Psycho‐Oncology最新文献

{"title":"Connections After Cancer: Adolescent and Young Adult Survivors' Perspectives on Forming New Friendships After Cancer.","authors":"Carly D Miron, Zeba N Ahmad, Jennifer S Ford","doi":"10.1002/pon.70066","DOIUrl":"https://doi.org/10.1002/pon.70066","url":null,"abstract":"<p><strong>Objective: </strong>The psychological and social challenges of an adolescent and young adult (AYA) cancer diagnosis often transcend physical health, impacting one's social network during a time when peer connections may be most crucial for support. The current study examines adolescent and young adult (AYA) cancer survivors' perspectives on how cancer impacts their thoughts and behaviors toward forming new peer relationships.</p><p><strong>Methods: </strong>Thirty-five YA survivors (Mean age = 33 ± 5.67 years) diagnosed with cancer between 18 and 39 years participated in individual semi-structured interviews. Interviews were coded and analyzed to identify major themes.</p><p><strong>Results: </strong>When pursuing friendships with non-cancer peers, survivors mentioned discomfort in disclosing, connection through mutual hardship, and revised outlooks on friendship. While befriending new non-cancer peers offered opportunities to be surrounded by positive people, seeking out these friendships was complicated by a desire to find people who understood hardship and could respond well to their cancer status. When forming relationships with cancer peers, AYAs emphasized the shared cancer experience, wariness of negative exposures, and consideration of similarity in cancer factors. They sought shared understanding and validation from cancer peers but were also cautious about exposure to reminders of illness and mindful that certain dissimilarities could hinder the establishment of meaningful connections.</p><p><strong>Conclusions: </strong>Findings provide insight into the complex ways that cancer shapes AYA survivors' approach to forming friendships post-diagnosis, presenting guidance on tailored support interventions and resources that can aid in fostering healthy peer relationships and enhance well-being among AYA survivors.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 1","pages":"e70066"},"PeriodicalIF":3.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915081","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 Correlates of Death Anxiety in Advanced Cancer: A Scoping Review.","authors":"Tyler L Brown, Philippa Chown, Sheldon Solomon, Genevieve Gore, Janet M De Groot, Christopher J MacKinnon, Gary Rodin, Justin J Sanders","doi":"10.1002/pon.70068","DOIUrl":"10.1002/pon.70068","url":null,"abstract":"<p><strong>Objectives: </strong>Individuals living with advanced cancer commonly experience death anxiety, which refers to the distressing thoughts or feelings associated with awareness of one's mortality. Deriving an overview of existing literature on the psychological and social factors linked to death anxiety may inform conceptual models, clinical screening, and intervention strategies in oncology and palliative care. Therefore, the present scoping review was conducted to summarize the current literature on the psychosocial correlates of death anxiety among individuals with advanced cancer.</p><p><strong>Methods: </strong>A comprehensive scoping review methodology was used following the Arksey and O'Malley framework. A literature search was conducted using four electronic databases: CINAHL, Embase, PsycInfo, and MEDLINE. Abstracts and full-text articles were screened, and relevant data were extracted and summarized.</p><p><strong>Results: </strong>Sixteen studies met the inclusion criteria. Seventeen psychosocial correlates of death anxiety were identified, with depression, spiritual well-being, and attachment security representing the most frequently investigated. Four previously tested death anxiety models were also identified, two of which were designed longitudinally.</p><p><strong>Conclusions: </strong>This review provides a current summary of psychosocial factors and established models related to death anxiety in advanced cancer. Multiple psychosocial correlates should be targeted concurrently in research and clinical practice to address death anxiety. Longitudinal studies designed to test new models are especially needed to identify unique pathways contributing to death anxiety across the disease trajectory of advanced cancer.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 1","pages":"e70068"},"PeriodicalIF":3.