Department of Hematologic Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, Guangdong, China.
School of Nursing, Sun Yat-sen University, Guangzhou, Guangdong, China.
Psychooncology. 2021 Feb;30(2):176-184. doi: 10.1002/pon.5546. Epub 2020 Oct 1.
Fear of cancer recurrence (FCR) is a common psychosocial sequela among cancer survivors, but data on patients with multiple myeloma are scarce. This study calculated the prevalence of FCR and identified family and social factors that predict FCR in the study population.
We recruited 127 myeloma patients and their partners to participate in a cross-sectional survey from a regional tertiary cancer centre in China. The questionnaires included items on demographic characteristics and from the fear of disease progression simplified scale, family hardiness index and Social Support Scale. Univariate and multivariate regression was used to identify predictors of FCR.
Of the participants, 56.4% patients reported high-level FCR, which was similar to the partner-reported proportion. The partners' FCR was positively associated with the patients' FCR, while family hardiness and social support were statistically significant, negative predictors.
Interventions to mitigate partners' FCR and improve family hardiness and social support may help with the psychological adjustment and well-being of myeloma patients.
癌症复发恐惧（FCR）是癌症幸存者常见的心理社会后遗症，但多发性骨髓瘤患者的数据却很少。本研究计算了 FCR 的患病率，并确定了预测研究人群中 FCR 的家庭和社会因素。
我们招募了 127 名骨髓瘤患者及其伴侣，从中国一家地区性三级癌症中心参与横断面调查。问卷包括人口统计学特征和疾病进展恐惧简化量表、家庭坚韧指数和社会支持量表的项目。使用单变量和多变量回归来确定 FCR 的预测因素。
在参与者中，56.4%的患者报告存在高水平的 FCR，与伴侣报告的比例相似。伴侣的 FCR 与患者的 FCR 呈正相关，而家庭坚韧和社会支持则是统计学上显著的负预测因素。
减轻伴侣 FCR 并提高家庭坚韧和社会支持的干预措施可能有助于骨髓瘤患者的心理调整和幸福感。
