Fear of cancer recurrence in breast cancer: A moderated serial mediation analysis of a prospective international study.

IF 4.3 3区材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC

ACS Applied Electronic Materials Pub Date : 2024-08-01 Epub Date: 2024-04-22 DOI:10.1037/hea0001345

Gabriella Bentley, Osnat Zamir, Ilan Roziner, Rawan Dahabre, Shlomit Perry, Evangelos C Karademas, Paula Poikonen-Saksela, Ketti Mazzocco, Albino J Oliveira-Maia, Ruth Pat-Horenczyk

{"title":"Fear of cancer recurrence in breast cancer: A moderated serial mediation analysis of a prospective international study.","authors":"Gabriella Bentley, Osnat Zamir, Ilan Roziner, Rawan Dahabre, Shlomit Perry, Evangelos C Karademas, Paula Poikonen-Saksela, Ketti Mazzocco, Albino J Oliveira-Maia, Ruth Pat-Horenczyk","doi":"10.1037/hea0001345","DOIUrl":null,"url":null,"abstract":"Objective: Women dealing with breast cancer (BC) face many challenges, one of which is the fear of cancer recurrence (FCR). This study examined whether disease severity predicts FCR 6 months after cancer diagnosis through psychological distress and whether cognitive-emotion regulation moderates this effect.Method: The study sample included 656 women from Italy (27.5%), Finland (31.9%), Israel (19.8%), and Portugal (20.8%) diagnosed with Stages I-III of BC. Participants' age ranged between 40 and 70 years (M = 54.92, SD = 8.22). Participants were tracked following BC diagnosis and at 3 and 6 months follow-up. Participants filled out self-report questionnaires, including the FCR inventory-short form, the Hospital Anxiety and Depression Scale, and the cognitive-emotion regulation questionnaire along with medical-social-demographic data.Results: Greater disease severity at baseline indicated by higher cancer stage predicted greater psychological distress, which in turn predicted greater psychological distress at 3 months. The latter predicted greater FCR at 6 months. This serial mediation model was moderated by negative cognitive-emotion regulation. The mediating effect of disease severity on FCR through psychological distress was significant only in women with mean or higher levels of negative cognitive-emotion regulation.Conclusion: This study suggests that facilitating psychological well-being and effective cognitive-emotion regulation in the early stages after a cancer diagnosis may protect women from FCR. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":3,"journal":{"name":"ACS Applied Electronic Materials","volume":null,"pages":null},"PeriodicalIF":4.3000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"ACS Applied Electronic Materials","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1037/hea0001345","RegionNum":3,"RegionCategory":"材料科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/4/22 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"ENGINEERING, ELECTRICAL & ELECTRONIC","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: Women dealing with breast cancer (BC) face many challenges, one of which is the fear of cancer recurrence (FCR). This study examined whether disease severity predicts FCR 6 months after cancer diagnosis through psychological distress and whether cognitive-emotion regulation moderates this effect.

Method: The study sample included 656 women from Italy (27.5%), Finland (31.9%), Israel (19.8%), and Portugal (20.8%) diagnosed with Stages I-III of BC. Participants' age ranged between 40 and 70 years (M = 54.92, SD = 8.22). Participants were tracked following BC diagnosis and at 3 and 6 months follow-up. Participants filled out self-report questionnaires, including the FCR inventory-short form, the Hospital Anxiety and Depression Scale, and the cognitive-emotion regulation questionnaire along with medical-social-demographic data.

Results: Greater disease severity at baseline indicated by higher cancer stage predicted greater psychological distress, which in turn predicted greater psychological distress at 3 months. The latter predicted greater FCR at 6 months. This serial mediation model was moderated by negative cognitive-emotion regulation. The mediating effect of disease severity on FCR through psychological distress was significant only in women with mean or higher levels of negative cognitive-emotion regulation.

Conclusion: This study suggests that facilitating psychological well-being and effective cognitive-emotion regulation in the early stages after a cancer diagnosis may protect women from FCR. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

查看原文本刊更多论文

对乳腺癌复发的恐惧：一项前瞻性国际研究的调和序列中介分析。

目的：罹患乳腺癌（BC）的女性面临许多挑战，其中之一就是对癌症复发的恐惧（FCR）。本研究探讨了疾病严重程度是否会通过心理困扰预测癌症确诊后 6 个月的复发恐惧，以及认知-情绪调节是否会调节这种影响：研究样本包括来自意大利（27.5%）、芬兰（31.9%）、以色列（19.8%）和葡萄牙（20.8%）的 656 名确诊为 BC I-III 期的女性。参与者的年龄在 40 岁到 70 岁之间（M = 54.92，SD = 8.22）。在 BC 诊断后以及 3 个月和 6 个月的随访中，对参与者进行了跟踪调查。参与者填写了自我报告问卷，包括FCR清单-简表、医院焦虑和抑郁量表、认知-情绪调节问卷以及医疗-社会-人口学数据：基线时疾病严重程度越高（癌症分期越高），心理压力就越大。后者预示着 6 个月时的 FCR 值更高。这一序列中介模型受到负性认知-情绪调节的调节。疾病严重程度通过心理困扰对FCR的中介效应只有在具有平均或更高水平的消极认知-情绪调节的女性中才显著：本研究表明，在癌症确诊后的早期阶段，促进心理健康和有效的认知-情绪调节可保护妇女免受 FCR 的影响。(PsycInfo Database Record (c) 2024 APA, 版权所有）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

ACS Applied Electronic Materials Multiple-

CiteScore

7.20

自引率

4.30%

发文量

567