Predicting Fear of Breast Cancer Recurrence and Self-Efficacy in Survivors by Age at Diagnosis
Identifieur interne : 002805 ( Pmc/Checkpoint ); précédent : 002804; suivant : 002806Predicting Fear of Breast Cancer Recurrence and Self-Efficacy in Survivors by Age at Diagnosis
Auteurs : Kim Wagler Ziner ; George W. Sledge ; Cynthia J. Bell ; Shelley Johns ; Kathy D. Miller ; Victoria L. ChampionSource :
- Oncology nursing forum [ 0190-535X ] ; 2012.
Abstract
To determine the effect that age at diagnosis has on fear of breast cancer recurrence and to identify the predictors of fear of recurrence using self-efficacy as a mediator.
Cross-sectional survey.
Two university cancer centers and one cooperative group in the midwestern United States.
1,128 long-term survivors.
Survivors were eligible if they were aged 18–45 years (younger group) or 55–70 years (older group) at cancer diagnosis, had received chemotherapy, and were three to eight years postdiagnosis. Fear of recurrence was compared between younger and older groups. Multiple regression analyses were used to test variables’ prediction of fear of recurrence and breast cancer survivor self-efficacy, as well as breast cancer survivor self-efficacy mediation effects.
Fear of recurrence, breast cancer survivor self-efficacy, and age at diagnosis.
Survivors diagnosed at a younger age had significantly higher fear of recurrence, as well as health, role, womanhood, death, and parenting worries. Perceived risk of recurrence, trait anxiety, and breast cancer reminders explained significant variance in fear of recurrence and breast cancer survivor self-efficacy. Breast cancer survivor self-efficacy partially mediated the effects of variables on fear of recurrence.
The findings suggest that breast cancer survivor self-efficacy may have a protective effect for survivors who are younger at diagnosis and have higher perceived risk of recurrence, higher trait anxiety, and more breast cancer reminders. Oncology nurses already use the skills required to support self-efficacy. Additional research is needed to define and test breast cancer survivor self-efficacy interventions.
Oncology nurses are in a key role to assess fear of recurrence and provide self-efficacy interventions to reduce it in breast cancer survivors. Strategies to efficiently address fear of recurrence to reduce psychological distress in survivorship follow-up care are warranted.
Url:
DOI: 10.1188/12.ONF.287-295
PubMed: 22543387
PubMed Central: 5018900
Affiliations:
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<author><name sortKey="Johns, Shelley" sort="Johns, Shelley" uniqKey="Johns S" first="Shelley" last="Johns">Shelley Johns</name>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Purpose/Objectives</title>
<p id="P1">To determine the effect that age at diagnosis has on fear of breast cancer recurrence and to identify the predictors of fear of recurrence using self-efficacy as a mediator.</p>
</sec>
<sec id="S2"><title>Design</title>
<p id="P2">Cross-sectional survey.</p>
</sec>
<sec id="S3"><title>Setting</title>
<p id="P3">Two university cancer centers and one cooperative group in the midwestern United States.</p>
</sec>
<sec id="S4"><title>Sample</title>
<p id="P4">1,128 long-term survivors.</p>
</sec>
<sec id="S5"><title>Methods</title>
<p id="P5">Survivors were eligible if they were aged 18–45 years (younger group) or 55–70 years (older group) at cancer diagnosis, had received chemotherapy, and were three to eight years postdiagnosis. Fear of recurrence was compared between younger and older groups. Multiple regression analyses were used to test variables’ prediction of fear of recurrence and breast cancer survivor self-efficacy, as well as breast cancer survivor self-efficacy mediation effects.</p>
</sec>
<sec id="S6"><title>Main Research Variables</title>
<p id="P6">Fear of recurrence, breast cancer survivor self-efficacy, and age at diagnosis.</p>
</sec>
<sec id="S7"><title>Findings</title>
<p id="P7">Survivors diagnosed at a younger age had significantly higher fear of recurrence, as well as health, role, womanhood, death, and parenting worries. Perceived risk of recurrence, trait anxiety, and breast cancer reminders explained significant variance in fear of recurrence and breast cancer survivor self-efficacy. Breast cancer survivor self-efficacy partially mediated the effects of variables on fear of recurrence.</p>
</sec>
<sec id="S8"><title>Conclusions</title>
<p id="P8">The findings suggest that breast cancer survivor self-efficacy may have a protective effect for survivors who are younger at diagnosis and have higher perceived risk of recurrence, higher trait anxiety, and more breast cancer reminders. Oncology nurses already use the skills required to support self-efficacy. Additional research is needed to define and test breast cancer survivor self-efficacy interventions.</p>
</sec>
<sec id="S9"><title>Implications for Nursing</title>
<p id="P9">Oncology nurses are in a key role to assess fear of recurrence and provide self-efficacy interventions to reduce it in breast cancer survivors. Strategies to efficiently address fear of recurrence to reduce psychological distress in survivorship follow-up care are warranted.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">7809033</journal-id>
<journal-id journal-id-type="pubmed-jr-id">6497</journal-id>
<journal-id journal-id-type="nlm-ta">Oncol Nurs Forum</journal-id>
<journal-id journal-id-type="iso-abbrev">Oncol Nurs Forum</journal-id>
<journal-title-group><journal-title>Oncology nursing forum</journal-title>
</journal-title-group>
<issn pub-type="ppub">0190-535X</issn>
<issn pub-type="epub">1538-0688</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">22543387</article-id>
