Fear of progression in chronic illnesses other than cancer: a systematic review and meta-analysis of a transdiagnostic construct.

IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Health Psychology Review Pub Date : 2023-06-01 DOI:10.1080/17437199.2022.2039744
Louise Sharpe, M Michalowski, B Richmond, R E Menzies, J Shaw
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引用次数: 13

Abstract

Fear of cancer recurrence (FCR) is the most common psychosocial issue amongst cancer survivors. However, fear of progression (FoP) has rarely been studied outside of the cancer context. This review aimed to: (1) meta-synthesise qualitative studies of FoP in illnesses other than cancer; and (2) quantify the relationship between FoP and anxiety, depression, and quality of life (QoL) in non-cancer chronic illnesses. We identified 25 qualitative and 11 quantitative studies in a range of chronic illnesses. Participants described fears of progression and recurrence of their illness, including fears of dying, and fears of becoming a burden to family. Fears were often triggered by downward comparison (i.e., seeing people worse off than themselves). Participants coped in different ways, including by accepting the illness or seeking knowledge. Those for whom these fears caused distress reported hypervigilance to physical symptoms and avoidance. Distress, and seeking information, were associated with adherence. In quantitative analyses, FoP was moderately associated with QoL, and strongly associated with anxiety and depression. These results suggest that FoP in illnesses other than cancer is similar to FCR. FoP appears to be an important transdiagnostic construct associated with distress. Evidence-based FCR interventions could be adapted to better manage FoP in other illnesses.

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对癌症以外的慢性疾病进展的恐惧:一项跨诊断结构的系统回顾和荟萃分析。
癌症复发恐惧(FCR)是癌症幸存者最常见的心理问题。然而,进展恐惧(FoP)很少在癌症背景之外进行研究。本综述旨在:(1)对肿瘤以外疾病中FoP的meta综合定性研究;(2)量化非癌症慢性疾病患者的FoP与焦虑、抑郁和生活质量(QoL)的关系。我们在一系列慢性疾病中确定了25项定性研究和11项定量研究。参与者描述了对疾病进展和复发的恐惧,包括对死亡的恐惧,以及对成为家庭负担的恐惧。恐惧通常是由向下的比较引发的(例如,看到别人比自己差)。参与者以不同的方式应对,包括接受疾病或寻求知识。那些对这些恐惧造成痛苦的人报告了对身体症状的高度警惕和回避。痛苦和寻求信息与依从性有关。在定量分析中,FoP与生活质量中度相关,与焦虑和抑郁密切相关。这些结果表明,在癌症以外的疾病中,FoP与FCR相似。FoP似乎是一个与痛苦相关的重要的跨诊断结构。基于证据的FCR干预措施可以适应于更好地管理其他疾病的FoP。
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来源期刊
Health Psychology Review
Health Psychology Review PSYCHOLOGY, CLINICAL-
CiteScore
21.30
自引率
0.00%
发文量
28
期刊介绍: The publication of Health Psychology Review (HPR) marks a significant milestone in the field of health psychology, as it is the first review journal dedicated to this important and rapidly growing discipline. Edited by a highly respected team, HPR provides a critical platform for the review, development of theories, and conceptual advancements in health psychology. This prestigious international forum not only contributes to the progress of health psychology but also fosters its connection with the broader field of psychology and other related academic and professional domains. With its vital insights, HPR is a must-read for those involved in the study, teaching, and practice of health psychology, behavioral medicine, and related areas.
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