Author/Editor		Miroševič, Špela; Thewes, Belinda; Herpen, Carla van; Kaanders, Johannes; Merkx, Thijs; Humphris, Gerry; Baatenburg de Jong, Robert J.; Langendijk, Johannes A.; Leemans, C. Renè; Terhaard, Chris H. J.
Title		Prevalence and clinical and psychological correlates of high fear of cancer recurrence in patients newly diagnosed with head and neck cancer
Type		članek
Publication year		2019
Volume		str. str.
ISSN		1043-3074 - Head and neck
Language		eng
Abstract		Background: Patients with head and neck cancer (HNC) are vulnerable to fear of cancer recurrence (FCR) and psychiatric morbidity. We investigated the prevalence of high FCR and demographic, clinical, psychological, and psychiatric factors associated with high FCR prior to the start of the treatment. Methods: In a cross-sectional substudy of the large ongoing prospective NET- QUBIC study questionnaires and psychiatric interviews of 216 patients newly diagnosed with HNC were analyzed. Results: High FCR was observed in 52.8% of patients and among those 21.1% also had a lifetime history of selected anxiety or major depressive disorder. FCR was not related to any clinical characteristics; however, younger age, higher anxiety symptoms, introversion, greater needs for support regarding sexuality, and being an exsmoker were significantly associated with higher FCR. Conclusion: Factors associated with high FCR provide us with a better conceptual understanding of FCR in patients newly diagnosed with HNC.
Keywords		rak glave in vratu anksioznost depresija head and neck cancer anxiety depression