Annals of Behavioral Medicine

, Volume 25, Issue 1, pp 16–24

The concerns about recurrence scale (CARS): A systematic measure of women’s fears about the possibility of breast cancer recurrence

Article

DOI: 10.1207/S15324796ABM2501_03

Cite this article as:
Vickberg, S.M.J. ann. behav. med. (2003) 25: 16. doi:10.1207/S15324796ABM2501_03

Abstract

The Concerns About Recurrence Scale (CARS) systematically assesses the extent and nature of women’s fears about the possibility of breast cancer recurrence. In this study with 169 breast cancer survivors, scores on the CARS indicate moderate levels of fear about recurrence overall and demonstrate a range in levels of fear. Findings further suggest that women’s fears of recurrence center around the possibility of death, future treatment, and threats to health more than issues related to roles, femininity, sexuality, or body image. Younger women and women who have had chemotherapy demonstrate greater fears. There is little evidence that cancer stage, time since diagnosis, or type of surgery relate to fears. The CARS was found to be internally consistent, and there is preliminary evidence of its validity, although future research is needed. The measure will likely be a useful tool for researchers and clinicians seeking to understand women’s fears about the possibility of breast cancer recurrence.

Copyright information

© The Society of Behavioral Medicine 2003

Authors and Affiliations

  1. 1.Department of Social-Personality Psychology, The Graduate Center, City University of New York and Derald H. Ruttenberg Cancer CenterMount Sinai School of MedicineUSA
  2. 2.Planned Parenthood Federation of AmericaNew York

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