Psycho‐Oncology最新文献

{"title":"School Bullying of Childhood Leukemia Survivors.","authors":"Yaacov B Yablon, Sigal Eden, Michal Dayan-Sharabi, Yifat Ezer-Cohen, Dina Mazor-Yehezkel, Moria Charka, Sigal Dahan, Gali Avrahami, Shlomit Barzilai-Birenboim, Gil Gilad, Liron Martin, Irit Schwartz-Attias, Anat Yahel, Shai Izraeli, Naomi Litichever, Sarah Elitzur","doi":"10.1002/pon.70244","DOIUrl":"10.1002/pon.70244","url":null,"abstract":"<p><strong>Background: </strong>With improving childhood cancer cure rates, there is a growing focus on the long-term health and well-being of survivors. School reintegration is crucial for their rehabilitation and psychosocial adaptation, yet little is known about school violence and bullying faced by cancer survivors upon their return.</p><p><strong>Aims: </strong>This study aimed to investigate the prevalence and forms of school bullying against childhood acute lymphoblastic leukemia (ALL) survivors, identifying risk and protective factors.</p><p><strong>Methods: </strong>ALL survivors aged 6-18 years were assessed through interviews and questionnaires. A paired comparison group of healthy students was recruited from their classrooms.</p><p><strong>Results: </strong>The study included 70 students from grades 6-12 (mean age 14.9 ± 1.82 years), comprising 35 ALL survivors and a paired comparison group. ALL survivors endured more physical (M = 1.64, SD = 1.00) and relational bullying (M = 1.50, SD = 1.04) than their healthy classmates (M = 0.90, SD = 0.58; M = 0.90, SD = 0.51 respectively), while facing similar verbal bullying levels (M = 1.71, SD = 0.99 vs. M = 1.38, SD = 0.69). However, survivors reported less cyberbullying (M = 0.45, SD = 0.36) and severe bullying (M = 0.41, SD = 0.05) than their healthy classmates (M = 1.49, SD = 0.48; M = 0.66, SD = 0.53 respectively). Survivors who returned to a different school cohort post-remission faced higher bullying risks than those who rejoined their original cohort (-0.79 < β < -0.92; p < 0.001). Physical disfigurements following cancer treatment were a risk factor for victimization only among those who returned to their original cohort.</p><p><strong>Conclusions: </strong>The findings highlight the unique challenges faced by childhood leukemia survivors in school reintegration after cancer therapy, emphasizing the significant effect of the school cohort environment on their bullying experiences.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 8","pages":"e70244"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12306848/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144744540","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":"From \"Where Are the Latinos?\" to \"How to Find Them\": A Qualitative Study to Inform Recruitment Efforts in an On-Going Psychosocial Cancer Trial for Dyads of Latina Cancer Survivors and Their Intimate Partners.","authors":"Rolando F Trejos, Gabriella Sanabria, Erik Ruiz, Melody Chavez, Gabriel Quiros, Nele Loecher, Laura B Oswald, Sejal Barden, Brian Doss, Dinorah Martinez-Tyson","doi":"10.1002/pon.70247","DOIUrl":"https://doi.org/10.1002/pon.70247","url":null,"abstract":"<p><strong>Background: </strong>The underrepresentation of Latino cancer survivors and their intimate partners (IP) in psychosocial cancer trials hinders progress in tackling inequities in cancer prevention and control.</p><p><strong>Aims: </strong>To explore recruitment and enrollment strategies for LBCS and their IPs into a cancer trial evaluating a psychosocial intervention aiming to improve couples' communication and sexual intimacy.</p><p><strong>Methods: </strong>This qualitative study applied a structural coding approach and content analysis methodologies to identify emerging themes on LBCS and IP recruitment used to inform active recruitment strategies in an on-going psychosocial cancer trial. Between April and June 2022, 21 LBCS and five IP participated in in-depth interviews and focus groups. Other data sources included community advisory board (CAB) meeting minutes conducted in 2023 and 2024, and on-going feedback from the trial's CAB.</p><p><strong>Results: </strong>The emerging themes are (1) We want to participate together: LBCS and IP are interested in dyadic cancer navigation; (2) The salient impact of altruism in Latino enrollment decision-making (to enroll vs. not to enroll); (3) Understanding Latino cultural values in the context of recruiting and enrolling Latinos and their IP; and (4) Navigating Latino taboos regarding intimacy and confidentiality for recruiting and enrolling dyads.</p><p><strong>Conclusions: </strong>Study findings underscore the importance of developing, implementing, and evaluating strategies to recruit Latinos that acknowledge altruism and personalismo, improve trust in research personnel, and promote participation of intimate partners and family members. The findings are being actively implemented in recruitment strategies for an on-going psychosocial cancer trial.