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An exploratory study of the worst-case scenario exercise as an exposure treatment for fear of cancer recurrence
Purpose The worst-case scenario (WCS) exercise is part of a manualized cognitive-existential group intervention for fear of cancer recurrence (FCR). It requires cancer survivors to describe the scenario they most fear when they think about the possibility of their cancer returning and to re-read the...
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| Published in: | Supportive care in cancer 2017-05, Vol.25 (5), p.1373-1375 |
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| container_end_page | 1375 |
| container_issue | 5 |
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| container_title | Supportive care in cancer |
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| creator | Moran, Chelsea Tomei, Christina Lefebvre, Monique Harris, Cheryl Maheu, Christine Lebel, Sophie |
| description | Purpose
The worst-case scenario (WCS) exercise is part of a manualized cognitive-existential group intervention for fear of cancer recurrence (FCR). It requires cancer survivors to describe the scenario they most fear when they think about the possibility of their cancer returning and to re-read the scenario daily for 1 week as homework. The purpose of this study was to present this novel clinical treatment for FCR and to examine whether at-home repeated exposure to the WCS was related to pre- and post-therapy FCR levels.
Methods
Women with breast and gynaecological cancers who received care at The Ottawa Hospital Cancer Centre were recruited to participate in this follow-up study. Consenting participants provided copies of their WCS exercises.
Results
The WCS of ten female cancer survivors were collected to examine the homework portion of the exercise. Higher adherence to homework was significantly related to lower post-therapy FCR but not to pre-therapy scores.
Conclusions
Baseline levels of FCR may not be a factor influencing inter-session homework adherence to the WCS, while exposure to the WCS resulting from adherence to the homework exercise may influence post-therapy FCR outcomes. These effects remain to be differentiated from the overall therapeutic effect of the 6-week cognitive-existential intervention for FCR, using a larger sample. This study presents preliminary evidence for an upcoming multi-centre trial in which the WCS exercise will be re-examined with larger sample sizes. |
| doi_str_mv | 10.1007/s00520-017-3600-4 |
| format | article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_1865534221</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A550952110</galeid><sourcerecordid>A550952110</sourcerecordid><originalsourceid>FETCH-LOGICAL-c439t-d4955d2dd1bb8336606f5f442115b7f73f71c07cc8ab3e1e72d1f3b00ab39da73</originalsourceid><addsrcrecordid>eNp1kU1r3DAQhkVpaDZpf0AvRdBLL05HlmTZxyX0CwK9NGchy6PUwba2I5l2_3202fSTBh2kGT3vywwvYy8FXAgA8zYB6BoqEKaSDUClnrCNUFJWRsruKdtAp0SlpNan7CylWyig0fUzdlq3QgMotWFxu3D8sZsiuRxpz1Nehz2PgeevyL9HSrnyLiFPHhdHYywwkh9LxyXu7rUxrYQ8E7o845J5iMQDOjq4eLd4JE7oVyIs7-fsJLgp4YuH-5xdv3_35fJjdfX5w6fL7VXllexyNahO66EeBtH3rZRNA03QQalaCN2bYGQwwoPxvnW9RIGmHkSQPUApu8EZec7eHH13FL-tmLKdx7LDNLkF45qsaButpaprUdDX_6C3caWlTFeoVqq2LfBv6sZNaMclxEzOH0ztVmvodBkNCnXxH6qcAefRxwXDWPp_CcRR4CmmRBjsjsbZ0d4KsIeQ7TFkW7Kzh5CtKppXDwOv_YzDL8XPVAtQH4FUvpYbpD82etT1DtgzsIg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1883488186</pqid></control><display><type>article</type><title>An exploratory study of the worst-case scenario exercise as an exposure treatment for fear of cancer recurrence</title><source>Social Science Premium Collection (Proquest) (PQ_SDU_P3)</source><source>Sociology Collection</source><source>Springer Link</source><creator>Moran, Chelsea ; Tomei, Christina ; Lefebvre, Monique ; Harris, Cheryl ; Maheu, Christine ; Lebel, Sophie</creator><creatorcontrib>Moran, Chelsea ; Tomei, Christina ; Lefebvre, Monique ; Harris, Cheryl ; Maheu, Christine ; Lebel, Sophie</creatorcontrib><description>Purpose
The worst-case scenario (WCS) exercise is part of a manualized cognitive-existential group intervention for fear of cancer recurrence (FCR). It requires cancer survivors to describe the scenario they most fear when they think about the possibility of their cancer returning and to re-read the scenario daily for 1 week as homework. The purpose of this study was to present this novel clinical treatment for FCR and to examine whether at-home repeated exposure to the WCS was related to pre- and post-therapy FCR levels.
