Psycho‐Oncology最新文献

{"title":"Facilitators and Barriers to Cancer Screening Participation Across Southeastic Asia: A Scoping Review.","authors":"Isabelle Higgins, Paige Kleinig, Duy Toan Le, Jade Londema, Benn Shephard, Emily Mei Qiong Siow, Ekam Sohal, Saravana Kumar","doi":"10.1002/pon.70139","DOIUrl":"10.1002/pon.70139","url":null,"abstract":"<p><strong>Objective: </strong>As the prevalence of cancer cases in Southeast Asia (SEA) increases, understanding facilitators and barriers to participation in and uptake of cancer screening is important. However, to date, no review has been undertaken on this topic. This review aimed to address this knowledge gap.</p><p><strong>Methods: </strong>The search was conducted across academic databases and grey literature sources. Two reviewers independently screened the results, followed by data extraction. Social cognitive therapy was used as part of narrative synthesis of the data.</p><p><strong>Results: </strong>Of the 735 studies, 26 were included. Barriers and facilitators were grouped into headings of personal, environmental, societal, and behavioural domains. The commonly reported barriers to participation in cancer screening included poor knowledge, emotional factors, belief of low personal susceptibility, lack of time, misperceptions, cost, inconvenience, social influence, and lack of skills required. The facilitators were education, greater self-perceived risk, reassurance, past medical history, reduced cost and improved access to healthcare, social supports, religious beliefs, and routine health check-ups.</p><p><strong>Conclusions: </strong>A multitude of barriers, and some facilitators, to participation in cancer screening were reported in the literature. This complexity highlights the importance of a multifaceted and nuanced strategy in promoting cancer screening in SEA countries.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 4","pages":"e70139"},"PeriodicalIF":3.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11969030/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient Activation and Shared Decision-Making Among Hispanics/Latinos With Metastatic Cancer: A Qualitative Study.","authors":"Julia Meguro, Mariana Khawand-Azoulai, Heidy N Medina, Magela Pons, Michael T Huber, Frank J Penedo, Patricia I Moreno","doi":"10.1002/pon.70145","DOIUrl":"https://doi.org/10.1002/pon.70145","url":null,"abstract":"<p><strong>Background: </strong>Patient activation is established when patients are equipped with the necessary knowledge, skills, and motivation to meaningfully participate in managing their health and, along with shared decision-making, improves clinical outcomes like treatment adherence. Little is known regarding patient activation among Hispanics/Latinos with metastatic cancer, who report worse quality of life and symptom burden compared to non-Hispanic/Latino Whites.</p><p><strong>Aims: </strong>This study aimed to characterize barriers and facilitators to patient activation and shared decision-making among English- and Spanish-speaking Hispanics/Latinos with metastatic cancer.</p><p><strong>Methods: </strong>Three, 2-h focus groups with Hispanics/Latinos with metastatic solid tumors (N = 22) were audio-recorded and transcribed. Semi-structured interviews addressed experiences living with metastatic cancer, palliative care beliefs, and communication with healthcare team. Barriers and facilitators were identified through secondary analysis of interviews.</p><p><strong>Results: </strong>Barriers included: (a) feeling overwhelmed by treatment decision-making; (b) lack of clarity regarding treatment and diagnosis; (c) lack of symptom management resources; and (d) concerns regarding English fluency and medical terminology. Facilitators included: (a) self-advocacy for treatment options and quality of life resources; (b) feeling comfortable asking care team questions; (c) having a skilled support system; and (d) avoiding unhelpful medical information. Patient activation levels varied, but all participants expressed a desire to be proactively included in decisions throughout care.</p><p><strong>Conclusions: </strong>Results suggest that patient activation may be promoted in this population through the provision of information/resources that are timely, accessible, and relevant to their care needs and active inclusion of patients in decision-making. Findings will guide culturally-adapted interventions that increase patient activation and shared decision-making.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 4","pages":"e70145"},"PeriodicalIF":3.