期刊
GENERAL HOSPITAL PSYCHIATRY
卷 32, 期 2, 页码 169-175出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.genhosppsych.2009.11.017
关键词
Cancer; Anxiety; Fear of progression; Recurrence; Treatment satisfaction; Supportive need
类别
资金
- Korean Government (MOEHRD) [KRF-2006-351-E00013]
- Sungkyunkwan University [2009]
Objective: This study investigated the fear of progression (FoP) in cancer patients and the discriminant ability of the Fear of Progression Questionnaire (FoP-Q) against the Hospital Anxiety and Depression Scale (HADS), while also examining relationships between FoP, satisfaction outcomes and supportive needs. Method: The FoP-Q and HADS were administered to 112 cancer patients in Korea during June and July 2006. The FoP-Q totals and subscales, and the HADS scores were compared across three groups (patients with recurrence, patients with metastases and controls experiencing neither). Results: Comparison of the FoP-Q total score to HADS anxiety (HADS-A) and depression (HADS-D) scores showed higher FoP in the recurrence group compared to the control group (P=.009). Subscale score comparisons revealed a heightened affective reaction (P=.003) to cancer progression and fear of loss of autonomy (P=.011) in recurrence patients. FoP-Q score showed a moderate association with HADS-A (r=.54, P=.000) and a significant association with treatment satisfaction (r=.26, P=.007), medical staff and communication (r=.31, P=.001), and supportive needs (r=-.41, P=.000). Conclusion: The importance of providing supportive interventions tailored to the specific emotional concerns of cancer patients, assessed via appropriate, disease-specific instruments, and the need to pay special attention to the concerns of recurrence patients are suggested. (C) 2010 Elsevier Inc. All rights reserved.
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