Psychometric properties of the Chinese version Fear of Cancer Recurrence Questionnaire-7 (FCR-7)

Yuan Yang; Gerry Humphris; Hengwen Sun; Wengao Li; Yanli Hao; Ting Liu; Jingying Zhang; Hongmei Wang; Bin Zhang

doi:10.1037/pro0000257

Psychometric properties of the Chinese version Fear of Cancer Recurrence Questionnaire-7 (FCR-7)

Yuan Yang, Gerry Humphris, Hengwen Sun, Wengao Li, Yanli Hao, Ting Liu, Jingying Zhang, Hongmei Wang, Bin Zhang

Research output: Contribution to journal › Article › peer-review

Abstract

This article investigates the reliability and validity of the Chinese version of the 7-item Fear of Cancer Recurrence Questionnaire (FCR-7). A total of 1,025 cancer patients were recruited and asked to complete the Chinese FCR-7, Fear of Progression Questionnaire—Short Form (FoP-Q–SF), 9-item Patient Health Questionnaire (PHQ-9), and 7-item General Anxiety Disorder Questionnaire (GAD-7). The internal consistency and test–retest reliabilities were examined. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were conducted on random split-half samples. Overall relationships of FCR-7 with other psychological constructs were examined. The Chinese FCR-7 showed good internal consistency (Cronbach’s alpha = .87), test–retest reliability (r = .90), and item–total correlations (range = .583–.872). The unitary factor structure was supported by the EFA and the CFA fit statistics (comparative fit index = .99, root-mean-square error of approximation = .039, 95% confidence interval [.01, .07]). The total score of FCR-7 was positively associated with FoP-Q–SF (r = .756, p < .01), PHQ-9 (r = .522, p < .01), and GAD-7 (r = .553, p < .01). Patients with low monthly income (p < .001) and family cancer history (p = .012) and those who had gone through chemotherapy (p = .001) tended to report higher fear of cancer recurrence (FCR). The FCR-7 has been translated and successfully culturally adapted into a Chinese version. It is a reliable and valid measurement for assessing FCR.

Original language	English
Journal	Professional Psychology: Research and Practice
Volume	Online First
Early online date	25 Jul 2019
DOIs	https://doi.org/10.1037/pro0000257
Publication status	E-pub ahead of print - 25 Jul 2019

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© 2019, American Psychological Association. This work has been made available online in accordance with the publisher's policies. This is the author created accepted version manuscript following peer review and as such may differ slightly from the final published version. The final published version of this work is available at https://doi.org/10.1037/pro0000257
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@article{a79cf7c0b7fa4d93b6b51e97524b2771,

title = "Psychometric properties of the Chinese version Fear of Cancer Recurrence Questionnaire-7 (FCR-7)",

abstract = "This article investigates the reliability and validity of the Chinese version of the 7-item Fear of Cancer Recurrence Questionnaire (FCR-7). A total of 1,025 cancer patients were recruited and asked to complete the Chinese FCR-7, Fear of Progression Questionnaire—Short Form (FoP-Q–SF), 9-item Patient Health Questionnaire (PHQ-9), and 7-item General Anxiety Disorder Questionnaire (GAD-7). The internal consistency and test–retest reliabilities were examined. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were conducted on random split-half samples. Overall relationships of FCR-7 with other psychological constructs were examined. The Chinese FCR-7 showed good internal consistency (Cronbach{\textquoteright}s alpha = .87), test–retest reliability (r = .90), and item–total correlations (range = .583–.872). The unitary factor structure was supported by the EFA and the CFA fit statistics (comparative fit index = .99, root-mean-square error of approximation = .039, 95% confidence interval [.01, .07]). The total score of FCR-7 was positively associated with FoP-Q–SF (r = .756, p < .01), PHQ-9 (r = .522, p < .01), and GAD-7 (r = .553, p < .01). Patients with low monthly income (p < .001) and family cancer history (p = .012) and those who had gone through chemotherapy (p = .001) tended to report higher fear of cancer recurrence (FCR). The FCR-7 has been translated and successfully culturally adapted into a Chinese version. It is a reliable and valid measurement for assessing FCR.",

author = "Yuan Yang and Gerry Humphris and Hengwen Sun and Wengao Li and Yanli Hao and Ting Liu and Jingying Zhang and Hongmei Wang and Bin Zhang",

note = "Funding: President Foundation of Nanfang Hospital, Southern Medical University (2017L001); Guangzhou Science and Technology Project (201804010132); Key Item of Guangzhou bureau of education (2019KC106), and Innovation Item of Guangdong Provincial Department of Education (2018A043442).",

year = "2019",

month = jul,

day = "25",

doi = "10.1037/pro0000257",

language = "English",

volume = "Online First",

journal = "Professional Psychology: Research and Practice",

issn = "0735-7028",

publisher = "American Psychological Association Inc.",

}

TY - JOUR

T1 - Psychometric properties of the Chinese version Fear of Cancer Recurrence Questionnaire-7 (FCR-7)

