Fear of recurrence: A mediator of the relationship between physical symptoms and quality of life in head and neck cancer patients.

European Journal of Cancer Care
Shiow-Luan TsayYen-Ju Chen

Abstract

Head and neck cancer (HNC) patients suffer from symptoms and fear of recurrence (FoR), which both affect their quality of life (QoL). Based on a self-regulation model, the purpose of the study was to examine patients' FoR as a mediator of the relation between symptoms and QoL, and to identify which symptoms may trigger FoR. A cross-sectional study was conducted, using convenience sampling. Structured questionnaires were used to collect data at a medical centre in Northern Taiwan. The analytic methods included descriptive statistics, structural equation modelling and linear regression. A total of 103 participants were recruited. Patients experienced a medium level of symptom severity and QoL but a moderate to high level of FoR. Symptom severity, FoR and QoL were significantly correlated. FoR was a significant partial mediator between symptom severity and QoL. The significant factors of the overall FoR and the subscale of health worry were "pain in general" and "pain in the mouth, throat or neck." "Pain in general" was a significant factor for the subscale of cancer worry. This theory-driven study supports a mediation model of FoR among HNC patients and provides a more comprehensive understanding of the antecedents and consequenc...Continue Reading

References

Jan 1, 1983·Health Education Quarterly·H LeventhalD M Panagis
May 1, 1993·Psychosomatic Medicine·R S Lazarus
Feb 5, 2004·International Journal of Oral and Maxillofacial Surgery·G M HumphrisD Vaughan
Mar 5, 2004·Patient Education and Counseling·Jeff DunnRoger Allison
Jan 6, 2005·Cancer Nursing·Cherith J SempleW George Kernohan
Mar 14, 2007·Health and Quality of Life Outcomes·Carolyn C Gotay, Ian S Pagano
Oct 9, 2007·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Susan YountDavid Cella
Aug 14, 2008·Behavior Research Methods·Kristopher J Preacher, Andrew F Hayes
Mar 28, 2012·Psycho-oncology·Naseem GhazaliSimon N Rogers
Mar 12, 2013·Journal of Cancer Survivorship : Research and Practice·Sébastien SimardGozde Ozakinci
Jun 19, 2013·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Julia R Van LiewGerry F Funk
Jan 16, 2015·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Shu-Ching ChenYeur-Hur Lai
May 17, 2015·Surgical Oncology Clinics of North America·Eleni M Rettig, Gypsyamber D'Souza
Jan 20, 2016·Journal of Cancer Survivorship : Research and Practice·Joanna E FardellPhyllis Butow
Dec 8, 2016·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Kelly Yu-Hsin LiaoQian Lu
Dec 15, 2016·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Daniel L HallElyse R Park
Sep 7, 2017·The Journal of Nursing Research : JNR·Shiow-Luan TsayKuan-Pin Lin
Dec 16, 2017·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Dalnim ChoQian Lu
Jun 10, 2019·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Ya-Lan ChangShu-Ching Chen

❮ Previous
Next ❯

Citations

Nov 17, 2020·Frontiers in Psychology·Lucrezia Savioni, Stefano Triberti

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.