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 8","pages":"e70247"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144744538","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":"Navigating the Hardship Together: Factors Associated With Couple Relationship Functioning in Parents With Cancer Who Have Dependent Children.","authors":"Andrea Hess Engström, Anette Alvariza, Astrid Kuylenstierna, Anna Wikman, Lisa Ljungman","doi":"10.1002/pon.70245","DOIUrl":"10.1002/pon.70245","url":null,"abstract":"<p><strong>Background: </strong>When a parent is diagnosed with cancer, it often affects both family life and the couple relationship significantly. However, research on factors that influence relationship functioning over time in this population is limited.</p><p><strong>Aims: </strong>To investigate the development of relationship functioning and factors associated with relationship functioning over a 1-year period among parents with cancer.</p><p><strong>Methods: </strong>In this longitudinal study, 180 parents with cancer, aged 24-60 years, with dependent children completed online surveys at 2 time-points: at inclusion (T1) and 1 year later (T2). Data included self-reported sociodemographic, physical health and psychological factors, and relationship functioning. The outcome was relationship functioning at T2 assessed using 4 subscales (Dyadic cohesion, Dyadic satisfaction, Sensuality, and Sexuality) of the validated self-assessment scale Quality of Dyadic Relationship Scale-36 (QDR). Linear regression analyses were conducted to identify factors associated with the outcome.</p><p><strong>Results: </strong>All aspects of relationship functioning statistically declined over time, except sexuality. After adjusting for multiple T1 factors, completion of cancer treatment predicted higher Dyadic cohesion; poor self-rated health predicted lower Dyadic satisfaction; higher age, being a mother and attachment-related anxiety predicted lower Sensuality; and lower age of youngest child, anxiety and attachment-related anxiety predicted lower Sexuality.</p><p><strong>Conclusions: </strong>Cancer significantly impacts relationship functioning among parents with cancer who have dependent children, with significant declines in Dyadic cohesion, Dyadic satisfaction, and Sensuality over time. A number of sociodemographic, physical health and psychological factors were shown to predict lower relationship functioning. Addressing these factors may help identify and support parents with cancer who are at risk of, or who perceive, difficulties in their couple relationship.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 8","pages":"e70245"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12306854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144744539","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":"Communication and Support-Focused Experiences and Needs of Young Adult Couples Coping With Cancer: A Qualitative Study.","authors":"Katie Darabos, Sharon L Manne, Katie A Devine, Sean McHugh, Shannon Desbiens","doi":"10.1002/pon.70248","DOIUrl":"10.1002/pon.70248","url":null,"abstract":"<p><strong>Background: </strong>Cancer among young adult (YA) couples is a profoundly distressing experience, extracting a significant toll on YA couples' relationships (e.g., with partners, family, friends). It is well recognized that effective communication within social relationships is critical for fostering well-being among couples coping with cancer. Despite this, limited research exists focused on communication and support needs among YA couples.</p><p><strong>Aims: </strong>Through qualitative semi-structured interviews, we explored the unique needs and experiences of YA couples with a focus on communication and support within their relationship and with their social support networks.</p><p><strong>Methods: </strong>Fifteen semi-structured interviews were conducted with YA couples. YA survivors were eligible if they were diagnosed with cancer as a young adult (aged 18-39) within the past 5 years. Relevant themes in literature guided the development and use of semi-structured interview guides.</p><p><strong>Results: </strong>Content-structuring qualitative analysis was used to identify themes. Across 15 YA couples, four main themes emerged: dyadic communication, dyadic relationship changes, social support network challenges and opportunities, and resource needs.</p><p><strong>Conclusions: </strong>Results highlight YA couples' communication and support needs that are central, and external, to the couple. These findings elucidate how YA couples navigate the cancer experience together, highlighting experiences, needs, and concerns that are central to the developmentally off-time nature of cancer during their relationship. Additionally, results have implications for intervention development focused on communication and support among this vulnerable and underrepresented YA couple population.