Fear of new or recurrent melanoma after treatment for localised melanoma

Katy J L Bell; Yachna Mehta; Robin M Turner; Rachael L Morton; Mbathio Dieng; Robyn Saw; Pascale Guitera; Kirsten McCaffery; Donald Low; Cynthia Low; Marisa Jenkins; Les Irwig; Angela C Webster

doi:10.1002/pon.4366

Fear of new or recurrent melanoma after treatment for localised melanoma

Katy J L Bell, Yachna Mehta, Robin M Turner, Rachael L Morton, Mbathio Dieng, Robyn Saw, Pascale Guitera, Kirsten McCaffery, Donald Low, Cynthia Low, Marisa Jenkins, Les Irwig, Angela C Webster

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Abstract

OBJECTIVE: To estimate the amount of fear of new or recurrent melanoma among people treated for localised melanoma in an Australian specialist centre.

METHODS: We randomly selected 400 potential participants from all those treated for localised melanoma at the Melanoma Institute Australia during 2014 (n = 902). They were asked to complete an adapted version of the Fear of Cancer Recurrence Inventory (FCRI). We calculated summary statistics for demographics, clinical variables and total FCRI and subscale scores.

RESULTS: 215 people (54%) completed the FCRI questionnaire. The overall mean severity subscale score was was 15.0 (95% CI 14.0-16.1). A high proportion of participants had scores above a proposed threshold to screen for clinical fear of cancer recurrence (77% and 63% of participants with and without new or recurrent melanoma had severity subscale scores ≥ 13). Most participants also had scores above a threshold found to have high specificity for clinical fear of cancer recurrence (65% and 48% of participants with and without new or recurrent melanoma had severity subscale scores ≥ 16). The severity subscale appeared to discriminate well between groups with differing levels of risk of new or recurrent melanoma.

CONCLUSIONS: There is a substantial amount of fear of new or recurrent melanoma among this population, despite most having a very good prognosis.

Original language	English
Pages (from-to)	1784-1791
Number of pages	8
Journal	Psycho-Oncology
Volume	26
Issue number	11
DOIs	https://doi.org/10.1002/pon.4366
Publication status	Published - 1 Nov 2017

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title = "Fear of new or recurrent melanoma after treatment for localised melanoma",

abstract = "OBJECTIVE: To estimate the amount of fear of new or recurrent melanoma among people treated for localised melanoma in an Australian specialist centre.METHODS: We randomly selected 400 potential participants from all those treated for localised melanoma at the Melanoma Institute Australia during 2014 (n = 902). They were asked to complete an adapted version of the Fear of Cancer Recurrence Inventory (FCRI). We calculated summary statistics for demographics, clinical variables and total FCRI and subscale scores.RESULTS: 215 people (54%) completed the FCRI questionnaire. The overall mean severity subscale score was was 15.0 (95% CI 14.0-16.1). A high proportion of participants had scores above a proposed threshold to screen for clinical fear of cancer recurrence (77% and 63% of participants with and without new or recurrent melanoma had severity subscale scores ≥ 13). Most participants also had scores above a threshold found to have high specificity for clinical fear of cancer recurrence (65% and 48% of participants with and without new or recurrent melanoma had severity subscale scores ≥ 16). The severity subscale appeared to discriminate well between groups with differing levels of risk of new or recurrent melanoma.CONCLUSIONS: There is a substantial amount of fear of new or recurrent melanoma among this population, despite most having a very good prognosis.",

author = "Bell, {Katy J L} and Yachna Mehta and Turner, {Robin M} and Morton, {Rachael L} and Mbathio Dieng and Robyn Saw and Pascale Guitera and Kirsten McCaffery and Donald Low and Cynthia Low and Marisa Jenkins and Les Irwig and Webster, {Angela C}",

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doi = "10.1002/pon.4366",

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T1 - Fear of new or recurrent melanoma after treatment for localised melanoma

AU - Bell, Katy J L

AU - Mehta, Yachna

AU - Turner, Robin M

AU - Morton, Rachael L

AU - Dieng, Mbathio

AU - Saw, Robyn

AU - Guitera, Pascale

AU - McCaffery, Kirsten

AU - Low, Donald

AU - Low, Cynthia

AU - Jenkins, Marisa

AU - Irwig, Les

AU - Webster, Angela C

PY - 2017/11/1

Y1 - 2017/11/1

N2 - OBJECTIVE: To estimate the amount of fear of new or recurrent melanoma among people treated for localised melanoma in an Australian specialist centre.METHODS: We randomly selected 400 potential participants from all those treated for localised melanoma at the Melanoma Institute Australia during 2014 (n = 902). They were asked to complete an adapted version of the Fear of Cancer Recurrence Inventory (FCRI). We calculated summary statistics for demographics, clinical variables and total FCRI and subscale scores.RESULTS: 215 people (54%) completed the FCRI questionnaire. The overall mean severity subscale score was was 15.0 (95% CI 14.0-16.1). A high proportion of participants had scores above a proposed threshold to screen for clinical fear of cancer recurrence (77% and 63% of participants with and without new or recurrent melanoma had severity subscale scores ≥ 13). Most participants also had scores above a threshold found to have high specificity for clinical fear of cancer recurrence (65% and 48% of participants with and without new or recurrent melanoma had severity subscale scores ≥ 16). The severity subscale appeared to discriminate well between groups with differing levels of risk of new or recurrent melanoma.CONCLUSIONS: There is a substantial amount of fear of new or recurrent melanoma among this population, despite most having a very good prognosis.

AB - OBJECTIVE: To estimate the amount of fear of new or recurrent melanoma among people treated for localised melanoma in an Australian specialist centre.METHODS: We randomly selected 400 potential participants from all those treated for localised melanoma at the Melanoma Institute Australia during 2014 (n = 902). They were asked to complete an adapted version of the Fear of Cancer Recurrence Inventory (FCRI). We calculated summary statistics for demographics, clinical variables and total FCRI and subscale scores.RESULTS: 215 people (54%) completed the FCRI questionnaire. The overall mean severity subscale score was was 15.0 (95% CI 14.0-16.1). A high proportion of participants had scores above a proposed threshold to screen for clinical fear of cancer recurrence (77% and 63% of participants with and without new or recurrent melanoma had severity subscale scores ≥ 13). Most participants also had scores above a threshold found to have high specificity for clinical fear of cancer recurrence (65% and 48% of participants with and without new or recurrent melanoma had severity subscale scores ≥ 16). The severity subscale appeared to discriminate well between groups with differing levels of risk of new or recurrent melanoma.CONCLUSIONS: There is a substantial amount of fear of new or recurrent melanoma among this population, despite most having a very good prognosis.

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Fear of new or recurrent melanoma after treatment for localised melanoma

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