Anxiety and Fear of Recurrence in Cancer Survivors

Abstract Cancer survivorship has significantly increased due to advancements in early detection and treatment. However, survivors often face psychological challenges, notably anxiety and fear of cancer recurrence (FCR). These concerns can persist long after treatment, adversely affecting quality of life (QoL). This narrative review explores the prevalence, implications, assessment methods, and management strategies for anxiety and FCR among cancer survivors. Recent studies indicate that over half of survivors experience moderate to high levels of FCR, with younger age and female gender being significant risk factors. Persistent anxiety and FCR are associated with increased depression, reduced QoL, and impaired daily functioning. Effective management requires a multidisciplinary approach, integrating psychological interventions and supportive care. Addressing these psychological concerns is crucial for improving survivorship outcomes.