{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T09:19:44Z","timestamp":1783156784004,"version":"3.54.6"},"reference-count":42,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/501100010101","name":"Taichung Veterans General Hospital","doi-asserted-by":"publisher","award":["DYU1098301"],"award-info":[{"award-number":["DYU1098301"]}],"id":[{"id":"10.13039\/501100010101","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","ejoncologynursing.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Oncology Nursing"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1016\/j.ejon.2026.103203","type":"journal-article","created":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T22:19:39Z","timestamp":1777846779000},"page":"103203","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Fear of progression and symptom trajectories among women with recurrent breast cancer: A six-month prospective study"],"prefix":"10.1016","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4966-1224","authenticated-orcid":false,"given":"Ya-Jung","family":"Wang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6766-2469","authenticated-orcid":false,"given":"Chih-Jung","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4196-7501","authenticated-orcid":false,"given":"Yow-Wen","family":"Jheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hsin-Chieh","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chia-Hui","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ejon.2026.103203_bib1","article-title":"\u201cYou lose your hair, what's the big deal? I was so embarrassed, I was so self-conscious, I was so depressed:\u201d A qualitative interview study to understand the psychosocial burden of alopecia areata","volume":"76","author":"Aldhouse","year":"2020","journal-title":"J. Patient Rep. Outcomes 4"},{"key":"10.1016\/j.ejon.2026.103203_bib2","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1186\/s12955-021-01816-7","article-title":"The effect of fear of progression on quality of life among breast cancer patients: the mediating role of social support","volume":"19","author":"Ban","year":"2021","journal-title":"Health Qual. Life Outcomes"},{"key":"10.1016\/j.ejon.2026.103203_bib3","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1200\/EDBK_100031","article-title":"Fear of cancer recurrence or progression: what is it and what can we do about it?","volume":"42","author":"Bergerot","year":"2022","journal-title":"Am. Soc. Clin. Oncol. Educ. Book"},{"key":"10.1016\/j.ejon.2026.103203_bib4","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1016\/j.clon.2017.01.005","article-title":"Breast cancer incidence and predictors of surgical outcome: a nationwide longitudinal study in Taiwan","volume":"29","author":"Chang","year":"2017","journal-title":"Clin. Oncol."},{"issue":"6","key":"10.1016\/j.ejon.2026.103203_bib5","first-page":"1755","article-title":"Associations among physical symptoms, fear of cancer recurrence, and emotional well-being among Chinese American breast cancer survivors: a path model","volume":"26","author":"Cho","year":"2018","journal-title":"Support. Care Cancer"},{"key":"10.1016\/j.ejon.2026.103203_bib6","doi-asserted-by":"crossref","first-page":"1381","DOI":"10.1002\/pon.5944","article-title":"Are fear of cancer recurrence and fear of progression equivalent constructs?","volume":"31","author":"Coutts-Bain","year":"2022","journal-title":"Psychooncology"},{"issue":"2","key":"10.1016\/j.ejon.2026.103203_bib7","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1177\/1471082X17752753","article-title":"A general GEE framework for the analysis of longitudinal ordinal missing data and related issues","volume":"19","author":"da Silva","year":"2018","journal-title":"Stat. Model. Int. J."},{"key":"10.1016\/j.ejon.2026.103203_bib8","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1146\/annurev-statistics-042522-103837","article-title":"A review of generalizability and transportability","volume":"10","author":"Degtiar","year":"2023","journal-title":"Annu. Rev. Stat. Appl."},{"key":"10.1016\/j.ejon.2026.103203_bib10","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1016\/j.genhosppsych.2014.08.006","article-title":"Comorbidity of fear of progression and anxiety disorders in cancer patients","volume":"36","author":"Dinkel","year":"2014","journal-title":"Gen. Hosp. Psychiatry"},{"key":"10.1016\/j.ejon.2026.103203_bib11","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyg.2021.648623","article-title":"Association between daily worry, pathological worry, and fear of progression in patients with cancer","volume":"12","author":"Dinkel","year":"2021","journal-title":"Front. Psychol."