Methods
Women with breast and gynaecological cancers who received care at The Ottawa Hospital Cancer Centre were recruited to participate in this follow-up study. Consenting participants provided copies of their WCS exercises.
Results
The WCS of ten female cancer survivors were collected to examine the homework portion of the exercise. Higher adherence to homework was significantly related to lower post-therapy FCR but not to pre-therapy scores.
Conclusions
Baseline levels of FCR may not be a factor influencing inter-session homework adherence to the WCS, while exposure to the WCS resulting from adherence to the homework exercise may influence post-therapy FCR outcomes. These effects remain to be differentiated from the overall therapeutic effect of the 6-week cognitive-existential intervention for FCR, using a larger sample. This study presents preliminary evidence for an upcoming multi-centre trial in which the WCS exercise will be re-examined with larger sample sizes.</description><identifier>ISSN: 0941-4355</identifier><identifier>EISSN: 1433-7339</identifier><identifier>DOI: 10.1007/s00520-017-3600-4</identifier><identifier>PMID: 28150044</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Breast Neoplasms - psychology ; Breast Neoplasms - therapy ; Cancer ; Cancer recurrence ; Cancer research ; Cancer treatment ; Care and treatment ; Cognitive Therapy - methods ; Commentary ; Existentialism ; Fear & phobias ; Fear - psychology ; Female ; Follow-Up Studies ; Genital Neoplasms, Female - psychology ; Genital Neoplasms, Female - therapy ; Health aspects ; Humans ; Intervention ; Medicine ; Medicine & Public Health ; Middle Aged ; Neoplasm Recurrence, Local - psychology ; Neoplasm Recurrence, Local - therapy ; Nursing ; Nursing Research ; Oncology ; Pain Medicine ; Psychotherapy ; Rehabilitation Medicine ; Survivor ; Survivors</subject><ispartof>Supportive care in cancer, 2017-05, Vol.25 (5), p.1373-1375</ispartof><rights>Springer-Verlag Berlin Heidelberg 2017</rights><rights>COPYRIGHT 2017 Springer</rights><rights>Supportive Care in Cancer is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-d4955d2dd1bb8336606f5f442115b7f73f71c07cc8ab3e1e72d1f3b00ab39da73</citedby><cites>FETCH-LOGICAL-c439t-d4955d2dd1bb8336606f5f442115b7f73f71c07cc8ab3e1e72d1f3b00ab39da73</cites><orcidid>0000-0001-5843-0415</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1883488186/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1883488186?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>315,786,790,21422,21423,27957,27958,33646,33647,34565,34566,43768,44150,74578,74996</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28150044$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moran, Chelsea</creatorcontrib><creatorcontrib>Tomei, Christina</creatorcontrib><creatorcontrib>Lefebvre, Monique</creatorcontrib><creatorcontrib>Harris, Cheryl</creatorcontrib><creatorcontrib>Maheu, Christine</creatorcontrib><creatorcontrib>Lebel, Sophie</creatorcontrib><title>An exploratory study of the worst-case scenario exercise as an exposure treatment for fear of cancer recurrence</title><title>Supportive care in cancer</title><addtitle>Support Care Cancer</addtitle><addtitle>Support Care Cancer</addtitle><description>Purpose
The worst-case scenario (WCS) exercise is part of a manualized cognitive-existential group intervention for fear of cancer recurrence (FCR). It requires cancer survivors to describe the scenario they most fear when they think about the possibility of their cancer returning and to re-read the scenario daily for 1 week as homework. The purpose of this study was to present this novel clinical treatment for FCR and to examine whether at-home repeated exposure to the WCS was related to pre- and post-therapy FCR levels.
