Protective Factors against Fear of Cancer Recurrence in Breast Cancer Patients: A Latent Growth Model.

Gabriella Bentley, Osnat Zamir, Rawan Dahabre, Shlomit Perry, Evangelos C Karademas, Paula Poikonen-Saksela, Ketti Mazzocco, Berta Sousa, Ruth Pat-Horenczyk, BOUNCE Consortium
Author Information
  1. Gabriella Bentley: School of Social Work and Social Welfare, Hebrew University of Jerusalem, Jerusalem 9190500, Israel. ORCID
  2. Osnat Zamir: School of Social Work and Social Welfare, Hebrew University of Jerusalem, Jerusalem 9190500, Israel.
  3. Rawan Dahabre: School of Social Work and Social Welfare, Hebrew University of Jerusalem, Jerusalem 9190500, Israel.
  4. Shlomit Perry: School of Social Work and Social Welfare, Hebrew University of Jerusalem, Jerusalem 9190500, Israel. ORCID
  5. Evangelos C Karademas: Department of Psychology, University of Crete and Foundation for Research and Technology, 70013 Heraklion, Greece.
  6. Paula Poikonen-Saksela: Helsinki University Hospital Comprehensive Cancer Center, University of Helsinki, 00100 Helsinki, Finland.
  7. Ketti Mazzocco: Department of Oncology and Hemato-Oncology, University of Milan, 20139 Milan, Italy. ORCID
  8. Berta Sousa: Breast Unit, Champalimaud Clinical Centre, Champalimaud Foundation, 1400-038 Lisboa, Portugal. ORCID
  9. Ruth Pat-Horenczyk: School of Social Work and Social Welfare, Hebrew University of Jerusalem, Jerusalem 9190500, Israel. ORCID

Abstract

The current study aimed to examine the fear of cancer recurrence (FCR) trajectory and protective predictors in women coping with breast cancer (BC). The study's model investigated whether a higher coping self-efficacy and positive cognitive-emotion regulation at the time of the BC diagnosis would lead to reduced levels of FCR at six months and in later stages (12 and 18 months) post-diagnosis. The sample included 494 women with stages I to III BC from Finland, Italy, Portugal, and Israel. They completed self-report questionnaires, including the Fear of Cancer Recurrence Inventory (FCRI-SF), the Cancer Behavior Inventory-Brief Version (CBI-B), the Cognitive-Emotion Regulation Questionnaire (CERQ short), and medical-social-demographic data. Findings revealed that a higher coping self-efficacy at diagnosis predicted lower FCR levels after six months but did not impact the FCR trajectory over time. Surprisingly, positive cognitive-emotion regulation did not predict FCR levels or changes over 18 months. FCR levels remained stable from six to 18 months post-diagnosis. This study emphasizes the importance of developing specific cancer coping skills, such as coping self-efficacy. Enhancing coping self-efficacy in the first six months after BC diagnosis may lead to lower FCR levels later, as FCR tends to persist in the following year.

Keywords

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Grants

  1. 777167/European Union's Horizon 2020 Research and Innovation Programme
  2. /Canadian Friends of the Hebrew University (CFHU) Fellowship Fund

Word Cloud

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