{"title":"The Psychological Impact of Sarcoma From Pre-Diagnosis to Post-Treatment, a Meta-Synthesis.","authors":"Christopher Meek, Michael Baliousis","doi":"10.1002/pon.70174","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>Sarcoma is a rare form of cancer affecting soft tissue and bone. Previous research has highlighted psychological challenges associated with this subset of cancer. The purpose of this paper is to draw together existing qualitative research into the psychological experiences of sarcoma patients, and to identify any sarcoma-specific psychological needs.</p><p><strong>Methods: </strong>A systematic review was conducted with the question: 'What is the psychological impact of sarcoma?'. The protocol for the review was preregistered with PROSPERO (CRD42023439959). Thematic meta-synthesis (meta-ethnography) was used to consolidate a range of qualitative sources.</p><p><strong>Results: </strong>Screening of four relevant databases identified 43 studies for inclusion, with 40 contributing to the synthesis, post-quality assessment. Psychological experiences were split into two timepoints: Early Days (highlighting delays, shock, and immediate interpretations) and Living With and Beyond (encompassing relationships, anxieties and fears, sadness and loss, coping and growth). Many psychological impacts on general cancer populations are also applicable to sarcoma, such as fear of recurrence and progression of the disease. However, some have increased resonance in those with sarcoma, due in part to its rarity, disabling potential and its occurrence at younger age. Those with Kaposi's sarcoma face unique challenges around stigmatisation.</p><p><strong>Conclusions: </strong>Health professionals who work with sarcoma patients should be aware of the additional informational, relational, and emotional challenges faced by those with sarcoma. Further research could identify what interventions could meet these challenges.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 5","pages":"e70174"},"PeriodicalIF":3.3000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psycho‐Oncology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/pon.70174","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ONCOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives: Sarcoma is a rare form of cancer affecting soft tissue and bone. Previous research has highlighted psychological challenges associated with this subset of cancer. The purpose of this paper is to draw together existing qualitative research into the psychological experiences of sarcoma patients, and to identify any sarcoma-specific psychological needs.
Methods: A systematic review was conducted with the question: 'What is the psychological impact of sarcoma?'. The protocol for the review was preregistered with PROSPERO (CRD42023439959). Thematic meta-synthesis (meta-ethnography) was used to consolidate a range of qualitative sources.
Results: Screening of four relevant databases identified 43 studies for inclusion, with 40 contributing to the synthesis, post-quality assessment. Psychological experiences were split into two timepoints: Early Days (highlighting delays, shock, and immediate interpretations) and Living With and Beyond (encompassing relationships, anxieties and fears, sadness and loss, coping and growth). Many psychological impacts on general cancer populations are also applicable to sarcoma, such as fear of recurrence and progression of the disease. However, some have increased resonance in those with sarcoma, due in part to its rarity, disabling potential and its occurrence at younger age. Those with Kaposi's sarcoma face unique challenges around stigmatisation.
Conclusions: Health professionals who work with sarcoma patients should be aware of the additional informational, relational, and emotional challenges faced by those with sarcoma. Further research could identify what interventions could meet these challenges.
期刊介绍：
Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology.
This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues.
Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.
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