Methods
Women with breast and gynaecological cancers who received care at The Ottawa Hospital Cancer Centre were recruited to participate in this follow-up study. Consenting participants provided copies of their WCS exercises.
Results
The WCS of ten female cancer survivors were collected to examine the homework portion of the exercise. Higher adherence to homework was significantly related to lower post-therapy FCR but not to pre-therapy scores.
Conclusions
Baseline levels of FCR may not be a factor influencing inter-session homework adherence to the WCS, while exposure to the WCS resulting from adherence to the homework exercise may influence post-therapy FCR outcomes. These effects remain to be differentiated from the overall therapeutic effect of the 6-week cognitive-existential intervention for FCR, using a larger sample. This study presents preliminary evidence for an upcoming multi-centre trial in which the WCS exercise will be re-examined with larger sample sizes.</description><subject>Breast Neoplasms - psychology</subject><subject>Breast Neoplasms - therapy</subject><subject>Cancer</subject><subject>Cancer recurrence</subject><subject>Cancer research</subject><subject>Cancer treatment</subject><subject>Care and treatment</subject><subject>Cognitive Therapy - methods</subject><subject>Commentary</subject><subject>Existentialism</subject><subject>Fear & phobias</subject><subject>Fear - psychology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Genital Neoplasms, Female - psychology</subject><subject>Genital Neoplasms, Female - therapy</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Intervention</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neoplasm Recurrence, Local - psychology</subject><subject>Neoplasm Recurrence, Local - therapy</subject><subject>Nursing</subject><subject>Nursing Research</subject><subject>Oncology</subject><subject>Pain Medicine</subject><subject>Psychotherapy</subject><subject>Rehabilitation Medicine</subject><subject>Survivor</subject><subject>Survivors</subject><issn>0941-4355</issn><issn>1433-7339</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>ALSLI</sourceid><sourceid>HEHIP</sourceid><sourceid>M2R</sourceid><recordid>eNp1kU1r3DAQhkVpaDZpf0AvRdBLL05HlmTZxyX0CwK9NGchy6PUwba2I5l2_3202fSTBh2kGT3vywwvYy8FXAgA8zYB6BoqEKaSDUClnrCNUFJWRsruKdtAp0SlpNan7CylWyig0fUzdlq3QgMotWFxu3D8sZsiuRxpz1Nehz2PgeevyL9HSrnyLiFPHhdHYywwkh9LxyXu7rUxrYQ8E7o845J5iMQDOjq4eLd4JE7oVyIs7-fsJLgp4YuH-5xdv3_35fJjdfX5w6fL7VXllexyNahO66EeBtH3rZRNA03QQalaCN2bYGQwwoPxvnW9RIGmHkSQPUApu8EZec7eHH13FL-tmLKdx7LDNLkF45qsaButpaprUdDX_6C3caWlTFeoVqq2LfBv6sZNaMclxEzOH0ztVmvodBkNCnXxH6qcAefRxwXDWPp_CcRR4CmmRBjsjsbZ0d4KsIeQ7TFkW7Kzh5CtKppXDwOv_YzDL8XPVAtQH4FUvpYbpD82etT1DtgzsIg</recordid><startdate>20170501</startdate><enddate>20170501</enddate><creator>Moran, Chelsea</creator><creator>Tomei, Christina</creator><creator>Lefebvre, Monique</creator><creator>Harris, Cheryl</creator><creator>Maheu, Christine</creator><creator>Lebel, Sophie</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2R</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5843-0415</orcidid></search><sort><creationdate>20170501</creationdate><title>An exploratory study of the worst-case scenario exercise as an exposure treatment for fear of cancer recurrence</title><author>Moran, Chelsea ; Tomei, Christina ; Lefebvre, Monique ; Harris, Cheryl ; Maheu, Christine ; Lebel, Sophie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-d4955d2dd1bb8336606f5f442115b7f73f71c07cc8ab3e1e72d1f3b00ab39da73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Breast Neoplasms - psychology</topic><topic>Breast Neoplasms - therapy</topic><topic>Cancer</topic><topic>Cancer recurrence</topic><topic>Cancer research</topic><topic>Cancer treatment</topic><topic>Care and treatment</topic><topic>Cognitive Therapy - methods</topic><topic>Commentary</topic><topic>Existentialism</topic><topic>Fear & phobias</topic><topic>Fear - psychology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Genital Neoplasms, Female - psychology</topic><topic>Genital Neoplasms, Female - therapy</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Intervention</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neoplasm Recurrence, Local - psychology</topic><topic>Neoplasm Recurrence, Local - therapy</topic><topic>Nursing</topic><topic>Nursing