Journal of International Psychiatry

[Abstract] Objective To explore the relationship between fear of recurrence and anxiety and depression after laparoscopic radical resection of gastric cancer. Methods A total of 178 patients with gastric cancer in our hospital from February 2017 to February 2020 were selected as the study subjects, and all were treated with laparoscopic radical resection of gastric cancer. The patient fear-progressed disease scale (FOP-Q-SF) were used to investigate relapse fear, and to evaluate anxiety self-rating scale (SAS) and depression self-rating scale (SDS). Pearson analysis were used to analyze the relationship between relapse fear and anxiety and depression. Whether anxiety and depression are related factors of fear of cancer recurrence were analyzed through multiple stepwise regression. Results A total of 170 effective questionnaires were recovered from 178 patients, with a recovery rate of 95.51%; The FOP-Q-SF score of 170 patients was (38.88±6.98) points, 122 of them had fear of recurrence, and the difference between SAS score and SDS score of patients with or without fear of recurrence was statistically significant (P<0.05). SAS score and SDS score were positively correlated with FOP-Q-SF score (P<0.05). Multiple stepwise regression analysis showed that SAS score and SDS score were related factors of fear of recurrence after laparoscopic gastric cancer radical resection. Conclusion Fear of relapse is common in patients undergoing laparoscopic gastric cancer radical resection, and anxiety and depression are related factors of relapse fear.

Key words Laparoscopic Radical Cure for Gastric Cancer; Fear of Recurrence; Anxiety; Depression