Fear of Cancer Recurrence, Health Anxiety, Worry, and Uncertainty: A Scoping Review About Their Conceptualization and Measurement Within Breast Cancer Survivorship Research

dc.authoridFrati, Francesca/0000-0003-4380-7958en_US
dc.authoridTock, Wing Lam/0000-0003-1614-3770en_US
dc.contributor.authorMaheu, Christine
dc.contributor.authorSingh, Mina
dc.contributor.authorTock, Wing Lam
dc.contributor.authorEyrenci, Asli
dc.contributor.authorGalica, Jacqueline
dc.contributor.authorHebert, Maude
dc.contributor.authorFrati, Francesca
dc.date.accessioned2024-07-12T21:40:52Z
dc.date.available2024-07-12T21:40:52Z
dc.date.issued2021en_US
dc.department[Belirlenecek]en_US
dc.description.abstractObjective: Fear of Cancer Recurrence (FCR), Health Anxiety (HA), worry, and uncertainty in illness are psychological concerns commonly faced by cancer patients. In survivorship research, these similar, yet different constructs are frequently used interchangeably and multiple instruments are used in to measure them. The lack of clear and consistent conceptualization and measurement can lead to diverse or contradictory interpretations. The purpose of this scoping review was to review, compare, and analyze the current conceptualization and measurements used for FCR, HA, worry, and uncertainty in the breast cancer survivorship literature to improve research and practice. Inclusion Criteria: We considered quantitative, qualitative, and mixed methods studies of breast cancer survivors that examined FCR, HA, worry, or uncertainty in illness as a main topic and included a definition or assessment of the constructs. Methods and Analysis: The six-staged framework was used to guide the scoping review process. Searches of PubMed, CINAHL, and PsycINFO databases were conducted. The principle-based qualitative analysis and simultaneous content analysis procedures were employed to synthesize and map the findings. Findings: After duplicate removal, the search revealed 3,299 articles, of which 82 studies met the inclusion criteria. Several critical attributes overlapped the four constructs, for example, all were triggered by internal somatic and external cues. However, several unique attributes were found (e.g., a sense of loss of security in the body is observed only among survivors experiencing FCR). Overall, findings showed that FCR and uncertainty in illness are more likely to be triggered by cancer-specific factors, while worry and HA have more trait-like in terms of characteristics, theoretical features, and correlates. We found that the measures used to assess each construct were on par with their intended constructs. Eighteen approaches were used to measure FCR, 15 for HA, 8 for worry, and 4 for uncertainty. Conclusion: While consensus on the conceptualization and measurement of the four constructs has not yet been reached, this scoping review identifies key similarities and differences to aid in their selection and measurement. Considering the observed overlap between the four studied constructs, further research delineating the unique attributes for each construct is warranted.en_US
dc.description.sponsorshipMcGill Nursing Collaborative for Education and Innovation in Patient-and Family-Centered Care (Newton Foundation/McGill Faculty of Medicine); Graphos/McGill Writing Centre through theWriting for Publication initiativeen_US
dc.description.sponsorshipSpecial thanks to the members of the Fear of Cancer Recurrence Special Interest Group (FORwards) of the International Psycho Oncology Society (IPOS), Dr. Evgeniia Ananeva, Dr. Leah Jane Curran, and Dr. Vander Haegen, for contributing to the consultation exercise of the scoping review. The authors would like to acknowledge the support of the McGill Nursing Collaborative for Education and Innovation in Patient-and Family-Centered Care (Newton Foundation/McGill Faculty of Medicine) and Graphos/McGill Writing Centre (Mrs. Heidi Hoernig) through theWriting for Publication initiative.en_US
dc.identifier.doi10.3389/fpsyg.2021.644932
dc.identifier.issn1664-1078
dc.identifier.pmid33912113en_US
dc.identifier.scopus2-s2.0-85104956548en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.3389/fpsyg.2021.644932
dc.identifier.urihttps://hdl.handle.net/20.500.12415/7532
dc.identifier.volume12en_US
dc.identifier.wosWOS:000643722700001en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherFrontiers Media Saen_US
dc.relation.ispartofFrontiers in Psychologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKY09367
dc.subjectFear Of Cancer Recurrenceen_US
dc.subjectHealth Anxietyen_US
dc.subjectUncertaintyen_US
dc.subjectWorryen_US
dc.subjectConceptualizationen_US
dc.subjectMeasurementen_US
dc.subjectScoping Reviewen_US
dc.subjectCancer Survivorshipen_US
dc.titleFear of Cancer Recurrence, Health Anxiety, Worry, and Uncertainty: A Scoping Review About Their Conceptualization and Measurement Within Breast Cancer Survivorship Researchen_US
dc.typeReview Article
dspace.entity.typePublication

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