A common metric for questionnaires on health anxiety in cancer patients

After a cancer diagnosis, life is accompanied by worries, concerns and fears that the disease will recur or worsen. These can be normal and useful reactions but may also become so severe that they interfere with everyday functioning. A challenge for patient care is that the theoretical similarity of...

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Main Authors: Michael Friedrich, Thomas Schulte, Merle Malburg, Andreas Hinz
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-12-01
Series:Frontiers in Psychology
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1455121/full
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author Michael Friedrich
Michael Friedrich
Thomas Schulte
Merle Malburg
Andreas Hinz
Andreas Hinz
author_facet Michael Friedrich
Michael Friedrich
Thomas Schulte
Merle Malburg
Andreas Hinz
Andreas Hinz
author_sort Michael Friedrich
collection DOAJ
description After a cancer diagnosis, life is accompanied by worries, concerns and fears that the disease will recur or worsen. These can be normal and useful reactions but may also become so severe that they interfere with everyday functioning. A challenge for patient care is that the theoretical similarity of these reactions, is not consistently conceptualized in practice, hence the empirical comparability of their measures is unclear. Here we intend to show that the theoretical similarity is also empirically justified, and we present a common metric in graphical form that allows direct comparisons between different questionnaires. A total of 1,733 cancer patients completed the Fear of Progression Questionnaire Short Form, Questionnaire on Stress in Cancer Patients–revised version, Concerns About Recurrence Questionnaire, the subscales Health Distress and Negative Health Outlook of the EORTC QLQ-SURV100, and the Whiteley Index. Using a model based on item response theory, we linked the score values of the individual questionnaires. The main outcome of this study is a diagram that can be used to convert the respective values of eight questionnaires on health anxiety to another. All instruments showed a reliability above 0.75 near the mean health anxiety level. The common metric can be used to compare measurements with these questionnaires in terms of the level of health anxiety. Additionally, the reliability of the instruments can be judged at different levels of anxiety. This allows for a better comparability of test results and facilitates communication about the results among experts and with patients.
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spelling doaj-art-2eeea0bacd79451aaee486450189094e2024-12-03T04:24:10ZengFrontiers Media S.A.Frontiers in Psychology1664-10782024-12-011510.3389/fpsyg.2024.14551211455121A common metric for questionnaires on health anxiety in cancer patientsMichael Friedrich0Michael Friedrich1Thomas Schulte2Merle Malburg3Andreas Hinz4Andreas Hinz5Department of Medical Psychology and Medical Sociology, Leipzig University, Leipzig, GermanyComprehensive Cancer Center Central Germany (CCCG), Leipzig, GermanyRehabilitation Clinic Bad Oexen, Bad Oeynhausen, GermanyRehabilitation Clinic Bad Oexen, Bad Oeynhausen, GermanyDepartment of Medical Psychology and Medical Sociology, Leipzig University, Leipzig, GermanyComprehensive Cancer Center Central Germany (CCCG), Leipzig, GermanyAfter a cancer diagnosis, life is accompanied by worries, concerns and fears that the disease will recur or worsen. These can be normal and useful reactions but may also become so severe that they interfere with everyday functioning. A challenge for patient care is that the theoretical similarity of these reactions, is not consistently conceptualized in practice, hence the empirical comparability of their measures is unclear. Here we intend to show that the theoretical similarity is also empirically justified, and we present a common metric in graphical form that allows direct comparisons between different questionnaires. A total of 1,733 cancer patients completed the Fear of Progression Questionnaire Short Form, Questionnaire on Stress in Cancer Patients–revised version, Concerns About Recurrence Questionnaire, the subscales Health Distress and Negative Health Outlook of the EORTC QLQ-SURV100, and the Whiteley Index. Using a model based on item response theory, we linked the score values of the individual questionnaires. The main outcome of this study is a diagram that can be used to convert the respective values of eight questionnaires on health anxiety to another. All instruments showed a reliability above 0.75 near the mean health anxiety level. The common metric can be used to compare measurements with these questionnaires in terms of the level of health anxiety. Additionally, the reliability of the instruments can be judged at different levels of anxiety. This allows for a better comparability of test results and facilitates communication about the results among experts and with patients.https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1455121/fullhealth anxietycancerworryfearprogressionrecurrence
spellingShingle Michael Friedrich
Michael Friedrich
Thomas Schulte
Merle Malburg
Andreas Hinz
Andreas Hinz
A common metric for questionnaires on health anxiety in cancer patients
Frontiers in Psychology
health anxiety
cancer
worry
fear
progression
recurrence
title A common metric for questionnaires on health anxiety in cancer patients
title_full A common metric for questionnaires on health anxiety in cancer patients
title_fullStr A common metric for questionnaires on health anxiety in cancer patients
title_full_unstemmed A common metric for questionnaires on health anxiety in cancer patients
title_short A common metric for questionnaires on health anxiety in cancer patients
title_sort common metric for questionnaires on health anxiety in cancer patients
topic health anxiety
cancer
worry
fear
progression
recurrence
url https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1455121/full
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