},{"key":"10.1016\/j.ejon.2026.103203_bib9","first-page":"2661","article-title":"Fear of progression in cancer patients and survivors","volume":"27","author":"Dinkel","year":"2018","journal-title":"Psychooncology"},{"key":"10.1016\/j.ejon.2026.103203_bib12","doi-asserted-by":"crossref","first-page":"175","DOI":"10.3758\/BF03193146","article-title":"G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences","volume":"39","author":"Faul","year":"2007","journal-title":"Behav. Res. Methods"},{"key":"10.1016\/j.ejon.2026.103203_bib13","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1016\/j.jval.2011.08.1739","article-title":"Priority symptoms in advanced breast cancer: development and initial validation of the national comprehensive Cancer Network\u2013Functional assessment of Cancer Therapy\u2013Breast cancer Symptom Index (NFBSI-16)","volume":"15","author":"Garcia","year":"2012","journal-title":"Value Health"},{"key":"10.1016\/j.ejon.2026.103203_bib14","first-page":"1401","article-title":"Fear of recurrence or progression as a link between somatic symptoms and perceived stress among cancer survivors","volume":"25","author":"Hall","year":"2017","journal-title":"Support. Care Cancer"},{"key":"10.1016\/j.ejon.2026.103203_bib15","series-title":"Cancer Registry Annual Report, 2019 Taiwan","year":"2021"},{"key":"10.1016\/j.ejon.2026.103203_bib16","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1159\/000254903","article-title":"Group psychotherapy of dysfunctional fear of progression in patients with chronic arthritis or cancer","volume":"79","author":"Herschbach","year":"2010","journal-title":"Psychother. Psychosom."},{"key":"10.1016\/j.ejon.2026.103203_bib18","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1002\/pon.1258","article-title":"Experience and predictors of symptoms, distress, and health-related quality of life over time in postmenopausal women with recurrent breast cancer","volume":"17","author":"Kenne Sarenmalm","year":"2008","journal-title":"Psychooncology"},{"key":"10.1016\/j.ejon.2026.103203_bib19","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1002\/pon.3022","article-title":"Fear of recurrence and disease progression in long-term (\u22655 years) cancer survivors: a systematic review of quantitative studies","volume":"22","author":"Koch","year":"2013","journal-title":"Psychooncology"},{"issue":"7","key":"10.1016\/j.ejon.2026.103203_bib20","doi-asserted-by":"crossref","DOI":"10.3390\/jcm13071974","article-title":"Total pain and fear of recurrence in post-treatment cancer patients: serial mediation of psychological flexibility and mentalization and gender moderation","volume":"13","author":"Krok","year":"2024","journal-title":"J. Clin. Med."},{"key":"10.1016\/j.ejon.2026.103203_bib21","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1002\/smi.3180","article-title":"Fear of cancer recurrence as a pathway from fatigue to psychological distress in mothers who are breast cancer survivors","volume":"39","author":"Kuswanto","year":"2023","journal-title":"Stress Health"},{"key":"10.1016\/j.ejon.2026.103203_bib22","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1016\/j.jpsychores.2011.12.005","article-title":"Disease-related and psychosocial factors associated with depressive symptoms in patients with systemic sclerosis, including fear of progression and appearance self-esteem","volume":"72","author":"Kwakkenbos","year":"2012","journal-title":"J. Psychosom. Res."},{"key":"10.1016\/j.ejon.2026.103203_bib23","series-title":"The Effect of Fear of Recurrence on cancer-related Fatigue with Head and Neck Cancer Patients: Coping Style and Negative Emotion as Mediators","author":"Lai","year":"2010"},{"issue":"5","key":"10.1016\/j.ejon.2026.103203_bib24","article-title":"A qualitative exploration of the fear of recurrence among Taiwanese breast cancer survivors","volume":"28","author":"Lai","year":"2019","journal-title":"Eur. J. Cancer Care"},{"key":"10.1016\/j.ejon.2026.103203_bib25","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1186\/s12955-017-0834-2","article-title":"When do patient-reported quality-of-life indicators become prognostic in breast cancer?","volume":"16","author":"Lee","year":"2018","journal-title":"Health Qual. Life Outcomes"},{"key":"10.1016\/j.ejon.2026.103203_bib26","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1097\/00012272-199703000-00003","article-title":"The middle-range theory of unpleasant symptoms: an update","volume":"19","author":"Lenz","year":"1997","journal-title":"Adv. Nurs. Sci."},{"issue":"1","key":"10.1016\/j.ejon.2026.103203_bib27","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1093\/biomet\/73.1.13","article-title":"Longitudinal data analysis using generalized linear models","volume":"73","author":"Liang","year":"1986","journal-title":"Biometrika"},{"key":"10.1016\/j.ejon.2026.103203_bib28","series-title":"A Study of Adversity Coping and Family Resilience of Breast Cancer Survivor and Her Families [master's thesis]. Hsinchu, Taiwan","author":"Lin","year":"2010"},{"key":"10.1016\/j.ejon.2026.103203_bib29","first-page":"488","article-title":"Local cancer recurrence: the realities, challenges, and opportunities for new therapies","volume":"68","author":"Mahvi","year":"2018","journal-title":"CA Cancer J. Clin."},{"key":"10.1016\/j.ejon.2026.103203_bib30","first-page":"274","article-title":"Fear of progression in breast cancer patients\u2014Validation of the short form of the fear of Progression Questionnaire (FoP-Q-SF)","volume":"52","author":"Mehnert","year":"2006","journal-title":"Z. Psychosom. Med. Psychother."