1. Prevalence and clinical and psychological correlates of high fear of cancer recurrence in patients newly diagnosed with head and neck cancer.
- Author
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Mirosevic S, Thewes B, van Herpen C, Kaanders J, Merkx T, Humphris G, Baatenburg de Jong RJ, Langendijk JA, Leemans CR, Terhaard CHJ, Verdonck-de Leeuw IM, Takes R, and Prins J
- Subjects
- Anxiety complications, Anxiety epidemiology, Cross-Sectional Studies, Depressive Disorder, Major complications, Depressive Disorder, Major epidemiology, Disease Progression, Female, Humans, Interview, Psychological, Male, Middle Aged, Prevalence, Regression Analysis, Surveys and Questionnaires, Cancer Survivors psychology, Fear, Head and Neck Neoplasms psychology, Neoplasm Recurrence, Local psychology
- Abstract
Background: Patients with head and neck cancer (HNC) are vulnerable to fear of cancer recurrence (FCR) and psychiatric morbidity. We investigated the prevalence of high FCR and demographic, clinical, psychological, and psychiatric factors associated with high FCR prior to the start of the treatment., Methods: In a cross-sectional substudy of the large ongoing prospective NET-QUBIC study questionnaires and psychiatric interviews of 216 patients newly diagnosed with HNC were analyzed., Results: High FCR was observed in 52.8% of patients and among those 21.1% also had a lifetime history of selected anxiety or major depressive disorder. FCR was not related to any clinical characteristics; however, younger age, higher anxiety symptoms, introversion, greater needs for support regarding sexuality, and being an exsmoker were significantly associated with higher FCR., Conclusion: Factors associated with high FCR provide us with a better conceptual understanding of FCR in patients newly diagnosed with HNC., (© 2019 The Authors. Head & Neck published by Wiley Periodicals, Inc.)
- Published
- 2019
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