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      Prevalence and clinical and psychological correlates of high fear of cancer recurrence in patients newly diagnosed with head and neck cancer

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          Abstract

          Background

          Patients with head and neck cancer (HNC) are vulnerable to fear of cancer recurrence (FCR) and psychiatric morbidity. We investigated the prevalence of high FCR and demographic, clinical, psychological, and psychiatric factors associated with high FCR prior to the start of the treatment.

          Methods

          In a cross‐sectional substudy of the large ongoing prospective NET‐QUBIC study questionnaires and psychiatric interviews of 216 patients newly diagnosed with HNC were analyzed.

          Results

          High FCR was observed in 52.8% of patients and among those 21.1% also had a lifetime history of selected anxiety or major depressive disorder. FCR was not related to any clinical characteristics; however, younger age, higher anxiety symptoms, introversion, greater needs for support regarding sexuality, and being an exsmoker were significantly associated with higher FCR.

          Conclusion

          Factors associated with high FCR provide us with a better conceptual understanding of FCR in patients newly diagnosed with HNC.

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          Most cited references47

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          The Physical Activity Scale for the Elderly (PASE): development and evaluation.

          C G Janney, Cicely A. Jette, George W Smith … (1993)
          A Physical Activity Scale for the Elderly (PASE) was evaluated in a sample of community-dwelling, older adults. Respondents were randomly assigned to complete the PASE by mail or telephone before or after a home visit assessment. Item weights for the PASE were derived by regressing a physical activity principal component score on responses to the PASE. The component score was based on 3-day motion sensor counts, a 3-day physical activity dairy and a global activity self-assessment. Test-retest reliability, assessed over a 3-7 week interval, was 0.75 (95% CI = 0.69-0.80). Reliability for mail administration (r = 0.84) was higher than for telephone administration (r = 0.68). Construct validity was established by correlating PASE scores with health status and physiologic measures. As hypothesized, PASE scores were positively associated with grip strength (r = 0.37), static balance (r = +0.33), leg strength (r = 0.25) and negatively correlated with resting heart rate (r = -0.13), age (r = -0.34) and perceived health status (r = -0.34); and overall Sickness Impact Profile score (r = -0.42). The PASE is a brief, easily scored, reliable and valid instrument for the assessment of physical activity in epidemiologic studies of older people.
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            Reliability and validity studies of the WHO--Composite International Diagnostic Interview (CIDI): a critical review.

            H.-U. Wittchen (2015)
            This paper reviews reliability and validity studies of the WHO - Composite International Diagnostic Interview (CIDI). The CIDI is a comprehensive and fully standardized diagnostic interview designed for assessing mental disorders according to the definitions of the Diagnostic Criteria for Research of ICD-10 and DSM-III-R. The instrument contains 276 symptom questions many of which are coupled with probe questions to evaluate symptom severity, as well as questions for assessing help-seeking behavior, psychosocial impairments, and other episode-related questions. Although primarily intended for use in epidemiological studies of mental disorders, it is also being used extensively for clinical and other research purposes. The review documents the wide spread use of the instrument and discusses several test-retest and interrater reliability studies of the CIDI. Both types of studies have confirmed good to excellent Kappa coefficients for most diagnostic sections. In international multicenter studies as well as several smaller center studies the CIDI was judged to be acceptable for most subjects and was found to be appropriate for use in different kinds of settings and countries. There is however still a need for reliability studies in general population samples, the area the CIDI was primary intended for. Only a few selected aspects of validity have been examined so far, mostly in smaller selected clinical samples. The need for further procedural validity studies of the CIDI with clinical instruments such as the SCAN as well as cognitive validation studies is emphasized. The latter should focus on specific aspects, such as the use of standardized questions in the elderly, cognitive probes to improve recall of episodes and their timing, as well as the role of order effects in the presentation of diagnostic sections.
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              Depression and cancer: mechanisms and disease progression.

