Abstract:
OBJECTIVES:Adjuvant endocrine therapy for early-stage breast cancer has greatly reduced the morbidity and mortality associated with breast cancer recurrence. Despite this, a significant proportion of women report fears of cancer recurrence. This study examined the associations between fear of cancer recurrence (FoR) and illness perceptions, medication beliefs, and treatment side effects in women taking adjuvant endocrine therapy following breast cancer. METHODS:A total of 153 post-menopausal women with early-stage breast cancer completed a postal survey. Analyses were conducted to examine the association between FoR and illness perceptions, medication beliefs, treatment side effects, demographic factors, and emotional distress and to identify which of these factors would be most strongly associated with FoR in a regression model. RESULTS:All illness perceptions (apart from personal control) were associated with FoR, as were patient beliefs about endocrine therapy. Although treatment side effects, being unemployed, and higher levels of anxiety and depression were associated with FoR, only illness perceptions (identity, treatment control, timeline, and emotional representation) and medication necessity beliefs were significantly correlated with FoR in the final model. CONCLUSIONS:It appears that, in addition to directly targeting FoR, it may be worthwhile to address the illness and medication beliefs supporting the fear. Additionally, helping women to differentiate everyday symptoms from those indicative of breast cancer may help to reduce fear of recurrence. STATEMENT OF CONTRIBUTION:What is already known on this subject? A significant proportion of women report fear of cancer recurrence following breast cancer. The literature shows that illness perceptions, side effects of treatment, and beliefs about medicines are related to fear of recurrence among cancer patients. However, because these variables have often been looked at in isolation, it is not clear whether some perceptions or cues are more likely to relate to fear of recurrence than others. What does this study add? This study shows illness perceptions and medication beliefs are strongly related to fears of cancer recurrence. The results point to ways in which the self-regulatory model of illness may be used to reduce patients' fear of recurrence. The study results show that women with higher fear of recurrence may be balancing a tension between believing that they need to take the medication to protect their future health alongside concerns that the treatment may not be working.
journal_name
Br J Health Psycholjournal_title
British journal of health psychologyauthors
Corter AL,Findlay M,Broom R,Porter D,Petrie KJdoi
10.1111/bjhp.12003subject
Has Abstractpub_date
2013-02-01 00:00:00pages
168-81issue
1eissn
1359-107Xissn
2044-8287journal_volume
18pub_type
杂志文章abstract:OBJECTIVES:Drawing from self-determination theory (Ryan & Deci, 2002, Overview of self-determination theory: An organismic-dialectical perspective. In E. L. Deci & R. M. Ryan (Eds.), Handbook of self-determination research (pp. 3-33). Rochester, NY: The University of Rochester Press.), we examined how individuals' psyc...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1111/bjhp.12054
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVES:This study reports an application of the health belief model (HBM) to the prediction of breast self-examination (BSE) among women with a family history of breast cancer. The study also considered the influence of breast cancer worries and past behaviour. METHODS:Eight hundred and thirty-three women complete...
journal_title:British journal of health psychology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1348/135910704X24752
更新日期:2005-02-01 00:00:00
abstract:OBJECTIVES:This qualitative study investigated the renal patients' experience of positive and negative consequences of transplantation, as well as the strategies they use to adapt to the transplantation. DESIGN AND METHODS:A qualitative design (30 participants in total), using individual interviews (18 participants) a...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1111/bjhp.12057
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to investigate whether a breast cancer diagnosis, personal assertiveness (i.e. frequency of assertive behaviour and tension associated with this behaviour), and partners' relationship-focused coping (i.e. active engagement and protective buffering) were sources of variation in patien...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1348/135910707X252431
更新日期:2008-11-01 00:00:00
abstract:OBJECTIVES:Theories and research regarding cognitive and emotional processing during the experience of profound stressors suggest that the presence of intrusive thoughts and feelings predicts greater use of avoidance and that the use of avoidance paradoxically predicts more intrusions. However, empirical investigations...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1111/bjhp.12252
更新日期:2017-09-01 00:00:00
abstract:OBJECTIVES:The relations of caregiver attributions about care-recipient's problem behaviour to caregiving relationship satisfaction and caregiver distress were examined. DESIGN:This is a cross sectional study. Seventy-five family caregivers of individuals diagnosed with various disabling health conditions were recruit...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1348/2044-8287.002003
更新日期:2011-09-01 00:00:00
abstract:OBJECTIVE:Improving Access to Psychological Therapies (IAPT) services in England have established a long-term condition (LTC) pathway in recent years, meaning that LTC therapies are now delivered via varied modes and by professionals with varied experiences. To gain insight into how this new pathway is functioning in p...
journal_title:British journal of health psychology
pub_type: 杂志文章
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更新日期:2020-10-11 00:00:00
abstract:OBJECTIVES:To explore quality in hospitals from the patients' and health care professionals' perspective in line with Act on the Protection of Patient Rights. DESIGN:A qualitative study using a focus group design and semi-structured interviews. METHODS:Three focus groups among health care professionals were conducted...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1111/bjhp.12062
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVES:This study prospectively investigated the relationship between life-events, perceived stress, and quality of life (QOL) following breast cancer diagnosis, using the bio-behavioural model of cancer stress as a framework. DESIGN:A longitudinal, self-report design was used. METHODS:Three waves of data from 10...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1348/135910709X412459
更新日期:2009-11-01 00:00:00
abstract:OBJECTIVES:This study sought to estimate the effects of a novel intervention, compared with usual chlamydia testing promotion, on chlamydia test uptake and intentions among young people living in deprived areas. The intervention was based on the theory of planned behaviour, augmented with self-identity, and targeted th...
