Fear of cancer recurrence interventions for breast cancer survivors in the 2020s: a systematic review
A partir d'une revue systématique de la littérature publiée jusqu'en décembre 2024 (12 programmes incluant 895 patientes), cette étude analyse les interventions psychologiques destinées à diminuer la peur de la récidive chez les patientes ayant survécu à un cancer du sein
Purpose: This study explored recent trends in the fear of cancer recurrence (FCR) intervention among breast cancer survivors (BCSs) from January 2020 to December 2024 to provide up-to-date evidence that can guide future care improvements.
Methods: A systematic review was conducted using a predefined search strategy for studies published in RISS, DBPIA, CINAHL, PsycINFO, PubMed, Cochrane Library, and Web of Science up to December 5, 2024. The titles and abstracts were screened, and full-text reviews and data extraction were completed. Data extracted included participant characteristics, intervention details, and outcomes. The study quality was assessed using Cochrane RoB 2.0 and ROBINS-I tools.
Results: This review analyzed 12 FCR intervention programs involving 895 BCSs. Various interventions, including cognitive behavioral therapy and mindfulness therapy, were implemented. Programs differed in frequency, duration, and delivery mode, with six delivered online and six offline. The follow-up period ranged from 4 to 24 weeks. Ten studies reported significantly lower FCR in the intervention groups than in the control groups, with FCR scores reducing over time relative to baseline.
Conclusions: This review demonstrated the effectiveness of psychological interventions in reducing FCR and highlights the need for tailored, adaptable approaches incorporating online and offline delivery methods. Healthcare providers play a crucial role in delivering these interventions, and adequate training in evidence-based strategies is essential for optimizing outcomes. Standardized protocols and structured follow-up strategies are necessary for sustaining long-term benefits. Future research should explore long-term impacts and establish adherence criteria to optimize intervention feasibility.
Implications for cancer survivors.
Established and non-traditional interventions, including CBT, mindfulness-based interventions, ACT, and CALM, can help BCSs manage FCR. Interventions delivered through online and offline formats improve accessibility, while structured follow-up strategies enhance adherence and support long-term benefits. Survivor-centered care through tailored strategies can sustain long-term outcomes.
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Journal of Cancer Survivorship , résumé, 2025