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首页> 外文期刊>Psycho-Oncology: Journal of the Psychological Social and Behavioral Dimensions of Cancer >Psychological morbidity and stress but not social factors influence level of fear of cancer recurrence in young women with early breast cancer: Results of a cross-sectional study
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Psychological morbidity and stress but not social factors influence level of fear of cancer recurrence in young women with early breast cancer: Results of a cross-sectional study

机译：心理发病率和压力而非社会因素影响早期乳腺癌年轻女性对癌症复发的恐惧程度：一项横断面研究的结果

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Background Fear of cancer recurrence (FCR) is a common problem amongst survivors. Past research has shown that young women with breast cancer are particularly vulnerable to FCR, yet few previous studies have specifically examined FCR in this subgroup. Aims The aim of the study is to explore the relationship between FCR, psychological morbidity and social factors. A secondary aim was to explore the relationship between clinical levels of FCR and generalised anxiety disorder (GAD) and hypochondriasis. Method Two hundred eighteen breast cancer survivors (aged 18-45 years at diagnosis) diagnosed at least 1 year prior were recruited through seven metropolitan oncology clinics and two breast cancer consumer groups. Participants completed a web-based questionnaire, which assessed FCR, psychological functioning, generalised anxiety, hypochondriasis and items exploring past cancer-related experiences, attitudes to future childbearing, social support and correlates were identified using linear regression. Results Psychological morbidity scales measuring anxiety and psychological functioning and stressful life events were significantly associated with FCR in adjusted and unadjusted models (p < 0.0001). Past cancer experiences, children, social support and attitudes to childrearing were not associated with FCR. Among those with clinical levels of FCR (n = 152), 43% met screening criteria for hypochondriasis, and 36% met screening criteria for GAD. Conclusions This study shows psychological morbidity is associated with FCR, but the majority of women with high levels of FCR do not also meet the criteria for a clinical level of GAD or hypochondriasis. Understanding the factors that make young women vulnerable to FCR is important to help guide the development of FCR-specific interventions for this subgroup.
机译：背景技术恐惧癌症复发（FCR）是幸存者中的普遍问题。过去的研究表明，患有乳腺癌的年轻女性特别容易受到FCR的侵害，但此前很少有研究专门检查该亚组的FCR。目的研究的目的是探讨FCR，心理发病率和社会因素之间的关系。第二个目的是探讨FCR与广泛性焦虑症（GAD）和软骨病的临床水平之间的关系。方法通过七个大都市肿瘤诊所和两个乳腺癌消费者群体，招募了至少在一年前被诊断的218名乳腺癌幸存者（诊断时年龄在18-45岁）。参与者完成了一个基于网络的调查问卷，该问卷评估了FCR，心理功能，广泛性焦虑，软骨病和探索过去与癌症有关的经历，对未来生育的态度，社会支持和相关性的项目，并使用线性回归进行了识别。结果在调整和未调整模型中，测量焦虑和心理功能以及应激性生活事件的心理发病率量表与FCR显着相关（p <0.0001）。过去的癌症经历，儿童，社会支持和育儿态度与FCR无关。在临床水平为FCR（n = 152）的患者中，有43％符合软骨病筛查标准，而36％符合GAD筛查标准。结论该研究表明心理发病与FCR有关，但是大多数FCR高的女性也不符合GAD或软骨病临床水平的标准。理解使年轻女性易受FCR影响的因素对于帮助指导针对该亚组的FCR特定干预措施的开发很重要。

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