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 8","pages":"e70248"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12310421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754121","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":"Exercise That Feels as Good as Possible: Acceptability of an Affect-Based Exercise Prescription Among Stage 0-III Breast Cancer Survivors.","authors":"Courtney J Stevens, Carly A Bobak, Kali J Morrissette, Ryan C Thompson, Kathleen Doyle Lyons, Grace M Wallace, Amanda J Emerson, David E Conroy, David M Williams, Mary D Chamberlin, Martha L Bruce","doi":"10.1002/pon.70225","DOIUrl":"10.1002/pon.70225","url":null,"abstract":"<p><strong>Background: </strong>Leaders in the field have called for exercise counseling to become standard of care by 2029. An Affect-based exercise prescription (Affect-Rx) may be a viable strategy for supporting this effort.</p><p><strong>Aims: </strong>Guided by the ORBIT Model for developing behavioral treatments, this Phase 1b study evaluated breast cancer survivors' perceived acceptability of Affect-Rx. Additionally, the feasibility of trial methods and opportunities for protocol refinements were assessed.</p><p><strong>Method: </strong>Participants were 36 stage 0-III breast cancer survivors within 5 years of completing primary cancer treatment. Demographics were collected at baseline and via medical record review. Affect-Rx was delivered in conjunction with a low-touch, physical activity promotion intervention over videoconference call. At end-of-study, participants rated Affect-Rx using the Treatment Acceptability and Preferences (TAP) Measure. Participants responded to the Stanford L-Cat at baseline and end-of-study. ActiGraph wGT3X-BT accelerometers measured moderate-vigorous physical activity (MVPA) over 10-day periods at baseline and follow-up.</p><p><strong>Results: </strong>Affect-Rx was rated acceptable (TAP overall M = 3.30, SD = 0.53). Study retention and accelerometer measurement completion was ≥ 80% across time. L-Cat scores were discordant from accelerometer-measured MVPA at baseline.</p><p><strong>Conclusions: </strong>Affect-Rx warrants further testing. The trial methods were feasible; however, physical inactivity verification procedures along with targeted recruitment efforts are needed to support future work. The field needs intervention strategies that can be deployed with limited resources and at low cost to offer survivors exercise counseling support in line with the new National Standards for Cancer Survivorship Care, the affect-based exercise prescription is designed to serve this mission.</p><p><strong>Trial registration: </strong>The study protocol was registered with ClinicalTrials.gov prior to the initiation of participant recruitment NCT04903249.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 8","pages":"e70225"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144744537","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":"The Process of Cancer Prevention Behaviors in Individuals at High Risk of Hereditary Cancer: A Grounded Theory Study.","authors":"Kyunghwa Lee, Sue Kim, Hyangkyu Lee, Sanghee Kim, Tae Il Kim, Eui Geum Oh","doi":"10.1002/pon.70246","DOIUrl":"https://doi.org/10.1002/pon.70246","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to explore the process of cancer prevention behaviors in individuals at high risk of hereditary cancer in Korea.</p><p><strong>Methods: </strong>We included 10 adults with pathogenic variants in genes related to hereditary breast and ovarian cancer syndrome, hereditary non-polyposis colorectal cancer, or familial adenomatous polyposis, but who had never been diagnosed with cancer. Data were collected through in-depth interviews at the cancer prevention center of a tertiary hospital in Korea. Data were analyzed using the grounded theory method proposed by Corbin and Strauss.</p><p><strong>Results: </strong>50 concepts, 20 subcategories, and 10 categories were identified. The categories were as follows: (1) identifying genetic vulnerability, (2) facing the risk of cancer, (3) negative emotions caused by the cancer risk-like destiny, (4) support from medical staff and providing information for hereditary cancer, (5) expanding support for medical expenses at the national level, (6) Exploring information on hereditary cancer and cancer prevention, (7) cancer screening for early detection, (8) lifestyle for cancer prevention, (9) risk-reduction surgery to relieve cancer fear, and (10) living with fear and worry. The core category for the process of cancer prevention behavior in individuals at high risk of hereditary cancer was \"managing cancer fear\".</p><p><strong>Conclusion: </strong>Person-centered counseling and educational interventions to support cancer prevention in individuals at high risk of hereditary cancer should be developed and should include assessing psychosocial symptoms, including fear of cancer, and managing it. Making an appropriate system for medical expenses should be considered.