Viele chronisch Kranke machen sich Sorgen, dass ihre Krankheit sich verschlimmern oder wieder aufflammen konnte. Dies ist nicht Ausdruck einer psychischen Storung, sondern eine Realangst. Sie erfordert eigenstandige Diagnostik- und Therapiekonzepte.

Simple Summary Fear of cancer recurrence is a main concern for the majority of cancer patients during their disease. Young adults with cancer may experience fear of recurrence throughout their lives, given their relatively long potential survival time. More research is needed to identify evidence-based interventions that can adequately address this fear. Investigating the underlying mechanisms that trigger and sustain fear of cancer recurrence is an important step toward this goal. Network analysis is a useful tool to study symptoms and their structural relationships. The aim of this study is to apply the network analysis approach in a sample of young cancer patients to comprehend their specific symptomatology and define the optimal structure of a questionnaire to assess fear of recurrence in this patient group. Future studies may seek to replicate our findings among different age group samples to identify network structures and potential targets for clinical intervention. Abstract Due to the high survival rates of many young cancer patients and a high risk of second tumors, fear of cancer recurrence (FCR) can cause serious impairment for adolescent and young adult (AYA) cancer patients. The aim of this study is to analyze the structure of the Fear of Disease Progression Questionnaire (FoP-Q-12) to better understand the construct of FCR. We performed a cross-sectional survey on a sample of AYA patients aged 15–39 years with different tumor entities. FCR was measured using the FoP-Q-12, and a network analysis was conducted to examine the relationship of FCR symptoms. The importance of individual items in the network was determined using centrality analyses. A total of 247 AYA patients (81.8% female, median age 31.0 years) participated in the study. The mean FCR score in the sample was 35.9 (SD = 9.9). The majority of patients reported having high FCR (59.5%), according to the established cut-off. The two questionnaire items with the strongest association related to fears about work, and the most central symptom was the fear of serious medical interventions. The centrality of emotional issues in the sample indicates that these symptoms should be prioritized in the development of interventions targeting FCR. Further research should address this topic with larger samples of patients in other age groups and in longitudinal studies.

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Was lindert die Progredienzangst

Fear of Recurrence in Young Adult Cancer Patients—A Network Analysis

BACKGROUND
Fear of progression (FoP) is a reactive, conscious concern about chronic disease progression and its consequences which may limit quality of life substantially. Only one study has examined FoP in Parkinson's disease (PD), showing the second highest FoP scores among chronic diseases.


OBJECTIVE
To examine FoP prevalence and to exploratorily analyze determinants of FoP in PD.


METHODS
Within a multicenter cross-sectional study, 120 PD inpatients (age: 64.45±9.20; 60.8% male; UPDRS-III: 28.86±16.12) were examined with the FoP questionnaire (FoP-Q; max. 20 points). Stepwise multiple linear regression analysis examined sociodemographic, clinical, and (neuro-) psychological determinants of FoP.


RESULTS
With a mean FoP-Q score of 8.08±2.17, 63.0% of the patients were classified with moderate FoP and 17.6% with dysfunctional (i.e., severe) FoP. The highest scores were shown for the subscale 'loss of autonomy'. Increased levels of anxiety, less self-efficacy, female gender, current employment, and lower health literacy were identified as significant determinants associated with FoP.


CONCLUSION
With more than 80% of patients showing moderate to dysfunctional FoP, it must be regarded as a frequent symptom in PD, which needs to be further understood and addressed in clinical practice. Clinical parameters like PD duration and severity were no determinants for FoP, indicating that FoP awareness must be considered by professionals at all disease stages.

Fear of Progression Is Determined by Anxiety and Self-Efficacy but not Disease-Specific Parameters in Patients with Parkinson's Disease: Preliminary Data from a Multicenter Cross-Sectional Study.

Das Prinzip der Selbstevaluation wird in verschiedensten medizinischen Disziplinen erfolgreich eingesetzt und gewinnt auch in der Unfallchirurgie zunehmend an Bedeutung. Durch die Entwicklung und Validierung gelenkspezifischer Selbstevaluationsbogen, welche auch die Erfassung des Bewegungsausmases erlauben, stehen valide Instrumente zur umfassenden Nachuntersuchung zur Verfugung. Erste Erfahrungen zeigen eine hohe Patientenakzeptanz, weswegen die Entwicklung eines prospektiven Frakturregisters, basierend auf der selbstberichteten Funktionsanalyse, vielversprechend erscheint. Die hierdurch erfassten Daten sollen nicht nur die Realitat der Frakturbehandlung abbilden, sondern auch wertvolle epidemiologische Daten generieren, mit denen evidenzbasierte Leitlinien gebildet werden konnen.

Was lindert die Progredienzangst

Citations

Fear of Recurrence in Young Adult Cancer Patients—A Network Analysis

Fear of Progression Is Determined by Anxiety and Self-Efficacy but not Disease-Specific Parameters in Patients with Parkinson's Disease: Preliminary Data from a Multicenter Cross-Sectional Study.

Stellenwert selbstberichteter Funktionsanalyse in der Unfallchirurgie