Psychological Impact of Spine Sarcoma on Wellbeing.

IF 3.9 2区医学 Q2 ONCOLOGY

Psycho‐Oncology Pub Date : 2026-07-01 DOI:10.1002/pon.70546

V Williamson, G Mawhinney, D Cimatu, T Land, J J Reynolds

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引用次数: 0

Abstract

Background: Spine sarcomas are rare but debilitating cancers requiring extensive treatment with high morbidity. While physical outcomes are well studied, the psychological impact and support needs of patients remain poorly understood. The aim of this study was to qualitatively explore patient experiences of spine sarcoma on wellbeing and their perceived support needs.

Method: Sixteen adult patients diagnosed or treated for spinal sarcoma at Oxford University Hospitals completed semi-structured qualitative interviews. Data were analysed using thematic analysis.

Results: Patients frequently experienced significant delays to diagnosis, often enduring severe, persistent pain and having requests for further diagnostic tests declined by healthcare providers. After diagnosis, many underwent extensive and invasive treatment, with prolonged hospital stays and reliance on considerable caregiving support after discharge. Emotional challenges were common, including anger, anxiety and social withdrawal, often compounded by chronic pain and reduced mobility. Patients also described unmet rehabilitative care needs, including fragmented aftercare and limited psychological provision.

Conclusions: Findings underscore the urgent need for earlier diagnosis, enhanced clinical training, integrated psychosocial support, and coordinated long-term survivorship care in spinal sarcoma.

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脊柱肉瘤对健康的心理影响。

背景：脊柱肉瘤是一种罕见的恶性肿瘤，发病率高，需要广泛的治疗。虽然身体上的结果得到了很好的研究，但对患者的心理影响和支持需求仍然知之甚少。本研究的目的是定性地探讨脊柱肉瘤患者的健康体验和他们感知到的支持需求。方法：在牛津大学医院诊断或治疗的16例脊柱肉瘤成年患者完成半结构化定性访谈。采用专题分析对数据进行分析。结果：患者经常经历严重的诊断延误，经常忍受严重的、持续的疼痛，并要求进一步的诊断测试被医疗保健提供者拒绝。诊断后，许多人接受了广泛和侵入性治疗，住院时间延长，出院后依赖相当多的护理支持。情绪上的挑战很常见，包括愤怒、焦虑和社交退缩，往往伴随着慢性疼痛和行动不便。患者还描述了未满足的康复护理需求，包括零散的善后护理和有限的心理服务。结论：研究结果强调了对脊柱肉瘤的早期诊断、加强临床培训、综合社会心理支持和协调的长期生存护理的迫切需要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psycho‐Oncology 医学-心理学

CiteScore

6.30

自引率

8.30%

发文量

220

审稿时长

3-8 weeks

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.