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dc.contributor.authorSmith, Allan 'Ben'
dc.contributor.authorSharpe, Louise
dc.contributor.authorThewes, Belinda
dc.contributor.authorTurner, Jane
dc.contributor.authorGilchrist, Jemma
dc.contributor.authorFardell, Joanna E
dc.contributor.authorGirgis, Afaf
dc.contributor.authorTesson, Stephanie
dc.contributor.authorDescallar, Joseph
dc.contributor.authorBell, Melanie L
dc.contributor.authorBeith, Jane
dc.contributor.authorButow, Phyllis
dc.date.accessioned2019-03-04T18:45:31Z
dc.date.available2019-03-04T18:45:31Z
dc.date.issued2018-06-07
dc.identifier.citationSmith, A.., Sharpe, L., Thewes, B. et al. Support Care Cancer (2018) 26: 4207. https://doi.org/10.1007/s00520-018-4294-yen_US
dc.identifier.issn1433-7339
dc.identifier.pmid29882025
dc.identifier.doi10.1007/s00520-018-4294-y
dc.identifier.urihttp://hdl.handle.net/10150/631767
dc.description.abstractDespite the prevalence of fear of cancer recurrence (FCR), understanding of factors underlying clinically significant FCR is limited. This study examined factors associated with greater FCR morbidity, according to a cognitive processing model, in cancer survivors who screened positively for clinically significant FCR seeking psychological treatment through the ConquerFear trial. Participants had completed treatment for breast, colorectal or melanoma cancer 2 months to 5 years previously and scored ≥ 13/36 on the Fear of Cancer Recurrence Inventory-Short Form (FCRI-SF). Hierarchical regression analyses examined associations between demographic, medical and psychological variables, namely metacognitions (MCQ-30), post-traumatic stress symptoms (IES-R) and FCR (FCRI total score). Two hundred and ten (95%) of the 222 cancer survivors who consented to the ConquerFear trial completed the baseline questionnaire. Participants were predominantly (89%) breast cancer survivors. The final regression model accounted for 68% of the variance in FCR (demographic and medical variables 13%, metacognitions 26%, post-traumatic stress symptoms 28%). Negative metacognitive beliefs about worry and intrusive post-traumatic stress symptoms were significant individual correlates of FCR, but negative beliefs about worry did not significantly moderate the impact of intrusions on FCR morbidity. Results provide partial support for the cognitive processing model of FCR. Psychological factors were found to play an important role in FCR morbidity after controlling for demographic/medical factors. More intrusive thoughts and negative beliefs about worry were strong independent predictors of FCR morbidity. Cancer survivors with clinically significant FCR may benefit from assessment for intrusive thoughts and metacognitions and delivery of trauma- and/or metacognitive-based interventions accordingly.en_US
dc.description.sponsorshipbeyondblue; National Breast Cancer Foundation; Cancer Australia; Cancer Institute NSWgrant; NHMRCen_US
dc.language.isoenen_US
dc.publisherSPRINGERen_US
dc.rights© Springer-Verlag GmbH Germany, part of Springer Nature 2018.en_US
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/
dc.subjectCanceren_US
dc.subjectFear of cancer recurrenceen_US
dc.subjectMetacognitionsen_US
dc.subjectPost-traumatic stressen_US
dc.subjectSupportive careen_US
dc.subjectSurvivorshipen_US
dc.titleMedical, demographic and psychological correlates of fear of cancer recurrence (FCR) morbidity in breast, colorectal and melanoma cancer survivors with probable clinically significant FCR seeking psychological treatment through the ConquerFear studyen_US
dc.typeArticleen_US
dc.contributor.departmentUniv Arizona, Epidemiol & Biostaten_US
dc.identifier.journalSUPPORTIVE CARE IN CANCERen_US
dc.description.note12 month embargo; published 7 June 2018en_US
dc.description.collectioninformationThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.en_US
dc.eprint.versionFinal accepted manuscripten_US
dc.source.journaltitleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer


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