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11686425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142910368","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":"Post-Treatment Cancer Survivors' Experience of Social Reintegration: A Systematic Review and Meta-Synthesis.","authors":"Junyi Ruan, Cheng Liu, Ruolin Ren, Weijie Xing","doi":"10.1002/pon.70065","DOIUrl":"10.1002/pon.70065","url":null,"abstract":"<p><strong>Objective: </strong>Synthesize qualitative research to explore post-treatment cancer survivors' social reintegration experience.</p><p><strong>Methods: </strong>We conducted a meta-synthesis that included studies on all types of cancer. There were no restrictions on article age or location of the studies, provided they met the inclusion criteria. A search of the Cochrane Library, PubMed/MEDLINE, Web of Science, Embase (Ovid), and CINAHL (EBSCO) was conducted for studies published in English in February 2024. The PRISMA guidelines were followed. The Joanna Briggs Institute Reviewer's Manual was used to assess the quality of studies. Meta-aggregation was performed to synthesize the findings of the included studies.</p><p><strong>Results: </strong>A total of 1031 articles were identified in the initial search. Sixteen articles met the inclusion criteria and were included in this review. The total number of cancer survivors included in this systematic review was 395. Five synthesized findings were identified: the impact of cancer and treatments on survivors' physical, psychological, and social interactions was the cause of social withdrawal; cancer survivors encountered internal and external obstacles in the process of social reintegration; cancer survivors took action to promote social reintegration; support from others encouraged cancer survivors' social reintegration, but they also had unmet needs; social reintegration promoted cancer survivors to view cancer positively and achieve self-transcendence.</p><p><strong>Conclusion: </strong>This study synthesized qualitative evidence related to social reintegration among post-treatment cancer survivors. Cancer survivors took active measures for social reintegration. In turn, social reintegration also had a positive consequence on cancer survivors. Survivors had internal and external obstacles and needs in the process of social reintegration. Therefore, practitioners should identify obstacles and needs for social reintegration and develop targeted intervention programs to facilitate the social reintegration of survivors.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 1","pages":"e70065"},"PeriodicalIF":3.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142897034","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":"Systematic Review of Pain Assessment Measures Used in Pediatric Acute Lymphoblastic Leukemia.","authors":"Kimberly L Klages, Courtney A Gibson, Kimberly A Barnett, Laura E Schwartz, Chloe A Hicks, Robin E Norris, Susmita Kashikar-Zuck, Ahna L H Pai","doi":"10.1002/pon.70063","DOIUrl":"https://doi.org/10.1002/pon.70063","url":null,"abstract":"<p><strong>Background: </strong>Pain is a prevalent, frequent, and often persistent symptom among children with acute lymphoblastic leukemia (ALL). Despite its high prevalence, pain has remained understudied, and no evidence-based recommendations exist for how best to assess and treat pain in this population. Without proper assessment, clinical efforts to improve pain management in pediatric ALL will be ineffective.</p><p><strong>Aims: </strong>Therefore, the purpose of this systematic review is to describe and identify gaps in measurement approaches that have been used to assess pain in pediatric ALL, evaluate the psychometric properties of available pediatric pain measures, and provide recommendations for clinical research and practice.</p><p><strong>Methods: </strong>Literature searches were performed following Cochrane and PRISMA guidelines for systematic reviews. Domains of pain assessed, measures used to assess pain, measure format, respondent, and timing of pain assessment were extracted from studies that met inclusion criteria. The psychometric properties of included measures were then evaluated. A total of 238 full-text articles were screened and 123 met inclusion criteria.</p><p><strong>Results: </strong>Most studies assessed pain using generic health-related quality of life instruments rather than pain-specific measures. A total of 39 measures were used across the 123 included studies, and the psychometric properties of the measures varied considerably.</p><p><strong>Conclusions: </strong>Recommendations include a selection of well-validated pain assessment measures that are currently available and can be used to facilitate best practices in ALL pain assessment. Clinicians and investigators are encouraged to utilize a multidimensional pain assessment approach to inform and enhance pain care in pediatric ALL.