              David Spiegel, Janine Giese-Davis (2003)
              Depression and cancer commonly co-occur. The prevalence of depression among cancer patients increases with disease severity and symptoms such as pain and fatigue. The literature on depression as a predictor of cancer incidence is mixed, although chronic and severe depression may be associated with elevated cancer risk. There is divided but stronger evidence that depression predicts cancer progression and mortality, although disentangling the deleterious effects of disease progression on mood complicates this research, as does the fact that some symptoms of cancer and its treatment mimic depression. There is evidence that providing psychosocial support reduces depression, anxiety, and pain, and may increase survival time with cancer, although studies in this latter area are also divided. Psychophysiological mechanisms linking depression and cancer progression include dysregulation of the hypothalamic-pituitary-adrenal axis, especially diurnal variation in cortisol and melatonin. Depression also affects components of immune function that may affect cancer surveillance. Thus, there is evidence of a bidirectional relationship between cancer and depression, offering new opportunities for therapeutic intervention.
              Article 0 comments Cited 172 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Spela Mirosevic:
                ORCID: https://orcid.org/0000-0001-5004-0607
                spela.mirosevic@mf.uni-lj.si
                Journal
                Journal ID (nlm-ta): Head Neck
                Journal ID (iso-abbrev): Head Neck
                Journal ID (doi): 10.1002/(ISSN)1097-0347
                Journal ID (publisher-id): HED
                Title: Head & Neck
                Publisher: John Wiley & Sons, Inc. (Hoboken, USA )
                ISSN (Print): 1043-3074
                ISSN (Electronic): 1097-0347
                Publication date (Electronic): 07 June 2019
                Publication date (Print): September 2019
                Volume: 41
                Issue: 9 ( doiID: 10.1002/hed.v41.9 )
                Pages: 3187-3200
                Affiliations
                [ 1 ] Department of Family Medicine Medical Faculty Ljubljana Ljubljana Slovenia
                [ 2 ] Department of Medical Psychology Radboud University Medical Centre Nijmegen The Netherlands
                [ 3 ] Department of Medical Oncology Radboud University Medical Centre Nijmegen The Netherlands
                [ 4 ] Department of Radiation Oncology Radboud University Medical Centre Nijmegen The Netherlands
                [ 5 ] Department Maxillofacial Surgery Radboud University Medical Centre Nijmegen The Netherlands
                [ 6 ] School of Medicine University of St. Andrews St. Andrews Scotland, UK
                [ 7 ] Department of Otolaryngology and Head and Neck Surgery Erasmus Cancer Institute, Erasmus MC Rotterdam The Netherlands
                [ 8 ] Department of Radiation Oncology University of Groningen, University Medical Centre Groningen Groningen The Netherlands
                [ 9 ] Department of Otolaryngology‐Head and Neck Surgery VU University Medical Center Amsterdam The Netherlands
                [ 10 ] Department of Radiotherapy University Medical Center Utrecht The Netherlands
                [ 11 ] Department of Clinical Psychology Vrije Universiteit Amsterdam The Netherlands
                [ 12 ] Department of Head and Neck Oncology Radboud University Medical Centre Nijmegen The Netherlands
                [ 13 ] Project Kubus, Vumc, Afdeling KNO Amsterdam The Netherlands
                Author notes
                [*] [* ] Correspondence

                Spela Mirosevic, Department of Family Medicine, Medical Faculty Ljubljana, Poljanski nasip 58, 1000 Ljubljana, Slovenia.

                Email: spela.mirosevic@ 123456mf.uni-lj.si

                Author information
                https://orcid.org/0000-0001-5004-0607
                https://orcid.org/0000-0002-4507-4607
                https://orcid.org/0000-0003-4784-0499
                Article
                Publisher ID: HED25812
                DOI: 10.1002/hed.25812
                PMC ID: 6771492
                PubMed ID: 31173429
                SO-VID: e4fc990d-aee2-4e6b-a565-9b1519bcdb7f
                Copyright © © 2019 The Authors. Head & Neck published by Wiley Periodicals, Inc.
                License:

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 18 December 2017
                Date revision received : 02 May 2019
                Date accepted : 13 May 2019
                Page count
                Figures: 1, Tables: 4, Pages: 14, Words: 10087
                Funding
                Funded by: Dutch Cancer Society (KWF‐ Alpe d'Huzes)
                Funded by: Medical Faculty Ljubljana, Department of Family Medicine
                Funded by: Slovenian Research Agency (Young Researcher Program)
                Categories
                Subject: Original Article
                Subject: Original Articles
                Custom metadata
                source-schema-version-number 2.0
                component-id hed25812
                cover-date September 2019
                details-of-publishers-convertor Converter:WILEY_ML3GV2_TO_NLMPMC version:5.6.9 mode:remove_FC converted:01.10.2019

                ScienceOpen disciplines: Otolaryngology
                Keywords: anxiety,depression,fear of recurrence,head and neck cancer,smoking
                Data availability:
                ScienceOpen disciplines: Otolaryngology
                Keywords: anxiety, depression, fear of recurrence, head and neck cancer, smoking

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