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 8","pages":"e70246"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761079","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":"Study of Uprooting in Pediatric Cancer Care for Children From the French West Indies and Guiana Treated in Mainland France: A Qualitative Study.","authors":"Chloe Vanlaer, Claire Dichamp, Narcisse Elenga, Frederique Delion, Graziella Raimondo, Sylvie Fasola, Sandrine Haghiri, Katell Michaux, Yves Hatchuel, Benjamin Faivre, Etienne Seigneur, Marie Simbozel, Quentin Neven, Céline Khouri, Arthur Felix, Anais Ogrizek","doi":"10.1002/pon.70242","DOIUrl":"10.1002/pon.70242","url":null,"abstract":"<p><strong>Background: </strong>A diagnosis of childhood cancer has a profound impact on families, especially when treatment requires relocation. Children from the French West Indies (FWI) and French Guiana (FG) are often treated in specialized centers in mainland France, resulting in physical and cultural uprooting that poses unique psychosocial challenges.</p><p><strong>Aims: </strong>This study explores the impact of uprooting on the dynamics and well-being of these families.</p><p><strong>Methods: </strong>This qualitative observational study used semi-structured interviews with parents of pediatric cancer patients from the FWI and FG. Eligible participants were French-speaking primary caregivers with parental authority who accompanied their children for treatment in mainland France. Interviews were conducted between November 2023 and February 2024, recorded, transcribed, and analyzed using Interpretative Phenomenological Analysis with NVivo software.</p><p><strong>Results: </strong>Among the 10 families interviewed, uprooting significantly disrupted family dynamics and required complex adjustments. Parents reported challenges in accessing resources to manage the stress of their child's diagnosis and treatment, but expressed overall satisfaction with the healthcare received. Psychological support was essential, with many finding comfort in religious practices. Financial and social difficulties were common. Children generally adapted better than expected but struggled with separation from their familiar environment, while siblings often felt abandoned.</p><p><strong>Conclusion: </strong>This study is the first to examine the impact of uprooting on childhood cancer treatment for families from this region. Providing care closer to home may reduce psychological and financial burdens. Recommendations include establishing regional pediatric oncology units and increased support from social services. Future research should focus on non-accompanying parents, siblings, and schooling to understand the long-term effects on survivors and develop targeted psychological and social interventions.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 8","pages":"e70242"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12306847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144744541","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":"Cost-Utility Analysis of a Group Mindfulness Program Compared to an Education Support Program for Breast Cancer Survivors With Cognitive Impairment: Evidence From a Randomized Controlled Trial.","authors":"Hongdao Meng, Cecile A Lengacher, Rio Tate, Carmen Rodríguez, Kevin E Kip, Jong Y Park, Gizem Hueluer, Anh Thy Nguyen, Sandra Morgan, Sara Tinsley, Britney Veal, Anisha Joshi, Mahathi Krothapalli, Sreenidhi Nidamanur, Charles Cox, Lynne S Padgett, Manolete Moscoso, Elizabeth Bornstein, Jean M Lucas, Tamela Fonseca, Kristine A Donovan, Ramya Chamkeri, Richard R Reich","doi":"10.1002/pon.70220","DOIUrl":"10.1002/pon.70220","url":null,"abstract":"<p><strong>Objective: </strong>To conduct an economic evaluation of a group mindfulness program compared to an education support program for breast cancer survivors (BCS).</p><p><strong>Methods: </strong>The cost-utility analysis (cost per quality-adjusted life year [QALY]) was performed from a single-center randomized controlled trial in the United States. Data from 181 BCS were included in the analysis (91 from the mindfulness-based stress reduction for breast cancer, MBSR(BC) and 90 from the Breast Cancer Education Support, (BCES)). Analyses were conducted from two perspectives: societal and healthcare system. The EuroQol EQ-5D-5L was used to measure quality of life and the Client Service Receipt Inventory (CSRI) was used to measure health services utilization from baseline through 26 weeks. The impact of MBSR(BC) on health services utilization and costs was estimated with generalized linear models.</p><p><strong>Results: </strong>In the reference case analyses (societal perspective), the average total cost in the MBSR(BC) group was $5744 compared with $6140 in the BCES group. At the end of follow-up, the MBSR(BC) group dominated BCES in terms of Incremental Cost Utility Ratio (ICUR), with MBSR(BC) providing an incremental cost of -$541 (95% CI: -$3400, $2318) and a 0.021 QALY (95% CI: -0.014, 0.055). Net monetary benefit (NMB) analysis showed that MBSR(BC) has a higher probability of achieving positive NMB across a range of possible societal willingness-to-pay for improving quality of life.</p><p><strong>Conclusions: </strong>Our findings suggest that MBSR(BC) is likely to be cost-effective for breast cancer survivors over 6 months. Cost savings primarily resulted from reduced ER and hospital admissions and tests.