[논문]Concept Analysis of Fear of Recurrence in Breast Cancer Survivors

Kim, Yoonjung

doi:10.17703/ijact.2020.8.4.220

Concept Analysis of Fear of Recurrence in Breast Cancer Survivors 원문보기

The International journal of advanced culture technology, v.8 no.4, 2020년, pp.220 - 228

Kim, Yoonjung (Graduate school, Ewha womans university)

Abstract ▼ AI-Helper

Breast cancer incidence continues to increase, and survival rates are also increasing compared to the past. An increase in breast cancer survivors means an increase in the number of women who return to their life after treatment. These patients feared cancer recurrence, which makes it an important aspect to be studied among breast cancer survivors. Therefore, this study was aimed at analyzing the concept of breast cancer survivors' fear of recurrence. The procedure of concept analysis developed by Walker and Avant (2011) was used to clarify and describe the concept. Studies published from 2007 to 2017 were searched through domestic and foreign electronic databases. Finally, 15 studies were selected and included in analysis. Through concept analysis, the scope of use of the fear of recurrence among breast cancer survivors was confirmed, and concept analysis was performed to confirm the antecedent, consequences, attributes and empirical criteria. Based on the analysis, the attributes of the fear of recurrence among breast cancer survivors included 1) worry about health status, 2) ineffective coping, and 3) possibility of changes. The antecedents of the fear of recurrence among breast cancer survivors were 1) healthcare-related activity, 2) perception of cancer, and 3) perceived severity; the consequences were 1) increase in distress, 2) difficulty in role function, and 3) decrease in the quality of life. This study provides a clear definition of the fear of recurrence among breast cancer survivors, and the results can be applied to improve the understanding of breast cancer survivors who have finished treatment and to help them return to daily life.

주제어

표/그림 (1)

그림 Figure １. Conceptual structure of fear of recurrence in breast cancer survivors

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문제 정의

The purpose of this study was to clarify and describe the concept through the analysis of breast cancer survivors’ fear of recurrence, to identify the attributes, antecedents, and consequences to prepare primary data for establishing programs necessary for breast cancer survivors.
The antecedents of the fear of recurrence in breast cancer survivors were 1) healthcare-related activity, 2) perception of cancer, and 3) perceived severity, and consequences were 1) increase in distress, 2) difficulty in role function, and 3) decrease in the quality of life. This study provides a clear definition of the fear of recurrence in breast cancer survivors. These results can be applied to improve understanding of patients who have finished treatment and to help them return to daily life.

제안 방법

After excluding studies that did not meet the above criteria, researcher obtained data for a total of 346 cases from the included studies. Finally, a total of 15 papers with content related to the fear of recurrence of breast cancer, a concept that the researcher wants to confirm, were used for analysis. This study was analyzed according to the eight-step conceptual analysis procedure of Walker and Avant [11] described above.
Six years ago, she was diagnosed as having breast cancer in her left breast. She had mastectomy and underwent chemotherapy. Currently, her treatment has ended, and she is undergoing regular check-ups.
Concerns About Recurrence Scale (CARS) [14] was developed to measure the fear of cancer recurrence in breast cancer survivors. The instrument has four subscales: health worries, womanhood worries, role worries, and death worries. In summary, this instrument was targeted at breast cancer survivors, and because it has properties associated with the fear of recurrence, it is a superior alternative to other tools for measuring the fear of recurrence more clearly.
This method included eight steps: selection of a concept, identification of the purpose of analysis, determination of all uses of the concept, identification of the defining attributes, identification of a model case, identification of borderline, related, and contrary cases, identification of antecedents and consequences, and elucidating the definition of empirical referents. Therefore, in this study, first, the scope of use of the concept of the fear of recurrence of breast cancer was identified through a review of the literature; the preceding factors and attributes of the concept presented in each study were identified; and a conceptual analysis was conducted by confirming the results.
For this, it is essential to understand the concept of fear of recurrence among breast cancer patients. Therefore, this study aims to analyze the attributes of fear of recurrence in breast cancer survivors according to the conceptual analysis procedure of Walker and Avant [11].
This study attempted concept analysis of the fear of recurrence of breast cancer by applying the method of Walker and Avant [11]. This method included eight steps: selection of a concept, identification of the purpose of analysis, determination of all uses of the concept, identification of the defining attributes, identification of a model case, identification of borderline, related, and contrary cases, identification of antecedents and consequences, and elucidating the definition of empirical referents. Therefore, in this study, first, the scope of use of the concept of the fear of recurrence of breast cancer was identified through a review of the literature; the preceding factors and attributes of the concept presented in each study were identified; and a conceptual analysis was conducted by confirming the results.

