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Background <p>The Fear of Cancer Recurrence Inventory-Short Form (FCRI-SF) is commonly used to categorize the severity of fear of cancer recurrence (FCR) defined as fear, worry, or concern about cancer returning or progressing. Evaluating the FCRI-SF factor structure and the clinical cut-off score in specific cancer populations and stages of survivorship is essential to determine its generalizability as a screening tool for clinical FCR. This study aimed to (1) examine the factor structure of the FCRI-SF, and (2) evaluate the clinical cut-off score in long-term colorectal cancer survivors without recurrence.</p> Methodology <p>Data were drawn from a national cohort study on late effects after colorectal cancer and a randomized trial evaluating an online FCR intervention. Exploratory and confirmatory factor analyses were conducted to examine the latent structure of the FCRI-SF. The optimal theoretical cut-off was assessed using weighted logistic regression to estimate sensitivity and specificity.</p> Results <p>A total of 5,515 survivors completed the FCRI-SF, and 334 underwent clinical FCR assessment. Factor analyses indicated a one-factor solution, though model fit indices were suboptimal. Item 5 showed poor psychometric performance, and item 9 had a bimodal response pattern. The optimal theoretical cut-off score for identifying clinical FCR was 22.</p> Conclusions <p>The FCRI-SF is a suitable tool for assessing FCR in long-term colorectal cancer survivors, but minor revisions to item 5 and item 9 may improve its psychometric properties.</p>

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Validation of the fear of cancer recurrence inventory-short form in long-term colorectal cancer survivors

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年4月18日

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  • Katrine Ingeman,
  • Tina Birgitte Wisbech Carstensen,
  • Allan Ben Smith,
  • Sébastien Simard,
  • Lisbeth Frostholm,
  • Eva Ørnbøl,
  • Kaare Bro Wellnitz,
  • Johanne Dam Lyhne

摘要

Background

The Fear of Cancer Recurrence Inventory-Short Form (FCRI-SF) is commonly used to categorize the severity of fear of cancer recurrence (FCR) defined as fear, worry, or concern about cancer returning or progressing. Evaluating the FCRI-SF factor structure and the clinical cut-off score in specific cancer populations and stages of survivorship is essential to determine its generalizability as a screening tool for clinical FCR. This study aimed to (1) examine the factor structure of the FCRI-SF, and (2) evaluate the clinical cut-off score in long-term colorectal cancer survivors without recurrence.

Methodology

Data were drawn from a national cohort study on late effects after colorectal cancer and a randomized trial evaluating an online FCR intervention. Exploratory and confirmatory factor analyses were conducted to examine the latent structure of the FCRI-SF. The optimal theoretical cut-off was assessed using weighted logistic regression to estimate sensitivity and specificity.

Results

A total of 5,515 survivors completed the FCRI-SF, and 334 underwent clinical FCR assessment. Factor analyses indicated a one-factor solution, though model fit indices were suboptimal. Item 5 showed poor psychometric performance, and item 9 had a bimodal response pattern. The optimal theoretical cut-off score for identifying clinical FCR was 22.

Conclusions

The FCRI-SF is a suitable tool for assessing FCR in long-term colorectal cancer survivors, but minor revisions to item 5 and item 9 may improve its psychometric properties.