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The Course and Predictors of Fear of Recurrence among Breast Cancer Survivors During the First and Second Year After Surgery

Poorthuis, J.J. (2022) The Course and Predictors of Fear of Recurrence among Breast Cancer Survivors During the First and Second Year After Surgery.

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Full Text Status:Access to this publication is restricted
Embargo date:31 December 2024
Abstract:The number of breast cancer survivors (BCS) is increasing due to early detection and improved treatment. Fear of recurrence (FoR) is a major concern among BCS. This study aimed to get insight into the course and predictors of FoR among BCS during the first and second year after surgery. A subset of data collected in the SHOUT-BC study was used. Participants were classified into stable low, stable high and fluctuating FoR-profiles. Linear mixed models were used to estimate the relationship between FoR-score and time. Regression models were used to analyse predictors of FoR. FoR did not change significantly over time. The majority of BCS (58%) reported stable high levels of FoR. Age, health literacy, cure beliefs and mental health status were significantly associated with continuous FoR at least at one of the three timepoints. Patients with lower cure beliefs and patients with lower mental health scores were more likely to belong to the stable high or fluctuating profile compared to the stable low profile. However, predicting FoR remained difficult with the demographic, tumour and treatment characteristics available in this study. Future research is necessary to identify at-risk groups who have a greater risk of experiencing elevated levels of FoR.
Item Type:Essay (Master)
Faculty:TNW: Science and Technology
Subject:44 medicine
Programme:Health Sciences MSc (66851)
Link to this item:https://purl.utwente.nl/essays/89651
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