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 1","pages":"e70063"},"PeriodicalIF":3.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142922671","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":"Socio-Economic Inequalities in Beliefs About Cancer and its Causes: Evidence From two Population Surveys.","authors":"Sergio Iván Galicia Pacheco, Andrés Catena, María José Sánchez, Maria Del Mar Rueda, Lucas Aljarilla Sánchez, Laura Costas, Dunia Garrido, Rocio Garcia-Retamero, Carolina Espina, Miguel Rodríguez-Barranco, Dafina Petrova","doi":"10.1002/pon.70035","DOIUrl":"10.1002/pon.70035","url":null,"abstract":"<p><strong>Objective: </strong>People's beliefs about cancer can affect the actions they take to prevent and detect the disease. We investigated socio-economic inequalities in beliefs about cancer and its causes in the general population.</p><p><strong>Methods: </strong>We analyzed data from the representative probabilistic Spanish Oncobarometer survey (N = 4769, 2020) and the non-probabilistic weight-corrected Spanish Cancer Awareness Survey (N = 1029, 2022). Beliefs about cancer, recognition of cancer symptoms, and recognition of risk factors were measured with the Awareness and Beliefs about Cancer questionnaire. Endorsement of mythical causes was measured with the CAM-Mythical Causes questionnaire. The effects of socio-economic status (SES) were investigated in multiple regression analyses adjusted for age, sex, and personal and family cancer history.</p><p><strong>Results: </strong>Individuals with lower SES were more likely to endorse pessimistic beliefs (e.g., \"cancer is a death sentence\"), and less likely to endorse optimistic beliefs about cancer (e.g., \"people with cancer continue with normal activities\"). Individuals with lower SES also recognized fewer cancer symptoms and risk factors and endorsed more mythical causes of cancer. The gap in knowledge regarding cancer causes was wider among people with low SES, who were more likely to endorse several mythical causes than some established risk factors included in cancer prevention recommendations.</p><p><strong>Conclusions: </strong>Socio-economic inequalities in beliefs about cancer are robust and multidimensional and indicate worse preparedness to act against the disease among lower socio-economic groups. Differences in beliefs about disease outcomes and causes are likely one of the multiple contributors to cancer disparities and should be targeted and monitored in prevention efforts.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"33 12","pages":"e70035"},"PeriodicalIF":3.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142771607","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":"Hypnosis for Antineoplastic-Related Taste Disturbance in a Patient With Metastatic Breast Cancer.","authors":"Corey Saperia, Nathan Tran, Nahom Zewde, David Spiegel","doi":"10.1002/pon.70052","DOIUrl":"https://doi.org/10.1002/pon.70052","url":null,"abstract":"<p><p>Taste disturbances are prominent side effects of antineoplastic medications and contribute to morbidity and quality-of-life impairment. Few treatment options are available for antineoplastic-related taste disorders. Hypnosis has been found to be effective for a variety of symptoms in the cancer setting, including insomnia, pain, mood disorders and anxiety. Numerous somatosensory perceptual changes have been observed with hypnosis, including perception of tactile stimuli and color. Here, we report a case of a 74-year-old woman with recurrent metastatic breast cancer presenting with an 18-month history of antineoplastic-related hypogeusia. She was treated with hypnosis and reported resolution of taste symptoms after 10 days of daily practice. Her improvement seems to be related to hypnotic changes in somatosensory perception, which may be associated with functional alterations in salience, executive control and default mode networks during hypnosis. Further investigation of hypnosis for antineoplastic-related taste disturbances is indicated.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"33 12","pages":"e70052"},"PeriodicalIF":3.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855176","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 Renewing Intimacy and SExuality Intervention for Female Cancer Survivors: A Feasibility Study.","authors":"Irene Teo, Yee Pin Tan, Alyssa Goh, Fang Ting Pan, Tira J Tan, Semra Ozdemir, Yin Bun Cheung, Isha Chaudhry, Nurul Syaza Razali, Komal G Tewani","doi":"10.1002/pon.70037","DOIUrl":"https://doi.org/10.1002/pon.70037","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined the feasibility and acceptability of a three-session, psychological-based intervention to improve intimacy and sexuality outcomes among women with breast and gynaecologic cancer in Singapore.