Fear of progression, coping strategies, and associated factors among a sample of Malaysian women with breast cancer

Abstract Fear of progression (FoP) is a stressful psychosocial condition that affects health and quality of life. Breast cancer is recognized as the most prevalent cancer among women globally. This study aims to determine the prevalence of FoP, coping strategies, and associated factors among Malaysi...

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Main Authors: Hui Li Lim, Mohammed K. Suhail, Chun Sen Lim, Aqil M. Daher
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-82143-x
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author Hui Li Lim
Mohammed K. Suhail
Chun Sen Lim
Aqil M. Daher
author_facet Hui Li Lim
Mohammed K. Suhail
Chun Sen Lim
Aqil M. Daher
author_sort Hui Li Lim
collection DOAJ
description Abstract Fear of progression (FoP) is a stressful psychosocial condition that affects health and quality of life. Breast cancer is recognized as the most prevalent cancer among women globally. This study aims to determine the prevalence of FoP, coping strategies, and associated factors among Malaysian female breast cancer survivors. A cross-sectional survey was conducted among 242 female breast cancer patients recruited from the south of Malaysia using simple random sampling method. The questionnaire captured sociodemographic characteristics, clinical factors, coping strategies and FoP level. Factors associated with FoP were investigated using multiple logistic regression analysis. The mean age was 55.1 (± 10.9) years. Majority of them were Malays, attained secondary ducation and above, married, unemployed, and in advanced cancer stages. Most patients had low FoP levels, with a smaller proportion having moderate-to-high FoP levels (10.7%). Higher education (AOR = 5.10, P = 0.050), being employed (AOR = 3.85, P = 0.020), advanced can cer stage (AOR = 4.23, P = 0.030), and adoption of avoidant coping strategy (AOR = 1.19, P = 0.009), were associated with higher FoP level. The level of FoP is low among Malaysian females with breast cancer. Higher levels of FoP were associated with higher educational levels, employment status, advanced cancer stage, and utilization of avoidant coping strategies. The fundamental cognitive process mainly affects FoP, rather than disease-related factors.
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spelling doaj-art-7f50006d1c7b4bdf95dac635721a0a392025-01-12T12:24:23ZengNature PortfolioScientific Reports2045-23222025-01-011511810.1038/s41598-024-82143-xFear of progression, coping strategies, and associated factors among a sample of Malaysian women with breast cancerHui Li Lim0Mohammed K. Suhail1Chun Sen Lim2Aqil M. Daher3School of Postgraduate Studies, IMU UniversityDepartment of Public Health & Community Medicine, School of Medicine, IMU UniversityOncology Department, Hospital Sultan IsmailDepartment of Public Health & Community Medicine, School of Medicine, IMU UniversityAbstract Fear of progression (FoP) is a stressful psychosocial condition that affects health and quality of life. Breast cancer is recognized as the most prevalent cancer among women globally. This study aims to determine the prevalence of FoP, coping strategies, and associated factors among Malaysian female breast cancer survivors. A cross-sectional survey was conducted among 242 female breast cancer patients recruited from the south of Malaysia using simple random sampling method. The questionnaire captured sociodemographic characteristics, clinical factors, coping strategies and FoP level. Factors associated with FoP were investigated using multiple logistic regression analysis. The mean age was 55.1 (± 10.9) years. Majority of them were Malays, attained secondary ducation and above, married, unemployed, and in advanced cancer stages. Most patients had low FoP levels, with a smaller proportion having moderate-to-high FoP levels (10.7%). Higher education (AOR = 5.10, P = 0.050), being employed (AOR = 3.85, P = 0.020), advanced can cer stage (AOR = 4.23, P = 0.030), and adoption of avoidant coping strategy (AOR = 1.19, P = 0.009), were associated with higher FoP level. The level of FoP is low among Malaysian females with breast cancer. Higher levels of FoP were associated with higher educational levels, employment status, advanced cancer stage, and utilization of avoidant coping strategies. The fundamental cognitive process mainly affects FoP, rather than disease-related factors.https://doi.org/10.1038/s41598-024-82143-xFear of progressionFoPBreast cancerCopingCoping strategies
spellingShingle Hui Li Lim
Mohammed K. Suhail
Chun Sen Lim
Aqil M. Daher
Fear of progression, coping strategies, and associated factors among a sample of Malaysian women with breast cancer
Scientific Reports
Fear of progression
FoP
Breast cancer
Coping
Coping strategies
title Fear of progression, coping strategies, and associated factors among a sample of Malaysian women with breast cancer
title_full Fear of progression, coping strategies, and associated factors among a sample of Malaysian women with breast cancer
title_fullStr Fear of progression, coping strategies, and associated factors among a sample of Malaysian women with breast cancer
title_full_unstemmed Fear of progression, coping strategies, and associated factors among a sample of Malaysian women with breast cancer
title_short Fear of progression, coping strategies, and associated factors among a sample of Malaysian women with breast cancer
title_sort fear of progression coping strategies and associated factors among a sample of malaysian women with breast cancer
topic Fear of progression
FoP
Breast cancer
Coping
Coping strategies
url https://doi.org/10.1038/s41598-024-82143-x
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