{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T16:19:22Z","timestamp":1791908362562,"version":"4.3.4"},"reference-count":48,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T00:00:00Z","timestamp":1782604800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Health Psychol"],"abstract":"<jats:p>This study examined Fear of Progression (FoP) trajectories among first-stroke patients from onset to 6\u2009months post-stroke and identified predictors for different subtypes. A total of 314 eligible patients were recruited via convenience sampling, with FoP assessed at 1, 3, and 6\u2009months post-stroke. Latent class growth models (LCGM) were employed to identify FoP trajectories patterns, and univariate and multivariate logistic regression analyses were conducted to explore associated factors. Three distinct patterns of FoP emerged among first-stroke patients, significantly associated with multiple factors including age, employment status, monthly income, health insurance coverage, Modified Rankin Scale (MRS), National Institutes of Health Stroke Scale (NIHSS), Brief Illness Perception Questionnaire (BIPQ), Perceived Social Support Scale (PSSS), dimensions of the Coping Style Questionnaire (confrontation, avoidance, acquiescence), and Post-Traumatic Stress Disorder (PTSD). This study contributes to understanding the heterogeneity of FoP patterns in this population, providing a theoretical basis for interventions aimed at alleviating their fear.<\/jats:p>","DOI":"10.1177\/13591053261458618","type":"journal-article","created":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T04:44:09Z","timestamp":1782708249000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Trajectory characteristics and influencing factors of fear of progression among patients with first-ever stroke: A prospective cohort study"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-4191-5960","authenticated-orcid":false,"given":"Xuechun","family":"Guan","sequence":"first","affiliation":[{"name":"Nantong First People\u2019s Hospital, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hailan","family":"Qian","sequence":"additional","affiliation":[{"name":"Affiliated Hospital of Nantong University, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qinyuan","family":"Zhu","sequence":"additional","affiliation":[{"name":"Nantong University, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingyan","family":"Cai","sequence":"additional","affiliation":[{"name":"Nantong University, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong","family":"Ye","sequence":"additional","affiliation":[{"name":"Nantong First People\u2019s Hospital, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fang","family":"Wang","sequence":"additional","affiliation":[{"name":"Nantong First People\u2019s Hospital, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,28]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/XCS.0000000000001276"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2005.10.020"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2021.696544"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2020.580979"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1877718X251365243"},{"key":"e_1_3_3_7_1","first-page":"155","article-title":"Fear of progression in patients with cancer, diabetes mellitus and chronic arthritis","volume":"42","author":"Dankert A","year":"2003","unstructured":"Dankert A, Duran G, Engst-Hastreiter U, et al. (2003) Fear of progression in patients with cancer, diabetes mellitus and chronic arthritis. Die Rehabilitation 42: 155\u2013163.","journal-title":"Die Rehabilitation"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0223681"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0163-8343(02)00207-4"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20075328"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006842-198711000-00007"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(23)00277-6"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.50.5.992"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-019-04665-9"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2025.1604787"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2025.112455"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10654-020-00615-6"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(24)00642-1"},{"key":"e_1_3_3_19_1","first-page":"241","article-title":"Stress-response syndromes: A review of posttraumatic and adjustment disorders","volume":"37","author":"Horowitz MJ","year":"1986","unstructured":"Horowitz MJ (1986) Stress-response syndromes: A review of posttraumatic and adjustment disorders. Hospital & Community Psychiatry 37: 241\u2013249.","journal-title":"Hospital & Community Psychiatry"},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12883-025-04230-4"},{"key":"e_1_3_3_21_1","volume-title":"Medical Psychology","author":"Jiang Q","year":"2002","unstructured":"Jiang Q (2002) Medical Psychology. People\u2019s Medical Publishing House."