</p><p><strong>Method: </strong>Patients from outpatient oncology clinics completed screeners for marital and sexual distress. Those who endorsed either marital or sexual distress were invited into the study, and were randomized to receive the intervention immediately or be waitlisted. Intervention feasibility (i.e., reach, adherence) and acceptability (i.e., satisfaction, cultural sensitivity, willingness to pay) and marital, sexual, and body image outcome changes were examined.</p><p><strong>Results: </strong>1101 patients completed the screener; 24% of patients with breast or gynaecologic cancer reported marital or sexual distress. Forty-six patients who were eligible participated in the study. The majority (88%) of participants who started the intervention completed all 3 sessions. All (100%) participants who completed the intervention reported satisfaction and the majority (97%) reported they would recommend the intervention to a friend. The majority of participants found the intervention to be culturally sensitive (93%) and reported being willing to pay either out of pocket or through their national medical MediSave account (76%). Outcome changes were in expected directions with small effect sizes (0.24-0.42). Several themes emerged from open-ended feedback on what participants found useful and how the intervention can be improved.</p><p><strong>Conclusions: </strong>Approximately one quarter of breast or gynaecologic cancer patient who are partnered in Singapore reported marital or sexual distress. Despite the low reach, we found good adherence and high acceptability of the psychological-based intervention. Our findings suggest there is room to improve awareness and delivery of sexuality-related care in an oncology setting.</p><p><strong>Trial registration: </strong>Number and date: NCT03420547, April 10, 2018.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"33 12","pages":"e70037"},"PeriodicalIF":3.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786793","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 Worries About Recurrence or Progression Scale in Cancer (WARPS-C): A Valid and Reliable Measure to Screen for Fear of Cancer Recurrence.","authors":"Maddison Smith, Louise Sharpe, Natalie Winiarski, Joanne Shaw","doi":"10.1002/pon.70055","DOIUrl":"https://doi.org/10.1002/pon.70055","url":null,"abstract":"<p><strong>Objective: </strong>The Worries About Recurrence or Progression Scale (WARPS) was recently validated in four common chronic illnesses other than cancer, after a rigorous development process based on the COSMIN criteria. Available measures of fear of progression or fear of cancer recurrence (FCR) have been criticised for not meeting all COSMIN criteria. Therefore, this study aimed to explore the psychometric properties of the WARPS in a cancer sample to assess its applicability to measure FCR.</p><p><strong>Methods: </strong>We recruited 346 participants living with or beyond cancer for an online survey. The psychometric properties of the WARPS were examined using a confirmatory factor analysis. Convergent validity was assessed against the current gold standard questionnaires and constructs related to FCR. Some participants completed a follow-up survey 2 weeks later, to assess the test-retest reliability. Finally, a Receiver Operating Characteristics analysis was conducted to determine clinical cut-offs for the WARPS.</p><p><strong>Results: </strong>Confirmatory factor analysis confirmed that the WARPS has one underlying factor, fear of recurrence or progression (FRP), with adequate model fit. The WARPS demonstrated excellent internal consistency, test-retest reliability and showed convergent validity. ROC analysis revealed a cut-off of 54 for moderate, and 65 for severe FCR on the WARPS.</p><p><strong>Conclusions: </strong>The WARPS demonstrated good psychometric properties in a cancer sample. It has the capacity to be used as a screening tool to identify clinical levels of FCR. The WARPS was developed consistent with the COSMIN criteria and overcomes some of the limitations of existing measures.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"33 12","pages":"e70055"},"PeriodicalIF":3.