},{"key":"10.1016\/j.ejon.2026.103203_bib31","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1111\/tbj.12107","article-title":"Living with metastatic breast cancer: a qualitative analysis of physical, psychological, and social sequelae","volume":"19","author":"Mosher","year":"2013","journal-title":"Breast J."},{"key":"10.1016\/j.ejon.2026.103203_bib32","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1055\/s-0036-1584928","article-title":"Enhancing clinical study retention rates to avoid follow-up bias: how do we keep our study participants from \u201cthe land of the lost\u201d","volume":"6","author":"Norvell","year":"2016","journal-title":"Glob. Spine J."},{"issue":"5","key":"10.1016\/j.ejon.2026.103203_bib33","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1007\/s11135-006-9018-6","article-title":"A caution regarding rules of thumb for variance inflation factors","volume":"41","author":"O\u2019brien","year":"2007","journal-title":"Qual. Quantity"},{"key":"10.1016\/j.ejon.2026.103203_bib34","doi-asserted-by":"crossref","first-page":"1836","DOI":"10.1056\/NEJMoa1701830","article-title":"20-year risks of breast-cancer recurrence after stopping endocrine therapy at 5 years","volume":"377","author":"Pan","year":"2017","journal-title":"N. Engl. J. Med."},{"key":"10.1016\/j.ejon.2026.103203_bib35","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1016\/j.genhosppsych.2009.11.017","article-title":"Increased fear of progression in cancer patients with recurrence","volume":"32","author":"Shim","year":"2010","journal-title":"Gen. Hosp. Psychiatry"},{"key":"10.1016\/j.ejon.2026.103203_bib36","doi-asserted-by":"crossref","first-page":"1248","DOI":"10.1002\/pon.5397","article-title":"Fear of disease progression and relevant correlates in acute leukemia patients prior to allogeneic hematopoietic stem cell transplantation","volume":"29","author":"Thiele","year":"2020","journal-title":"Psychooncology"},{"issue":"3","key":"10.1016\/j.ejon.2026.103203_bib37","doi-asserted-by":"crossref","first-page":"1381","DOI":"10.1177\/00302228221123152","article-title":"Fear of cancer recurrence as a reminder about death: lived experiences of cancer survivors' spouses","volume":"90","author":"Urbutien\u0117","year":"2022","journal-title":"Omega (Westport)"},{"key":"10.1016\/j.ejon.2026.103203_bib38","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1017\/S1478951508000382","article-title":"A qualitative study of the experiences of women with metastatic breast cancer","volume":"6","author":"Vilhauer","year":"2008","journal-title":"Palliat. Support Care"},{"key":"10.1016\/j.ejon.2026.103203_bib39","doi-asserted-by":"crossref","first-page":"1453","DOI":"10.1016\/S0140-6736(07)61602-X","article-title":"The strengthening the reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies","volume":"370","author":"von Elm","year":"2007","journal-title":"Lancet"},{"key":"10.1016\/j.ejon.2026.103203_bib40","year":"2022","journal-title":"Cancer. World Health Organization website"},{"key":"10.1016\/j.ejon.2026.103203_bib42","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1515\/med-2021-0282","article-title":"Breast cancer recurrence prediction with ensemble methods and cost-sensitive learning","volume":"16","author":"Yang","year":"2021","journal-title":"Open Med."},{"key":"10.1016\/j.ejon.2026.103203_bib41","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/j.jpsychores.2018.09.003","article-title":"Factors associated with fear of progression in Chinese cancer patients: sociodemographic, clinical and psychological variables","volume":"114","author":"Yang","year":"2018","journal-title":"J. Psychosom. Res."},{"key":"10.1016\/j.ejon.2026.103203_bib43","first-page":"219","article-title":"The relationship between family functioning and fear of cancer recurrence in Chinese cancer patients: a cross-sectional study","volume":"24","author":"Zhang","year":"2024","journal-title":"BMC Psychiatry"}],"container-title":["European Journal of Oncology Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1462388926001080?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1462388926001080?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T08:54:10Z","timestamp":1783155250000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1462388926001080"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":42,"alternative-id":["S1462388926001080"],"URL":"https:\/\/doi.org\/10.1016\/j.ejon.2026.103203","relation":{},"ISSN":["1462-3889"],"issn-type":[{"value":"1462-3889","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Fear of progression and symptom trajectories among women with recurrent breast cancer: A six-month prospective study","name":"articletitle","label":"Article Title"},{"value":"European Journal of Oncology Nursing","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ejon.2026.103203","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"103203"}}