Clinical Psychology Unit, Fondazione IRCSS "Istituto Nazionale dei Tumori", Via Giacomo Venezian 1, 20133, Milan, Italy.
Haematological Unit, Fondazione IRCSS "Istituto Nazionale dei Tumori", Milan, Italy.
Support Care Cancer. 2020 Dec;28(12):5973-5982. doi: 10.1007/s00520-020-05434-9. Epub 2020 Apr 13.
This study aims to explore the relation between the dimension of fear of cancer recurrence (FCR) in haematological cancer patients relapse-free for at least 2 years and socio-demographic, related to the disease, psychological and existential factors.
A sample of 75 haematological cancer patients agreed to participate in the study through a self-reported online questionnaire (51.9% males). A total of 70.1% had a low recurrence risk. The questionnaire included socio-demographic (gender, age, civil status, level of education and number of children), related to the disease (diagnosis, therapeutic line and years since diagnosis), psychological (anxiety and depression), existential (purpose in life; PIL) factors and Fear of Cancer Recurrence Concerns Inventory (FCRI). Simple and multiple linear regressions were conducted for the analyses, and we performed some preliminary analysis on the reliability of the FCRI.
A total of 53.3% of participants showed clinical levels of FCR on the severity dimension, which was higher than found in previous research in other cancer patients. The coping strategies, triggers, severity and psychological distress dimensions showed higher mean values. Women, patients with indolent non-Hodgkin lymphomas, years since diagnosis, anxiety and purpose in life are significantly related to one or more dimensions of FCRI.
It is important that the clinicians have at their disposal multiple possibilities to help patients cope with haematological cancer. If future research will confirm the results of this study, the negative correlation between FCR and PIL can suggest indications for planning interventions based on a salutogenic approach.
本研究旨在探讨至少 2 年无复发的血液癌症患者恐惧癌症复发（FCR）维度与社会人口统计学、与疾病相关、心理和存在因素之间的关系。
通过自我报告的在线问卷，有 75 名血液癌症患者同意参与研究（男性占 51.9%）。共有 70.1%的患者复发风险较低。问卷包括社会人口统计学（性别、年龄、婚姻状况、教育水平和子女数量）、与疾病相关的因素（诊断、治疗方案和诊断后年限）、心理因素（焦虑和抑郁）、存在因素（生活目标；PIL）和恐惧癌症复发担忧量表（FCRI）。我们进行了简单和多元线性回归分析，并对 FCRI 的信度进行了一些初步分析。
共有 53.3%的参与者在严重程度维度上表现出临床水平的 FCR，高于其他癌症患者的研究结果。应对策略、触发因素、严重程度和心理困扰维度的平均值较高。女性、惰性非霍奇金淋巴瘤患者、诊断后年限、焦虑和生活目标与 FCRI 的一个或多个维度显著相关。
临床医生掌握多种帮助患者应对血液癌症的方法非常重要。如果未来的研究能够证实本研究的结果，那么 FCR 与 PIL 之间的负相关可以提示为基于健康促进方法的干预措施提供规划依据。
