ArticleFrontiers in psychology2025
Two hearts, one fear? Dyadic fear-of-progression and quality of life among Thai gynecologic-cancer survivors and caregivers.
Article in Frontiers in psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Factors Affecting Quality of Life of Thai Cervical Cancer Patients.The journal of obstetrics and gynaecology research · 2026Article
- Couple-Level Coping and Hope Interdependence in Hepatocellular Carcinoma After Transcatheter Arterial Chemoembolisation: Insights From an Actor-Partner Interdependence Model.Journal of nursing management · 2026Article
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2 authors.
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Abstract
Objective: To examine actor-partner interdependence between fear-of-progression (FoP) and global quality of life (QOL) in Thai gynecologic-cancer survivor-caregiver dyads. Methods: A cross-sectional study recruited 300 survivor-caregiver pairs from tertiary oncology centers in Bangkok, Thailand. Survivors were ≥6 months post-treatment for cervical, ovarian, or uterine cancer. Dyads completed the Thai Fear of Progression Questionnaire Short Form and the WHOQOL-BREF. Actor-Partner Interdependence Models (APIM) were estimated with structural equation modeling, treating dyad members as distinguishable (patient vs. caregiver). Models controlled for age, time since diagnosis, and comorbidity count. Results: Mean FoP scores were 27.4 ± 9.3 for survivors and 26.8 ± 8.8 for caregivers; mean QOL totals were 88.9 ± 12.1 and 90.2 ± 12.4, respectively. FoP levels were moderately correlated within dyads (r = 0.37, Conclusion: Among Thai gynecologic-cancer dyads, fear-of-progression erodes the individual's own quality of life but does not appear to does not appear to exert a cross-partner influence. Psycho-oncology programs should therefore screen and treat FoP in both survivors and caregivers, yet expect QOL gains to arise chiefly from direct, rather than cross-partner, relief of fear. Because the design was cross-sectional, temporal ordering cannot be inferred; FoP-QOL associations may be bidirectional (e.g., poorer QOL amplifying FoP and vice versa). Longitudinal, multi-wave APIM is needed to establish directionality. Future work should test domain-level QOL outcomes and longitudinal APIM to determine whether subtle cross-partner effects emerge in specific life domains.
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