Development and implementation of a new psychological intervention for cancer patients to alleviate heightened fears of recurrence

Impact: Health and Welfare Impact


Fears of recurrence (FoR) are the major concern for cancer patients. The Adjustment of Fear, Threat or Expectation of a Recurrence (AFTER) was initiated in Liverpool and developed significantly at the University of St Andrews by the originator (Prof. Humphris) and colleague Dr Ozakinci for general cancer patients, including an innovative validated Fear of Recurrence measure. The measure identifies patients with high FoR in NHS oncology services to enable psychological therapeutic treatments to be targeted. AFTER is being widely employed with cancer survivors successfully in UK cancer services and international oncology centres to reduce their FoR and depression.
Impact statusOpen
Category of impactHealth and Welfare Impact
Impact levelPublic benefitted - end stage


  • REF2014 case study
  • cancer
  • Fear of Recurrence
  • depression