Fear of cancer recurrence and associations with mental health status and individual characteristics among cancer survivors: Findings from a nationally representative sample

Research output: Contribution to journalArticle

Abstract

Purpose: To describe the prevalence of fear of cancer recurrence (FCR) and test its associations with validated mental health status measures. Design: Cross-sectional survey using the Medical Expenditure Panel Survey Experiences with Cancer Survivorship Supplement. Sample: Post-treatment cancer survivors (n = 1032). Methods: Survey-weighted U.S. population-based estimates describe the prevalence of sociodemographic, health and mental health characteristics of cancer survivors by their level of FCR. Multinomial logistic regression was used to test associations of validated measures of mental health status and individual characteristics on levels of FCR in unadjusted models and those controlling for sociodemographic and health characteristics. Findings: Overall, 34.3% of cancer survivors reported no FCR, 54.4% reported low FCR, and 11.3% reported high FCR. Cancer survivors were at increased risk of reporting high FCR relative to no FCR if they had a low 12-item Short Form Health Survey Mental Component Summary score (≤48) compared to high scores (odds ratio = 2.88; 95% confidence interval = 1.57, 5.29). Reporting depressive symptoms or psychological distress did not significantly increase the risk of reporting high or low FCR relative to no FCR. Conclusions: To our knowledge, this study is the first to provide U.S. population-based estimates of associations between FCR and individual and health characteristics. Implications for Psychosocial Providers or Policy: Our results provide valuable information about which survivors are most at-risk for FCR. Future research is needed to more clearly differentiate FCR from other constructs.

Original languageEnglish (US)
JournalJournal of Psychosocial Oncology
DOIs
StateAccepted/In press - Jan 1 2019

Fingerprint

Health Status
Fear
Survivors
Recurrence
Neoplasms
Mental Health
Health
Health Expenditures
Health Surveys
Population

Keywords

  • anxiety
  • cancer survivors
  • depression
  • fear
  • survivorship

ASJC Scopus subject areas

  • Oncology
  • Applied Psychology
  • Psychiatry and Mental health

Cite this

@article{2e04bc029c594284ba42980e1877972e,
title = "Fear of cancer recurrence and associations with mental health status and individual characteristics among cancer survivors: Findings from a nationally representative sample",
abstract = "Purpose: To describe the prevalence of fear of cancer recurrence (FCR) and test its associations with validated mental health status measures. Design: Cross-sectional survey using the Medical Expenditure Panel Survey Experiences with Cancer Survivorship Supplement. Sample: Post-treatment cancer survivors (n = 1032). Methods: Survey-weighted U.S. population-based estimates describe the prevalence of sociodemographic, health and mental health characteristics of cancer survivors by their level of FCR. Multinomial logistic regression was used to test associations of validated measures of mental health status and individual characteristics on levels of FCR in unadjusted models and those controlling for sociodemographic and health characteristics. Findings: Overall, 34.3{\%} of cancer survivors reported no FCR, 54.4{\%} reported low FCR, and 11.3{\%} reported high FCR. Cancer survivors were at increased risk of reporting high FCR relative to no FCR if they had a low 12-item Short Form Health Survey Mental Component Summary score (≤48) compared to high scores (odds ratio = 2.88; 95{\%} confidence interval = 1.57, 5.29). Reporting depressive symptoms or psychological distress did not significantly increase the risk of reporting high or low FCR relative to no FCR. Conclusions: To our knowledge, this study is the first to provide U.S. population-based estimates of associations between FCR and individual and health characteristics. Implications for Psychosocial Providers or Policy: Our results provide valuable information about which survivors are most at-risk for FCR. Future research is needed to more clearly differentiate FCR from other constructs.",
keywords = "anxiety, cancer survivors, depression, fear, survivorship",
author = "Reed, {Sarah C.} and Bell, {Janice F.} and Miglioretti, {Diana L.} and Larissa Nekhlyudov and Nathan Fairman and Joseph, {Jill G.}",
year = "2019",
month = "1",
day = "1",
doi = "10.1080/07347332.2019.1649338",
language = "English (US)",
journal = "Journal of Psychosocial Oncology",
issn = "0734-7332",
publisher = "Routledge",

}

TY - JOUR

T1 - Fear of cancer recurrence and associations with mental health status and individual characteristics among cancer survivors

T2 - Findings from a nationally representative sample

AU - Reed, Sarah C.

