Simard Sébastien, Savard Josée
School of Psychology, Laval University, Québec, Canada.
Support Care Cancer. 2009 Mar;17(3):241-51. doi: 10.1007/s00520-008-0444-y. Epub 2008 Apr 15.
Despite the fact that the fear of cancer recurrence is to varying degrees almost universal in cancer survivors, there is a lack of validated multidimensional instruments to evaluate this issue specifically.
The goal of this study was to develop and empirically validate a multidimensional self-report scale for assessing the fear of cancer recurrence, the Fear of Cancer Recurrence Inventory (FCRI).
A provincial medical databank was used to randomly select a pool of 1,704 French-Canadian patients who had been treated for breast, prostate, lung, and colorectal cancer within the past 10 years. Of these, 300 patients were asked to complete the FCRI on two occasions.
The factorial analysis conducted on the final 42-item scale revealed a seven-component solution (64% of the variance) including the following factors: triggers, severity, psychological distress, coping strategies, functioning impairments, insight, and reassurance. The results also supported the internal consistency (alpha = 0.95) and the temporal stability (r = 0.89) of the FCRI, as well as its construct validity with other self-report scales assessing fear of cancer recurrence (r = 0.68 to 0.77) or related constructs such as psychological distress (r = 0.43 to 0.77) and quality of life (r = -0.20 to -0.36).
This study suggests that the French-Canadian version of the FCRI is a reliable and valid instrument for evaluating the multidimensional aspects of the fear of cancer recurrence.
尽管癌症幸存者几乎普遍在不同程度上存在对癌症复发的恐惧，但缺乏经过验证的多维工具来专门评估这一问题。
本研究的目的是开发并通过实证验证一种用于评估癌症复发恐惧的多维自我报告量表，即癌症复发恐惧量表（FCRI）。
利用一个省级医疗数据库，随机选取了1704名法裔加拿大患者，他们在过去10年内接受过乳腺癌、前列腺癌、肺癌和结直肠癌的治疗。其中300名患者被要求分两次完成FCRI。
对最终的42项量表进行的因子分析揭示了一个七因素解决方案（方差的64%），包括以下因素：触发因素、严重程度、心理困扰、应对策略、功能损害、洞察力和安心感。结果还支持了FCRI的内部一致性（α = 0.95）和时间稳定性（r = 0.89），以及其与其他评估癌症复发恐惧的自我报告量表（r = 0.68至0.77）或相关构念如心理困扰（r = 0.43至0.77）和生活质量（r = -0.20至-0.36）的结构效度。
本研究表明，法裔加拿大版的FCRI是一种可靠且有效的工具，可用于评估癌症复发恐惧的多维方面。
