Interpretation Bias in Breast Cancer Survivors Experiencing Fear of Cancer Recurrence

Introduction: Fear of cancer recurrence (FCR) is a prevalent and persistent challenge that many cancer survivors endure. While the role of interpretation bias, a tendency to perceive ambiguous situations as threatening, has been established in the onset and maintenance of FCR, few studies have exami...

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Autores principales: Malwina Tuman, Kailey E. Roberts, Geoffrey Corner, Courtney Beard, Carol Fadalla, Taylor Coats, Elizabeth Slivjak, Elizabeth Schofield, Wendy G. Lichtenthal
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Lenguaje:EN
Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/94f5d7a3c8704eabb4230972398b9101
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spelling oai:doaj.org-article:94f5d7a3c8704eabb4230972398b91012021-11-18T04:57:20ZInterpretation Bias in Breast Cancer Survivors Experiencing Fear of Cancer Recurrence1664-107810.3389/fpsyg.2021.682174https://doaj.org/article/94f5d7a3c8704eabb4230972398b91012021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpsyg.2021.682174/fullhttps://doaj.org/toc/1664-1078Introduction: Fear of cancer recurrence (FCR) is a prevalent and persistent challenge that many cancer survivors endure. While the role of interpretation bias, a tendency to perceive ambiguous situations as threatening, has been established in the onset and maintenance of FCR, few studies have examined cancer-related interpretation bias specifically. Grounded in the cognitive formulation of FCR, the current study aimed to fill this gap by investigating the relationship between cancer-related interpretation bias, FCR, and somatic symptoms, and examining whether bias mediates the relationship between somatic symptoms and FCR.Materials and Methods: This study used baseline data from a randomized controlled trial of a cognitive bias modification intervention. Breast cancer survivors (n = 110) provided demographic and medical background information as well as self-report measures of FCR and severity of somatic symptoms. A computer-based assessment of interpretation bias was used to measure cancer-related interpretation bias on several bias indices: percentage of cancer-related threat endorsement, and percentage of benign endorsement; mean reaction time (RT) for threat, and mean RT for benign endorsement.Results: Higher threat endorsement was linked to higher Overall Fear and emerged as a mediator of the relationship between overall somatic symptoms and Overall Fear. We also found that older age was related to longer benign endorsement RT.Conclusion: This study contributes understanding of factors related to cancer-related interpretation bias and provides evidence that bias may influence the relationship between somatic symptoms and FCR in cancer survivors.Malwina TumanKailey E. RobertsGeoffrey CornerCourtney BeardCourtney BeardCarol FadallaTaylor CoatsElizabeth SlivjakElizabeth SchofieldWendy G. LichtenthalFrontiers Media S.A.articlefear of cancer recurrenceinterpretation biassomatic symptomsbreast cancer survivorsmediationPsychologyBF1-990ENFrontiers in Psychology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic fear of cancer recurrence
interpretation bias
somatic symptoms
breast cancer survivors
mediation
Psychology
BF1-990
spellingShingle fear of cancer recurrence
interpretation bias
somatic symptoms
breast cancer survivors
mediation
Psychology
BF1-990
Malwina Tuman
Kailey E. Roberts
Geoffrey Corner
Courtney Beard
Courtney Beard
Carol Fadalla
Taylor Coats
Elizabeth Slivjak
Elizabeth Schofield
Wendy G. Lichtenthal
Interpretation Bias in Breast Cancer Survivors Experiencing Fear of Cancer Recurrence
description Introduction: Fear of cancer recurrence (FCR) is a prevalent and persistent challenge that many cancer survivors endure. While the role of interpretation bias, a tendency to perceive ambiguous situations as threatening, has been established in the onset and maintenance of FCR, few studies have examined cancer-related interpretation bias specifically. Grounded in the cognitive formulation of FCR, the current study aimed to fill this gap by investigating the relationship between cancer-related interpretation bias, FCR, and somatic symptoms, and examining whether bias mediates the relationship between somatic symptoms and FCR.Materials and Methods: This study used baseline data from a randomized controlled trial of a cognitive bias modification intervention. Breast cancer survivors (n = 110) provided demographic and medical background information as well as self-report measures of FCR and severity of somatic symptoms. A computer-based assessment of interpretation bias was used to measure cancer-related interpretation bias on several bias indices: percentage of cancer-related threat endorsement, and percentage of benign endorsement; mean reaction time (RT) for threat, and mean RT for benign endorsement.Results: Higher threat endorsement was linked to higher Overall Fear and emerged as a mediator of the relationship between overall somatic symptoms and Overall Fear. We also found that older age was related to longer benign endorsement RT.Conclusion: This study contributes understanding of factors related to cancer-related interpretation bias and provides evidence that bias may influence the relationship between somatic symptoms and FCR in cancer survivors.
format article
author Malwina Tuman
Kailey E. Roberts
Geoffrey Corner
Courtney Beard
Courtney Beard
Carol Fadalla
Taylor Coats
Elizabeth Slivjak
Elizabeth Schofield
Wendy G. Lichtenthal
author_facet Malwina Tuman
Kailey E. Roberts
Geoffrey Corner
Courtney Beard
Courtney Beard
Carol Fadalla
Taylor Coats
Elizabeth Slivjak
Elizabeth Schofield
Wendy G. Lichtenthal
author_sort Malwina Tuman
title Interpretation Bias in Breast Cancer Survivors Experiencing Fear of Cancer Recurrence
title_short Interpretation Bias in Breast Cancer Survivors Experiencing Fear of Cancer Recurrence
title_full Interpretation Bias in Breast Cancer Survivors Experiencing Fear of Cancer Recurrence
title_fullStr Interpretation Bias in Breast Cancer Survivors Experiencing Fear of Cancer Recurrence
title_full_unstemmed Interpretation Bias in Breast Cancer Survivors Experiencing Fear of Cancer Recurrence
title_sort interpretation bias in breast cancer survivors experiencing fear of cancer recurrence
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/94f5d7a3c8704eabb4230972398b9101
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