Investigation of Factors Influencing the Fear of Cancer Recurrence in Breast Cancer Patients Using Structural Equation Modeling: A Cross-Sectional Study

Objective. This study aimed to investigate the fear of cancer recurrence (FCR) in breast cancer patients and develop a structural equation model of influencing factors to help formulate clinical intervention strategies. Methods. A convenience sample of 325 patients was surveyed using a general and d...

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Main Authors: Hai-Tao Guo, Shuang-Shuang Wang, Chun-Fang Zhang, Hong-Jie Zhang, Min-Xiang Wei, Yu Wu, Chen-Xiao Su
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:International Journal of Clinical Practice
Online Access:http://dx.doi.org/10.1155/2022/2794408
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author Hai-Tao Guo
Shuang-Shuang Wang
Chun-Fang Zhang
Hong-Jie Zhang
Min-Xiang Wei
Yu Wu
Chen-Xiao Su
author_facet Hai-Tao Guo
Shuang-Shuang Wang
Chun-Fang Zhang
Hong-Jie Zhang
Min-Xiang Wei
Yu Wu
Chen-Xiao Su
author_sort Hai-Tao Guo
collection DOAJ
description Objective. This study aimed to investigate the fear of cancer recurrence (FCR) in breast cancer patients and develop a structural equation model of influencing factors to help formulate clinical intervention strategies. Methods. A convenience sample of 325 patients was surveyed using a general and disease-related data questionnaire, which combined the Fear of Progression Questionnaire-Short Form, Mishel Uncertainty in Illness Scale, Perceived Social Support Scale, and Medical Coping Modes Questionnaire. Results. The total score of FCR in breast cancer patients was 35.06 ± 10.83, and 53.8% of patients reached the clinical level. The structural equation model demonstrated that illness uncertainty had a direct positive impact on FCR (β = 0.275, p<0.05), and it could have an indirect impact through social support and resignation coping methods (β = 0.254, p<0.05). Conclusion. The fear of cancer recurrence in breast cancer patients needs further understanding. Medical staff can reduce or buffer FCR in breast cancer patients by strengthening positive influences, such as social support, or weakening negative influences, such as illness uncertainty and resignation coping.
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issn 1742-1241
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publishDate 2022-01-01
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series International Journal of Clinical Practice
spelling doaj-art-02c3ea8dfca743e6af152c61cb0c1e752025-02-03T05:57:26ZengWileyInternational Journal of Clinical Practice1742-12412022-01-01202210.1155/2022/2794408Investigation of Factors Influencing the Fear of Cancer Recurrence in Breast Cancer Patients Using Structural Equation Modeling: A Cross-Sectional StudyHai-Tao Guo0Shuang-Shuang Wang1Chun-Fang Zhang2Hong-Jie Zhang3Min-Xiang Wei4Yu Wu5Chen-Xiao Su6Department of OperationDepartment of Radiation OncologyDepartment of AdministrativeCollege of Public Health Hebei UniversityDepartment of Breast SurgeryDepartment of Breast SurgeryDepartment of Breast SurgeryObjective. This study aimed to investigate the fear of cancer recurrence (FCR) in breast cancer patients and develop a structural equation model of influencing factors to help formulate clinical intervention strategies. Methods. A convenience sample of 325 patients was surveyed using a general and disease-related data questionnaire, which combined the Fear of Progression Questionnaire-Short Form, Mishel Uncertainty in Illness Scale, Perceived Social Support Scale, and Medical Coping Modes Questionnaire. Results. The total score of FCR in breast cancer patients was 35.06 ± 10.83, and 53.8% of patients reached the clinical level. The structural equation model demonstrated that illness uncertainty had a direct positive impact on FCR (β = 0.275, p<0.05), and it could have an indirect impact through social support and resignation coping methods (β = 0.254, p<0.05). Conclusion. The fear of cancer recurrence in breast cancer patients needs further understanding. Medical staff can reduce or buffer FCR in breast cancer patients by strengthening positive influences, such as social support, or weakening negative influences, such as illness uncertainty and resignation coping.http://dx.doi.org/10.1155/2022/2794408
spellingShingle Hai-Tao Guo
Shuang-Shuang Wang
Chun-Fang Zhang
Hong-Jie Zhang
Min-Xiang Wei
Yu Wu
Chen-Xiao Su
Investigation of Factors Influencing the Fear of Cancer Recurrence in Breast Cancer Patients Using Structural Equation Modeling: A Cross-Sectional Study
International Journal of Clinical Practice
title Investigation of Factors Influencing the Fear of Cancer Recurrence in Breast Cancer Patients Using Structural Equation Modeling: A Cross-Sectional Study
title_full Investigation of Factors Influencing the Fear of Cancer Recurrence in Breast Cancer Patients Using Structural Equation Modeling: A Cross-Sectional Study
title_fullStr Investigation of Factors Influencing the Fear of Cancer Recurrence in Breast Cancer Patients Using Structural Equation Modeling: A Cross-Sectional Study
title_full_unstemmed Investigation of Factors Influencing the Fear of Cancer Recurrence in Breast Cancer Patients Using Structural Equation Modeling: A Cross-Sectional Study
title_short Investigation of Factors Influencing the Fear of Cancer Recurrence in Breast Cancer Patients Using Structural Equation Modeling: A Cross-Sectional Study
title_sort investigation of factors influencing the fear of cancer recurrence in breast cancer patients using structural equation modeling a cross sectional study
url http://dx.doi.org/10.1155/2022/2794408
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