Fear of cancer recurrence in lymphoma survivors: A descriptive study Journal Article

Authors: Latella, L. E.; Rogers, M.; Leventhal, H.; Parker, P. A.; Horwitz, S.; Matasar, M. J.; Bylund, C. L.; Kissane, D. W.; Franco, K.; Banerjee, S. C.
Article Title: Fear of cancer recurrence in lymphoma survivors: A descriptive study
Abstract: Objectives: Fear of cancer recurrence (FCR) is a common experience among cancer survivors and often persists after the termination of cancer treatments. The purpose of this paper was to evaluate FCR in survivors of Hodgkin’s and diffuse large B-cell lymphomas, given a high rate of survivorship in this patient population. Research Approach: The parent study was a multi-site, cluster-randomized trial to assess a communication skills intervention: survivorship planning consultation (versus a time-attention control - wellness rehabilitation intervention) to promote transition to survivorship. Participants & Methodological Approach: 199 patients enrolled in the study and completed a survivorship (or control) consultation one-month after receiving the news of their survivorship status; 141 of those patients (n = 92 experimental arm, n = 49 control arm) completed an interview at their 6-month follow-up consultation. In the interview, participants described frequency of FCR, causes of FCR, coping mechanisms, and specific things oncologists said to reduce FCR. Both qualitative and quantitative methods were utilized for analyzing participant responses. Findings: The majority (88%) of participants reported experiencing FCR, with a higher number of participants in the experimental arm significantly more likely to endorse FCR compared to the control group participants. The main causes of FCR were having medical appointments and concerns about potential relapse and secondary cancers. Participants endorsed utilizing self-sufficient coping mechanisms. As well, participants reported that oncologists most frequently cited specific cure rates of lymphoma to reduce patients’ FCR. Interpretation & Implications for Psychosocial Providers: Communication skills training programs should emphasize FCR in survivorship consultations. © 2019, © 2019 Taylor & Francis Group, LLC.
Keywords: adult; controlled study; aged; major clinical study; cancer recurrence; follow up; hodgkin disease; cancer survivor; patient care; social support; lymphoma; communication; survivorship; communication skill; consultation; interview; coping behavior; oncologist; survivorship care plan; diffuse large b cell lymphoma; human; article; fear of cancer recurrence
Journal Title: Journal of Psychosocial Oncology
Volume: 38
Issue: 3
ISSN: 0734-7332
Publisher: Taylor & Francis Group  
Date Published: 2020-01-01
Start Page: 251
End Page: 271
Language: English
DOI: 10.1080/07347332.2019.1677840
PUBMED: 31617830
PROVIDER: scopus
PMCID: PMC7159999
Notes: Article -- Source: Scopus
Citation Impact
MSK Authors
  1. Steven M Horwitz
    412 Horwitz
  2. Matthew J Matasar
    151 Matasar
  3. Patricia Ann Parker
    41 Parker
  4. Kara Ann Franco
    6 Franco
  5. Madeline Cullity Rogers
    5 Rogers