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06-01-2020

Testing a model of fear of cancer recurrence or progression: the central role of intrusions, death anxiety and threat appraisal

Auteurs: L. Curran, L. Sharpe, C. MacCann, P. Butow

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 2/2020

Abstract

We recently proposed a model of cancer-related anxiety to account for the etiology and maintenance of clinically significant anxiety in the context of cancer. This study tested predictions arising from the model to explain fear of cancer recurrence or progression (FCR). Patients with cancer were recruited from a research registry or outpatient hospital clinics (n = 211). In bivariate analyses, FCR was associated with metacognitive beliefs, intolerance of uncertainty, core belief disruption, less meaning in life, social constraints, death anxiety, intrusions, threat appraisal, and coping. A hierarchical regression explained 65% of the variance in FCR. FCR was predicted by younger age, intrusions, death anxiety, threat appraisal and meta-cognitions. The findings highlight the importance of both cognitive processes and content in FCR, including intrusions, fears about death and dying, beliefs about worry, and threat appraisals.

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Arch, J., & Mitchell, J. (2016). An acceptance and commitment therapy (ACT) group intervention for cancer survivors experiencing anxiety at re-entry. Psycho-Oncology,25, 610–615. https://doi.org/10.1002/pon.3890 CrossRefPubMed

Barlow, D. H. (2000). Unraveling the mysteries of anxiety and its disorders from the perspective of emotion theory. American Psychologist,55, 1247–1263.CrossRef

Brandstatter, M., Baumann, U., Borasio, G. D., & Fegg, M. J. (2012). Systematic review of meaning in life assessment instruments. Psycho-Oncology,21, 1034–1052. https://doi.org/10.1002/pon.2113 CrossRefPubMed

Burger, J. M., & Cooper, H. M. (1979). The desirability of control. Motivation and Emotion,3, 381–393. https://doi.org/10.1007/bf00994052 CrossRef

Butow, P., Kelly, S., Thewes, B., Hruby, G., Sharpe, L., & Beith, J. (2015). Attentional bias and metacognitions in cancer survivors with high fear of cancer recurrence. Psychooncology,24, 416–423. https://doi.org/10.1002/pon.3659 CrossRefPubMed

Butow, P. N., Turner, J., Gilchrist, J., Sharpe, L., Smith, A. B., Fardell, J. E., et al. (2017). Randomized trial of conquerfear: A novel, theoretically based psychosocial intervention for fear of cancer recurrence. Journal of Clinical Oncology,35, 4066–4077. https://doi.org/10.1200/jco.2017.73.1257 CrossRefPubMed

Cann, A., Calhoun, L., Tedeschi, R., Kilmer, R., Gil-Rivas, V., Vishnevsky, T., et al. (2010). The core beliefs inventory: A brief measure of disruption in the assumptive world. Anxiety Stress and Coping,23, 19–34. https://doi.org/10.1080/10615800802573013 CrossRef

Carleton, R. N., Norton, M. A., & Asmundson, G. J. (2007). Fearing the unknown: A short version of the intolerance of uncertainty scale. Journal of Anxiety Disorders,21, 105–117. https://doi.org/10.1016/j.janxdis.2006.03.014 CrossRefPubMed

Cohee, A. A., Adams, R. N., Johns, S. A., Von Ah, D., Zoppi, K., Fife, B., et al. (2017). Long-term fear of recurrence in young breast cancer survivors and partners. Psycho-Oncology,26, 22–28. https://doi.org/10.1002/pon.4008 CrossRefPubMed

Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillsdale: Erlbaum.

Conte, H. R., Weiner, M. B., & Plutchik, R. (1982). Measuring death anxiety: Conceptual, psychometric, and factor-analytic aspects. Journal of Personality and Social Psychology,43, 775–785.CrossRef

Cook, S. A., Salmon, P., Dunn, G., & Fisher, P. (2014). Measuring metacognition in cancer: Validation of the metacognitions questionnaire 30 (MCQ-30). PLoS One,9, e107302. https://doi.org/10.1371/journal.pone.0107302 CrossRefPubMedPubMedCentral

Corter, A. L., Findlay, M., Broom, R., Porter, D., & Petrie, K. J. (2013). Beliefs about medicine and illness are associated with fear of cancer recurrence in women taking adjuvant endocrine therapy for breast cancer. British Journal of Health Psychology,18, 168–181. https://doi.org/10.1111/bjhp.12003 CrossRefPubMed

