Psycho‐Oncology最新文献

{"title":"Accepting to Participate in an Early-Phase Clinical Trial in Oncology: A Qualitative Study on the Patients' Experiences, Understanding, and Inner Motivations.","authors":"Estelle Guerdoux, Anne Stoebner, Louise Coutant, Marion Zamith-Chavant, Sylvie Dolbeault, Jessica Martinez, Marta Jarlier, Diego Tosi","doi":"10.1002/pon.70291","DOIUrl":"10.1002/pon.70291","url":null,"abstract":"<p><strong>Background: </strong>The clinical trial landscape in oncology has evolved, with shifting endpoints and increased emphasis on early-phase clinical trials (EPCTs) across European centers.</p><p><strong>Aims: </strong>This study aimed to update knowledge on the experiences of patients enrolling in EPCTs, focusing on the individual/contextual factors influencing decision-making, and how to improve ethical and psycho-oncological support.</p><p><strong>Methods: </strong>This qualitative single-center study was part of a broader multicenter project. Twenty-five patients with locally advanced or metastatic solid cancer, for whom standard therapies had failed, were interviewed face-to-face, at a French EPCT center. A reflexive thematic analysis of the transcripts was conducted, following Braun and Clarke's six-step approach.</p><p><strong>Results: </strong>Four overarching themes emerged: \"Experiencing the EPCT proposal\", \"Accepting the EPCT\", \"Ambivalent feelings\" and \"Coping strategies\", and several subthemes. Decisions were often made quickly in crisis situations and perceived as the only option. While patients reported receiving adequate information, their understanding of the trial's aims varied. Emotional distress and time pressure likely hindered full comprehension. Patients relied on trust in clinicians and reframed trial participation as a constructive goal, drawing on coping strategies to manage uncertainty and restore a sense of coherence.</p><p><strong>Conclusions: </strong>Patients were neither delusional nor misinformed, but their decisions were shaped by complex emotional and relational dynamics. The perception of being well informed does not ensure true understanding, especially in high-stress contexts. Ambivalent emotions, tensions between expectations and hopes, and constrained choices should be considered when tailoring supportive care. Evidence-based strategies are needed to enhance communication and shared decision-making in EPCT settings.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 10","pages":"e70291"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12491123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213501","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":"Measurement Properties of Health Information-Seeking Behavior Assessment Tools in Cancer Patients: A Systematic Review.","authors":"Yun Li, Li Wang, Xiao-Yan Dong, Ya-Di Zhang, Shu-Jing Suo, Yan Zhang, La-Mei Liu, Yan-Fei Liu","doi":"10.1002/pon.70298","DOIUrl":"https://doi.org/10.1002/pon.70298","url":null,"abstract":"<p><strong>Aims: </strong>To undertake a comprehensive systematic review of currently available instruments designed to assess health information-seeking behaviors among cancer patients, appraising their psychometric properties and methodological rigor to identify the most robust instrument for clinical application.</p><p><strong>Design: </strong>A systematic review based on COSMIN methodology.</p><p><strong>Date sources: </strong>Nine electronic databases CNKI, Wanfang, VIP, SinoMed, PubMed, Embase, Web of Science, CINAHL, and APA PsycINFO were systematically searched from inception until February 2025.</p><p><strong>Review methods: </strong>Employing a rigorously validated search methodology developed by Terwee, we systematically interrogated nine multinational databases spanning Chinese and English publications from inception through February 20, 2025, and targeting cancer patient populations. Following independent dual screening by researchers, the psychometric characteristics of identified instruments were systematically assessed using COSMIN quality criteria for measurement tool evaluation.</p><p><strong>Results: </strong>From the initial 6545 studies, 16 met the eligibility criteria, involving 11 instruments for evaluating health information-seeking behaviors in cancer populations. High-quality evidence revealed insufficient content validity for the BIAS and structural validity deficiencies in the HIOS, PSM, and MBSS, all assigned a class C recommendation, while the remaining seven instruments received class B ratings.