},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.5395\/rde.2013.38.1.52"},{"key":"e_1_3_3_23_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2025.1524492"},{"key":"e_1_3_3_24_1","doi-asserted-by":"publisher","DOI":"10.2147\/CMAR.S556758"},{"key":"e_1_3_3_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10072-020-04797-5"},{"key":"e_1_3_3_26_1","article-title":"Relationship between perceptions of recurrence risk and depression state among first-episode ischemic stroke patients in rural areas: The mediating role of coping style","volume":"11","author":"Liu X","year":"2024","unstructured":"Liu X, Zhang Z, Lin B (2024) Relationship between perceptions of recurrence risk and depression state among first-episode ischemic stroke patients in rural areas: The mediating role of coping style. Nursing Open 11(1): e2049.","journal-title":"Nursing Open"},{"key":"e_1_3_3_27_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-025-00415-6"},{"key":"e_1_3_3_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5921"},{"key":"e_1_3_3_29_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-025-11806-0"},{"key":"e_1_3_3_30_1","doi-asserted-by":"publisher","DOI":"10.13109\/zptm.2006.52.3.274"},{"key":"e_1_3_3_31_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12020550"},{"key":"e_1_3_3_32_1","first-page":"129914","article-title":"Psychological factors and post-traumatic stress disorder (PTSD) risk in stroke survivors: A cross-sectional study","volume":"13","author":"Nguyen NH","year":"2025","unstructured":"Nguyen NH, Le SDT, Bui HTT, et al. (2025) Psychological factors and post-traumatic stress disorder (PTSD) risk in stroke survivors: A cross-sectional study. Health Psychology Research 13: 129914.","journal-title":"Health Psychology Research"},{"key":"e_1_3_3_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.17323"},{"key":"e_1_3_3_34_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1025714729117"},{"key":"e_1_3_3_35_1","doi-asserted-by":"publisher","DOI":"10.1177\/13591053251346379"},{"key":"e_1_3_3_36_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.121.034480"},{"key":"e_1_3_3_37_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.33921"},{"key":"e_1_3_3_38_1","doi-asserted-by":"publisher","DOI":"10.1177\/23969873251320207"},{"key":"e_1_3_3_39_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-018-4294-y"},{"key":"e_1_3_3_40_1","doi-asserted-by":"publisher","DOI":"10.25122\/jml-2021-0361"},{"key":"e_1_3_3_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2021.01.086"},{"key":"e_1_3_3_42_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-023-02925-4"},{"key":"e_1_3_3_43_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-024-02552-1"},{"issue":"12","key":"e_1_3_3_44_1","first-page":"1515","article-title":"Reliability and validity of Chinese version of fear of progression questionnaire-short form for cancer patients","volume":"50","author":"Wu Q","year":"2015","unstructured":"Wu Q, Ye Z, Li L (2015) Reliability and validity of Chinese version of fear of progression questionnaire-short form for cancer patients. Chinese Journal of Nursing 50(12): 1515\u20131519.","journal-title":"Chinese Journal of Nursing"},{"key":"e_1_3_3_45_1","article-title":"Prevalence and factors influencing fear of disease progression in stroke patients: A systematic review and meta-analysis with a focus on China","volume":"15","author":"Yang Z","year":"2025","unstructured":"Yang Z, Chen C, Wang M, et al. (2025) Prevalence and factors influencing fear of disease progression in stroke patients: A systematic review and meta-analysis with a focus on China. BMJ Open 15: e091605.","journal-title":"BMJ Open"},{"key":"e_1_3_3_46_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.787100"},{"key":"e_1_3_3_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)32008-2"},{"key":"e_1_3_3_48_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12029-025-01318-5"},{"key":"e_1_3_3_49_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15327752jpa5503&4_17"}],"container-title":["Journal of Health Psychology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/13591053261458618","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/13591053261458618","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/13591053261458618","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T07:18:32Z","timestamp":1782976712000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/13591053261458618"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,28]]},"references-count":48,"alternative-id":["10.1177\/13591053261458618"],"URL":"https:\/\/doi.org\/10.1177\/13591053261458618","relation":{},"ISSN":["1359-1053","1461-7277"],"issn-type":[{"value":"1359-1053","type":"print"},{"value":"1461-7277","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,28]]},"article-number":"13591053261458618"}}