{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T17:17:28Z","timestamp":1790011048360,"version":"4.0.1"},"reference-count":62,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2008,12,19]],"date-time":"2008-12-19T00:00:00Z","timestamp":1229644800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2009,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    <jats:italic>Background<\/jats:italic>\n                    : Fear of recurrence (FOR) has been increasingly recognised as an issue of significant burden for most cancer patients, and has been associated with psychological morbidity and reduced quality of life. More recently, the impact of recurrence fears has been indicated in the families of cancer patients. However, there has been a lack of prospective research.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Aim<\/jats:italic>\n                    : To systematically examine distress and illness concerns among patient\u2013carer dyads.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Methods<\/jats:italic>\n                    : A multi\u2010centre prospective study of head and neck cancer patients and their carers (patients,\n                    <jats:italic>n<\/jats:italic>\n                    =101; carers,\n                    <jats:italic>n<\/jats:italic>\n                    =101), surveyed at two time\u2010points following diagnosis.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Results<\/jats:italic>\n                    : Carers recorded higher recurrence concerns on average than the patient group (\n                    <jats:italic>p<\/jats:italic>\n                    &lt;0.001). A predictive path model of patient and carer self\u2010reports of distress and FORs was explored, with an excellent overall fit of the final model (\n                    <jats:italic>\u03c7<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    =15.4, df=12,\n                    <jats:italic>p<\/jats:italic>\n                    =0.22, Comparative Fit Index (CFI)=0.994, Root Mean Square Estimate of Approximation (RMSEA)=0.053).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Conclusions<\/jats:italic>\n                    : The preliminary results establish that early fears and distress within individuals govern later reports on these same attributes, but that there is some weak evidence of influence from one attribute to another within and across individuals in the dyad. Future prospective dyadic research is warranted to ascertain the level of these fears over an extended time and their relationship to patient and carer adaptation. Intervention may be needed to reduce this disease concern to a manageable level at an early stage of the illness trajectory. Copyright \u00a9 2008 John Wiley &amp; Sons, Ltd.\n                  <\/jats:p>","DOI":"10.1002\/pon.1346","type":"journal-article","created":{"date-parts":[[2008,12,25]],"date-time":"2008-12-25T00:24:45Z","timestamp":1230164685000},"page":"841-848","source":"Crossref","is-referenced-by-count":157,"title":["Fear of recurrence and psychological distress in head and neck cancer patients and their carers"],"prefix":"10.1002","volume":"18","author":[{"given":"Laura J.","family":"Hodges","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerry M.","family":"Humphris","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2008,12,19]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1054\/bjom.2001.0645"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(20000615)88:12<2817::AID-CNCR22>3.0.CO;2-N"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0163-8343(02)00180-9"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6690420"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0347(200102)23:2<113::AID-HED1006>3.0.CO;2-W"},{"issue":"2","key":"e_1_2_1_7_2","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1097\/01.mlg.0000250169.10241.58","article-title":"Distress in spouses and patients after treatment for head and neck cancer","volume":"117","author":"Verdonck\u2010de\u2010leeuw IM","year":"2007","journal-title":"Laryngoscope"},{"issue":"2","key":"e_1_2_1_8_2","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1002\/pon.1199","article-title":"Psychiatric morbidity and quality of life in wives of men with long\u2010term head and neck cancer","volume":"17","author":"Drabe N","journal-title":"Psycho\u2010Oncology"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.238.9.952"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2354.2001.00249.x"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1080\/08858199309528207"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.645"},{"key":"e_1_2_1_13_2","first-page":"485","article-title":"The repercussions of mastectomy on the family","volume":"6","author":"Maguire P","year":"1981","journal-title":"Int J Fam Psychiatry"},{"key":"e_1_2_1_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/00002820-198106000-00004"},{"key":"e_1_2_1_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(01)00362-8"},{"key":"e_1_2_1_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.717"},{"key":"e_1_2_1_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(197507)36:1 <271::AID-CNCR2820360703>3.0.CO;2-X"},{"key":"e_1_2_1_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(94)00136-H"},{"issue":"4","key":"e_1_2_1_19_2","first-page":"511","article-title":"A longitudinal study of the adjustment of patients and husbands to breast cancer","volume":"16","author":"Northouse LL","year":"1989","journal-title":"Oncol Nurs Forum"},{"key":"e_1_2_1_20_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.574"},{"issue":"5","key":"e_1_2_1_21_2","article-title":"The views of ovarian cancer survivors on its cause, prevention, and recurrence","volume":"6","author":"Stewart DE","year":"2001","journal-title":"Medscape Women's Health"},{"key":"e_1_2_1_22_2","first-page":"8","article-title":"The concerns of patients and spouses after the diagnosis of colon cancer: a qualitative analysis","volume":"26","author":"Northouse LL","year":"1999","journal-title":"Ostomy Care"},{"key":"e_1_2_1_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000091993.73842.9b"},{"key":"e_1_2_1_24_2","first-page":"107","volume-title":"A two year follow\u2010up study investigating fear of recurrence in orofacial cancer patients","author":"Lee\u2010Jones C","year":"1998"},{"key":"e_1_2_1_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0901-5027(03)90399-1"},{"key":"e_1_2_1_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2005.08.010"},{"key":"e_1_2_1_27_2","first-page":"555","article-title":"Survivors of breast cancer: illness uncertainty, positive reappraisal, and emotional distress","volume":"25","author":"Mast ME","year":"1998","journal-title":"Oncol Nurs Forum"},{"key":"e_1_2_1_28_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.614"},{"key":"e_1_2_1_29_2","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19920415)69:8<2111::AID-CNCR2820690817>3.0.CO;2-T"},{"key":"e_1_2_1_30_2","doi-asserted-by":"publisher","DOI":"10.1207\/S15324796ABM2501_03"},{"key":"e_1_2_1_31_2","doi-asserted-by":"publisher","DOI":"10.1097\/00002820-200603000-00007"},{"key":"e_1_2_1_32_2","unstructured":"BroomfieldD.A study to determine information needs of general practice staff in the care of cancer patients. 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