AU - Bell, Janice F.

AU - Miglioretti, Diana L.

AU - Nekhlyudov, Larissa

AU - Fairman, Nathan

AU - Joseph, Jill G.

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Purpose: To describe the prevalence of fear of cancer recurrence (FCR) and test its associations with validated mental health status measures. Design: Cross-sectional survey using the Medical Expenditure Panel Survey Experiences with Cancer Survivorship Supplement. Sample: Post-treatment cancer survivors (n = 1032). Methods: Survey-weighted U.S. population-based estimates describe the prevalence of sociodemographic, health and mental health characteristics of cancer survivors by their level of FCR. Multinomial logistic regression was used to test associations of validated measures of mental health status and individual characteristics on levels of FCR in unadjusted models and those controlling for sociodemographic and health characteristics. Findings: Overall, 34.3% of cancer survivors reported no FCR, 54.4% reported low FCR, and 11.3% reported high FCR. Cancer survivors were at increased risk of reporting high FCR relative to no FCR if they had a low 12-item Short Form Health Survey Mental Component Summary score (≤48) compared to high scores (odds ratio = 2.88; 95% confidence interval = 1.57, 5.29). Reporting depressive symptoms or psychological distress did not significantly increase the risk of reporting high or low FCR relative to no FCR. Conclusions: To our knowledge, this study is the first to provide U.S. population-based estimates of associations between FCR and individual and health characteristics. Implications for Psychosocial Providers or Policy: Our results provide valuable information about which survivors are most at-risk for FCR. Future research is needed to more clearly differentiate FCR from other constructs.

AB - Purpose: To describe the prevalence of fear of cancer recurrence (FCR) and test its associations with validated mental health status measures. Design: Cross-sectional survey using the Medical Expenditure Panel Survey Experiences with Cancer Survivorship Supplement. Sample: Post-treatment cancer survivors (n = 1032). Methods: Survey-weighted U.S. population-based estimates describe the prevalence of sociodemographic, health and mental health characteristics of cancer survivors by their level of FCR. Multinomial logistic regression was used to test associations of validated measures of mental health status and individual characteristics on levels of FCR in unadjusted models and those controlling for sociodemographic and health characteristics. Findings: Overall, 34.3% of cancer survivors reported no FCR, 54.4% reported low FCR, and 11.3% reported high FCR. Cancer survivors were at increased risk of reporting high FCR relative to no FCR if they had a low 12-item Short Form Health Survey Mental Component Summary score (≤48) compared to high scores (odds ratio = 2.88; 95% confidence interval = 1.57, 5.29). Reporting depressive symptoms or psychological distress did not significantly increase the risk of reporting high or low FCR relative to no FCR. Conclusions: To our knowledge, this study is the first to provide U.S. population-based estimates of associations between FCR and individual and health characteristics. Implications for Psychosocial Providers or Policy: Our results provide valuable information about which survivors are most at-risk for FCR. Future research is needed to more clearly differentiate FCR from other constructs.

KW - anxiety

KW - cancer survivors

KW - depression

KW - fear

KW - survivorship

UR - http://www.scopus.com/inward/record.url?scp=85073944026&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85073944026&partnerID=8YFLogxK

U2 - 10.1080/07347332.2019.1649338

DO - 10.1080/07347332.2019.1649338

M3 - Article

C2 - 31510882

AN - SCOPUS:85073944026

JO - Journal of Psychosocial Oncology

JF - Journal of Psychosocial Oncology

SN - 0734-7332

ER -