{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T17:42:08Z","timestamp":1776015728562,"version":"3.50.1"},"reference-count":52,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,11,29]],"date-time":"2025-11-29T00:00:00Z","timestamp":1764374400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,29]],"date-time":"2025-11-29T00:00:00Z","timestamp":1764374400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Fear of cancer recurrence (FCR) is a major psychological burden for breast cancer survivors, impairing daily functioning and quality of life. Fear of Recurrence Therapy (FORT), a cognitive\u2010behavioral group intervention, has shown efficacy in Western settings. This study evaluated the effectiveness of an adapted FORT program in Turkish breast cancer survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A single\u2010blind, parallel\u2010group randomized controlled trial was conducted between February and March 2025. Stage I\u2013III survivors within 5\u00a0years post\u2010treatment (\n                      <jats:italic>N<\/jats:italic>\n                      \u00a0=\u00a0100) were randomized (1:1) to FORT or a CBT\u2010based intervention. Both interventions comprised six weekly online sessions; however, the adapted version of FORT program was extended to 150\u00a0min per session, while the CBT group maintained 120\u2010min sessions. The primary outcome was FCR (Fear of Cancer Recurrence Inventory). Secondary outcomes were anxiety and depression (HADS), distress (Emotion Thermometer), quality of life (EORTC QLQ\u2010C30), intolerance of uncertainty (IUS\u201012), self\u2010efficacy (SEMCD), and coping skills (CCQ). Analyses followed intention\u2010to\u2010treat (ITT) and per\u2010protocol (PP) principles.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      ITT analysis showed significant reductions in FCR in both groups; the ANCOVA\u2010adjusted mean difference favoring FORT was \u22125.99 points (95% CI \u221210.95 to \u22121.03,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.018, partial\n                      <jats:italic>\u03c9<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u00a0=\u00a00.047). Between\u2010group differences favored FORT on FCRI subscales (triggers, metacognitions, emotion\u2010focused coping) and intolerance of uncertainty (F(1,95)\u00a0=\u00a02.174,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.032). PP analysis indicated additional benefits for anxiety (F(1,84)\u00a0=\u00a05.735,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.019), depression (\n                      <jats:italic>t<\/jats:italic>\n                      \u00a0=\u00a0\u22122.174,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.032), and functional quality of life (\n                      <jats:italic>z<\/jats:italic>\n                      \u00a0=\u00a0\u22122.079,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.038). Adherence was high, with most participants completing all sessions.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Adapted FORT reduced FCR and psychological distress among Turkish survivors. Its effective online delivery demonstrates feasibility and scalability, supporting integration into psycho\u2010oncological care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/clinicaltrials.gov\/study\/NCT06676228\">NCT06676228<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70345","type":"journal-article","created":{"date-parts":[[2025,11,30]],"date-time":"2025-11-30T05:09:10Z","timestamp":1764479350000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Preliminary Outcomes of a Culturally Adapted Fear of Recurrence Therapy (FORT) for Turkish Breast Cancer Survivors: A Randomized Controlled Trial"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7068-5373","authenticated-orcid":false,"given":"Asl\u0131","family":"Eyrenci","sequence":"first","affiliation":[{"name":"Maltepe University  \u0130stanbul T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7810-1168","authenticated-orcid":false,"given":"Levent","family":"Ertuna","sequence":"additional","affiliation":[{"name":"Sakarya University  Sakarya T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6879-0059","authenticated-orcid":false,"given":"Ozan","family":"Bah\u00e7ivan","sequence":"additional","affiliation":[{"name":"Oz Psychological Consultancy (Oz Psikolojik Dan\u0131\u015fmanlik)  \u0130zmir 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