Wu Junjun, Lan Xiaoyan, Liao Zhenling, Chen Jingyi, Wu Yong, Hu Rong
The School of Nursing, Fujian Medical University, NO.1 Xueyuan Road, Shangjie Town, Minhou County, Fuzhou City, Fujian Province, 350108, China.
Department of Hematology, Fujian Medical University Union Hospital, 29 Xinquan Road, Fuzhou, 350001, China.
J Cancer Surviv. 2025 Feb;19(1):1-11. doi: 10.1007/s11764-023-01443-9. Epub 2023 Aug 23.
To investigate the level of fear of cancer recurrence (FCR) in spouses of patients with lymphoma and its relationship with patients' FCR, as well as the correlations between FCR, sense of spousal support (SSS), anxiety, and depression in the couples.
A cross-sectional study of 233 couples where one partner had lymphoma was conducted from May 2021 to February 2022. Participants provided demographic information and completed the Spouse Support Inventory and Hospital Anxiety and Depression Scale. The Fear of Progression Questionnaire (for patients) and Fear of Progression Questionnaire for Partners (for spouses) were used to measure FCR. Descriptive analyses, t-tests, variance analysis, Spearman's correlation analysis, and multiple linear regression analysis was performed.
The prevalence of FCR, anxiety, and depression in patients was 37.7%, 68.7%, and 83.3%, respectively. The prevalence of FCR, anxiety, and depression in spouses was 56.2%, 78.1%, and 81.1%, respectively. Spouses' FCR scores were higher than those of patients, whereas patients' SSS and anxiety scores were higher than those of their spouses. Multiple linear regression analysis showed that patients' anxiety and SSS, as well as spouses' FCR were significantly associated with patients' FCR. Variables significantly associated with higher FCR among spouses were anxiety, per capita monthly household income, and patients' FCR.
Patients with lymphoma and their spouses have a certain degree of FCR, anxiety, and depression. FCR levels in spouses are higher than in patients.
Psychological support interventions for couples may be effective in reducing FCR and facilitating family adaptation to cancer.
调查淋巴瘤患者配偶的癌症复发恐惧（FCR）水平及其与患者FCR的关系，以及夫妻双方FCR、配偶支持感（SSS）、焦虑和抑郁之间的相关性。
于2021年5月至2022年2月对233对夫妻进行了一项横断面研究，其中一方患有淋巴瘤。参与者提供了人口统计学信息，并完成了配偶支持量表和医院焦虑抑郁量表。使用癌症进展恐惧问卷（针对患者）和配偶癌症进展恐惧问卷（针对配偶）来测量FCR。进行了描述性分析、t检验、方差分析、Spearman相关性分析和多元线性回归分析。
患者中FCR、焦虑和抑郁的患病率分别为37.7%、68.7%和83.3%。配偶中FCR、焦虑和抑郁的患病率分别为56.2%、78.1%和81.1%。配偶的FCR得分高于患者，而患者的SSS和焦虑得分高于其配偶。多元线性回归分析表明，患者的焦虑和SSS以及配偶的FCR与患者的FCR显著相关。与配偶中较高FCR显著相关的变量是焦虑、家庭月人均收入和患者的FCR。
淋巴瘤患者及其配偶存在一定程度的FCR、焦虑和抑郁。配偶的FCR水平高于患者。
针对夫妻的心理支持干预可能有助于降低FCR并促进家庭对癌症的适应。
