cognitive formulation to explain the exacerbation of fears. Psycho-Oncology 6:95–105PubMedCrossRef Lee-Jones C, Humphries G, Dixon R, Hatcher M (1997) Fear of cancer recurrence; a literature review and proposed cognitive formulation to explain the exacerbation of fears. Psycho-Oncology 6:95–105PubMedCrossRef
4.
Zurück zum Zitat Simard S, Savard J (2009) Fear of Cancer Recurrence Inventory: development and initial validation of a multidimensional measure of fear of cancer recurrence. Support Care Cancer 17(3):241–251PubMedCrossRef Simard S, Savard J (2009) Fear of Cancer Recurrence Inventory: development and initial validation of a multidimensional measure of fear of cancer recurrence. Support Care Cancer 17(3):241–251PubMedCrossRef
5.
Zurück zum Zitat Baker F, Denniston M, Smith T, West M (2005) Adult cancer survivors: how are they faring? Cancer 104(11 Suppl):2565–2576PubMedCrossRef Baker F, Denniston M, Smith T, West M (2005) Adult cancer survivors: how are they faring? Cancer 104(11 Suppl):2565–2576PubMedCrossRef
6.
Zurück zum Zitat Armes J, Crowe M, Colbourne L, Morgan H, Murrells T, Oakley C, Palmer N, Ream E, Young A, Richardson A (2009) Patients’ supportive care needs beyond the end of cancer treatment: a prospective, longitudinal survey. J Clin Oncol 27(36):6172–6179PubMedCrossRef Armes J, Crowe M, Colbourne L, Morgan H, Murrells T, Oakley C, Palmer N, Ream E, Young A, Richardson A (2009) Patients’ supportive care needs beyond the end of cancer treatment: a prospective, longitudinal survey. J Clin Oncol 27(36):6172–6179PubMedCrossRef
7.
Zurück zum Zitat Hodgkinson K, Butow P, Hunt GE, Pendlebury S, Hobbs KM, Wain G (2007) Breast cancer survivors’ supportive care needs 2–10 years after diagnosis. Support Care Cancer 15(5):515–523, Epub 2006 Nov 2021PubMedCrossRef Hodgkinson K, Butow P, Hunt GE, Pendlebury S, Hobbs KM, Wain G (2007) Breast cancer survivors’ supportive care needs 2–10 years after diagnosis. Support Care Cancer 15(5):515–523, Epub 2006 Nov 2021PubMedCrossRef
8.
Zurück zum Zitat Sanson-Fisher R, Girgis A, Boyes A, Bonevski B, Burton L, Cook P, Group at SCR (2000) The unmet supportive care needs of patients with cancer. Cancer 88(1):226–238PubMedCrossRef Sanson-Fisher R, Girgis A, Boyes A, Bonevski B, Burton L, Cook P, Group at SCR (2000) The unmet supportive care needs of patients with cancer. Cancer 88(1):226–238PubMedCrossRef
9.
Zurück zum Zitat Simard S, Savard J (2008) Screening and psychiatric comorbidity of clinical fear of cancer recurrence. Paper presented at the 4th Canadian Breast Cancer Research Alliance Reasons for Hope Scientific Conference, Vancouver, Canada Simard S, Savard J (2008) Screening and psychiatric comorbidity of clinical fear of cancer recurrence. Paper presented at the 4th Canadian Breast Cancer Research Alliance Reasons for Hope Scientific Conference, Vancouver, Canada
10.
Zurück zum Zitat Glynne-Jones R, Chait I, Thomas F (1997) When and how to discharge cancer survivors in long term remission from follow-up: the effectiveness of a contract. Clin Oncol 9(1):25–29CrossRef Glynne-Jones R, Chait I, Thomas F (1997) When and how to discharge cancer survivors in long term remission from follow-up: the effectiveness of a contract. Clin Oncol 9(1):25–29CrossRef
11.
Zurück zum Zitat Hart S, Latini D, Cowan J, Carroll P, CaPSURE Investigators (2008) Fear of recurrence, treatment satisfaction, and quality of life after radical prostatectomy for prostate cancer. Support Cancer Care 16:161–169CrossRef Hart S, Latini D, Cowan J, Carroll P, CaPSURE Investigators (2008) Fear of recurrence, treatment satisfaction, and quality of life after radical prostatectomy for prostate cancer. Support Cancer Care 16:161–169CrossRef
12.
Zurück zum Zitat Burstein H, Gelber S, Guadognoli E, Weeks J (1999) The use of alternative medicine by women with early-stage breast cancer. N Engl J Med 340(22):1733–1739PubMedCrossRef Burstein H, Gelber S, Guadognoli E, Weeks J (1999) The use of alternative medicine by women with early-stage breast cancer. N Engl J Med 340(22):1733–1739PubMedCrossRef
13.
Zurück zum Zitat Curran D, van Dongen JP, Aaronson NK, Kiebert G, Fentiman IS, Mignolet F, Bartelink H (1998) Quality of life of early-stage breast cancer patients treated with radical mastectomy or breast-conserving procedures: results of EORTC Trial 10801. The European Organization for Research and Treatment of Cancer (EORTC), Breast Cancer Co-operative Group (BCCG). Eur J Cancer 34(3):307–314PubMedCrossRef Curran D, van Dongen JP, Aaronson NK, Kiebert G, Fentiman IS, Mignolet F, Bartelink H (1998) Quality of life of early-stage breast cancer patients treated with radical mastectomy or breast-conserving procedures: results of EORTC Trial 10801. The European Organization for Research and Treatment of Cancer (EORTC), Breast Cancer Co-operative Group (BCCG). Eur J Cancer 34(3):307–314PubMedCrossRef