journal_title:British journal of health psychology
pub_type: 杂志文章,随机对照试验
doi:10.1111/bjhp.12065
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVE:The present study investigated the extent to which direct (D) and indirect (ID) measures of unrealistic optimism truly capture people's beliefs about their comparative risk status. METHODS:Respondents (N = 425) were contacted in a general population survey. The D measure required respondents to estimate whet...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1348/135910704322778713
更新日期:2004-02-01 00:00:00
abstract:INTRODUCTION:Childhood obesity is one of the most serious global public health challenges. However, obesity and its consequences are largely preventable. As parents play an important role in their children's weight-related behaviours, good communication between parents and health care professionals (HCPs) is essential....
journal_title:British journal of health psychology
pub_type: 杂志文章,meta分析
doi:10.1111/bjhp.12312
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVES:Excessive alcohol consumption increases when students enter university. This study tests whether combining (1) messages that target key beliefs from the theory of planned behaviour (TPB) that underlie binge drinking, (2) a self-affirmation manipulation to reduce defensive processing, and (3) implementation i...
journal_title:British journal of health psychology
pub_type: 杂志文章,随机对照试验
doi:10.1111/bjhp.12277
更新日期:2018-02-01 00:00:00
abstract:BACKGROUND:Health behaviour models focus primarily on intrapersonal constructs (e.g., self-efficacy) which are good predictors of intention but less so of actual behaviour. Influences from the social environment, namely from close others, may improve prediction of engagement in ongoing behaviour. OBJECTIVES:This study...
journal_title:British journal of health psychology
pub_type: 杂志文章
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更新日期:2016-09-01 00:00:00
abstract:OBJECTIVES:This longitudinal study examined the effects of physical activity on self-rated health (SRH); specifically, predicted interactions between leisure activity and job activity, and between leisure activity and age, were evaluated in relation to SRH. METHODS:Survey data on age and leisure activity together with...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1348/135910705X59951
更新日期:2006-09-01 00:00:00
abstract:OBJECTIVES:To predict exercise stage transitions over two consecutive 6-month periods using the theory of planned behaviour (TPB). It was hypothesized that different social cognitive constructs would predict different stage transitions. DESIGN:Prospective and longitudinal in order to predict multiple stage transitions...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1348/135910701169115
更新日期:2001-05-01 00:00:00
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journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1111/j.2044-8287.2011.02053.x
更新日期:2012-09-01 00:00:00
abstract:OBJECTIVE:The aim of the present study was to measure the extent to which illness perceptions and coping strategies are associated with the levels of psychological distress amongst allergy sufferers. DESIGN AND METHOD:One hundred and fifty-six allergy sufferers (all members of Allergy U.K.) completed a postal survey c...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1348/135910706X173278
更新日期:2008-02-01 00:00:00
abstract::This study examined beliefs about the causes and determinants of health, illness, and recovery in an opportunistic sample from Malaysia. In all, 371 women and 350 men completed the Health and Illness Scale, a 124-item scale that examined beliefs about current and future health, and beliefs about the causes of illness ...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1348/135910708X370781
更新日期:2009-09-01 00:00:00
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journal_title:British journal of health psychology
pub_type: 杂志文章,随机对照试验
doi:10.1348/135910707X246186
更新日期:2008-11-01 00:00:00
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更新日期:2009-09-01 00:00:00
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journal_title:British journal of health psychology
pub_type: 杂志文章
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更新日期:2009-11-01 00:00:00
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journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1348/135910709X447811
更新日期:2010-02-01 00:00:00
abstract:OBJECTIVES:Evidence is accumulating that positive mental states are more than the absence of symptoms, and may play an independent role in health outcomes. The aim of this study is to compare the characteristics and determinants of positive and negative mental states in a population sample. DESIGN:A novel analysis of ...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1348/135910703762879246
更新日期:2003-02-01 00:00:00
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journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1111/bjhp.12188
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVE:Renal transplantation (RTx) is considered the treatment of choice for end-stage renal disease (ESRD) given its association with lower mortality, and improved overall quality of life and psychological functioning compared to dialysis. However, much less is known about which factors underlie these psychological...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1111/bjhp.12243
更新日期:2017-09-01 00:00:00
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journal_title:British journal of health psychology
pub_type: 杂志文章,评审
doi:10.1111/bjhp.12279
更新日期:2018-02-01 00:00:00
abstract:PURPOSE:Facial palsy is a condition which can lead to significant changes in facial function and appearance. People with facial palsy often report psychosocial difficulties, including withdrawal from social activities, anxiety, negative body image, and low mood. This paper aimed to review all published research investi...
journal_title:British journal of health psychology
pub_type: 杂志文章
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更新日期:2020-09-01 00:00:00
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journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1111/j.2044-8287.2012.02065.x
更新日期:2012-11-01 00:00:00
abstract:OBJECTIVES:Return To Work (RTW) is an important indicator of recovery from coronary artery disease (CAD), associated with social and economical benefits, and improved quality of life. Percutaneous coronary intervention (PCI) and coronary artery bypass graft (CABG) surgery are effective procedures relieving symptoms and...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1111/j.2044-8287.2011.02058.x
更新日期:2012-09-01 00:00:00