TY - JOUR
T1 - Prospective longitudinal study on fear of cancer recurrence in patients newly diagnosed with head and neck cancer
T2 - Course, trajectories, and associated factors
AU - Deuning-Smit, Esther
AU - Custers, José A.E.
AU - Miroševič, Špela
AU - Takes, Robert P.
AU - Jansen, Femke
AU - Langendijk, Johannes A.
AU - Terhaard, Chris H.J.
AU - Baatenburg de Jong, Robert J.
AU - Leemans, C. René
AU - Smit, Johannes H.
AU - Kwakkenbos, Linda
AU - Verdonck-de Leeuw, Irma M.
AU - Prins, Judith B.
N1 - Funding Information: Dutch Cancer Society, Grant/Award Number: VU 2013–5930
Publisher Copyright: © 2022 The Authors. Head & Neck published by Wiley Periodicals LLC.
PY - 2022/4
Y1 - 2022/4
N2 - Background: This study assessed the course of fear of cancer recurrence (FCR) in patients newly diagnosed with head and neck cancer (HNC), identified FCR trajectories and factors associated with FCR trajectories. Methods: Six hundred and seventeen HNC patients from the NET-QUBIC cohort study completed the Cancer Worry Scale-6 at diagnosis, 3 and 6 months post-treatment. FCR trajectories were identified using Latent Class Growth Analysis. Associations were explored between FCR trajectories and baseline demographic and medical variables, coping and self-efficacy. Results: Overall, FCR decreased slightly between baseline and 3 months post-treatment and remained stable up to 6 months. Two FCR trajectories were identified: “high stable” (n = 125) and “low declining” (n = 492). Patients with high stable FCR were younger, reported more negative adjustment, passive coping, and reassuring thoughts, and less avoidance. Conclusions: The majority of HNC patients have low declining FCR after diagnosis, but one in five patients experience persistent high FCR up to 6 months post-treatment.
AB - Background: This study assessed the course of fear of cancer recurrence (FCR) in patients newly diagnosed with head and neck cancer (HNC), identified FCR trajectories and factors associated with FCR trajectories. Methods: Six hundred and seventeen HNC patients from the NET-QUBIC cohort study completed the Cancer Worry Scale-6 at diagnosis, 3 and 6 months post-treatment. FCR trajectories were identified using Latent Class Growth Analysis. Associations were explored between FCR trajectories and baseline demographic and medical variables, coping and self-efficacy. Results: Overall, FCR decreased slightly between baseline and 3 months post-treatment and remained stable up to 6 months. Two FCR trajectories were identified: “high stable” (n = 125) and “low declining” (n = 492). Patients with high stable FCR were younger, reported more negative adjustment, passive coping, and reassuring thoughts, and less avoidance. Conclusions: The majority of HNC patients have low declining FCR after diagnosis, but one in five patients experience persistent high FCR up to 6 months post-treatment.
UR - http://www.scopus.com/inward/record.url?scp=85123725782&partnerID=8YFLogxK
U2 - 10.1002/hed.26985
DO - 10.1002/hed.26985
M3 - Article
C2 - 35084079
AN - SCOPUS:85123725782
SN - 1043-3074
VL - 44
SP - 914
EP - 925
JO - Head and Neck
JF - Head and Neck
IS - 4
ER -