Coping strategies mediate the relationship between fear of cancer recurrence and quality of life in postoperative patients with prostate cancer: a multicentre survey
Abstract Purpose The aim of the present study was to investigate the relationships between fear of cancer recurrence and quality of life in patients with prostate cancer. A model based on Lazarus’ and Folkman’s theory tested the specific hypothesis: fear of cancer recurrence has a direct and indirec...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | BMC Urology |
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| Online Access: | https://doi.org/10.1186/s12894-024-01428-5 |
| _version_ | 1797273114224099328 |
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| author | Chen Yu Zhu Jingzhen Zhou Luqiang Yuan Xiaojuan Zheng Ji |
| author_facet | Chen Yu Zhu Jingzhen Zhou Luqiang Yuan Xiaojuan Zheng Ji |
| author_sort | Chen Yu |
| collection | DOAJ |
| description | Abstract Purpose The aim of the present study was to investigate the relationships between fear of cancer recurrence and quality of life in patients with prostate cancer. A model based on Lazarus’ and Folkman’s theory tested the specific hypothesis: fear of cancer recurrence has a direct and indirect effect on quality of life mediated by coping strategies. Methods A questionnaire survey was conducted on 305 patients with prostate cancer who underwent radical surgery, including demographic information, FoP-Q-SF (Fear of Progression Questionnaire), MCMQ (The Medical Coping Modes Questionnaire), QLQ-C30 (Questionnaire for Quality of Life Assessment in patients with cancer, version 3.0), and a mediator model was tested using the PROCESS macro for SPSS. Results The total FoP-Q-SF score of 305 postoperative prostate cancer patients was 34.3 ± 5.856, with approximately 41.6% of the patients scoring higher than 34. There were significant indirect effects of fear of cancer recurrence on global health status through face [a1b1; 0.0394, Boot CIs 0.0025, 0.0819] and yield [a3b3; -0.1075, Boots CIs − 0.1657, -0.0557] but not for evasive [a2b2; 0.0235; Boots CIs − 0.057, 0.0508]. Conclusions Coping strategies are the most important mediating factors between fear of cancer recurrence and QOL among patients with prostate cancer. Our results support the proposed conceptual model, based on Lazarus’ and Folkman’s theory. Medical personnel need to develop corresponding intervention measures based on the different coping methods of patients, promote disease recovery, and improve postoperative quality of life. |
| first_indexed | 2024-03-07T14:38:58Z |
| format | Article |
| id | doaj.art-967acade2dfa41ddacae598211a4a228 |
| institution | Directory Open Access Journal |
| issn | 1471-2490 |
| language | English |
| last_indexed | 2024-03-07T14:38:58Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Urology |
| spelling | doaj.art-967acade2dfa41ddacae598211a4a2282024-03-05T20:28:33ZengBMCBMC Urology1471-24902024-03-012411710.1186/s12894-024-01428-5Coping strategies mediate the relationship between fear of cancer recurrence and quality of life in postoperative patients with prostate cancer: a multicentre surveyChen Yu0Zhu Jingzhen1Zhou Luqiang2Yuan Xiaojuan3Zheng Ji4Department of Urology, Xinqiao Hospital, The Army Medical UniversityDepartment of Urology, Xinqiao Hospital, The Army Medical UniversityDepartment of Urology, Xinqiao Hospital, The Army Medical UniversityDepartment of Urology, Xinqiao Hospital, The Army Medical UniversityDepartment of Urology, Xinqiao Hospital, The Army Medical UniversityAbstract Purpose The aim of the present study was to investigate the relationships between fear of cancer recurrence and quality of life in patients with prostate cancer. A model based on Lazarus’ and Folkman’s theory tested the specific hypothesis: fear of cancer recurrence has a direct and indirect effect on quality of life mediated by coping strategies. Methods A questionnaire survey was conducted on 305 patients with prostate cancer who underwent radical surgery, including demographic information, FoP-Q-SF (Fear of Progression Questionnaire), MCMQ (The Medical Coping Modes Questionnaire), QLQ-C30 (Questionnaire for Quality of Life Assessment in patients with cancer, version 3.0), and a mediator model was tested using the PROCESS macro for SPSS. Results The total FoP-Q-SF score of 305 postoperative prostate cancer patients was 34.3 ± 5.856, with approximately 41.6% of the patients scoring higher than 34. There were significant indirect effects of fear of cancer recurrence on global health status through face [a1b1; 0.0394, Boot CIs 0.0025, 0.0819] and yield [a3b3; -0.1075, Boots CIs − 0.1657, -0.0557] but not for evasive [a2b2; 0.0235; Boots CIs − 0.057, 0.0508]. Conclusions Coping strategies are the most important mediating factors between fear of cancer recurrence and QOL among patients with prostate cancer. Our results support the proposed conceptual model, based on Lazarus’ and Folkman’s theory. Medical personnel need to develop corresponding intervention measures based on the different coping methods of patients, promote disease recovery, and improve postoperative quality of life.https://doi.org/10.1186/s12894-024-01428-5CopingFear of cancer recurrenceProstate cancerQuality of life |
| spellingShingle | Chen Yu Zhu Jingzhen Zhou Luqiang Yuan Xiaojuan Zheng Ji Coping strategies mediate the relationship between fear of cancer recurrence and quality of life in postoperative patients with prostate cancer: a multicentre survey BMC Urology Coping Fear of cancer recurrence Prostate cancer Quality of life |
| title | Coping strategies mediate the relationship between fear of cancer recurrence and quality of life in postoperative patients with prostate cancer: a multicentre survey |
| title_full | Coping strategies mediate the relationship between fear of cancer recurrence and quality of life in postoperative patients with prostate cancer: a multicentre survey |
| title_fullStr | Coping strategies mediate the relationship between fear of cancer recurrence and quality of life in postoperative patients with prostate cancer: a multicentre survey |
| title_full_unstemmed | Coping strategies mediate the relationship between fear of cancer recurrence and quality of life in postoperative patients with prostate cancer: a multicentre survey |
| title_short | Coping strategies mediate the relationship between fear of cancer recurrence and quality of life in postoperative patients with prostate cancer: a multicentre survey |
| title_sort | coping strategies mediate the relationship between fear of cancer recurrence and quality of life in postoperative patients with prostate cancer a multicentre survey |
| topic | Coping Fear of cancer recurrence Prostate cancer Quality of life |
| url | https://doi.org/10.1186/s12894-024-01428-5 |
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