Curran, L., Sharpe, L., & Butow, P. (2017). Anxiety in the context of cancer: A systematic review and development of an integrated model. Clinical Psychology Review,56, 40–54. https://doi.org/10.1016/j.cpr.2017.06.003 CrossRefPubMed

Dieng, M., Kasparian, N. A., Morton, R. L., Mann, G. J., Butow, P., Menzies, S., et al. (2015). The melanoma care study: Protocol of a randomised controlled trial of a psycho-educational intervention for melanoma survivors at high risk of developing new primary disease. BMC Psychology,3, 23. https://doi.org/10.1186/s40359-015-0074-3 CrossRefPubMedPubMedCentral

Edmondson, D., Chaudoir, S. R., Mills, M. A., Park, C. L., Holub, J., & Bartkowiak, J. M. (2011). From shattered assumptions to weakened worldviews: Trauma symptoms signal anxiety buffer disruption. Journal of Loss and Trauma,16, 358–385. https://doi.org/10.1080/15325024.2011.572030 CrossRefPubMed

Ehring, T., Zetsche, U., Weidacker, K., Wahl, K., Schonfeld, S., & Ehlers, A. (2011). The perseverative thinking questionnaire (PTQ): Validation of a content-independent measure of repetitive negative thinking. Journal of Behavior Therapy and Experimental Psychiatry,42, 225–232. https://doi.org/10.1016/j.jbtep.2010.12.003 CrossRefPubMedPubMedCentral

Fardell, J. E., Thewes, B., Turner, J., Gilchrist, J., Sharpe, L., Smith, A., et al. (2016). Fear of cancer recurrence: A theoretical review and novel cognitive processing formulation. Journal of Cancer Survivorship,10, 663–673. https://doi.org/10.1007/s11764-015-0512-5 CrossRefPubMed

Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods,41, 1149–1160.CrossRef

Ferguson, E., Matthews, G., & Cox, T. (1999). The appraisal of life events (ALE) scale: Reliability and validity. British Journal of Health Psychology,4, 97–116. https://doi.org/10.1348/135910799168506 CrossRef

Fisher, P. L., Byrne, A., & Salmon, P. (2017). Metacognitive therapy for emotional distress in adult cancer survivors: A case series. Cognitive Therapy and Research,41, 891–901. https://doi.org/10.1007/s10608-017-9862-9 CrossRefPubMedPubMedCentral

Heathcote, L. C., & Eccleston, C. (2017). Pain and cancer survival: A cognitive-affective model of symptom appraisal and the uncertain threat of disease recurrence. Pain,158, 1187–1191.CrossRef

Herschbach, P., Berg, P., Dankert, A., Duran, G., Engst-Hastreiter, U., Waadt, S., et al. (2005). Fear of progression in chronic diseases: Psychometric properties of the fear of progression questionnaire. Journal of Psychosomatic Research,58, 505–511.CrossRef

Herschbach, P., Berg, P., Waadt, S., Duran, G., Engst-Hastreiter, U., Henrich, G., et al. (2010). Group psychotherapy of dysfunctional fear of progression in patients with chronic arthritis or cancer. Psychotherapy and Psychosomatics,79, 31–38. https://doi.org/10.1159/000254903 CrossRefPubMed

Horowitz, M. J. (1992). The effects of psychic trauma on mind: Structure and processing of meaning. In J. W. Barron, M. N. Eagle, & D. L. Wolitzky (Eds.), Interface of psychoanalysis and psychology (pp. 489–500). Washington, DC: American Psychological Association.CrossRef

Humphris, G., & Rogers, S. (2012). AFTER and beyond: Cancer recurrence fears and test of an intervention in oropharyngeal patients. Social Science and Dentistry,2, 29–38.

Janoff-Bulman, R. (1992). Shattered assumptions: Towards a new psychology of trauma. New York: Free Press.

Kesebir, P., & Pyszczynski, T. (2014). Meaning as a buffer for existential anxiety. In A. Batthyany & P. Russo-Netzer (Eds.), Meaning in positive and existential psychology (pp. 53–64). New York: Springer.CrossRef

Lagerdahl, A. S., Moynihan, M., & Stollery, B. (2014). An exploration of the existential experiences of patients following curative treatment for cancer: Reflections from a U.K. sample. Journal of Psychosocial Oncology,32, 555–575. https://doi.org/10.1080/07347332.2014.936647 CrossRefPubMed

