Florian Schepper, Anja Santel, Jessy Herrmann, Kristina Herzog, Leonard Konstantin Kulisch, Jörn-Sven Kühl, Julia Martini
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引用次数: 0
Abstract
Background: Fear of progression (FoP) is among the most prevalent psychosocial burdens in paediatric oncology. Empirical evidence suggests that FoP is particularly pronounced during acute treatment and often persists into follow-up care. It is associated with heightened perception of physical symptoms, increased post-traumatic stress symptoms, more negative illness perceptions, and reduced quality of life (QoL). Consequently, a comprehensive diagnostic instrument is essential to assess FoP in children with cancer.
Objective: This study aimed to prospectively validate the German self-report version of the Fear of Progression Questionnaire for Children (FoP-Q-SF/C) aged 7-18 years both during acute treatment and in follow-up care.
Methods: A total of 116 children participated in the study, including 39 undergoing acute treatment and 77 in follow-up care. Participants completed the FoP-Q-SF/C. Factor analyses were conducted, and associations between FoP and QoL, illness perceptions, posttraumatic stress symptoms, time since diagnosis, cancer type and treatment modality were examined.
Results: All items were applicable in children. The FoP-Q-SF/C demonstrated high internal consistency and good convergent, criterion and divergent validity. Consistent with previous research, factor analysis supported a one-factor structure, although findings suggest potential for structural refinement.
Conclusions: The FoP-Q-SF/C is a reliable and valid questionnaire for assessing FoP in children with cancer across different treatment phases. It serves as a valuable screening instrument to identify children at risk for elevated psychosocial distress and to guide targeted psychosocial interventions.
背景：进展恐惧（Fear of progression, FoP）是儿科肿瘤学中最普遍的心理社会负担之一。经验证据表明，在急性治疗期间，FoP特别明显，并经常持续到后续护理。它与身体症状的感知增强、创伤后应激症状的增加、更多的消极疾病感知和生活质量（QoL）的降低有关。因此，一种全面的诊断工具对于评估癌症儿童的FoP至关重要。目的：本研究旨在前瞻性地验证德国7-18岁儿童进展恐惧自我报告问卷（FoP-Q-SF/C）在急性治疗和随访期间的有效性。方法：116例患儿参与研究，其中急性期治疗39例，随访77例。参与者完成了top - q - sf /C。进行因素分析，并检查FoP与生活质量、疾病认知、创伤后应激症状、诊断时间、癌症类型和治疗方式之间的关系。结果：所有项目均适用于儿童。FoP-Q-SF/C具有较高的内部一致性和较好的收敛效度、判据效度和发散效度。与先前的研究一致，因子分析支持单因素结构，尽管研究结果表明结构改进的潜力。结论：FoP- q - sf /C是一份可靠、有效的评估癌症儿童不同治疗阶段FoP的问卷。它是一种有价值的筛查工具，可以识别有心理社会困扰风险的儿童，并指导有针对性的心理社会干预。
期刊介绍：
Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology.
This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues.
Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.
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