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EV1098

Fear of cancer recurrence in adolescent and young adult–caregiver dyads

FEAR OF CANCER RECURRENCE AMONG DYADS OF ADOLESCENTS AND YOUNG ADULTS AND CAREGIVERS

Clinical levels of fear of cancer recurrence are common among both young patients and their caregivers and are associated with depressive symptoms in both groups; prevalence is higher among caregivers.

The study aimed to describe and compare levels of fear of cancer recurrence (FCR) in dyads comprising adolescents and young adults (AYA) diagnosed with cancer and their caregivers, and to examine the relationship between fear of recurrence and depression from a dyadic perspective. Data were collected in person and online at four hospitals and one association in Portugal, and 63 dyads were assessed. Among the young patients, 60% were female, the mean age at recruitment was 22 years, the mean age at diagnosis was 19 years, 69.8% had hematological cancer, and 60.3% were off treatment. Among caregivers, 79.4% were female and the mean age was 47 years; 76.2% of dyads consisted of a parent and child. Fear of recurrence was measured using the FCR7 scale, and depressive symptoms were measured using the Hospital Anxiety and Depression Scale; paired-samples t-tests and the Actor–Partner Interdependence Model (APIM) were used for the analysis. Clinical levels of fear of recurrence were identified in 57.1% of young patients and 79.4% of caregivers, with a significant difference between the groups (p < 0.001). In the APIM analysis controlling for the young patient's treatment status, both young patients' and caregivers' own fear of recurrence was associated with their own depressive symptoms (standardized coefficient for both paths: 0.29; p < 0.001). The model explained 15% of the variance in young patients' depressive symptoms (R-squared = 0.15) and 26% of the variance in caregivers' depressive symptoms (R-squared = 0.26), with excellent model fit (chi-square (2) = 0.13; p = 0.938; CFI = 1; TLI = 1; RMSEA = 0.0; 90% confidence interval, 0.00 to 0.06; SRMR = 0.01). The authors state that fear of recurrence affects depressive symptoms in both young patients and caregivers, and that caregivers are also affected by the young patient's fear of recurrence and may therefore experience increased vulnerability. They recommend a family-centered approach to cancer care that extends beyond the patient to include their loved ones.

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