THEORETICAL AND EMPIRICAL MODELS OF OVERCOMING THE HIGH LEVEL OF FEAR OF CANCER RECURRENCE IN CANCER SURVIVALS

Keywords: psychooncology, cognitive model of cancer desease, coping strategies, clinical level of FCR, methods of psychosocial correction

Abstract

The article reflects the results of a review of theoretical models presented in foreign scientific journals, thatare describing the cognitive and emotional components of the causes of fear of cancer recurrence – seriousproblem in psycho oncology, which cancer survivals are faced to and that significantly impair their qualityof life. Also we investigate goals of psychological influence to reduce the clinical level and/or overcomethe fear of cancer recurrence in cancer survivals and available proven practical methods of correction of theirpsychological state. Purpose: to carry out a comparative analysis of the effectiveness of existing theoreticaland empirical models of overcoming the high level of fear of recurrence in cancer survivals. Methods:review of existing publications on the selected topic; classification of available theoretical models forexplaining the fear of cancer recurrence; analysis and description of the cognitive and emotional constructsof the course of this psychological phenomenon; generalizations about the effectiveness of practical methodsof psychosocial impact on cancer survivals in order to reduce the clinical level of their fear of cancer recurrence. Results: There were identified six theoretical models of the origin and course of the fear of cancer recurrence incancer patients and five research of the introduction of practical methods for correcting the clinical level of thisfear. All existing theories and practical methods that have been proposed in foreign research so far originatefrom the cognitive-behavioral paradigm, but each year they become more personalized and include a socialcomponent of supporting too. Some of them are very interesting to practical psychooncologysts. Conclusions.The prospect of further research is to create a native method of reducing the fear of cancer recurrence incancer survivals taking into account the identified models and effective methods of influence; and conductinga practical research of the effectiveness of this method in Ukrainian cancer survivals, as the fear of cancerrecurrence significantly affects their subsequent quality of life.

References

1. Будкіна Н.В., Волинець О.В. Особливості психоемоційних станів онкологічних хворих. Збірник наукових праць Хмельницького інституту соціальних технологій Університету «Україна». 2017. № 14. С. 184–188.
2. Кирилова О.О., Кирилова Є.І., Вострокнутов І.Л. Особливості соматопсихічних проявів в онкології на різних етапах протипухлинного лікування (оглядова стаття). Актуальні проблеми сучасної медицини. 2020. Вип. 6. С. 84–92
3. Лукомська С.О. Ресурсний підхід до подолання особистістю кризових ситуацій. Науковий вісник Херсонського державного університету. Серія Психологічні науки. 2020. Випуск 1. С. 190–195.
4. Мухаровська І.Р. Особливості психологічного реагування на захворювання у онкологічних хворих. ScienceRise. Medical science. 2016. № 11. С. 16–20.
5. Основи реабілітаційної психології: подолання наслідків кризи : навчальний посібник / За ред. Н. Пророк. Київ, 2018. Том 1. 208 с.
6. Butow Ph, Turner J, Gilchrist J, Sharpe L. Randomized Trial of ConquerFear: A Novel, Theoretically Based Psychosocial Intervention for Fear of Cancer Recurrence. Journal of Clinical Oncology. 2017. № 35(36). Р. 1–13.
7. Crist JV, Grunfeld EA. Factors reported to influence fear of recurrence in cancer patients: a systematic review. Psycho-Oncology. 2013. № 22(5). Р. 978–986.
8. Dieng M, Butow PN, Costa DS, et al. Psychoeducational intervention to reduce fear of cancer recurrence in people at high risk of developing another primary melanoma: results of a randomized controlled trial. Journal of Clinical Oncology. 2016. № 34. Р. 4405–4414.
9. Eisenberg SA, Kurita K, Taylor-Ford M. et al. Intolerance of uncertainty, cognitive complaints, and cancer-related distress in prostate cancer survivors. Psycho-Oncology. 2015. № 24. Р. 228–235.
10. Fardell, J.E., Thewes, B., Turner, J. et al. Fear of cancer recurrence: a theoretical review and novel cognitive processing formulation. Journal of Cancer Survivorship. 2016. № 10. P. 663–673.
11. Fletcher L, Hayes S. Relational frame theory, acceptance and commitment therapy, and a functional analytic definition of mindfulness. Journal of Rational-Emotive and Cognitive-Behavoral Therapy. 2005. № 23. P. 315–336.
12. Humphries G, Rogers S. After and beyond: cancer recurrence fears and test of an intervention in oropharyngeal patients. Social Science and Dentistry. 2012. № 2. Р. 29–38.
13. Lebel S, Maheu C, Lefebvre M, et al. Addressing fear of cancer recurrence among women with cancer: a feasibility and preliminary outcome study. Journal of Cancer Survivorship. 2014. № 8. Р. 485–496.
14. Leventhal H, Diefenbach M, Leventhal EA. Illness cognition: using common sense to understand treatment adherence and affect cognition interactions. Cognitive Therapy and Research. 1992. № 16. P. 143–163.
15. Lichtenthal WG, Corner GW, Slivjak ET et al. A pilot randomized controlled trial of cognitive bias modification to reduce fear of breast cancer recurrence. Cancer. 2017. № 123. P. 1424–1433.
16. McGinty HL, Goldenberg JL, Jacobsen PB. Relationship of threat appraisal with coping appraisal to fear of cancer recurrence in breast cancer survivors. Psycho-Oncology. 2012. № 21. P. 203–210.
17. Otto AK, Szczesny EC, Soriano EC et al. Effects of a randomized gratitude intervention on death-related fear of recurrence in breast cancer survivors. Health Psychology. 2016. № 35 (12). P. 1320–1328.
18. Park CL, Cho D, Blank TO, Wortmann JH. Cognitive and emotional aspects of fear of recurrence: predictors and relations with adjustment in young to middle-aged cancer survivors. Psycho-Oncology. 2013. № 22. P. 1630–1638.
19. Sharpe L, Curran L. Understanding the process of adjustment to illness. Social Science & Medicine. 2006. № 62. P. 1153–1166.
20. Thewes B, Brebach R, Dzidowska M, et al. Current approaches to managing fear of cancer recurrence; a descriptive survey of psychosocial and clinical health professionals. Psycho-Oncology. 2014. № 23. P. 390–396.
21. van der Wal M, Thewes B, Gielissen M, et al. Efficacy of a blended cognitive behaviour therapy for high fear of recurrence in breast, prostate and colorectal cancer survivors: the SWORD study, a randomized controlled trial. Journal of Clinical Oncology. 2017. № 35 (19). P. 2173–2185.
22. Wells A. Detached mindfulness in cognitive therapy: a metacognitive analysis and ten techniques. Journal of Rational-Emotive and Cognitive-Behavoral Therapy. 2005. № 23. P. 337–355.
Published
2021-06-08
Pages
144-152