[Fear of progression in breast cancer patients--validation of the short form of the Fear of Progression Questionnaire (FoP-Q-SF)]

Z Psychosom Med Psychother. 2006;52(3):274-88. doi: 10.13109/zptm.2006.52.3.274.
[Article in German]


Objectives: Fear of progression is one of the most prevalent symptoms in cancer patients. The aim of this study was to validate the 12-item short version of the Fear of Progression Questionnaire (FoP-Q-SF).

Methods: A total of 1083 breast cancer patients were recruited by the Hamburg Cancer Register to fill out various questionnaires (response rate 67 %).

Results: Estimates of reliability were high (Cronbach's alpha = .87). The original one-factor structure was replicated. We used the HADS, the PCL-C, and the SF-8, among others, to validate the FoP-Q-SF. Significant positive correlations were found for fear of progression, anxiety and intrusion (r > .60) as well as for avoidance, hyperarousal and depression (r > or = .49). Moderate to high (negative) correlations were observed with health-related quality of life, in particular with the mental health dimensions (r > or = .48). Patients with cancer recurrence reported significant higher levels of fear of progression (p < .001).

Conclusions: The short form of the Fear of Progression Questionnaire appears to be a reliable and valid instrument which can be recommended for further use in research and clinical care.

Publication types

  • English Abstract

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Anxiety Disorders / diagnosis
  • Anxiety Disorders / psychology
  • Arousal
  • Breast Neoplasms / pathology
  • Breast Neoplasms / psychology*
  • Depressive Disorder / diagnosis
  • Depressive Disorder / psychology
  • Disease Progression
  • Fear*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neoplasm Recurrence, Local / pathology
  • Neoplasm Recurrence, Local / psychology
  • Neoplasm Staging
  • Personality Inventory / statistics & numerical data*
  • Psychometrics / statistics & numerical data
  • Quality of Life / psychology
  • Reproducibility of Results
  • Sick Role*