대상 데이터

In addition, three papers manually searched through references were included. After excluding studies that did not meet the above criteria, researcher obtained data for a total of 346 cases from the included studies. Finally, a total of 15 papers with content related to the fear of recurrence of breast cancer, a concept that the researcher wants to confirm, were used for analysis.
Kim is a 42-year-old woman. Six years ago, she was diagnosed as having breast cancer in her left breast.

이론/모형

This study attempted concept analysis of the fear of recurrence of breast cancer by applying the method of Walker and Avant [11]. This method included eight steps: selection of a concept, identification of the purpose of analysis, determination of all uses of the concept, identification of the defining attributes, identification of a model case, identification of borderline, related, and contrary cases, identification of antecedents and consequences, and elucidating the definition of empirical referents.
This study was a concept analysis of the fear of recurrence in breast cancer survivors using the method of Walker and Avant [11]. Based on the analysis, the attributes of the fear of recurrence in breast cancer survivors include 1) worry about health status, 2) ineffective coping, and 3) possibility of changes.
Finally, a total of 15 papers with content related to the fear of recurrence of breast cancer, a concept that the researcher wants to confirm, were used for analysis. This study was analyzed according to the eight-step conceptual analysis procedure of Walker and Avant [11] described above.

성능/효과

2) Perception of cancer: To recognize the disease and recognize that cancer can recur. 3) Perceived severity: This involves recognition of the kind of risk associated with breast cancer recurrence; furthermore, if breast cancer survivors see a case of recurrence around them, they become aware of the risk.
Literature review indicates that the attributes of breast cancer survivors’ fear of recurrence are as follows. 1) They worry about health status related to recurrence of cancer (worry about health status); 2) They use ineffective coping strategies and need help of other breast cancer survivors with resources available around them (ineffective coping & need for help); and 3) Their degree of the fear of recurrence changes depending on time and environment but does not disappear and persists (continuity & possibility of change).

참고문헌 (35)

J. Ferlay, I. Soerjomataram, R. Dikshit, S. Eser, C. Mathers, M. Rebelo, . . . F. Bray, "Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012," International Journal of Cancer, Vol. 136, No. 5, pp. E359-386, March 2015. https://doi.org/10.1002/ijc.29210

상세보기
National Cancer Information Center, Status of occurrence by cancer type, 2019a. https://cancer.go.kr/lay1/S1T639C641/contents.do
National Cancer Information Center, The 10-year relative survival rate, 2019b, https://cancer.go.kr/lay1/S1T648C651/contents.do
W. Feng, L. Jiajia, L. Liyuan, W. Fei, M. Zhongbing, G. Dezong, G., . . . Y. Zhigang, "The status and correlates of depression and anxiety among breast cancer survivors in Eastern China: a populationbased, cross-sectional case-control study," BMC Public Health, Vol. 14, No. 1, pp. 1-14, April 2014. https://doi.org/10.1186/1471-2458-14-326

상세보기
S. Maass, C. Roorda, A. Berendsen, P. Verhaak, & G. de Bock, "The prevalence of long-term symptoms of depression and anxiety after breast cancer treatment: A systematic review." Maturitas, Vol. 82, No. 1, pp. 100-108, September 2015. https://doi.org/10.1016/j.maturitas.2015.04.010.

상세보기
L. Koch, H. Bertram, A. Eberle, B. Holleczek, S. Schmid-Hopfner, A. Waldmann, . . . V. Arndt, "Fear of recurrence in long-term breast cancer survivors - still an issue. Results on prevalence, determinants, and the association with quality of life and depression from the Cancer Survivorship-a multi-regional population-based study," Psycho-Oncology, Vol. 23, No. 5, pp. 547-554, November 2015. https://doi.org/10.1002/pon.3452

상세보기
S. Lebel, C. Tomei, A. Feldstain, S. Beattie, & M. McCallum, "Does fear of cancer recurrence predict cancer survivors' health care use?", Supportive Care in Cancer, Vol. 21, No. 3, pp. 9011-906, 21(3), 901-906, March 2013. https://doi.org/10.1007/s00520-012-1685-3

