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Objective <p>To explore the post-remission physical, emotional, and social experiences of cancer survivors in Tunisia, assess their evolving perception, and identify predictive factors for poor post-remission quality of life.</p> Methods <p>Cancer survivors with different ages, genders, and cancer types took part in a questionnaire-based survey. This survey explored key dimensions of their lives, exploring their functional abilities, social interactions, and emotional well-being.</p> Results <p>The study included 110 patients. Median age was 58&#xa0;years [37–81] with 75% being women. Median follow-up was 45&#xa0;months [24–101]. Breast (44%) and colorectal (32.7%) cancers were the most common. Chronic pain affected 40% of survivors and was more frequent in rural residents (OR = 2.9). Lack of analgesic treatment was associated with persistent moderate to severe pain (OR = 3.6). Sleep disturbances affected 37.3% of patients and were independently associated with fear of cancer recurrence (FCR) (OR = 3.77) and chronic pain (OR = 2.56). Seventy percent of our patients felt their lives had gained deeper meaning. Positive lifestyle changes were noted in 38.9% of cases, including healthier dietary habits (40.9%), increased religious practices (31%), and engagement in physical activities (20%). Anxiety was reported by 58.1% of participants and was more common among women, younger patients, and those recently treated. FCR was reported by 40% of patients and was associated with more severe depression (OR = 2.35) and anxiety (OR = 3.12) symptoms. Sixty-one percent resumed work, with 15.7% transitioning to new job roles.</p> Conclusions <p>Years after remission, cancer survivors face persistent physical, emotional, and social challenges. Culturally adapted survivorship care models are needed to improve symptom control, psychosocial support, and vocational reintegration.</p>

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Life beyond remission: physical, emotional, and social reintegration of cancer survivors in Tunisia—a cross-sectional study

  • 期刊论文

  • 发表日期：

    2026年4月27日

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  • Sofiene Fendri,
  • Molka Mezghani,
  • Seif Haddaoui,
  • Myriam Saadi,
  • Ahmed Anas Haouari,
  • Yosra Berrazaga,
  • Nesrine Mejri

摘要

Objective

To explore the post-remission physical, emotional, and social experiences of cancer survivors in Tunisia, assess their evolving perception, and identify predictive factors for poor post-remission quality of life.

Methods

Cancer survivors with different ages, genders, and cancer types took part in a questionnaire-based survey. This survey explored key dimensions of their lives, exploring their functional abilities, social interactions, and emotional well-being.

Results

The study included 110 patients. Median age was 58 years [37–81] with 75% being women. Median follow-up was 45 months [24–101]. Breast (44%) and colorectal (32.7%) cancers were the most common. Chronic pain affected 40% of survivors and was more frequent in rural residents (OR = 2.9). Lack of analgesic treatment was associated with persistent moderate to severe pain (OR = 3.6). Sleep disturbances affected 37.3% of patients and were independently associated with fear of cancer recurrence (FCR) (OR = 3.77) and chronic pain (OR = 2.56). Seventy percent of our patients felt their lives had gained deeper meaning. Positive lifestyle changes were noted in 38.9% of cases, including healthier dietary habits (40.9%), increased religious practices (31%), and engagement in physical activities (20%). Anxiety was reported by 58.1% of participants and was more common among women, younger patients, and those recently treated. FCR was reported by 40% of patients and was associated with more severe depression (OR = 2.35) and anxiety (OR = 3.12) symptoms. Sixty-one percent resumed work, with 15.7% transitioning to new job roles.

Conclusions

Years after remission, cancer survivors face persistent physical, emotional, and social challenges. Culturally adapted survivorship care models are needed to improve symptom control, psychosocial support, and vocational reintegration.