</p><p><strong>Conclusion: </strong>Compared to the other 10 instruments, the MHISBQ measurement attributes are relatively comprehensive and can be provisionally recommended for use. However, there is still a need for large-scale studies involving diverse cancer populations to directly or indirectly compare psychological attributes, such as the stability and responsiveness of the MHISBQ. Additionally, these studies should track changes in HISB and explore its impact on patients, so that they can help guide the delivery of accurate health information and support for cancer patients.</p><p><strong>Registration: </strong>PROSPERO (CRD42024606469).</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 10","pages":"e70298"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145252230","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":"It's Normal. Untrustworthy Memorable Messages in Formal Caregiving for Breast Cancer Patients.","authors":"Emilia Mazurek, Renata Martinec, Brigita Vilč","doi":"10.1002/pon.70279","DOIUrl":"https://doi.org/10.1002/pon.70279","url":null,"abstract":"<p><strong>Background: </strong>The patient-doctor relationship, including communication, is recognised as a critical aspect of the patient experience. Memorable messages are a part of communication between patient and doctor. However, little is known which memorable messages reduce patients' trust in doctors or lead to distrust.</p><p><strong>Aims: </strong>To reconstruct memorable messages which breast cancer patients recalled while receiving care from their clinicians leads patients to distrust doctors.</p><p><strong>Methods: </strong>In-depth interviews were conducted with 24 breast cancer patients, in Poland and Croatia. Participants ranged in age from 34 to 76 years. Reflexive thematic analysis was used.</p><p><strong>Results: </strong>Breast cancer patients recalled many memorable messages that reduce trust in oncology care. The overarching theme of untrustworthy memorable messages was developed, and it embraces three themes: seemingly caring memorable messages, careless memorable messages, missing expected memorable messages. They come in verbal, nonverbal and absent forms. Patient's responses to them include drawing attention directly to inappropriate communication, changing the doctor, learning to be better prepared for medical encounters, or passive adaptation.</p><p><strong>Conclusions: </strong>These results enrich the studies on memorable messages, enhancing the understanding of communication behaviors in triggering distrust toward doctors. Although patients are aware that doctors are overworked, they expect care, attention, individual approach, understanding, and empathy. However, doctors sometimes give untrustworthy memorable messages - especially messages perceived as dismissive, harmful, inadequate, or absent although expected - throughout the cancer trajectory. Thus, greater attention should be given to eliminating untrustworthy memorable messages, improving the understanding of trust dynamics in oncology, psycho-oncology and health education.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 10","pages":"e70279"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233314","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":"A Three Factor Model of Parental Coping With Childhood Cancer.","authors":"Oz Hamtzani, Michael J Dolgin, Talma Kushnir","doi":"10.1002/pon.70294","DOIUrl":"10.1002/pon.70294","url":null,"abstract":"<p><strong>Objectives: </strong>Parents of children with cancer are at increased risk for anxiety, depression, and post-traumatic stress, although wide variability among parents has been documented. This cross-sectional study was designed to examine the individual contributions and simultaneous interaction of three coping constructs-coping strategy, repertoire of coping techniques, and flexibility in applying these techniques-in parental distress related to childhood cancer.</p><p><strong>Methods: </strong>A sample of 88 mothers and 57 fathers (N = 145) of children undergoing active cancer treatment were recruited from a pediatric hematology-oncology department. Parents' ages ranged from 22 to 58 years. Parents completed standardized measures including the Brief COPE, Coping Flexibility Scale-Revised, the Pediatric Parenting Stress Inventory, and the Profile of Mood States.</p><p><strong>Results: </strong>Avoidance-focused coping strategy, repertoire of coping techniques, and coping flexibility were individually found to be significantly correlated with parental distress. Bootstrap mediation analysis revealed that the collective model explained 37%-43% of the variance in parental distress, with avoidance-focused coping strategy emerging as the most significant predictor, accounting for approximately 29% of the total variance.