상세보기
S. Simard, B. Thewes, G. Humphris, M. Dixon, C. Hayden, S. Mireskandari, G. Ozakinci, "Fear of cancer recurrence in adult cancer survivors: A systematic review of quantitative studies," Journal of cancer survivorship, Vol. 7, pp. 300-322, March 2013. https://doi.org/10.1007/s11764-013-0272-z

상세보기
B, Thewes, P. Butow, M. Bell, J. Beith, R. Stuart-Harris, M. Grossi, . . . F. Comm, "Fear of cancer recurrence in young women with a history of early-stage breast cancer: a cross-sectional study of prevalence and association with health behaviors," Supportive Care in Cancer, Vol. 20, No. 11, pp. 2651-2659, November 2012. https://doi.org/10.1007/s00520-011-1371-x

상세보기
E. J. Shim, & B. J. Ham, "Beliefs about cancer, recurrence concerns, and health behavior changes in breast cancer survivors," The Korean Journal of Health Psychology, Vol. 17, No. 2, pp. 525-543, 17(2), 525-543, 2012.

상세보기
L. O. Walker, & K. C. Avant, Strategies for theory construction in nursing (5th ed.). New Jersey: Pearson.
Merriam-Webster, Merriam-Webster.com Dictionary, Recurrence, https://www.merriamwebster.com/dictionary/recurrence.
National Institute of the Korean Language, Standard Korean Dictionary, http://stdweb2.korean.go.kr/
S. M. Vickberg, "The Concerns About Recurrence Scale (CARS): a systematic measure of women's fears about the possibility of breast cancer recurrence,". Annals of Behavioral Medicine, Vol. 25, No. 1, pp. 16-24, January 2003. https://doi.org/10.1207/S15324796ABM2501_03

상세보기
S. Lebel, G. Ozakinci, G. Humphris, B. Mutsaers, B. Thewes, J. Prins, . . . P. Butow, "From normal response to clinical problem: definition and clinical features of fear of cancer recurrence," Support Care Cancer, Vol. 24, No. 8, pp. 3265-3268, May 2016. https://doi.org/10.1007/s00520-016-3272-5

상세보기
L. J. Muzzin, N. J. Andersen, A. T. Figueredo, S. O. Gudelis, "The experience of cancer," Social Science & Medicine, Vol. 38, No. 9, pp. 1201-1208, May 1994.

상세보기
C. L. Park, D. Cho, T. O. Blank, & J. H. Wortmann, "Cognitive and emotional aspects of fear of recurrence: predictors and relations with adjustment in young to middle-aged cancer survivors," PsychoOncology, Vol. 22, No. 7, pp. 1630-1638, 2013. https://doi.org/10.1002/pon.3195

상세보기
S. Simard, & J. Savard, "Fear of Cancer Recurrence Inventory: Development and initial validation of a multidimensional measure of fear of cancer recurrence," Supportive Cancer Care, Vol. 77, No. 3, pp. 241-251, 2009. https://doi.org/2009.101007/s00520-008-0444-y

상세보기
K. W. Ziner, G. W. Sledge, C. J. Bell, S. Johns, K. D. Miller, & V. L. Champion, "Predicting fear of breast cancer recurrence and self-efficacy in survivors by age at diagnosis," Oncology Nursing Forum, Vol. 39, No. 3, pp. 287-295, 39(3), 287-295, May 2012. https://doi.org/10.1188/12.ONF.287-295

상세보기
I. Ares, S. Lebel, & C. Bielajew, "The impact of motherhood on perceived stress, illness intrusiveness and fear of cancer recurrence in young breast cancer survivors over time," Psychology & Health, Vol. 29, No. 6, pp. 651-670, 2014. https://doi.org/10.1080/08870446.2014.881998

상세보기
T. R. Taylor, E. D. Huntley, J. Sween, K. Makambi, T. A. Mellman, C. D. Williams, . . . W. Frederick, "An exploratory analysis of fear of recurrence among african-american breast cancer survivors," International Journal of Behavioral Medicine, Vol. 19, No. 3, pp. 280-287, 2012. https://doi.org/10.1007/s12529-011-9183-4

상세보기
J. Armes, M. Crowe, L. Colbourne, H. Morgan, T. Murrells, C. Oakley, . . . A. Richardson, "Patients' supportive care needs beyond the end of cancer treatment: a prospective, longitudinal survey," Journal of Clinical Oncology, Vol. 27, No. 36, pp. 6172-6179, December 2009. https://doi.org/10.1200/JCO.2009.22.5151