AU - Yang, Yuan

AU - Humphris, Gerry

AU - Sun, Hengwen

AU - Li, Wengao

AU - Hao, Yanli

AU - Liu, Ting

AU - Zhang, Jingying

AU - Wang, Hongmei

AU - Zhang, Bin

N1 - Funding: President Foundation of Nanfang Hospital, Southern Medical University (2017L001); Guangzhou Science and Technology Project (201804010132); Key Item of Guangzhou bureau of education (2019KC106), and Innovation Item of Guangdong Provincial Department of Education (2018A043442).

PY - 2019/7/25

Y1 - 2019/7/25

N2 - This article investigates the reliability and validity of the Chinese version of the 7-item Fear of Cancer Recurrence Questionnaire (FCR-7). A total of 1,025 cancer patients were recruited and asked to complete the Chinese FCR-7, Fear of Progression Questionnaire—Short Form (FoP-Q–SF), 9-item Patient Health Questionnaire (PHQ-9), and 7-item General Anxiety Disorder Questionnaire (GAD-7). The internal consistency and test–retest reliabilities were examined. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were conducted on random split-half samples. Overall relationships of FCR-7 with other psychological constructs were examined. The Chinese FCR-7 showed good internal consistency (Cronbach’s alpha = .87), test–retest reliability (r = .90), and item–total correlations (range = .583–.872). The unitary factor structure was supported by the EFA and the CFA fit statistics (comparative fit index = .99, root-mean-square error of approximation = .039, 95% confidence interval [.01, .07]). The total score of FCR-7 was positively associated with FoP-Q–SF (r = .756, p < .01), PHQ-9 (r = .522, p < .01), and GAD-7 (r = .553, p < .01). Patients with low monthly income (p < .001) and family cancer history (p = .012) and those who had gone through chemotherapy (p = .001) tended to report higher fear of cancer recurrence (FCR). The FCR-7 has been translated and successfully culturally adapted into a Chinese version. It is a reliable and valid measurement for assessing FCR.

AB - This article investigates the reliability and validity of the Chinese version of the 7-item Fear of Cancer Recurrence Questionnaire (FCR-7). A total of 1,025 cancer patients were recruited and asked to complete the Chinese FCR-7, Fear of Progression Questionnaire—Short Form (FoP-Q–SF), 9-item Patient Health Questionnaire (PHQ-9), and 7-item General Anxiety Disorder Questionnaire (GAD-7). The internal consistency and test–retest reliabilities were examined. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were conducted on random split-half samples. Overall relationships of FCR-7 with other psychological constructs were examined. The Chinese FCR-7 showed good internal consistency (Cronbach’s alpha = .87), test–retest reliability (r = .90), and item–total correlations (range = .583–.872). The unitary factor structure was supported by the EFA and the CFA fit statistics (comparative fit index = .99, root-mean-square error of approximation = .039, 95% confidence interval [.01, .07]). The total score of FCR-7 was positively associated with FoP-Q–SF (r = .756, p < .01), PHQ-9 (r = .522, p < .01), and GAD-7 (r = .553, p < .01). Patients with low monthly income (p < .001) and family cancer history (p = .012) and those who had gone through chemotherapy (p = .001) tended to report higher fear of cancer recurrence (FCR). The FCR-7 has been translated and successfully culturally adapted into a Chinese version. It is a reliable and valid measurement for assessing FCR.

U2 - 10.1037/pro0000257

DO - 10.1037/pro0000257

M3 - Article

SN - 0735-7028

VL - Online First

JO - Professional Psychology: Research and Practice

JF - Professional Psychology: Research and Practice

ER -

Psychometric properties of the Chinese version Fear of Cancer Recurrence Questionnaire-7 (FCR-7)

Abstract

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