Fear of cancer recurrence and social support among Indonesian gynecological cancer survivors

Q4 Medicine
T. Wijayanti, Yati Afiyanti, Hayuni Rahmah, Ariesta Milanti
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引用次数: 10

Abstract

Accepted 2018-06-26 INTRODUCTION Fear of cancer recurrence (FCR) is among the top concerns of cancer survivors regardless of the type of cancer (1). For the gynecological cancer (GC) survivors, recurrence is indeed a major issue due to its high recurrence rates coupled with its tendency of being asymptomatic and diagnosed at advanced stage (2). Many women with GC are aware of this fact and experience a constant fear of having cancer over time (3,4). Despite some conflicting findings of the FCR prevalence and its relations with the cancer prognosis and survival, a recent review suggests that FCR is a ubiquitous and persistent among the cancer survivors and is strongly associated with lower quality of life (QOL) (5). FCR is also poorly addressed in the survivorship care planning and care even though its incidence has been much evident (6). Many different factors can influence FCR, including sociodemographic, clinical, and psychological factors (5,7). Prior studies indicated that cultural background may account for variance of FCR (8,9). Researchers posit that different cultural groups may have distinct coping style, communication style, and social support which contribute to FCR variability (5,8). The belief such as fatalism, i.e. pessimistic view about the probability of surviving a disease, remains evident in many cultures, as shown, for example, in studies done in Turkey (10) and Portugal (11). Such belief may shape the way women perceive their experience of living with GC. In addition, a study in Iran showed how Iranian cancer patients frequently had high level of FCR mainly due to their concern about their family and children, not because of their own self-concern (12). In line with this, another study suggested what women fear the most about having their cancer back – it was the implication of their inability to perform social roles, especially their motherhood or womanhood roles, which were then associated with the poor QOL (13). These studies are among the many evidences regarding the interplays of the sociocultural dimension of FCR. Since FCR may have prominent sociocultural attributes, it deemed necessary to examine FCR in Indonesia. Indonesia, as a middle-income country in South-east Asia has a high incidence of GC, with cervical cancer being the most prevalent (14,15). The number of GC survivors is continuously increasing due to the large population and high incidence, albeit low survival (16). Cancer survivorship issues, including FCR, are mostly unexplored in Indonesia (17). Hence, there is still insufficient basis for understanding and addressing this problem. On a different note, Indonesian people hold a strong collectivist culture (18). Studies found that in Indonesia GC survivors received social, emotional, spiritual, and even financial support not only from their family or close relatives but also from their neighbors and colleagues (19,20). Whether this common social feature may influence the FCR among the GC survivors in Indonesia is yet unknown. This study was therefore conducted to assess the relationship of FCR with social support and sociodemographic characteristics of Indonesian GC survivors.
印度尼西亚妇科癌症幸存者对癌症复发的恐惧和社会支持
对癌症复发的恐惧(FCR)是癌症幸存者最关心的问题之一,无论癌症类型如何(1)。对于妇科癌症(GC)幸存者来说,由于其高复发率以及无症状和晚期诊断的趋势,复发确实是一个主要问题(2)。许多患有GC的女性意识到这一事实,并且随着时间的推移,对癌症的持续恐惧(3,4)。尽管FCR患病率及其与癌症预后和生存的关系存在一些相互矛盾的发现,但最近的一项综述表明,FCR在癌症幸存者中普遍存在且持续存在,并且与较低的生活质量(QOL)密切相关(5)。尽管FCR的发病率已经非常明显,但在幸存者护理计划和护理中,FCR也很少得到解决(6)。心理因素(5,7)。先前的研究表明,文化背景可以解释FCR的差异(8,9)。研究人员认为,不同的文化群体可能有不同的应对方式、沟通方式和社会支持,这导致了FCR的变异性(5,8)。宿命论等信念,即对疾病存活概率的悲观看法,在许多文化中仍然很明显,例如在土耳其(10)和葡萄牙(11)进行的研究表明。这种信念可能会影响女性对自己患有胃癌的经历的看法。此外,伊朗的一项研究表明,伊朗癌症患者之所以经常有高水平的FCR,主要是因为他们对家庭和孩子的关心,而不是因为他们自己的关心(12)。与此相一致,另一项研究表明,女性最害怕的是癌症复发——这意味着她们无法履行社会角色,尤其是母亲或女性角色,这与糟糕的生活质量有关(13)。这些研究是关于FCR的社会文化维度相互作用的众多证据之一。由于FCR可能具有突出的社会文化属性,因此有必要对印度尼西亚的FCR进行研究。印度尼西亚作为东南亚的中等收入国家,胃癌发病率很高,其中宫颈癌最为普遍(14,15)。由于人口多、发病率高,虽然生存率低,但胃癌幸存者的数量仍在不断增加(16)。包括FCR在内的癌症生存问题在印度尼西亚大多未被探索(17)。因此,对这一问题的认识和解决还缺乏充分的基础。另一方面,印尼人拥有强烈的集体主义文化(18)。研究发现,在印度尼西亚,GC幸存者不仅从家庭或近亲那里得到社会、情感、精神甚至经济上的支持,还从邻居和同事那里得到支持(19,20)。这种共同的社会特征是否会影响印度尼西亚GC幸存者的FCR尚不清楚。因此,本研究旨在评估FCR与印尼GC幸存者的社会支持和社会人口学特征之间的关系。
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来源期刊
Archive of Oncology
Archive of Oncology Medicine-Oncology
CiteScore
0.60
自引率
0.00%
发文量
5
审稿时长
12 weeks
期刊介绍: Archive of Oncology is an international oncology journal that publishes original research, editorials, review articles, case (clinical) reports, and news from oncology (medical, surgical, radiation), experimental oncology, cancer epidemiology, and prevention. Letters are also welcomed. Archive of Oncology is covered by Biomedicina Vojvodina, Biomedicina Serbica, Biomedicina Oncologica, EMBASE/Excerpta Medica, ExtraMED and SCOPUS.
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