</p><p><strong>Conclusions: </strong>These results suggest that clinical interventions should prioritize identifying and reducing parental reliance on avoidance-focused coping techniques as a primary target. Subsequently, expanding parents' repertoire of problem- and emotion-focused coping techniques and enhancing flexibility in their application could lead to better distress reduction. However, the cross-sectional design limits causal interpretation, and future longitudinal studies employing larger sample sizes are needed to establish the relationships between these constructs.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 10","pages":"e70294"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12503083/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239440","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":"Cancer in Poetry-Poetry in Cancer: A Linguistic Analysis of Poems by Poets on Their Own Cancer and on the Cancer of Their Loved Ones.","authors":"Ad A Kaptein, Waldie E Hanser, Jan W Schoones, Peter Boot, James W Pennebaker, Brian M Hughes","doi":"10.1002/pon.70297","DOIUrl":"https://doi.org/10.1002/pon.70297","url":null,"abstract":"<p><strong>Background: </strong>Poems related to cancer offer a rich perspective on the clinical reality of living with cancer. Therefore, in this paper, poems written by poets about their own cancer and about the cancer of loved ones are examined in the context of communal coping.</p><p><strong>Methods: </strong>We analyzed 123 poems by 14 poets writing about their own cancer, and 72 poems by 8 poets writing about the cancer of their loved ones, with Linguistic Inquiry and Word Count software (LIWC).</p><p><strong>Results: </strong>LIWC-scores drawn from poems about one's own cancer exhibited a limited use of \"third-person singular\", social words (\"family\", \"female\", \"male\"), and time orientation (\"focus past\"), and an increased focus on the present. Support for this observation comes from significant correlations between words related to the present, body, and health, with strong, negative emotions. Poems about loved ones who suffer cancer tend to focus on grief and mourning, and to exhibit melancholy and represent paternal, maternal, spousal, and filial elegies.</p><p><strong>Conclusions: </strong>The linguistic characteristics and content of poems by poets writing about their cancer or about the cancer of their loved ones provides rich insights. This linguistic analysis of poems regarding cancer can be used in the further development of theory and clinical application of self-management approaches for persons with cancer, in support of expressive writing interventions, bibliotherapy, photovoice, art therapy, and health humanities.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 10","pages":"e70297"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145252218","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":"Psychosocial Risk Factors and Perceived Well-Being in Survivors of Gastrointestinal Cancer.","authors":"Samuel D Butensky, Kurt S Schultz, Elizabeth L Godfrey, Jihoon Kim, Tara Sanft, Caroline H Johnson, Ira L Leeds, Sajid A Khan","doi":"10.1002/pon.70302","DOIUrl":"https://doi.org/10.1002/pon.70302","url":null,"abstract":"<p><strong>Background: </strong>There are 18 million cancer survivors in the United States; 10% have gastrointestinal (GI) cancer. Psychosocial risk factors (PSRF) and perceived health (PH) are important to their well-being.</p><p><strong>Aims: </strong>This study examines PSRF among survivors of GI cancer and evaluates their association with PH.</p><p><strong>Methods: </strong>A cross-sectional analysis of the All of Us Research Program included survivors of GI cancer who completed Social Determinants of Health and Overall Health surveys. PSRF were assessed using validated scales. Regression models evaluated associations between PSRF and PH.</p><p><strong>Results: </strong>13,813 patients with GI cancer were included. Female patients were more likely to perceive good physical health (OR 1.52 [95% CI: 1.30-1.79]) than male patients. Black patients reported higher discrimination (β 0.25 [95% CI: 0.20-0.31]) compared to white patients. Increased loneliness and stress decreased the odds of reporting good mental health by 53% (OR 0.47 [95% CI: 0.39-0.56]) and 39% (OR 0.61 [95% CI: 0.50-0.74]), respectively. Increased spirituality was associated with improved perceived mental health (OR 1.12 [95% CI: 1.06-1.17]). Healthcare discrimination (OR 0.87 [95% CI: 0.79-0.97]) and loneliness (OR 0.84 [95% CI: 0.73-0.97]) were negatively associated with perceived physical health. Social support (OR 1.16 [95% CI: 1.06-1.26]) and spirituality (OR 1.08 [95% CI: 1.02-1.14]) were positively associated with quality of life.