<article-id pub-id-type="pmc">5018900</article-id>
<article-id pub-id-type="doi">10.1188/12.ONF.287-295</article-id>
<article-id pub-id-type="manuscript">NIHMS811564</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Predicting Fear of Breast Cancer Recurrence and Self-Efficacy in Survivors by Age at Diagnosis</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Ziner</surname>
<given-names>Kim Wagler</given-names>
</name>
<degrees>RN, PhD</degrees>
<aff id="A1">Assistant researcher in the School of Nursing, Indiana University in Indianapolis</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Sledge</surname>
<given-names>George W.</given-names>
<suffix>Jr.</suffix>
</name>
<degrees>MD</degrees>
<aff id="A2">Distinguished professor in the School of Medicine, Indiana University in Indianapolis</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Bell</surname>
<given-names>Cynthia J.</given-names>
</name>
<degrees>RN, PhD</degrees>
<aff id="A3">Postdoctoral fellow in the School of Nursing at Vanderbilt University in Nashville, TN</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Johns</surname>
<given-names>Shelley</given-names>
</name>
<degrees>PsyD, ABPP</degrees>
<aff id="A4">Postdoctoral fellow at the Walther Cancer Foundation in Indianapolis, IN</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Miller</surname>
<given-names>Kathy D.</given-names>
</name>
<degrees>MD</degrees>
<aff id="A5">Associate professor in the School of Medicine, Indiana University</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Champion</surname>
<given-names>Victoria L.</given-names>
</name>
<degrees>RN, PhD</degrees>
<aff id="A6">Distinguished professor in the School of Nursing, Indiana University</aff>
</contrib>
</contrib-group>
<author-notes><corresp id="FN1">Ziner can be reached at <email>kwagler@iupui.edu</email>
, with copy to editor at <email>ONFEditor@ons.org</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>20</day>
<month>8</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="ppub"><day>1</day>
<month>5</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>12</day>
<month>9</month>
<year>2016</year>
</pub-date>
<volume>39</volume>
<issue>3</issue>
<fpage>287</fpage>
<lpage>295</lpage>
<pmc-comment>elocation-id from pubmed: 10.1188/12.ONF.287-295</pmc-comment>
<abstract><sec id="S1"><title>Purpose/Objectives</title>
<p id="P1">To determine the effect that age at diagnosis has on fear of breast cancer recurrence and to identify the predictors of fear of recurrence using self-efficacy as a mediator.</p>
</sec>
<sec id="S2"><title>Design</title>
<p id="P2">Cross-sectional survey.</p>
</sec>
<sec id="S3"><title>Setting</title>
<p id="P3">Two university cancer centers and one cooperative group in the midwestern United States.</p>
</sec>
<sec id="S4"><title>Sample</title>
<p id="P4">1,128 long-term survivors.</p>
</sec>
<sec id="S5"><title>Methods</title>
<p id="P5">Survivors were eligible if they were aged 18–45 years (younger group) or 55–70 years (older group) at cancer diagnosis, had received chemotherapy, and were three to eight years postdiagnosis. Fear of recurrence was compared between younger and older groups. Multiple regression analyses were used to test variables’ prediction of fear of recurrence and breast cancer survivor self-efficacy, as well as breast cancer survivor self-efficacy mediation effects.</p>
</sec>
<sec id="S6"><title>Main Research Variables</title>
<p id="P6">Fear of recurrence, breast cancer survivor self-efficacy, and age at diagnosis.</p>
</sec>
<sec id="S7"><title>Findings</title>
<p id="P7">Survivors diagnosed at a younger age had significantly higher fear of recurrence, as well as health, role, womanhood, death, and parenting worries. Perceived risk of recurrence, trait anxiety, and breast cancer reminders explained significant variance in fear of recurrence and breast cancer survivor self-efficacy. Breast cancer survivor self-efficacy partially mediated the effects of variables on fear of recurrence.</p>
</sec>
<sec id="S8"><title>Conclusions</title>
<p id="P8">The findings suggest that breast cancer survivor self-efficacy may have a protective effect for survivors who are younger at diagnosis and have higher perceived risk of recurrence, higher trait anxiety, and more breast cancer reminders. Oncology nurses already use the skills required to support self-efficacy. Additional research is needed to define and test breast cancer survivor self-efficacy interventions.</p>
</sec>
<sec id="S9"><title>Implications for Nursing</title>
<p id="P9">Oncology nurses are in a key role to assess fear of recurrence and provide self-efficacy interventions to reduce it in breast cancer survivors. Strategies to efficiently address fear of recurrence to reduce psychological distress in survivorship follow-up care are warranted.</p>
</sec>
</abstract>
</article-meta>
</front>
</pmc>
<affiliations><list></list>
<tree><noCountry><name sortKey="Bell, Cynthia J" sort="Bell, Cynthia J" uniqKey="Bell C" first="Cynthia J." last="Bell">Cynthia J. Bell</name>
<name sortKey="Champion, Victoria L" sort="Champion, Victoria L" uniqKey="Champion V" first="Victoria L." last="Champion">Victoria L. Champion</name>
<name sortKey="Johns, Shelley" sort="Johns, Shelley" uniqKey="Johns S" first="Shelley" last="Johns">Shelley Johns</name>
<name sortKey="Miller, Kathy D" sort="Miller, Kathy D" uniqKey="Miller K" first="Kathy D." last="Miller">Kathy D. Miller</name>
<name sortKey="Sledge, George W" sort="Sledge, George W" uniqKey="Sledge G" first="George W." last="Sledge">George W. Sledge</name>
<name sortKey="Ziner, Kim Wagler" sort="Ziner, Kim Wagler" uniqKey="Ziner K" first="Kim Wagler" last="Ziner">Kim Wagler Ziner</name>
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