Skip to content

Research at St Andrews

Does emotional talk vary with fears of cancer recurrence trajectory? A content analysis of interactions between women with breast cancer and their therapeutic radiographers

Research output: Contribution to journalArticle

Open Access Status

  • Embargoed (until 9/01/19)


Fears of cancer recurrence (FCR) in patients with breast cancer are hypothesised to develop over the period from diagnosis, through treatment and thereafter. A crucial point may be the contact that patients have with their therapeutic radiographer in review appointments. The study aimed to (1) describe and categorise the content of the identified emotional talk, and (2) consider the evidence for an association of content with FCR trajectory. Methods: A concurrent mixed methods approach was applied as part of a larger investigation (FORECAST) of breast cancer patients (n = 87). Patients completed a daily diary during their radiotherapy treatment. Audio recordings were collected of review appointments. The Verona Coding Definitions of Emotional Sequences (VR-CoDES) system was used to code patient emotional cues and concerns (CCs). Purposeful sampling of the daily diary ratings identified 12 patients (30 consultations) with an increasing (n=6) or decreasing (n=6) FCR trajectory. The emotional talk of these patients at their weekly reviews was content analysed. Results: Four themes were identified from 185 CCs: Physical Symptoms, Factors External to Hospital, Treatment, and Labelling Cancer. FCR decreasing trajectory group consultations were longer (p < 0.02), expressed twice as many CCs as the increasing trajectory group (p < 0.001), and were more likely to refer to cancer directly (p < 0.05). Conclusions: The emotional content expressed matched features outlined in the Lee-Jones et al (1997) FCR model, and showed evidence of avoidance in increasing FCR trajectory patients.


Original languageEnglish
Pages (from-to)41-48
JournalJournal of Psychosomatic Research
Early online date9 Jan 2018
StatePublished - Mar 2018

Discover related content
Find related publications, people, projects and more using interactive charts.

View graph of relations

Related by author

  1. Emotional talk of patients with breast cancer during review appointments with therapeutic radiographers: effects on fears of cancer recurrence

    Humphris, G. M., Yang, Y., Barracliffe, L., Cameron, J. & Bedi, C. 1 Oct 2018 In : Supportive Care in Cancer. First online, 9 p.

    Research output: Contribution to journalArticle

  2. Texting to Reduce Alcohol Misuse (TRAM): main findings from a randomized controlled trial of a text message intervention to reduce binge drinking among disadvantaged men

    Crombie, I. K., Irvine, L., Williams, B., Sniehotta, F. F., Petrie, D., Jones, C., Norrie, J., Evans, J. MM., Emslie, C., Rice, P. M., Slane, P. W., Humphris, G., Ricketts, I. W., Melson, A. J., Donnan, P. T., Hapca, S. M., McKenzie, A. & Achison, M. Sep 2018 In : Addiction. 113, 9, 10 p.

    Research output: Contribution to journalArticle

  3. INTERVAL (investigation of NICE technologies for enabling risk-variable-adjusted-length) dental recalls trial: a multicentre randomised controlled trial investigating the best dental recall interval for optimum, cost-effective maintenance of oral health in dentate adults attending dental primary care

    Clarkson, J. E. , Pitts, N. B. , Bonetti, D. , Boyers, D. , Braid, H. , Elford, R. , Fee, P. A. , Floate, R. , Goulão, B. , Humphris, G. , Needleman, I. , Norrie, J. D. T. , Ord, F. , van der Pol, M. , Ramsay, C. R. , Ricketts, D. N. J. , Worthington, H. V. , Young, L. , Anderson, T. , Burke, T. & 11 others Dolan, P., Douglas, G., Freeman, R., Gorter, R., Herbert, R., Hodge, P., Mettes, D., McCombes, W., Ross, M., White, D. & INTERVAL Trial Collaboration 7 Aug 2018 In : BMC Oral Health. 18, 10 p., 135

    Research output: Contribution to journalArticle

Related by journal

  1. The relationship between cancer patient's fear of recurrence and chemotherapy: a systematic review and meta-analysis

    Yang, Y., Wen, Y., Bedi, C. & Humphris, G. Jul 2017 In : Journal of Psychosomatic Research. 98, p. 55-63 9 p.

    Research output: Contribution to journalReview article

  2. Changes in the association between health complaint frequency and medicine use among adolescents in Scotland between 1998 and 2010

    Levin, K. A., Whitehead, R., Andersen, A., Levin, D., Gobina, I. & Holstein, B. 2015 In : Journal of Psychosomatic Research. In press

    Research output: Contribution to journalArticle

  3. Decayed and missing teeth and oral-health-related factors: Predicting depression in homeless people

    Coles, E., Chan, K., Collins, J., Humphris, G. M., Richards, D., Williams, B. & Freeman, R. Aug 2011 In : Journal of Psychosomatic Research. 71, 2, p. 108-112 5 p.

    Research output: Contribution to journalArticle

  4. Can we predict which head and neck cancer survivors developfears of recurrence?

    Llewellyn, C. D., Weinman, J., Humphris, G. M. & McGurk, M. Dec 2008 In : Journal of Psychosomatic Research. 65, 65, p. 525-532 8 p.

    Research output: Contribution to journalArticle

Related by journal

  1. Journal of Psychosomatic Research (Journal)

    Ozakinci, G. (Reviewer)
    2006 → …

    Activity: Publication peer-review and editorial workPeer review of manuscripts

ID: 252008596