Research</topic><topic>Oncology</topic><topic>Pain Medicine</topic><topic>Psychotherapy</topic><topic>Rehabilitation Medicine</topic><topic>Survivor</topic><topic>Survivors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moran, Chelsea</creatorcontrib><creatorcontrib>Tomei, Christina</creatorcontrib><creatorcontrib>Lefebvre, Monique</creatorcontrib><creatorcontrib>Harris, Cheryl</creatorcontrib><creatorcontrib>Maheu, Christine</creatorcontrib><creatorcontrib>Lebel, Sophie</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database (ProQuest)</collection><collection>PHMC-Proquest健康医学期刊库</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Social Science Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Social Science Database (ProQuest)</collection><collection>Sociology Database (ProQuest)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Supportive care in cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moran, Chelsea</au><au>Tomei, Christina</au><au>Lefebvre, Monique</au><au>Harris, Cheryl</au><au>Maheu, Christine</au><au>Lebel, Sophie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An exploratory study of the worst-case scenario exercise as an exposure treatment for fear of cancer recurrence</atitle><jtitle>Supportive care in cancer</jtitle><stitle>Support Care Cancer</stitle><addtitle>Support Care Cancer</addtitle><date>2017-05-01</date><risdate>2017</risdate><volume>25</volume><issue>5</issue><spage>1373</spage><epage>1375</epage><pages>1373-1375</pages><issn>0941-4355</issn><eissn>1433-7339</eissn><notes>ObjectType-Article-2</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-News-1</notes><notes>ObjectType-Feature-3</notes><notes>content type line 23</notes><abstract>Purpose
The worst-case scenario (WCS) exercise is part of a manualized cognitive-existential group intervention for fear of cancer recurrence (FCR). It requires cancer survivors to describe the scenario they most fear when they think about the possibility of their cancer returning and to re-read the scenario daily for 1 week as homework. The purpose of this study was to present this novel clinical treatment for FCR and to examine whether at-home repeated exposure to the WCS was related to pre- and post-therapy FCR levels.
Methods
Women with breast and gynaecological cancers who received care at The Ottawa Hospital Cancer Centre were recruited to participate in this follow-up study. Consenting participants provided copies of their WCS exercises.
Results
The WCS of ten female cancer survivors were collected to examine the homework portion of the exercise. Higher adherence to homework was significantly related to lower post-therapy FCR but not to pre-therapy scores.
Conclusions
Baseline levels of FCR may not be a factor influencing inter-session homework adherence to the WCS, while exposure to the WCS resulting from adherence to the homework exercise may influence post-therapy FCR outcomes. These effects remain to be differentiated from the overall therapeutic effect of the 6-week cognitive-existential intervention for FCR, using a larger sample. This study presents preliminary evidence for an upcoming multi-centre trial in which the WCS exercise will be re-examined with larger sample sizes.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>28150044</pmid><doi>10.1007/s00520-017-3600-4</doi><tpages>3</tpages><orcidid>https://orcid.org/0000-0001-5843-0415</orcidid></addata></record> |
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| ispartof | Supportive care in cancer, 2017-05, Vol.25 (5), p.1373-1375 |
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| subjects | Breast Neoplasms - psychology Breast Neoplasms - therapy Cancer Cancer recurrence Cancer research Cancer treatment Care and treatment Cognitive Therapy - methods Commentary Existentialism Fear & phobias Fear - psychology Female Follow-Up Studies Genital Neoplasms, Female - psychology Genital Neoplasms, Female - therapy Health aspects Humans Intervention Medicine Medicine & Public Health Middle Aged Neoplasm Recurrence, Local - psychology Neoplasm Recurrence, Local - therapy Nursing Nursing Research Oncology Pain Medicine Psychotherapy Rehabilitation Medicine Survivor Survivors |
| title | An exploratory study of the worst-case scenario exercise as an exposure treatment for fear of cancer recurrence |
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