</p><p><strong>Conclusion: </strong>Protective PSRF such as social support and spirituality are correlated with better perceived health in survivors of GI cancer. Tailoring supportive services based on patient-reported experience may help improve quality of life in cancer survivorship.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 10","pages":"e70302"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259059","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":"Balancing Treatment Efficacy and Cardiovascular Risk: Implications for Psychosocial Care in Men With Castration-Resistant Prostate Cancer.","authors":"Ewan K Cobran, Umar Afzal, Lanyu Mi","doi":"10.1002/pon.70300","DOIUrl":"https://doi.org/10.1002/pon.70300","url":null,"abstract":"","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 10","pages":"e70300"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145252211","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 Effect of Life Coaching on Post-Traumatic Growth and Well-Being in Breast Cancer Survivors: A Randomized Controlled Trial.","authors":"Wing Lam Tock, Christine Maheu, Sophie Blondin, Virginia Lee, Sabine Neuman, Sarkis Meterissian","doi":"10.1002/pon.70295","DOIUrl":"https://doi.org/10.1002/pon.70295","url":null,"abstract":"<p><strong>Background: </strong>Breast cancer survivors often experience psychosocial challenges, including fear of cancer recurrence, diminished quality of life, and are less aware of the potential for post-traumatic growth. Life coaching is a strengths-based, goal-directed approach that may promote adjustment and recovery after cancer.</p><p><strong>Aim: </strong>This randomized controlled trial evaluated the effects of a life coaching intervention on post-traumatic growth (PTG), fear of cancer recurrence (FCR), and quality of life (QoL) in breast cancer survivors post-treatment.</p><p><strong>Methods: </strong>In a three-arm randomized controlled trial at a single site, 90 women with stage I-III breast cancer were randomized to three study arms: (1) group + individual coaching, (2) group coaching only, or (3) control group receiving routine care. Coaching was delivered virtually over 15-18 weeks. The three study outcomes (PTG, FCR, QoL) were assessed at baseline, post-group coaching (T1), end of intervention (T2), and 3-month follow-up (T3). Analyses included generalized estimating equations and analysis of covariance models.</p><p><strong>Results: </strong>Across the three study outcomes, no sustained or broad statistically significant improvements were observed for either experimental arms compared with control. At T2, arm 1 participants reported higher scores on the post-traumatic growth inventory \"new possibilities\" subscale compared with control (OR = 1.078, 95% CI [1.00, 1.16], p = 0.0382), and arm 2 participants reported lower FCR scores than control (p = 0.0159); however, neither effect was maintained at T3. Significant differences were also observed for three QoL domains (ability to participate in social roles, fatigue, and pain interference). No significant differences were found for the remaining post-traumatic growth inventory subscales or QoL domains.</p><p><strong>Conclusions: </strong>This first randomized controlled trial of life coaching in cancer survivorship found no sustained improvements in post-traumatic growth, fear of cancer recurrence, or quality of life. Limited short-term benefits suggest the intervention, in its current form, is unlikely to yield lasting psychosocial gains, underscoring the need to refine both content and outcome measures in future research.</p><p><strong>Trial registration: </strong>Clinical Trial Registry (NCT05020561).</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 10","pages":"e70295"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259081","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":"Investigating the Pre-Implementation Facilitators and Barriers of the Implementation of the Fear of Recurrence Therapy (FORT) Intervention in Canadian Cancer Centers.","authors":"Sophie Lebel, Alanna Chu, Florence Gourgues, Emma Kearns, America Prudent, Ghizlène Sehabi, Yasmine W Sehabi, Sara Beattie, Sheila N Garland, Cheryl Harris, Jennifer Jones, Christine Maheu, Jacqueline L Bender, Andrea Feldstain, Josée Savard, Robin Urquhart, Agnihotram V Ramanakumar, Claudia Hernandez, Linda E Carlson","doi":"10.1002/pon.70293","DOIUrl":"10.1002/pon.70293","url":null,"abstract":"<p><strong>Objectives: </strong>Fear of cancer recurrence (FCR) is the number one unmet psychosocial need of cancer survivors. Fortunately, several interventions have demonstrated their efficacy in reducing FCR in randomized controlled trials (RCTs), including the Fear of Recurrence Therapy (FORT) intervention, a 6-week, cognitive-existential group therapy. However, few interventions are implemented in routine clinical care. The present study aims to document pre-implementation facilitators and barriers from the perspectives of clinicians and decision-makers to prepare the implementation of FORT in Canadian cancer centers.