14.
Zurück zum Zitat Hartl K, Janni W, Kastner R, Sommer H, Strobl B, Rack B, Stauber M (2003) Impact of medical and demographic factors on long-term quality of life and body image of breast cancer patients. Ann Oncol 14(7):1064–1071PubMedCrossRef Hartl K, Janni W, Kastner R, Sommer H, Strobl B, Rack B, Stauber M (2003) Impact of medical and demographic factors on long-term quality of life and body image of breast cancer patients. Ann Oncol 14(7):1064–1071PubMedCrossRef
15.
Zurück zum Zitat Mast ME (1998) Survivors of breast cancer: illness uncertainty, positive reappraisal, and emotional distress. Oncol Nurs Forum 25(3):555–562PubMed Mast ME (1998) Survivors of breast cancer: illness uncertainty, positive reappraisal, and emotional distress. Oncol Nurs Forum 25(3):555–562PubMed
16.
Zurück zum Zitat Stanton AL, Danoff-Burg S, Huggins ME (2002) The first year after breast cancer diagnosis: hope and coping strategies as predictors of adjustment. Psycho-Oncology 11(2):93–102PubMedCrossRef Stanton AL, Danoff-Burg S, Huggins ME (2002) The first year after breast cancer diagnosis: hope and coping strategies as predictors of adjustment. Psycho-Oncology 11(2):93–102PubMedCrossRef
17.
Zurück zum Zitat Thewes B, Butow P, Girgis A, Pendlebury P (2004) The psychosocial needs of breast cancer survivors; a qualitative study of the shared and unique needs of younger versus older breast cancer survivors. Psycho-Oncology 13(3):177–189PubMedCrossRef Thewes B, Butow P, Girgis A, Pendlebury P (2004) The psychosocial needs of breast cancer survivors; a qualitative study of the shared and unique needs of younger versus older breast cancer survivors. Psycho-Oncology 13(3):177–189PubMedCrossRef
18.
Zurück zum Zitat Walker BL (1997) Adjustment of husbands and wives to breast cancer. Cancer Pract 5(2):92–98PubMed Walker BL (1997) Adjustment of husbands and wives to breast cancer. Cancer Pract 5(2):92–98PubMed
19.
Zurück zum Zitat Khatcheressian J, Wolff A, Smith T, Grunfeld E, Muss HV, Vogel V, Halberg F, Somerfield M, Davidson N (2006) American Society of Clinical Oncology 2006 update of the breast cancer follow-up and management guidelines in the adjuvant setting. J Clin Oncol 24(31):5091–5097PubMedCrossRef Khatcheressian J, Wolff A, Smith T, Grunfeld E, Muss HV, Vogel V, Halberg F, Somerfield M, Davidson N (2006) American Society of Clinical Oncology 2006 update of the breast cancer follow-up and management guidelines in the adjuvant setting. J Clin Oncol 24(31):5091–5097PubMedCrossRef
20.
Zurück zum Zitat Oh B, Butow P, Mullan B, Clarke S, Tattersall MHN, Boyer M, Beale P, Vardy J, Pavlakis NLL (2010) Patient–doctor communication: the use of complementary and alternative medicine by adult patients with cancer. J Soc Integr Oncol 8(2):56–64PubMed Oh B, Butow P, Mullan B, Clarke S, Tattersall MHN, Boyer M, Beale P, Vardy J, Pavlakis NLL (2010) Patient–doctor communication: the use of complementary and alternative medicine by adult patients with cancer. J Soc Integr Oncol 8(2):56–64PubMed
21.
Zurück zum Zitat Thewes B, Butow P, Zachariae R, Christensen S, Simard S, Gotay C (2011) Fear of cancer recurrence: a systematic literature review of self-report measures. Psycho-Oncology. doi:10.1002/pon.2070 Thewes B, Butow P, Zachariae R, Christensen S, Simard S, Gotay C (2011) Fear of cancer recurrence: a systematic literature review of self-report measures. Psycho-Oncology. doi:10.​1002/​pon.​2070
22.
23.
Zurück zum Zitat Partridge AH, Gelber S, Peppercorn J, Sampson E, Knudsen K, Laufer M, Rosenberg R, Przypyszny M, Rein A, Winer EP (2004) Web-based survey of fertility issues in young women with breast cancer. J Clin Oncol 22(20):4174–4183PubMedCrossRef Partridge AH, Gelber S, Peppercorn J, Sampson E, Knudsen K, Laufer M, Rosenberg R, Przypyszny M, Rein A, Winer EP (2004) Web-based survey of fertility issues in young women with breast cancer. J Clin Oncol 22(20):4174–4183PubMedCrossRef
24.
Zurück zum Zitat Humphris GM, Ozackinci G (2008) The AFTER intervention: a structured psychological approach to reduce fears of recurrence in patients with head and neck cancer. Br J Heal Psychol 13(2):223–230CrossRef Humphris GM, Ozackinci G (2008) The AFTER intervention: a structured psychological approach to reduce fears of recurrence in patients with head and neck cancer. Br J Heal Psychol 13(2):223–230CrossRef
Metadaten
Titel
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
verfasst von
B. Thewes
P. Butow
M. L. Bell
J. Beith
R. Stuart-Harris
M. Grossi
A. Capp
D. Dalley
the FCR Study Advisory Committee
Publikationsdatum
01.11.2012
Verlag
Springer-Verlag
Erschienen in
Supportive Care in Cancer / Ausgabe 11/2012
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-011-1371-x

Weitere Artikel der Ausgabe 11/2012

Supportive Care in Cancer 11/2012 Zur Ausgabe

Update Onkologie

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