Fear of Cancer Recurrence in Patients with Sarcoma in the United Kingdom

Anika Petrella; Lesley Storey; Nicholas J. Hulbert-Williams; Lorna A. Fern; Maria Lawal; Craig Gerrand; Rachael Windsor; Julie Woodford; Jennie Bradley; Hatty O’Sullivan; Mary Wells; Rachel M. Taylor

doi:10.3390/cancers15030956

Fear of Cancer Recurrence in Patients with Sarcoma in the United Kingdom

Anika Petrella, Lesley Storey, Nicholas J. Hulbert-Williams, Lorna A. Fern, Maria Lawal, Craig Gerrand, Rachael Windsor, Julie Woodford, Jennie Bradley, Hatty O’Sullivan, Mary Wells, Rachel M. Taylor

Psychology

Research output: Contribution to journal › Article (journal) › peer-review

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Abstract

Fear of cancer recurrence (FCR) is a persistent concern among those living with cancer and is associated with a variety of negative psychosocial outcomes. However, people with sarcoma have been underrepresented within this area of research. We aimed to determine the prevalence of FCR experienced by people with sarcoma in the United Kingdom and explore factors that may predict FCR, such as the perceived impact of cancer and psychological flexibility. Participants (n = 229) with soft tissue (n = 167), bone (n = 25), and gastrointestinal stromal tumours (n = 33) completed an online survey including the self-reported measures of FCR, the perceived physical and psychological impact of cancer and psychological flexibility, and demographic information. Data were analysed using ANOVA and multiple regression modelling. Mean FCR scores (M = 91.4; SD = 26.5) were higher than those reported in meta-analytic data inclusive of all cancer types (M = 65.2; SD = 28.2). Interest in receiving support for FCR was also high (70%). Significant factors associated with FCR included cognitive and emotional distress and psychological flexibility, but not perceptions of the physical impact of cancer (R2 = 0.56). The negative association between psychological flexibility and FCR suggests the potential benefit of intervention approaches which foster psychological flexibility, such as acceptance and commitment therapy.

Original language	English
Pages (from-to)	956
Number of pages	1
Journal	Cancers
Volume	15
Issue number	3
Early online date	2 Feb 2023
DOIs	https://doi.org/10.3390/cancers15030956
Publication status	Published - 1 Mar 2023

Keywords

Cancer Research
Oncology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.3390/cancers15030956

cancers-15-00956-v2Final published version, 266 KBLicence: CC BY

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title = "Fear of Cancer Recurrence in Patients with Sarcoma in the United Kingdom",

abstract = "Fear of cancer recurrence (FCR) is a persistent concern among those living with cancer and is associated with a variety of negative psychosocial outcomes. However, people with sarcoma have been underrepresented within this area of research. We aimed to determine the prevalence of FCR experienced by people with sarcoma in the United Kingdom and explore factors that may predict FCR, such as the perceived impact of cancer and psychological flexibility. Participants (n = 229) with soft tissue (n = 167), bone (n = 25), and gastrointestinal stromal tumours (n = 33) completed an online survey including the self-reported measures of FCR, the perceived physical and psychological impact of cancer and psychological flexibility, and demographic information. Data were analysed using ANOVA and multiple regression modelling. Mean FCR scores (M = 91.4; SD = 26.5) were higher than those reported in meta-analytic data inclusive of all cancer types (M = 65.2; SD = 28.2). Interest in receiving support for FCR was also high (70%). Significant factors associated with FCR included cognitive and emotional distress and psychological flexibility, but not perceptions of the physical impact of cancer (R2 = 0.56). The negative association between psychological flexibility and FCR suggests the potential benefit of intervention approaches which foster psychological flexibility, such as acceptance and commitment therapy.",

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AU - Petrella, Anika

AU - Storey, Lesley

AU - Hulbert-Williams, Nicholas J.

AU - Fern, Lorna A.

AU - Lawal, Maria

AU - Gerrand, Craig

AU - Windsor, Rachael

AU - Woodford, Julie

AU - Bradley, Jennie

AU - O’Sullivan, Hatty

AU - Wells, Mary

AU - Taylor, Rachel M.

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N2 - Fear of cancer recurrence (FCR) is a persistent concern among those living with cancer and is associated with a variety of negative psychosocial outcomes. However, people with sarcoma have been underrepresented within this area of research. We aimed to determine the prevalence of FCR experienced by people with sarcoma in the United Kingdom and explore factors that may predict FCR, such as the perceived impact of cancer and psychological flexibility. Participants (n = 229) with soft tissue (n = 167), bone (n = 25), and gastrointestinal stromal tumours (n = 33) completed an online survey including the self-reported measures of FCR, the perceived physical and psychological impact of cancer and psychological flexibility, and demographic information. Data were analysed using ANOVA and multiple regression modelling. Mean FCR scores (M = 91.4; SD = 26.5) were higher than those reported in meta-analytic data inclusive of all cancer types (M = 65.2; SD = 28.2). Interest in receiving support for FCR was also high (70%). Significant factors associated with FCR included cognitive and emotional distress and psychological flexibility, but not perceptions of the physical impact of cancer (R2 = 0.56). The negative association between psychological flexibility and FCR suggests the potential benefit of intervention approaches which foster psychological flexibility, such as acceptance and commitment therapy.

AB - Fear of cancer recurrence (FCR) is a persistent concern among those living with cancer and is associated with a variety of negative psychosocial outcomes. However, people with sarcoma have been underrepresented within this area of research. We aimed to determine the prevalence of FCR experienced by people with sarcoma in the United Kingdom and explore factors that may predict FCR, such as the perceived impact of cancer and psychological flexibility. Participants (n = 229) with soft tissue (n = 167), bone (n = 25), and gastrointestinal stromal tumours (n = 33) completed an online survey including the self-reported measures of FCR, the perceived physical and psychological impact of cancer and psychological flexibility, and demographic information. Data were analysed using ANOVA and multiple regression modelling. Mean FCR scores (M = 91.4; SD = 26.5) were higher than those reported in meta-analytic data inclusive of all cancer types (M = 65.2; SD = 28.2). Interest in receiving support for FCR was also high (70%). Significant factors associated with FCR included cognitive and emotional distress and psychological flexibility, but not perceptions of the physical impact of cancer (R2 = 0.56). The negative association between psychological flexibility and FCR suggests the potential benefit of intervention approaches which foster psychological flexibility, such as acceptance and commitment therapy.

KW - Cancer Research

KW - Oncology

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DO - 10.3390/cancers15030956

M3 - Article (journal)

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VL - 15

SP - 956

JO - Cancers

JF - Cancers

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ER -

Fear of Cancer Recurrence in Patients with Sarcoma in the United Kingdom

Abstract

Keywords

UN SDGs

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