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Intolerance of uncertainty, cognitive complaints, and cancer‐related distress in prostate cancer survivors
Author(s) -
Eisenberg Stacy A.,
Kurita Keiko,
TaylorFord Megan,
Agus David B.,
Gross Mitchell E.,
Meyerowitz Beth E.
Publication year - 2015
Publication title -
psycho‐oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.41
H-Index - 137
eISSN - 1099-1611
pISSN - 1057-9249
DOI - 10.1002/pon.3590
Subject(s) - distress , psychosocial , cognition , cancer , prostate cancer , clinical psychology , psychological intervention , medicine , psychology , psychiatry
Objective Prostate cancer survivors have reported cognitive complaints following treatment, and these difficulties may be associated with survivors' ongoing cancer‐related distress. Intolerance of uncertainty may exacerbate this hypothesized relationship by predisposing individuals to approach uncertain situations such as cancer survivorship in an inflexible and negative manner. We investigated whether greater cognitive complaints and higher intolerance of uncertainty would interact in their relation to more cancer‐related distress symptoms. Methods This cross‐sectional, questionnaire‐based study included 67 prostate cancer survivors who were 3 to 5 years post treatment. Hierarchical multiple regression analyses tested the extent to which intolerance of uncertainty, cognitive complaints, and their interaction were associated with cancer‐related distress (measured with the Impact of Event Scale‐Revised; IES‐R) after adjusting for age, education, physical symptoms, and fear of cancer recurrence. Results Intolerance of uncertainty was positively associated with the IES‐R avoidance and hyperarousal subscales. More cognitive complaints were associated with higher scores on the IES‐R hyperarousal subscale. The interaction of intolerance of uncertainty and cognitive complaints was significantly associated with IES‐R intrusion, such that greater cognitive complaints were associated with greater intrusive thoughts in survivors high in intolerance of uncertainty but not those low in it. Conclusions Prostate cancer survivors who report cognitive difficulties or who find uncertainty uncomfortable and unacceptable may be at greater risk for cancer‐related distress, even 3 to 5 years after completing treatment. It may be beneficial to address both cognitive complaints and intolerance of uncertainty in psychosocial interventions. Copyright © 2014 John Wiley & Sons, Ltd.