Interpretation bias in breast cancer survivors experiencing fear of cancer recurrence Journal Article


Authors: Tuman, M.; Roberts, K. E.; Corner, G.; Beard, C.; Fadalla, C.; Coats, T.; Slivjak, E.; Schofield, E.; Lichtenthal, W. G.
Article Title: Interpretation bias in breast cancer survivors experiencing fear of cancer recurrence
Abstract: Introduction: Fear of cancer recurrence (FCR) is a prevalent and persistent challenge that many cancer survivors endure. While the role of interpretation bias, a tendency to perceive ambiguous situations as threatening, has been established in the onset and maintenance of FCR, few studies have examined cancer-related interpretation bias specifically. Grounded in the cognitive formulation of FCR, the current study aimed to fill this gap by investigating the relationship between cancer-related interpretation bias, FCR, and somatic symptoms, and examining whether bias mediates the relationship between somatic symptoms and FCR. Materials and Methods: This study used baseline data from a randomized controlled trial of a cognitive bias modification intervention. Breast cancer survivors (n = 110) provided demographic and medical background information as well as self-report measures of FCR and severity of somatic symptoms. A computer-based assessment of interpretation bias was used to measure cancer-related interpretation bias on several bias indices: percentage of cancer-related threat endorsement, and percentage of benign endorsement; mean reaction time (RT) for threat, and mean RT for benign endorsement. Results: Higher threat endorsement was linked to higher Overall Fear and emerged as a mediator of the relationship between overall somatic symptoms and Overall Fear. We also found that older age was related to longer benign endorsement RT. Conclusion: This study contributes understanding of factors related to cancer-related interpretation bias and provides evidence that bias may influence the relationship between somatic symptoms and FCR in cancer survivors. Copyright © 2021 Tuman, Roberts, Corner, Beard, Fadalla, Coats, Slivjak, Schofield and Lichtenthal.
Keywords: breast cancer survivors; mediation; somatic symptoms; fear of cancer recurrence; interpretation bias
Journal Title: Frontiers in Psychology
Volume: 12
ISSN: 1664-1078
Publisher: Frontiers Media S.A.  
Date Published: 2021-11-01
Start Page: 682174
Language: English
DOI: 10.3389/fpsyg.2021.682174
PROVIDER: scopus
PMCID: PMC8636426
PUBMED: 34867579
DOI/URL:
Notes: Article -- Export Date: 3 January 2022 -- Source: Scopus
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  1. Malwina Maja Tuman
    23 Tuman
  2. Elizabeth A Schofield
    161 Schofield
  3. Taylor Corrine Coats
    8 Coats