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What Decisions Matter to Women Facing a Breast Cancer Diagnosis? A Case Study From the Global South on Treatment Shared Decision-Making and the Management of Distress.","authors":"Loreto Fernández-González, Constanza Quezada, Valentina Turén, Paulina Bravo","doi":"10.1002/pon.70138","DOIUrl":"https://doi.org/10.1002/pon.70138","url":null,"abstract":"<p><strong>Background: </strong>Breast cancer (BC) is the leading cause of cancer deaths among Chilean women. BC treatment is guaranteed by Chilean law through the Explicit Health Guarantees (GES) plan. There is insufficient evidence on how women navigate the healthcare system and how they exercise shared decision-making (SDM) following a BC diagnosis in global South scenarios.</p><p><strong>Aim: </strong>To understand how women make decisions about BC treatment.</p><p><strong>Methods: </strong>A qualitative study based on 29 individual, semi-structured, in-depth interviews with women undergoing BC treatment in three hospitals in Santiago. Recruitment took place from November 2022 until July 2023. Thematic analysis was performed with AtlasTi.</p><p><strong>Results: </strong>The experience that care is not happening quickly enough organizes the trajectory of BC patients under the major, in vivo theme of \"Everything is slow.\" Managing this wait mobilizes women through clinical milestones, configuring high or low participation scenarios. Scenarios of high participation comprised decisions mostly regarding practical issues, financial and insurance decisions and whatever actions could be taken to shorten waiting times. Scenarios of low-experienced participation coincided with clinical encounters with health professionals, with treatment decisions delegated to or exclusively made by clinicians.</p><p><strong>Conclusion: </strong>BC is experienced as a distressing diagnosis. Women prioritize decisions that they perceive will speed up their care and do not effectively participate in treatment decision-making. This study is part of a larger mixed-methods project that aims to elucidate factors influencing SDM in BC. Future directions should provide strategies to patients and clinicians to build more symmetrical relationships and evaluate the satisfaction with care of universal coverage-oriented policies, as well as how this could influence the exercise of patients' autonomy.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 4","pages":"e70138"},"PeriodicalIF":3.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143743466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integration of Low Intensity Psychological Support for Children and Young People Receiving Cancer Services: A Qualitative Study of Staff Perspectives.","authors":"Mariam Shah, Hannah Duncan, Helen Griffiths, Natasha Prescott, Rebecca Sweet, Isobel Heyman, Anna Roach, Anaïs d'Oelsnitz, Isabella Stokes, Zoe Berger, Sophie D Bennett, Roz Shafran","doi":"10.1002/pon.70133","DOIUrl":"10.1002/pon.70133","url":null,"abstract":"<p><strong>Objective: </strong>Despite children and young people (CYP) with cancer having elevated mental health needs, accessing evidence-based psychological support remains difficult. Delivering low-intensity cognitive behavioural therapy (LICBT) to CYP with cancer could increase access to support. This qualitative study aimed to understand the views of key clinician stakeholders regarding the potential facilitators and barriers to implementation of LICBT in paediatric cancer services.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with 39 professionals working in paediatric hospital cancer services. Interviews were transcribed and analysed using framework analysis informed by the Consolidated Framework for Implementation Research.</p><p><strong>Results: </strong>Professionals indicated a potential need and utility for LICBT, and saw it as distinct from existing provision, addressing patient needs and filling a gap in services. Integration into the service and existing pathways was considered a key facilitator to successful implementation. Anticipated potential barriers included scepticism of LICBT efficacy due to the perceived high complexity of patient presentations and concerns about the relevance and suitability of existing manualized interventions for this population. LICBT practitioner ability to independently assess patient suitability for the intervention and to deliver LICBT effectively was also questioned.