Lebel, S., Maheu, C., Lefebvre, M., Secord, S., Courbasson, C., Singh, M., et al. (2014). Addressing fear of cancer recurrence among women with cancer: A feasibility and preliminary outcome study. Journal of Cancer Survivorship,8, 485–496. https://doi.org/10.1007/s11764-014-0357-3 CrossRefPubMed

Lebel, S., Maheu, C., Tomei, C., Bernstein, L. J., Courbasson, C., Ferguson, S., et al. (2018). Towards the validation of a new, blended theoretical model of fear of cancer recurrence. Psycho-Oncology,27, 2594–2601. https://doi.org/10.1002/pon.4880 CrossRefPubMed

Lebel, S., Ozakinci, G., Humphris, G., Mutsaers, B., Thewes, B., Prins, J., et al. (2016). From normal response to clinical problem: Definition and clinical features of fear of cancer recurrence. Supportive Care in Cancer,24, 3265–3268.CrossRef

Lebel, S., Ozakinci, G., Humphris, G., Thewes, B., Prins, J., Dinkel, A., et al. (2017). Current state and future prospects of research on fear of cancer recurrence. Psycho-Oncology,26, 424–427. https://doi.org/10.1002/pon.4103 CrossRefPubMed

Lee-Jones, C., Humphris, G., Dixon, R., & Hatcher, M. B. (1997). Fear of cancer recurrence-a literature review and proposed cognitive formulation to explain exacerbation of recurrent fears. Psycho-Oncology,6, 95–105. https://doi.org/10.1002/%28SICI%291099-1611%28199706%296:2%3C95:AID-PON250%3E3.0.CO;2-B CrossRefPubMed

Lengacher, C. A., Johnson-Mallard, V., Post-White, J., Moscoso, M. S., Jacobsen, P. B., Klein, T. W., et al. (2009). Randomized controlled trial of mindfulness-based stress reduction (MBSR) for survivors of breast cancer. Psychooncology,18, 1261–1272. https://doi.org/10.1002/pon.1529 CrossRefPubMed

Lengacher, C. A., Reich, R. R., Ramesar, S., Alinat, C. B., Moscoso, M., Cousin, L., et al. (2018). Feasibility of the mobile mindfulness-based stress reduction for breast cancer (mmbsr(bc)) program for symptom improvement among breast cancer survivors. Psycho-Oncology,27, 524–531. https://doi.org/10.1002/pon.4491 CrossRefPubMed

Lepore, S. J. (2001). A social cognitive processing model of emotional adjustment to cancer. In A. Baum & B. L. Andersen (Eds.), Psychosocial interventions for cancer (pp. 99–116). Washington, DC: American Psychological Association.CrossRef

Lepore, S., & Ituarte, P. (1999). Optimism about cancer enhances mood by reducing negative social relations. Cancer Research, Therapy and Control,8, 165–174.

Lichtenthal, W. G., Corner, G., Slivjak, E., Roberts, K., Li, Y., Breitbart, W., et al. (2017). A pilot randomized controlled trial of cognitive bias modification to reduce fear of breast cancer recurrence. Cancer,123, 1424–1433. https://doi.org/10.1002/cncr.30478 CrossRefPubMedPubMedCentral

Maheu, C., Lebel, S., Courbasson, C., Lefebvre, M., Singh, M., Bernstein, L. J., et al. (2016). Protocol of a randomized controlled trial of the fear of recurrence therapy (FORT) intervention for women with breast or gynecological cancer. BMC Cancer,16, 291. https://doi.org/10.1186/s12885-016-2326-x CrossRefPubMedPubMedCentral

Maheu, C., Lebel, S., Tomei, C., Singh, M., & Esplen, M. J. (2015). Breast and ovarian cancer survivors’ experience of participating in a cognitive-existential group intervention addressing fear of cancer recurrence. European Journal of Oncology Nursing,19, 433–440. https://doi.org/10.1016/j.ejon.2014.12.003 CrossRefPubMed

Mehnert, A., Herschbach, P., Berg, P., Henrich, G., & Koch, U. (2006). Fear of progression in breast cancer patients—validation of the short form of the fear of progression questionnaire (FoP-Q-SF). Zeitschrift fur Psychosomatische Medizin und Psychotherapie,52, 274–288. https://doi.org/10.13109/zptm.2006.52.3.274 CrossRefPubMed

Mellon, S., Kershaw, T. S., Northouse, L. L., & Freeman-Gibb, L. (2007). A family-based model to predict fear of recurrence for cancer survivors and their caregivers. Psycho-Oncology,16, 214–223. https://doi.org/10.1002/pon.1074 CrossRefPubMed