</p><p><strong>Methods: </strong>This mixed-methods comparative case study evaluated the process of implementing FORT in 5 Canadian clinical sites. Prior to implementation, we conducted individual semi-structured interviews with clinicians and decision-makers at each site, based on the Consolidated Framework for Implementation Research (CFIR), to uncover barriers and facilitators of implementation. Content analysis was performed on the interviews using the NVivo template provided by the CFIR.</p><p><strong>Results: </strong>We interviewed 20 managers/decision-makers and clinicians who reported facilitators common to all sites: (1) an awareness of the need for an FCR intervention; (2) the perceived benefit of FORT's group format to reduce waitlists for individual FCR services; and (3) that offering an evidence-based intervention was within the mission of their institution. All sites identified staff shortage and concerns for equitable access to FORT as the main barriers. Each site had additional unique barriers.</p><p><strong>Conclusion: </strong>This analysis of facilitators and barriers will directly contribute to the selection of site-specific strategies and tools to optimize the implementation of FORT.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 10","pages":"e70293"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12504804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245064","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":"Which Psycho-Oncological Interventions Are Applied in an Acute Care Hospital in Germany?-An Exploratory Retrospective Cross-Sectional Single Center Study.","authors":"Marietta Lieb, Martina Madl, Eva Morawa, Yesim Erim","doi":"10.1002/pon.70284","DOIUrl":"10.1002/pon.70284","url":null,"abstract":"<p><strong>Background: </strong>A psycho-oncological service (POS) is mandatory for certified cancer centers in Germany. However, research on what specific interventions are used in acute cancer care is lacking.</p><p><strong>Aims: </strong>The aim of our study was to quantify the use and context-specific application patterns of psycho-oncological interventions used during psycho-oncological contacts.</p><p><strong>Methods: </strong>This is an exploratory retrospective cross-sectional single-center study, analyzing data from the POS from the University Hospital in Erlangen from the year 2023. In the hospital's digital documentation system, each psycho-oncological session is recorded and the applied interventions are specified according to a self-developed taxonomy. We analyzed the number and type of applied interventions and examined their association with gender, age, cancer entity and tumor situation.</p><p><strong>Results: </strong>In 2023, 2636 patients had 5615 psycho-oncological contacts. Interventions most frequently applied in sessions lasting more than 10 min were Exploration of the current state, Establishing the relationship, Validating, Normalizing and Working on resources. Normalization was more often used for female than male patients. Psycho-education, Establishing the relationship, Exploration of current state, Counseling and Normalizing were more frequently applied for younger patients. Existential methods were used predominantly for patients with metastasized initial disease. Patients with hematological cancer had the highest rates for most interventions.</p><p><strong>Conclusions: </strong>There are interventions that are inherent to nearly all psycho-oncological contacts, forming the core components of psycho-oncological contacts. Interventions less frequently used seem to be applied according to the patients' needs. Psycho-oncological support therefore means flexible utilization of therapeutic interventions, making it a relevant part of comprehensive oncological treatment.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 10","pages":"e70284"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12485297/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145200855","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}