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

Petrella, Anika; Storey, Lesley; Hulbert-Williams, Nicholas J; Fern, Lorna A; Lawal, Maria; Gerrand, Craig; Windsor, Rachael; ... Taylor, Rachel M; + view all (2023) Fear of Cancer Recurrence in Patients with Sarcoma in the United Kingdom. Cancers , 15 (3) , Article 956. 10.3390/cancers15030956. Green open access

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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.

Type: Article
Title: Fear of Cancer Recurrence in Patients with Sarcoma in the United Kingdom
Location: Switzerland
Open access status: An open access version is available from UCL Discovery
DOI: 10.3390/cancers15030956
Publisher version: http://dx.doi.org/10.3390/cancers15030956
Language: English
Additional information: Copyright: © 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/)
Keywords: Science & Technology, Life Sciences & Biomedicine, Oncology, sarcoma, fear of recurrence, psychological flexibility, distress, psychological impact, PSYCHOLOGICAL FLEXIBILITY, COMMITMENT THERAPY, ACCEPTANCE, PROGRESSION, VALIDATION, ANXIETY, DISEASE, HEALTH, MODEL
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci > Department of Ortho and MSK Science
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci > Department of Targeted Intervention
URI: https://discovery.ucl.ac.uk/id/eprint/10187024
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