Menzies, R. E., Zuccala, M., Sharpe, L., & Dar-Nimrod, I. (2018). The effects of psychosocial interventions on death anxiety: A meta-analysis and systematic review of randomised controlled trials. Journal of Anxiety Disorders,59, 64–73. https://doi.org/10.1016/j.janxdis.2018.09.004 CrossRefPubMed

Mishel, M. (1990). Reconceptualisation of the uncertainty in illness theory. Journal of Nursing Scholarship,22, 256–262.CrossRef

Moran, C., Tomei, C., Lefebvre, M., Harris, C., Maheu, C., & Lebel, S. (2017). An exploratory study of the worst-case scenario exercise as an exposure treatment for fear of cancer recurrence. Supportive Care in Cancer,25, 1373–1375. https://doi.org/10.1007/s00520-017-3600-4 CrossRefPubMed

Mutsaers, B., Jones, G., Rutkowski, N., Tomei, C., Séguin Leclair, C., Petricone-Westwood, D., et al. (2016). When fear of cancer recurrence becomes a clinical issue: A qualitative analysis of features associated with clinical fear of cancer recurrence. Supportive Care in Cancer,24, 4207–4218. https://doi.org/10.1007/s00520-016-3248-5 CrossRefPubMed

Park, C. L. (2010). Making sense of the meaning literature: An integrative review of meaning making and its effects on adjustment to stressful life events. Psychological Bulletin,136, 257–301.CrossRef

Pyszczynski, T., & Kesebir, P. (2011). Anxiety buffer disruption theory: A terror management account of posttraumatic stress disorder. Anxiety Stress and Coping,24, 3–26. https://doi.org/10.1080/10615806.2010.517524 CrossRef

Rodin, G., Lo, C., Rydall, A., Shnall, J., Malfitano, C., Chiu, A., et al. (2018). Managing cancer and living meaningfully (CALM): A randomized controlled trial of a psychological intervention for patients with advanced cancer. Journal of Clinical Oncology,36, 2422–2432. https://doi.org/10.1200/jco.2017.77.1097 CrossRefPubMedPubMedCentral

Rolffs, J. L., Rogge, R. D., & Wilson, K. G. (2018). Disentangling components of flexibility via the hexaflex model: Development and validation of the multidimensional psychological flexibility inventory (MPFI). Assessment,25, 458–482. https://doi.org/10.1177/1073191116645905 CrossRefPubMed

Ruggiero, G., Stapinski, L., Caselli, G., Fiore, F., Gallucci, M., Sassaroli, S., et al. (2012). Beliefs over control and meta-worry interact with the effect of intolerance of uncertainty on worry. Personality and Individual Differences,53, 224–230. https://doi.org/10.1016/j.paid.2012.03.016 CrossRef

Sarkar, S., Scherwath, A., Schirmer, L., Schulz-Kindermann, F., Neumann, K., Kruse, M., et al. (2014). Fear of recurrence and its impact on quality of life in patients with hematological cancers in the course of allogeneic hematopoietic SCT. Bone Marrow Transplantation,49, 1217–1222. https://doi.org/10.1038/bmt.2014.139 CrossRefPubMed

Shapiro, D. H., Schwartz, C. E., & Astin, J. A. (1996). Controlling ourselves, controlling our world: Psychology’s role in understanding positive and negative consequences of seeking and gaining control. American Psychologist,51, 1213–1230.CrossRef

Sharpe, L., Curran, L., Butow, P., & Thewes, B. (2018). Fear of cancer recurrence and death anxiety. Psycho-Oncology,25, 2559–2565. https://doi.org/10.1002/pon.4783 CrossRef

Simard, S., & Savard, J. (2015). Screening and comorbidity of clinical levels of fear of cancer recurrence. Journal of Cancer Survivorship,9, 481–491. https://doi.org/10.1007/s11764-015-0424-4 CrossRefPubMed

Simard, S., Savard, J., & Ivers, H. (2010). Fear of cancer recurrence: Specific profiles and nature of intrusive thoughts. Journal of Cancer Survivorship,4, 361–371. https://doi.org/10.1007/s11764-010-0136-8 CrossRefPubMed

Simard, S., Thewes, B., Humphris, G., Dixon, M., Hayden, C., Mireskandari, S., et al. (2013). Fear of cancer recurrence in adult cancer survivors: A systematic review of quantitative studies. Journal of Cancer Survivorship,7, 300–322. https://doi.org/10.1007/s11764-013-0272-z CrossRefPubMed

Simonelli, L. E., Siegel, S. D., & Duffy, N. M. (2017). Fear of cancer recurrence: A theoretical review and its relevance for clinical presentation and management. Psycho-Oncology,26, 1444–1454. https://doi.org/10.1002/pon.4168 CrossRefPubMed

Solomon, S., Greenberg, J., & Pyszczynski, T. (1991). Terror management theory of social behavior: The psychological functions of self-esteem and cultural worldviews. Advances in Experimental Social Psychology,24, 93–159.

