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Network connectivity between fear of cancer recurrence, anxiety, and depression in breast cancer patients
Yang, Yuan1; Sun, Hengwen2; Luo, Xian3; Li, Wengao4; Yang, Fan1; Xu, Wenjing2,5; Ding, Kairong1,6; Zhou, Jiangyan7; Liu, Wenting8; Garg, Samradhvi9; Jackson, Todd10; Chen, Yu8; Xiang, Yu Tao11,12,13
2022-07-15
Source PublicationJournal of Affective Disorders
ISSN0165-0327
Volume309Pages:358-367
Abstract

Background: Fear of cancer recurrence (FCR), anxiety, and depression are common psychological disturbances that frequently occur together among cancer patients. This study investigated network connectivity between FCR, anxiety, and depressive symptoms in a large representative sample of breast cancer patients. Methods: This was a multicenter, cross-sectional study of 803 women with breast cancer. All participants completed the 4-item FCR scale, Generalized Anxiety Disorder Scale (GAD-7), and Patient Health Questionnaire (PHQ-9). Network analysis was conducted to investigate the network structure, central symptoms, bridge symptoms, and network stability of these disturbances. Results: The generated network model indicated that anxiety and depression symptom communities were well-connected with each other, while FCR emerged as a distinct cluster with only a few weak links to anxiety and depression communities. Depressive and anxiety symptoms were more central than FCR symptoms were in the model. ‘Having trouble relaxing’ (#GAD4, strength = 1.147) was the most central node within the whole network, and ‘strong feelings about recurrence’ (#FCR4, strength = 0.531) was the least central node. Several anxiety symptoms (e.g., ‘feeling afraid’, ‘uncontrollable worry’, and ‘restlessness’) acted as important bridging symptoms connecting FCR, depression and anxiety communities. ‘Uncontrollable worry’ (#GAD2) had the highest node-specific predictive betweenness value. The network stability of this model was high. Conclusion: Depression and anxiety symptoms are highly interactive with each other among women with breast cancer. Conversely, FCR may have attenuated relations with anxiety and depression communities and emerged as a relatively independent, unique experience. Anxiety symptoms, particularly ‘uncontrollable worry’, acted as important trans-diagnostic symptoms that connected different communities. Findings suggested interventions to alleviate excessive worries and enhance feelings of personal control might be helpful in preventing or reducing related symptoms of FCR, anxiety and depression.

KeywordAnxiety Breast Cancer Depression Fear Of Cancer Recurrence Network
DOI10.1016/j.jad.2022.04.119
URLView the original
Indexed BySCIE ; SSCI
Language英語English
WOS Research AreaNeurosciences & Neurology ; Psychiatry
WOS SubjectClinical Neurology ; Psychiatry
WOS IDWOS:000799879700008
Scopus ID2-s2.0-85129245585
Fulltext Access
Citation statistics
Cited Times [WOS]:1   [WOS Record]     [Related Records in WOS]
Document TypeJournal article
CollectionDEPARTMENT OF PSYCHOLOGY
Faculty of Health Sciences
Corresponding AuthorChen, Yu; Xiang, Yu Tao
Affiliation1.Guangdong Mental Health Center, Guangdong Academy of Medical Sciences, Guangdong Provincial People's Hospital, Guangzhou, 510080, China
2.Department of Radiotherapy, Cancer Center, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Guangzhou, 510080, China
3.Department of Psychiatry, Southern Medical University Nanfang Hospital, Guangzhou, 510515, China
4.Department of Psychiatry, 999 Brain Hospital, Guangzhou, 510515, China
5.The Second School of Clinical Medicine, Southern Medical University, Guangzhou, 510515, China
6.Department of Psychology, School of Public Health, Southern Medical University, Guangzhou, 510515, China
7.Department of Psychiatry, The First Affiliated Hospital of Xiamen University, Xiamen, 361003, China
8.School of Nursing, Southern Medical University, Guangzhou, 510515, China
9.School of Health in Social Science, University of Edinburgh, Edinburgh, UK, EH8 9BL, United Kingdom
10.Department of Psychology, University of Macau, Macao SAR, China
11.Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China
12.Centre for Cognitive and Brain Sciences, University of Macau, Macao SAR, China
13.Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao SAR, China
Corresponding Author AffilicationFaculty of Health Sciences;  University of Macau
Recommended Citation
GB/T 7714
Yang, Yuan,Sun, Hengwen,Luo, Xian,et al. Network connectivity between fear of cancer recurrence, anxiety, and depression in breast cancer patients[J]. Journal of Affective Disorders,2022,309:358-367.
APA Yang, Yuan,Sun, Hengwen,Luo, Xian,Li, Wengao,Yang, Fan,Xu, Wenjing,Ding, Kairong,Zhou, Jiangyan,Liu, Wenting,Garg, Samradhvi,Jackson, Todd,Chen, Yu,&Xiang, Yu Tao.(2022).Network connectivity between fear of cancer recurrence, anxiety, and depression in breast cancer patients.Journal of Affective Disorders,309,358-367.
MLA Yang, Yuan,et al."Network connectivity between fear of cancer recurrence, anxiety, and depression in breast cancer patients".Journal of Affective Disorders 309(2022):358-367.
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