Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/35910
Full metadata record
DC FieldValueLanguage
dc.contributor.authorFenech, Alyssa Len_UK
dc.contributor.authorHumphris, Gerald Men_UK
dc.contributor.authorLaurenceau, Jean-Philippeen_UK
dc.contributor.authorSiegel, Scott Den_UK
dc.contributor.authorRogers, Simon Nen_UK
dc.contributor.authorOzakinci, Gozdeen_UK
dc.contributor.authorCrawford, Johnen_UK
dc.contributor.authorPring, Mirandaen_UK
dc.date.accessioned2024-04-09T00:00:44Z-
dc.date.available2024-04-09T00:00:44Z-
dc.identifier.urihttp://hdl.handle.net/1893/35910-
dc.description.abstractObjective: Patients with head and neck cancer (HNC) report some of the highest levels of psychological distress amid managing their disease as well as debilitating and disfiguring treatment side effects. Fear of cancer recurrence (FCR) is a top unmet need and concern of patients with HNC. Prior research suggests elevated symptoms of anxiety and depression are potential antecedents to FCR, but findings have been limited in HNC populations. The aim of the present study was to examine early level and change in symptoms of anxiety and depression in relation to later change in FCR among patients with HNC. Methods: The study is a secondary analysis of data collected from 2011-2014 through the Head and Neck 5000 Study in the United Kingdom. A sample of 4891 patients completed self-report longitudinal assessments of anxiety and depression symptoms at baseline, 4, and 12 months and FCR at 4 and 12 months. Results: Utilizing multiple indicator latent change score modeling, results revealed baseline anxiety and increases in anxiety from baseline to 4 months were both positively associated with increases in FCR from 4 to 12 months. Neither baseline depression nor change in depression from baseline to 4 months were significantly associated with FCR change. Conclusions: Findings indicate that early level and increases in symptoms of anxiety were markers of increased FCR in patients with HNC. Future research may consider anxiety as a unique antecedent and maintaining factor of FCR and targeting anxiety early in the cancer trajectory may have downstream effects on FCR development. Public significance statements: This study examined change in fear of cancer recurrence (FCR) as a function of early level and change in symptoms of anxiety and depression in the year after head and neck cancer diagnosis. Results indicated that early level and increases in anxiety but not depression were associated with later increases in FCR. Identifying patients with clinically elevated anxiety and ensuring early intervention may mitigate possible downstream development of FCR.en_UK
dc.language.isoenen_UK
dc.publisherAmerican Psychological Associationen_UK
dc.relationFenech AL, Humphris GM, Laurenceau J, Siegel SD, Rogers SN, Ozakinci G, Crawford J & Pring M (2024) Anxiety, Depression, and Fear of Cancer Recurrence in Head and Neck Cancer. <i>Health Psychology</i>.en_UK
dc.rights©American Psychological Association, 2024. This paper is not the copy of record and may not exactly replicate the authoritative document published in the APA journal. The final article is available, upon publication, at: https://psycnet.apa.org/PsycARTICLES/journal/heaen_UK
dc.rights.urihttps://storre.stir.ac.uk/STORREEndUserLicence.pdfen_UK
dc.subjecthead and neck canceren_UK
dc.subjectanxietyen_UK
dc.subjectdepressionen_UK
dc.subjectfear of cancer recurrenceen_UK
dc.subjectchange modelsen_UK
dc.titleAnxiety, Depression, and Fear of Cancer Recurrence in Head and Neck Canceren_UK
dc.typeJournal Articleen_UK
dc.citation.jtitleHealth Psychologyen_UK
dc.citation.issn1930-7810en_UK
dc.citation.issn0278-6133en_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusAM - Accepted Manuscripten_UK
dc.contributor.funderNational Institute for Health Researchen_UK
dc.author.emailgozde.ozakinci@stir.ac.uken_UK
dc.description.notesOutput Status: Forthcomingen_UK
dc.contributor.affiliationUniversity of Delawareen_UK
dc.contributor.affiliationUniversity of St Andrewsen_UK
dc.contributor.affiliationUniversity of Delawareen_UK
dc.contributor.affiliationChristiana Careen_UK
dc.contributor.affiliationWirral University Teaching Hospital NHS Foundation Trusten_UK
dc.contributor.affiliationPsychologyen_UK
dc.contributor.affiliationUniversity of Aberdeenen_UK
dc.contributor.affiliationUniversity of Bristolen_UK
dc.identifier.wtid1993360en_UK
dc.contributor.orcid0000-0001-5869-3274en_UK
dc.date.accepted2024-03-21en_UK
dcterms.dateAccepted2024-03-21en_UK
dc.date.filedepositdate2024-03-22en_UK
rioxxterms.apcnot requireden_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionAMen_UK
local.rioxx.authorFenech, Alyssa L|en_UK
local.rioxx.authorHumphris, Gerald M|en_UK
local.rioxx.authorLaurenceau, Jean-Philippe|en_UK
local.rioxx.authorSiegel, Scott D|en_UK
local.rioxx.authorRogers, Simon N|en_UK
local.rioxx.authorOzakinci, Gozde|0000-0001-5869-3274en_UK
local.rioxx.authorCrawford, John|en_UK
local.rioxx.authorPring, Miranda|en_UK
local.rioxx.projectProject ID unknown|National Institute for Health Research|http://dx.doi.org/10.13039/501100000272en_UK
local.rioxx.freetoreaddate2024-04-08en_UK
local.rioxx.licencehttps://storre.stir.ac.uk/STORREEndUserLicence.pdf|2024-04-08|en_UK
local.rioxx.filenameFenech_HPmanuscript_RR2_Clean.pdfen_UK
local.rioxx.filecount1en_UK
local.rioxx.source1930-7810en_UK
Appears in Collections:Psychology Journal Articles

Files in This Item:
File Description SizeFormat 
Fenech_HPmanuscript_RR2_Clean.pdfFulltext - Accepted Version463.6 kBAdobe PDFView/Open


This item is protected by original copyright



Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

The metadata of the records in the Repository are available under the CC0 public domain dedication: No Rights Reserved https://creativecommons.org/publicdomain/zero/1.0/

If you believe that any material held in STORRE infringes copyright, please contact library@stir.ac.uk providing details and we will remove the Work from public display in STORRE and investigate your claim.