</p><p><strong>Conclusions: </strong>Cancer professionals' perceptions of LICBT indicate its potential use for the CYP cancer population to improve access to evidence-based psychological interventions. Incorporating the identified facilitators and barriers into implementation strategies, including information about the effectiveness of LICBT for young people with chronic illness will help to ensure effective integration of LICBT into routine paediatric healthcare settings.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 4","pages":"e70133"},"PeriodicalIF":3.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11964891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143773255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adolescent Loneliness When a Parent Has Cancer: A Qualitative Systematic Review.","authors":"Lydia Mckeown, Kerry Campbell, Martin Dempster, Jenny Groarke, Lisa Graham-Wisener","doi":"10.1002/pon.70148","DOIUrl":"https://doi.org/10.1002/pon.70148","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this systematic review was to synthesise the available qualitative evidence relating to adolescent loneliness (aged 10-19) when a parent has cancer. This included considering how adolescents experience loneliness when their parent has cancer and exploring the perceived factors that influence this experience.</p><p><strong>Methods: </strong>A qualitative systematic literature review was conducted to synthesise and critically evaluate loneliness in adolescents experiencing parental cancer. The JBI qualitative systematic review approach was followed throughout, including quality appraisal, data extraction and a meta-aggregative synthesis. The reports were screened by two independent reviewers and conflicts were resolved by a third reviewer. The review was pre-registered on PROSPERO (CRD42023409596).</p><p><strong>Results: </strong>A total of 17 papers were included, published between 2007-2024. Findings indicate that young people experiencing parental cancer are lonely and deal with overwhelming emotions alone. Loneliness is intensified by a lack of understanding from peers and family constrained communication. Family and social support may protect young people against experiencing loneliness.</p><p><strong>Conclusions: </strong>Although there is a dearth of research on parental cancer which has focused on loneliness in this population, the analysis revealed that experiences of loneliness are indeed apparent in this cohort. Future research should focus on interviewing this population to develop a more comprehensive understanding of their lived experience.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 4","pages":"e70148"},"PeriodicalIF":3.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Living Well With Uncertainty in Advanced, Metastatic or Incurable Cancers: A Pragmatic Feasibility Study of the Adapting to Life With Cancer Cognitive ExisteNtial Therapy (ACCENT).","authors":"Cheryl Harris, Lauriane Giguère, Alanna Chu, Jani Lamarche, Tori Langmuir, Kerry Menelas, Nicole Rutkowski, Ghizlène Sehabi, Sophie Lebel","doi":"10.1002/pon.70140","DOIUrl":"https://doi.org/10.1002/pon.70140","url":null,"abstract":"<p><strong>Background: </strong>New treatments are contributing to individuals living longer with advanced, metastatic, or incurable (AMI) cancers. The impact of these treatments is unpredictable, resulting in considerable uncertainty for these patients. Currently, there are no interventions that effectively address uncertainty in AMI cancers. To fill this gap, we designed the Adapting to life with Cancer Cognitive ExisteNtial Therapy (ACCENT) intervention.</p><p><strong>Aim: </strong>To evaluate the feasibility, acceptability, and preliminary efficacy of ACCENT in AMI cancers.</p><p><strong>Methods: </strong>ACCENT was delivered online for 6 consecutive weekly sessions of 1.5 hours to five groups of six to seven patients. Thirty-two patients were interested in participating, but 2 did not complete the assessments pre- or post-intervention. A pragmatic feasibility study was conducted using data collected in routine clinical practice. Participants completed the Intolerance of Uncertainty Scale-Short Form, the Generalized Anxiety Disorder scale, and the Impact of Events Scale before and after the intervention. Post-intervention, participants answered open-ended questions to assess acceptability, rated their perceptions of improvement and usefulness, and completed the Satisfaction with Therapy and Therapist Scale.</p><p><strong>Results: </strong>ACCENT appears feasible with participants completing the intervention and all assessments between January 2022 and November 2023. It appears acceptable with an attrition rate of 12.5%, and a high degree of attendance and satisfaction. There was a non-significant decrease in intolerance of uncertainty, and a significant decrease in anxiety, and cancer-specific distress post-intervention.