Fear of Relapse and Its Impact on of Colorectal Cancer Survivors : A Systematic Review
Abstract
Colorectal cancer is one of the most common cancers in men and women in the world, with 65% of this disease occurring in developing countries. 1.80 million of the cases and 862,000 of the deaths in the world occur due to this type of cancer. In the last decade, early diagnosis and therapeutic advances in cancer have led to an increase in cancer survival rates and consequently, in the number of cancer survivors (2,1). Survivors of colorectal cancer are not only complain about a series of physical problems, but they also experience a series of psychological problems such as fear of recurrence. [3]. One of the most common concerns in the survivors of this disease is the fear of relapse of the disease. The fear or the concern is the relapse of disease or its progression to the same organ or other organs of the body. [3]. The fear of common relapse is grievous, and almost 50% of the recoveries and 70% of the more vulnerable groups (such as young survivors) report high or moderate fears of relapse [4]. The fear of relapse is studied as a multidimensional structure and shows itself in a wide range of normal to high-level reactions [5]. At the normal level, the person is aware of the symptoms of the disease and takes enough care of himself. But if fear is more than normal, it can have undesirable effects on the quality of life, social activities and mental stress of the individuals and it can create intrusive thoughts [5-2]. The consequence is an increase in health care costs for patients. [4]. Due to the importance of this issue, our study is conducted to investigate the fear of colorectal cancer and its impact on survivors.
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