상세보기
J. De Vries, B. L. Den Oudsten, P. Jacobs, & J. A. Roukema, J. A. "How breast cancer survivors cope with fear of recurrence: a focus group study," Supportive Care in Cancer, Vol. 22, No. 3, pp. 705-712, 2014. 22(3), 705-712, 2014. https://doi.org/10.1007/s00520-013-2025-y

상세보기
C. Fiszer, S. Dolbeault, S. Sultan, & A. Bredart, "Prevalence, intensity, and predictors of the supportive care needs of women diagnosed with breast cancer: a systematic review," Psycho-Oncology, Vol. 23, pp. 361-374, 2014. https://doi.org/10.1002/pon.3432

상세보기
D. Cho, & C. L. Park, "Moderating effects of perceived growth on the association between fear of cancer recurrence and health-related quality of life among adolescent and young adult cancer survivors," Journal of Psychosocial Oncology, Vol. 35, No. 2, pp. 148-165, 2017. https://doi.org/10.1080/07347332.2016.1247408

상세보기
A. A. Cohee, R. N. Adams, S. A. Johns, D. Von Ah, K. Zoppi, B. Fife, . . . V. L. Champion, "Long-term fear of recurrence in young breast cancer survivors and partners," Psycho-Oncology, Vol. 26, No. 1, pp. 22-28, 2017. https://doi.org/10.1002/pon.4008

상세보기
B. Thewes, M. L. Bell, & P. Butow, "Fear of cancer recurrence in young early-stage breast cancer survivors: the role of metacognitive style and disease-related factors," Psycho-Oncology, Vol. 22, No. 9, pp. 2059-2063, 2013. https://doi.org/10.1002/pon.3252

상세보기
J. V. Crist, & E. A. Grunfeld, "Factors reported to influence fear of recurrence in cancer patients: a systematic review," Psycho-Oncology, Vol. 22, No. 5, pp. 978-986, 2013. https://doi.org/10.1002/pon.3114

상세보기
A. Mehnert, P. Berg, G. Henrich, P. Herschbach, "Fear of cancer progression and cancer-related intrusive cognitions in breast cancer survivors," Psycho-oncology, Vol. 18, No. 12, pp. 1273-1280, December 2009. https://doi.org/10.1002/pon.1481

상세보기
B. B. Ellegaard, C.Grau, R. Zachariae, & A. B. Jensen, "Fear of cancer recurrence and unmet needs among breast cancer survivors in the first five years. A cross-sectional study," Acta Oncologica, Vol. 56, No. 2, pp. 314-320, 2017. https://doi.org/10.1080/0284186X.2016.1268714

상세보기
H. L. McGinty, B. J. Small, C. Laronga, & P. B. Jacobsen, "Predictors and patterns of fear of cancer recurrence in breast cancer survivors," Health Psychology, Vol. 35, No. 1, pp. 1-9, 2016. https://doi.org/10.1037/hea0000238

상세보기
B. Thewes, S. Lebel, C. S. Leclair, & P. Butow, "A qualitative exploration of fear of cancer recurrence (FCR) amongst Australian and Canadian breast cancer survivors," Supportive Care in Cancer, Vol. 25, No. 5, pp. 2269-2276, 2016. https://doi.org/10.1007/s00520-015-3025-x.

상세보기
S. Lebel, S. Beattie, I. Ares, & C. Bielajew, "Young and worried: age and fear of recurrence in breast cancer survivors," Health Psychology, Vol. 32, No. 6, pp. 695-705, June 2013. https://doi.org/10.1037/a0030186

상세보기
B. Thewes, M. L. Bell, P. Butow, J. Beith, F. Boyle, M. Friedlander, . . .F. Comm,, "Psychological morbidity and stress but not social factors influence level of fear of cancer recurrence in young women with early breast cancer: results of a cross-sectional study," Psycho-Oncology, Vol. 22, No. 12, pp. 2797-2806, 2013. https://doi.org/10.1002/pon.3348

상세보기
A. L. Corter, M. Findlay, R. Broom, D. Porter, & K. J. Petrie, "Beliefs about medicine and illness are associated with fear of cancer recurrence in women taking adjuvant endocrine therapy for breast cancer," British Journal of Health Psychology, Vol. 18, No. 1, pp. 168-181, 2013. https://doi.org/10.1111/bjhp.12003

상세보기

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