Unidimensional scales for fears of cancer recurrence and their psychometric properties: the FCR4 and FCR7

Health and Quality of Life Outcomes
G M HumphrisG Ozakinci

Abstract

The assessment of fear of recurrence (FCR) is crucial for understanding an important psychological state in patients diagnosed and treated for cancer. The study aim was to determine psychometric details of a seven question self-report scale (FCR7) and a short form (FCR4) based upon items already used in various extensive measures of FCR. Two consecutive samples of patients (breast and colorectal) were recruited from a single specialist cancer centre. The survey instrument contained the FCR7 items, Hospital Anxiety and Depression Scale (HADS), and demographic details. Clinical information was obtained from patient hospital records. Statistical analyses were performed using classical test and item response theory approaches, to demonstrate unidimensional factor structure and testing key parameters. Construct validity was inspected through nomological and theoretical prediction. Internal consistency was demonstrated by alpha coefficients (FCR4: 0.93 and FCR7: 0.92). Both scales (FCR7 & FCR4) were associated with the HADs subscales as predicted. Patients who experienced chemotherapy, minor aches/pains, thought avoidance of cancer and high cancer risk belief were more fearful. Detailed inspection of item responses profile provided s...Continue Reading

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Citations

Jul 13, 2018·Psycho-oncology·Jacqueline GalicaKelly Metcalfe
Sep 22, 2020·JCO Oncology Practice·Cristiane Decat BergerotMichael Staehler
Oct 3, 2018·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·G HumphrisC Bedi
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Dec 31, 2020·Psychology Research and Behavior Management·Allan Ben SmithRobert Zachariae
Apr 15, 2021·Enfermería clínica·Ni Kadek Puspitasari Ayu, Yati Afiyanti
Nov 12, 2021·Journal of Cancer Survivorship : Research and Practice·Allan 'Ben' SmithAfaf Girgis

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