Among 241 patients with heart disease, 26% experienced high fear of recurrence and progression, which was significantly associated with younger age, comorbidities, illness uncertainty, and cardiac distress.
Cross-Sectional (n=241)
Younger age, comorbidities, illness uncertainty, and cardiac distress are key risk factors for high fear of recurrence and progression in patients with heart disease.
Support to manage fear of recurrence and progression (FoRP) is a major concern and a commonly unmet need for people with chronic illness. The current study identified profiles of and risk factors for FoRP in people with heart disease. A sample of 241 participants completed 44 cardiac-specific FoRP items and provided demographic, clinical, and psychosocial information. Cluster analysis identified three profiles: a high-, moderate-, and low-FoRP group. Patients who were younger, had a comorbid health condition(s), and higher levels of uncertainty and cardiac-related distress were at the most risk of higher FoRP. By characterizing the nature and correlates of cardiac-FoRP, this study enables health professionals to understand the specific concerns of their patients and assists in identifying those at greatest risk. The findings extend the emerging field of cardiac-FoRP research and will assist in the development of a cardiac-specific screening measure and of tailored and targeted interventions to support cardiac patients in their emotional recovery.
Clarke et al. (Sun,) conducted a cross-sectional in Heart disease (n=241). Among 241 patients with heart disease, 26% experienced high fear of recurrence and progression, which was significantly associated with younger age, comorbidities, illness uncertainty, and cardiac distress.