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872798","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":"Intervention-Related Changes in Coping Ability Drives Improvements in Mood and Quality of Life for Patients Taking Adjuvant Endocrine Therapy.","authors":"Leah E Walsh, Laura Dunderdale, Nora Horick, Jennifer S Temel, Joseph A Greer, Jamie M Jacobs","doi":"10.1002/pon.70049","DOIUrl":"10.1002/pon.70049","url":null,"abstract":"<p><strong>Objective: </strong>A recent randomized trial of a group psychosocial telehealth intervention (STRIDE) improved anxiety, depression, quality of life (QOL), symptom distress, coping, and self-efficacy to manage symptoms related to taking adjuvant endocrine therapy (AET) in women with non-metastatic hormone receptor-positive breast cancer. This study examined whether changes in coping and self-efficacy mediated intervention effects on anxiety, depression, QOL, and symptom distress.</p><p><strong>Method: </strong>Women (N = 100) were recruited between 10/2019-06/2021 from Massachusetts General Hospital and were randomized to STRIDE or to the medication monitoring control group. Participants completed self-report measures of anxiety and depression (Hospital Anxiety and Depression Scale), QOL (Functional Assessment of Cancer Therapy-Breast Cancer scale), symptom distress (Breast Cancer Prevention Trial Symptom Scale), coping (Measure of Current Status-Part A), and self-efficacy (Self Efficacy for Managing AET Symptoms) at baseline and 24-week follow-up. Mediated regression models tested whether changes in coping ability and self-efficacy mediated the intervention effects on anxiety, depression, QOL, and symptom distress, controlling for key variables.</p><p><strong>Results: </strong>Improvements in coping across the 24-week study period mediated the effect of STRIDE on anxiety symptoms (indirect effect, B = -0.61, SE = 0.28, 95% CI: -1.28, -0.17), depressive symptoms (indirect effect, B = -0.50, SE = 0.21, 95% CI: -0.97, -0.15), and QOL (indirect effect, B = 3.80, SE = 1.25, 95% CI: 1.54, 6.49), but not symptom distress. Changes in self-efficacy did not mediate improvements in any of the proposed outcomes.</p><p><strong>Conclusion: </strong>Coping is an essential component of a brief group psychosocial intervention that drives improvements in mood and QOL for women with non-metastatic hormone receptor-positive breast cancer taking AET.</p><p><strong>Clinical trial registration: </strong>NCT03837496.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"33 12","pages":"e70049"},"PeriodicalIF":3.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872794","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":"Patient-Reported Worst-Case Scenarios in Advanced Cancer: Presence, Contents, and Predictors.","authors":"Joanna J Arch, Mackenzie H Kirk, Lauren B Finkelstein","doi":"10.1002/pon.70039","DOIUrl":"https://doi.org/10.1002/pon.70039","url":null,"abstract":"<p><strong>Background: </strong>Advancements in precision oncology have led to a growing community of adults with advanced cancer who live longer but face prognostic uncertainty, with corresponding fears of the future. Their worst future fears related to cancer remain understudied, hindering support efforts.</p><p><strong>Aims: </strong>This study aimed to characterize the presence, content, and predictors of imagined future worst-case scenarios related to cancer (WCS) among distressed adults with advanced cancer.</p><p><strong>Methods: </strong>Two hundred fifteen distressed adults with advanced solid tumor cancer (mixed type) responded to survey questions regarding the presence (Yes/No) of a WCS related to cancer and if yes, to briefly describe it. Mixed methods were used to assess WCS prevalence, thematic content, and sociodemographic, psychological, and medical predictors.</p><p><strong>Results: </strong>Two thirds (66.5%) of advanced cancer survivors endorsed having a WCS. Content reflected four major themes of Death (52.2%), Suffering and Deterioration (47.1%), Cancer Progression and Future Uncertainty (28.7%), and Concern about Family (18.4%). WCS often contained more than one major theme, further distinguished by additional themes and sub-themes that revealed distinct fears. Higher anxiety and lower life meaning/peace predicted the presence of a WCS whereas sociodemographic characteristics, depression, time since diagnosis, and physical symptom burden did not. Younger age and living with children predicted a WCS focused on loved ones.</p><p><strong>Conclusions: </strong>WCS are prevalent and diverse in content among distressed adults with advanced cancer. Assessing WCS offers a quick and straightforward way to solicit advanced cancer survivors' most intense fears about the future with cancer, thereby facilitating patient-provider communication and support efforts.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"33 12","pages":"e70039"},"PeriodicalIF":3.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877748","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}