{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T18:49:02Z","timestamp":1791571742938,"version":"4.3.4"},"reference-count":42,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,4,30]],"date-time":"2023-04-30T00:00:00Z","timestamp":1682812800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001171","name":"Cancer Institute NSW","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001171","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Fear of cancer recurrence (FCR) is highly prevalent among cancer survivors, but irregularly identified in practice. Single\u2010item FCR measures suitable for integration into broader psychosocial screening are needed. This study evaluated the validity of a revised version of the original FCR\u20101 (FCR\u20101r) and screening performance alongside the Edmonton Symptom Assessment System \u2013 Revised (ESAS\u2010r) anxiety item.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The FCR\u20101r was adapted from the FCR\u20101 and modelled on the ESAS\u2010r. Associations between FCR\u20101r and FCR Inventory\u2010Short Form (FCRI\u2010SF) scores determined concurrent validity. Relationships of FCR\u20101r scores with variables related (e.g., anxiety, intrusive thoughts) and unrelated (e.g., employment\/marital status) to FCR determined convergent and divergent validity respectively. A Receiver\u2010Operating Characteristic analysis examined screening performance and cut\u2010offs for the FCR\u20101r and ESAS\u2010r anxiety item.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>107 participants were recruited in two studies (Study 1, July\u2010October 2021, <jats:italic>n<\/jats:italic>\u00a0=\u00a054; Study 2: November 2021\u2010May 2022, <jats:italic>n<\/jats:italic>\u00a0=\u00a053). The FCR\u20101r demonstrated concurrent validity against the FCRI\u2010SF (<jats:italic>r<\/jats:italic>\u00a0=\u00a00.83, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.0001) and convergent validity versus the Generalised Anxiety Disorder\u20107 (<jats:italic>r<\/jats:italic>\u00a0=\u00a00.63, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.0001) and Impact of Event Scale\u2010Revised Intrusion subscale (<jats:italic>r<\/jats:italic>\u00a0=\u00a00.55, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.0001). It did not correlate with unrelated variables (e.g., employment\/marital status), indicating divergent validity. An FCR\u20101r cut\u2010off \u22655\/10 had 95% sensitivity and 77% specificity for detecting clinical FCR (area under the curve (AUC)\u00a0=\u00a00.91, 95% CI 0.85\u20130.97, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.0001); ESAS\u2010r anxiety cut\u2010off \u22654 had 91% sensitivity and 82% specificity (AUC\u00a0=\u00a00.87, 95% CI 0.77\u20130.98, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.0001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The FCR\u20101r is a valid and accurate tool for FCR screening. Further evaluation of the screening performance of the FCR\u20101r versus the ESAS\u2010r anxiety item in routine care is needed.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.6139","type":"journal-article","created":{"date-parts":[[2023,4,30]],"date-time":"2023-04-30T15:10:12Z","timestamp":1682867412000},"page":"961-971","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Evaluation of the validity and screening performance of a revised single\u2010item fear of cancer recurrence screening measure (FCR\u20101r)"],"prefix":"10.1002","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2496-7369","authenticated-orcid":false,"given":"Allan \u2018Ben\u2019","family":"Smith","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Health South West Sydney Clinical Campuses University of New South Wales (UNSW Sydney)  Liverpool New South Wales Australia"},{"name":"Ingham Institute for Applied Medical 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