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Fear of Cancer Recurrence and Coping Strategies among Prostate Cancer Survivors: A Qualitative Study. Curr. Oncol. 2023, 30, 6720–6733. [https://doi.org/](https://doi.org/)[ ](https://doi.org/)[10.3390/curroncol30070493](10.3390/curroncol30070493)  \nReceived: 8 May 2023  \nRevised: 21 June 2023  \nAccepted: 10 July 2023  \nPublished: 16 July 2023  \nCopyright: © 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ([https://](https://)[ ](https://)[creativecommons.org/licenses/by/](creativecommons.org/licenses/by/)[ ](creativecommons.org/licenses/by/)[4.0/](4.0/)) .  \n1 Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran 1449614535, Iran; [abbasmardani30@gmail.com or mardani.a@iums.ac.ir](abbasmardani30@gmail.com or mardani.a@iums.ac.ir) (A.M.); [farahani.ma@iums.ac.ir](farahani.ma@iums.ac.ir) (M.A.F.)  \n2 Faculty of Nursing and Health Sciences, Nord University, 8049 Bodø, Norway; mojtaba.vaismoradi@nord.no  \n3 Faculty of Science and Health, Charles Sturt University, Orange, NSW 2800, Australia  \n* Correspondence: [khachian.a@iums.ac.ir](khachian.a@iums.ac.ir); Tel.: +98-43-651-000  \nAbstract: Background: Fear of cancer recurrence (FCR), as a commonly reported problem among prostate cancer survivors, has not been fully understood. This study aimed to explore the experience of FCR and relevant coping strategies among Iranian prostate cancer survivors. Methods: Qualitative research was conducted on 13 men who completed treatments for prostate cancer in the last 24 months. The participants were selected through purposeful sampling, and in-depth semi-structured interviews were used for data collection. Conventional content analysis was used for data analysis. Results: Data analysis led to the emergence of three themes. “Living with insecurity” describes the participants'experiences regarding what triggers FCR with two categories, including “fear of incomplete cure” and“fear of cancer return.” In addition,“struggling to cope” with two categories, including “psychological strategies” and “spiritual coping,” presents coping strategies used by the participants for reducing FCR. Furthermore,“trying to prevent cancer recurrence” with two categories,“seeking health” and“lifestyle modification,” indicates coping strategies used by the participants to prevent cancer recurrence. Conclusions: Healthcare providers need to consider the cultural characteristics of prostate cancer survivors when assessing their FCR, encourage them to disclose their concerns and fears, and provide tailored interventions in order to reduce FCR among them.  \nKeywords: coping; continuous care; fear of cancer recurrence; prostate cancer survivors; qualitative research  \n1. Introduction  \nProstate cancer (PCa) is the second most common cancer among men after lung cancer. It consisted of 14.1% of new cases of cancer in men in 2020, and was the fifth cause of death from cancer globally for men [1] . In Iran, PCa is the second most common cancer in men and the eighth cause of death from all cancers [2] . Fortunately, early diagnosis and advances in cancer treatment have led to an unprecedented increase in the number of people who continue to live after cancer [3] . Currently, the five-year survival rate of localized PCa in developed countries is reported to be about 98%[4] .  \nAfter finishing the treatment, PCa survivors face many challenges that affect their quality of life [5,6] . Fear of cancer recurrence (FCR) is a commonly reported problem among PCa survivors despite high survival rates [7–10] . FCR","cbCaii4IwCjS9xMv","https://ap.wps.com/l/cbCaii4IwCjS9xMv","pdf",658297,14,"English","# Abstract\n# Introduction\n## Background and rationale\n## Challenges after treatment\n# Methods\n## Participants and sampling\n## Data collection and analysis\n# Results\n## Theme 1: Living with insecurity\n## Theme 2: Struggling to cope\n## Theme 3: Trying to prevent cancer recurrence\n# Conclusions","[{\"question\":\"What is the purpose of the study on fear of cancer recurrence?\",\"answer\":\"The study explores prostate cancer survivors’ experiences of fear of recurrence and the coping strategies they use to manage it.\"},{\"question\":\"How were participants selected and data collected?\",\"answer\":\"Thirteen Iranian men who had completed prostate cancer treatment within the last 24 months were selected through purposeful sampling, and in-depth semi-structured interviews were conducted.\"},{\"question\":\"What coping themes and categories emerged from the analysis?\",\"answer\":\"Three themes were identified: living with insecurity, struggling to cope, and trying to prevent recurrence. Coping included psychological strategies, spiritual coping, seeking health, and lifestyle modification.\"}]","Fear of Cancer Recurrence and Coping Strategies among Prostate Cancer Survivors - A Qualitative Study | PDF",1790239265,35]