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 7","pages":"e70220"},"PeriodicalIF":3.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691297","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":"Unveiling the Unspoken: Exploring Taboo Thoughts and Difficult Experiences Among Carers of People With Brain Cancer.","authors":"Emma McDougall, Sara Nordentoft, Sine Kjærgaard, Georgia K B Halkett, Anna K Nowak, Haryana M Dhillon, Lauren J Breen, Karin Piil","doi":"10.1002/pon.70231","DOIUrl":"10.1002/pon.70231","url":null,"abstract":"<p><strong>Objective: </strong>The primary objective of this research was to explore the rarely discussed, often unspoken, taboo thoughts and difficult emotions experienced by carers who support individuals with brain tumour related personality and behaviour changes. A secondary aim of this study was to examine coping strategies used by these carers.</p><p><strong>Methods: </strong>A qualitative interview study was conducted with participants from Australia (n = 7) and Denmark (n = 6) (92% female, aged 42-68 years) who had been or were current carers for someone with a primary malignant brain tumour who was displaying personality changes. Semi-structured interviews were conducted. Using thematic analysis, key themes were identified.</p><p><strong>Results: </strong>Four key themes related to carers' unspoken thoughts were identified: (1) Staying safe: \"His aggression was just out of this world\"; (2) Conflicting and complex emotions: \"I love him for who he was\"; (3) Wishing for the end with grief and relief and (4) Experiences of patient death and end of life treatment decisions. Carers described five coping strategies: (1) Commitment to care; (2) Life alongside carer role; (3) Acceptance of circumstances; (4) Self-silencing; and (5) Information seeking and safety planning.</p><p><strong>Conclusions: </strong>The relentless nature of this disease and potential treatment side effects places an immense burden on carers that often is unspoken. The findings highlight the importance of healthcare professionals providing support for carers, in asking about their experience, and appropriate assessment and management of brain tumour related aggression. The results hold the potential to inform targeted interventions for the unique challenges faced by carers supporting someone with brain tumour related personality and behaviour changes.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 7","pages":"e70231"},"PeriodicalIF":3.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12267670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650270","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":"Suicide Ideation, Attempt and Mortality in Childhood Cancer Survivors a Scoping Review of the Literature.","authors":"Eva De Clercq, Simone Nadine Föhn, Gisela Michel","doi":"10.1002/pon.70197","DOIUrl":"10.1002/pon.70197","url":null,"abstract":"<p><strong>Objectives: </strong>Despite improved long-term prognosis, childhood cancer survivors often experience many long-term complications, which severely affect their quality of life. The aim of this scoping review is to summarize empirical evidence on suicidal ideation, attempt and mortality in childhood cancer survivors in order to contribute to the further development of survivorship follow-up care.</p><p><strong>Methods: </strong>Six databases were systematically searched (PubMed, Scopus, Cochrane library, CINAHL, PsycINFO and Embase). Included studies were published in peer-reviewed journals, used quantitative or mixed research methods. The review was conducted and reported by adhering to the guidelines of the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews.</p><p><strong>Results: </strong>Although there were important differences in the reported prevalence of suicidality (i.e. ideation, attempt and mortality) in the retrieved literature, overall the risk of suicide mortality (0.1%-1.6%) among childhood cancer survivors seems low. The risk of suicide attempt ranged between 0.44% and 3.3%. The overall risk of suicidal ideation appears to be relatively common (4.3%-17%). Across studies, there were numerous inconsistencies regarding the impact of specific risk factors on suicidality. Included studies often did not report on the identification of protective factors or on the development of population specific preventative interventions.</p><p><strong>Conclusion: </strong>Suicidal ideation is a profound form of emotional and psychological distress, and therefore an important quality of life issue for survivors and their families. Universal screening by suicide specific screens throughout the continuum of survivorship should be the recommended approach in the absence of clear risk factors that identify which childhood cancer survivors are the most vulnerable to suicidality.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 7","pages":"e70197"},"PeriodicalIF":3.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12241763/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601302","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}