Steger, M. F., Frazier, P., Oishi, S., & Kaler, M. (2006). The meaning in life questionnaire: Assessing the presence of and search for meaning in life. Journal of Counseling Psychology,53, 80–93.CrossRef

Thewes, B., Bell, M., & Butow, P. (2013). Fear of cancer recurrence in young early-stage breast cancer survivors: The role of metacognitive style and disease-related factors. Psycho-Oncology,22, 2059–2063.CrossRef

Thewes, B., Butow, P., Zachariae, R., Christensen, S., Simard, S., & Gotay, C. (2012). Fear of cancer recurrence: A systematic literature review of self-report measures. Psychooncology,21, 571–587. https://doi.org/10.1002/pon.2070 CrossRefPubMed

Thewes, B., Lebel, S., Seguin Leclair, C., & Butow, P. (2016). A qualitative exploration of fear of cancer recurrence (FCR) amongst Australian and Canadian breast cancer survivors. Supportive Care in Cancer,24, 2269–2276. https://doi.org/10.1007/s00520-015-3025-x CrossRefPubMed

Thielsch, C., Andor, T., & Ehring, T. (2015). Do metacognitions and intolerance of uncertainty predict worry in everyday life? An ecological momentary assessment study. Behavior Therapy,46, 532–543. https://doi.org/10.1016/j.beth.2015.05.001 CrossRefPubMed

van de Wal, M., Thewes, B., Gielissen, M., Speckens, A., & Prins, J. (2017). Efficacy of blended cognitive behavior therapy for high fear of recurrence in breast, prostate, and colorectal cancer survivors: The SWORD study, a randomized controlled trial. Journal of Clinical Oncology,35, 2173–2183. https://doi.org/10.1200/JCO.2016.70.5301 CrossRefPubMed

Vatcheva, K. P., Lee, M., McCormick, J. B., & Rahbar, M. H. (2016). Multicollinearity in regression analyses conducted in epidemiologic studies. Epidemiology,6, 227. https://doi.org/10.4172/2161-1165.1000227 CrossRefPubMed

Wagner, L. I., Duffecy, J., Penedo, F., Mohr, D. C., & Cella, D. (2017). Coping strategies tailored to the management of fear of recurrence (FoR) and adaptation for eHealth delivery: The FoRtitude trial. Cancer,123, 906–910. https://doi.org/10.1002/cncr.30602 CrossRefPubMedPubMedCentral

Wallston, K. A., Smith, R. P., King, J. E., Smith, M., Rye, P., & Burish, T. (1991). Desire for control and choice of antiemetic treatment for cancer chemotherapy. Western Journal of Nursing Research,13, 12–29. https://doi.org/10.1177/019394599101300102 CrossRefPubMed

Weiss, D. S., & Marmar, C. R. (1997). The Impact of Event Scale: Revised. In J. P. Wilson & T. M. Keane (Eds.), Assessing psychological trauma and PTSD: A handbook for practitioners (pp. 399–411). New York: Guilford Press.

Wells, A., & Cartwright-Hatton, S. (2004). A short form of the metacognitions questionnaire: Properties of the MCQ-30. Behaviour Research and Therapy,42, 385–396.CrossRef

Wells, A., & Matthews, G. (1996). Modelling cognition in emotional disorder: The S-REF model. Behaviour Research and Therapy,34, 881–888.CrossRef

Winger, J., Adams, R., & Mosher, C. (2016). Relations of meaning in life and sense of coherence to distress in cancer patients: A meta-analysis. Psycho-Oncology,25, 2–10. https://doi.org/10.1002/pon.3798 CrossRefPubMed

Titel: Testing a model of fear of cancer recurrence or progression: the central role of intrusions, death anxiety and threat appraisal
Auteurs: L. Curran
L. Sharpe
C. MacCann
P. Butow
Publicatiedatum: 06-01-2020
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 2/2020
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-019-00129-x

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