</p><p><strong>Conclusion: </strong>A randomized controlled pilot study is warranted to further evaluate ACCENT in patients with AMI cancers.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 4","pages":"e70140"},"PeriodicalIF":3.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11953013/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143743464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preferences of Cancer Survivors and Healthcare Providers for a Physical Activity Application: A Group Concept Mapping Study.","authors":"Emma Tack, Maya Braun, An De Groef, Lore Dams, Femke De Backere, Marthe Van Overbeke, Geert Crombez, Annick L De Paepe","doi":"10.1002/pon.70144","DOIUrl":"https://doi.org/10.1002/pon.70144","url":null,"abstract":"<p><strong>Background and aims: </strong>Mobile health (mHealth) interventions may help increase physical activity (PA) in diverse groups, including cancer survivors (CSs). Developing an intervention requires a needs assessment of stakeholders, focusing on the preferred features of the application from the perspectives of both CSs and healthcare providers (HCPs).</p><p><strong>Methods: </strong>Group concept mapping was used for this assessment. A first group of stakeholders (CSs: n = 14; HCPs: n = 12) brainstormed and generated statements about preferred app features. A second group (CSs: n = 16; HCPs: n = 23) sorted these statements into thematic clusters and rated their importance. The sorting data was combined, and (dis)similarity matrices were generated through multidimensional scaling. Rating data was aggregated for the overall group and the subgroups (CSs and HCPs) at both the cluster and the statement level.</p><p><strong>Results: </strong>The first phase resulted in 133 statements, which were reduced to 77 distinct preferred features. Analysis of the sorting data in phase two resulted in six clusters, which were labeled: (1) \"Information & Social Support,\" (2) \"Encouragement,\" (3) \"Practical Use,\" (4) \"Self-Monitoring & Feedback,\" (5) \"Planning & Goals,\" and (6) \"Personalization.\" Both groups rated \"Planning & Goals\" and \"Personalization\" as most important. CSs considered the \"Encouragement\" cluster as least important, whereas HCPs rated \"Information & Social Support\" the lowest.</p><p><strong>Conclusions: </strong>These insights can guide the development of interventions to promote a physically active lifestyle among CSs. Applications should prioritize goal setting, planning, and personalization to enhance user engagement. Diverse functionalities with user-friendly navigation are essential. Both stakeholder groups showed similar preferences, reflecting a shared vision for intervention development.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 4","pages":"e70144"},"PeriodicalIF":3.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Supporting Hematopoietic Stem Cell Transplant Family Caregivers: A Pilot Study of Nurse-Led Meaning-Centered Psychotherapy for Cancer Caregivers.","authors":"Natalie S McAndrew, Lyndsey Wallace, Jill Guttormson, Colleen McCracken, Maria Olex, Anjishnu Banerjee, Alexis Visotcky, Jennifer Bartowitz, Jennifer B Seaman, Jennifer M Knight, Betty Ferrell, Areej El-Jawahri, Allison J Applebaum","doi":"10.1002/pon.70142","DOIUrl":"https://doi.org/10.1002/pon.70142","url":null,"abstract":"<p><strong>Background: </strong>Family caregivers of patients undergoing hematopoietic stem cell transplantation (HSCT) experience significant challenges (e.g., witnessing suffering and experiencing loss and uncertainty) that contribute to existential distress and poor psychosocial outcomes. Meaning-Centered Psychotherapy for Cancer Caregivers (MCP-C) is a palliative-based intervention that targets existential distress by helping caregivers connect to sources of meaning in their lives.</p><p><strong>Aims: </strong>Test the feasibility and acceptability of nurse-delivered Meaning-Centered Psychotherapy for Cancer Caregivers (MCP-C) for caregivers of hematopoietic stem cell transplantation (HSCT) recipients.</p><p><strong>Methods: </strong>Single-arm pilot trial of 7-session palliative-based intervention delivered via Zoom/telephone. We enrolled 32 caregivers of adult autologous/allogeneic HSCT recipients at a tertiary care academic center. Feasibility was assessed by (1) ability to recruit 32 caregivers within the 20-month study enrollment period, (2) percentage who consented, (3) completed 4 or more intervention sessions, and (4) percentage who remained on study. Acceptability of MCP-C was assessed with Likert scale items and through exit interviews.