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Fear of recurrence: A mediator of the relationship between physical symptoms and quality of life in head and neck cancer patients
Author(s) -
Tsay ShiowLuan,
Wang JuYi,
Lee YunHsiang,
Chen YenJu
Publication year - 2020
Publication title -
european journal of cancer care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.849
H-Index - 67
eISSN - 1365-2354
pISSN - 0961-5423
DOI - 10.1111/ecc.13243
Subject(s) - medicine , worry , quality of life (healthcare) , mediation , head and neck cancer , cross sectional study , affect (linguistics) , physical therapy , cancer , clinical psychology , anxiety , psychiatry , pathology , nursing , linguistics , philosophy , political science , law
Objective Head and neck cancer (HNC) patients suffer from symptoms and fear of recurrence (FoR), which both affect their quality of life (QoL). Based on a self‐regulation model, the purpose of the study was to examine patients’ FoR as a mediator of the relation between symptoms and QoL, and to identify which symptoms may trigger FoR. Methods A cross‐sectional study was conducted, using convenience sampling. Structured questionnaires were used to collect data at a medical centre in Northern Taiwan. The analytic methods included descriptive statistics, structural equation modelling and linear regression. Results A total of 103 participants were recruited. Patients experienced a medium level of symptom severity and QoL but a moderate to high level of FoR. Symptom severity, FoR and QoL were significantly correlated. FoR was a significant partial mediator between symptom severity and QoL. The significant factors of the overall FoR and the subscale of health worry were “pain in general” and “pain in the mouth, throat or neck.” “Pain in general” was a significant factor for the subscale of cancer worry. Conclusions This theory‐driven study supports a mediation model of FoR among HNC patients and provides a more comprehensive understanding of the antecedents and consequences of FoR.