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This study aimed to evaluate the validity and screening capacity of a single-item FCR screening measure (FCR-1r) in long-term colorectal cancer (CRC) survivors with no recurrence and assess whether it performs as well in older as in younger survivors.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>All Danish CRC survivors above 18, diagnosed and treated with curative intent between 2014 and 2018, were located through a national patient registry. A questionnaire including the FCR-1r, which measures FCR on a 0\u201310 visual analog scale, alongside the validated Fear of Cancer Recurrence Inventory Short Form (FCRI-SF) as a reference standard was distributed between November 2021 and May 2023. Screening capacity and cut-offs were evaluated with a receiver-operating characteristic analysis (ROC) in older (\u2265\u200965\u00a0years) compared to younger (&lt;\u200965\u00a0years) CRC survivors. Hypotheses regarding associations with other psychological variables were tested as indicators of convergent and divergent validity.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Of the CRC survivors, 2,128\/4,483 (47.5%) responded; 1,654 (36.9%) questionnaires were eligible for analyses (median age 76 (range 38\u201398), 47% female). Of the responders, 85.2% were aged\u2009\u2265\u200965. Ninety-two participants (5.6%) reported FCRI-SF scores\u2009\u2265\u200922 indicating clinically significant FCR. A FCR-1r cut-off\u2009\u2265\u20095\/10 had 93.5% sensitivity and 80.4% specificity for detecting clinically significant FCR (AUC\u2009=\u20090.93, 95% CI 0.91\u20130.94) in the overall sample. The discrimination ability was significantly better in older (AUC\u2009=\u20090.93, 95% CI 0.91\u20130.95) compared to younger (0.87, 95% (0.82\u20130.92), <jats:italic>p<\/jats:italic>\u2009=\u20090.04) CRC survivors. The FCR-1r demonstrated concurrent validity against the FCRI-SF (<jats:italic>r<\/jats:italic>\u2009=\u20090.71, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001) and convergent validity against the short-versions of the Symptom Checklist-90-<jats:italic>R<\/jats:italic> subscales for anxiety (<jats:italic>r<\/jats:italic>\u2009=\u20090.38, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001), depression (<jats:italic>r<\/jats:italic>\u2009=\u20090.27, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001), and emotional distress (<jats:italic>r<\/jats:italic>\u2009=\u20090.37, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001). The FCR-1r correlated weakly with employment status (<jats:italic>r<\/jats:italic>\u2009=\u2009\u2009\u2212\u20090.09, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001) and not with marital status (<jats:italic>r<\/jats:italic>\u2009=\u20090.01, <jats:italic>p<\/jats:italic>\u2009=\u20090.66) indicating divergent validity.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The FCR-1r is a valid tool for FCR screening in CRC survivors with excellent ability to discriminate between clinical and non-clinical FCR, particularly in older CRC survivors.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00520-023-08159-7","type":"journal-article","created":{"date-parts":[[2023,11,11]],"date-time":"2023-11-11T04:24:29Z","timestamp":1699676669000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Validity and screening capacity of the FCR-1r for fear of cancer recurrence in long-term colorectal cancer survivors"],"prefix":"10.1007","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2566-663X","authenticated-orcid":false,"given":"Johanne Dam","family":"Lyhne","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allan \u201cBen\u201d","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Signe","family":"Timm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00e9bastien","family":"Simard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars Henrik","family":"Jensen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisbeth","family":"Frostholm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Per","family":"Fink","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,11,11]]},"reference":[{"issue":"8","key":"8159_CR1","doi-asserted-by":"publisher","first-page":"3265","DOI":"10.1007\/s00520-016-3272-5","volume":"24","author":"S Lebel","year":"2016","unstructured":"Lebel S, Ozakinci G, Humphris G, Mutsaers B, Thewes B, Prins J et al (2016) From normal response to clinical problem: definition and clinical features of fear of cancer recurrence. 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