</p><p><strong>Findings: </strong>We approached 90 caregivers in 11 months to recruit target sample of 32; 90.6% (n = 29) completed all sessions/assessments; 96% (n = 31) met benchmark of 4 sessions. In exit interviews (n = 22), participants endorsed the (1) value of MCP-C, (2) nurse interventionist's knowledge of transplant care, and (3) convenience of telehealth delivery.</p><p><strong>Conclusions: </strong>Nurse-delivered MCP-C via telehealth is feasible and acceptable for caregivers of HSCT recipients. A future randomized controlled trial is needed to fully evaluate the intervention's effect on caregiver outcomes.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 4","pages":"e70142"},"PeriodicalIF":3.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trajectories of Fear of Cancer Recurrence: A Longitudinal Study on Spouses of Young and Middle-Aged Patients With Breast Cancer Postoperative Chemotherapy.","authors":"Yanfang Zhang, Liangliang Sun, Long Zhao, Yuanyuan Yu, Manman Hu, Xi Wang, Hui Xie, Xiumu Yang","doi":"10.1002/pon.70136","DOIUrl":"https://doi.org/10.1002/pon.70136","url":null,"abstract":"<p><strong>Objective: </strong>Spouses of young and middle-aged patients diagnosed with breast cancer encounter various challenges, among which fear of cancer recurrence (FCR) is particularly prominent. This study aimed to identify distinct FCR trajectories and investigate related factors.</p><p><strong>Methods: </strong>A longitudinal study was conducted with 230 spouses of patients with breast cancer at a medical college affiliated hospital in China. FCR was assessed at five time points: 1-3 days before the surgery to 7 months after the surgery. A growth mixture model was used to identify latent categories of the FCR developmental trajectory. The Wilcoxon rank-sum test and multiple logistics regression were used to analyze the influencing factors for the FCR trajectories.</p><p><strong>Results: </strong>Three FCR trajectories were identified: recovery class (RC, 32.2%), gradually improved class (GIC, 53.1%), and high class (HC, 14.7%). The place of residence, chronic disease, primary caregiver, and education influenced the developmental trajectory of FCR in spouses of patients with breast cancer postoperative chemotherapy.</p><p><strong>Conclusions: </strong>Group heterogeneity in FCR was observed among spouses, mostly at moderate levels. Appropriate psychosocial care should be provided particularly to spouses with lower education levels and chronic conditions and those acting as primary caregivers.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 4","pages":"e70136"},"PeriodicalIF":3.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cancer-Related Masculine Threat in Young Adult Testicular Cancer Survivors: Associations With Biobehavioral Symptoms.","authors":"Michael A Hoyt, Zixia Wang, Christian J Nelson","doi":"10.1002/pon.70124","DOIUrl":"https://doi.org/10.1002/pon.70124","url":null,"abstract":"<p><strong>Objective: </strong>Cancer and cancer treatment have been experienced by some men as a threat to masculinity. Cancer-related masculine threat (CMT) reflects perceptions that cancer and cancer-related change are inconsistent with one's ideal masculine gender role. This secondary analysis examines associations of CMT with symptoms of sleep disturbance, anxiety, and depression, as well as levels of pro-inflammatory biomarkers in young adult men after testicular cancer.</p><p><strong>Methods: </strong>Forty-four young adult men (M age = 28 years; SD = 4.1) who had undergone chemotherapy for testicular cancer within the prior 2 years completed questionnaires and provided blood samples for immune assessments. Patient-reported measures assessed CMT, depressive symptoms, anxiety, and sleep quality.</p><p><strong>Results: </strong>CMT was significantly associated with poorer sleep quality (B = 0.50, p < 0.01), and more symptoms of depression (B = 0.47, p < 0.01) and anxiety (B = 0.54, p < 0.01). CMT was also related to higher circulating levels of IL-6 (B = 0.47, p < 0.05) and CRP (B = 0.33, p < 0.05), but not significantly associated with sTNFαRII.</p><p><strong>Conclusions: </strong>This study provides preliminary evidence for the associations of CMT and biobehavioral symptoms after treatment for testicular cancer. The identification of modifiable processes underpinning such symptoms is crucial to the design of behavioral interventions to reduce and manage persistent symptoms.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 4","pages":"e70124"},"PeriodicalIF":3.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}