Psycho‐Oncology最新文献

{"title":"Stress Management Program for Scanxiety in People With Advanced Lung Cancer: Intervention Adaptation and Stakeholder Feedback.","authors":"Heather Derry-Vick, Amanda Khoudary, Osairys Billini, Holly G Prigerson, Marc D Schwartz, Jeffrey Cohen, Chance Griffin, Martin Gutierrez, Wendy G Lichtenthal, Lisa Carter-Bawa","doi":"10.1002/pon.70048","DOIUrl":"10.1002/pon.70048","url":null,"abstract":"<p><strong>Background: </strong>Although scanxiety is common and impactful for people with advanced lung cancer, few interventions address this psychosocial concern.</p><p><strong>Aims: </strong>To create a stress management program for scanxiety.</p><p><strong>Methods: </strong>We conducted a structured intervention adaptation process guided by the ADAPT-ITT framework. We tailored materials from an existing evidence-based program, drafted additional modules, and obtained feedback on initial content. Following content revisions and website prototype development, 21 participants (patients with metastatic lung cancer, n = 8; family members, n = 3; clinicians, n = 10) reviewed the program. Participants rated the program's acceptability (Acceptability of Intervention Measure; AIM), feasibility (Feasibility of Intervention Measure; FIM), appropriateness (Appropriateness of Intervention Measure; IAM), helpfulness (module Likert ratings), and usability (Post-Study System Usability Questionnaire; PSSUQ), and completed semi-structured interviews.</p><p><strong>Results: </strong>Data revealed positive impressions of the program. Participants rated the program as acceptable (89%), feasible (89%), and appropriate (95%; proportion with average ratings ≥ 4 out of 5 on AIM, FIM, and IAM respectively). They rated 6 of the 7 modules as helpful, appropriate, and fitting with their experience (77%-100% with Likert ratings ≥ 4 out of 5); the below-threshold module (Introduction) was revised based on rapid qualitative analysis of interview data. Although 33% needed help to start using the website, its usability was rated highly after use (PSSUQ Mdn = 1.56, IQR = 1.11-1.82). The refined intervention is a largely self-guided program to enhance stress management skills using psychoeducation, recorded on-demand exercises, and 3 brief coaching calls.</p><p><strong>Conclusions: </strong>This highly-rated intervention has the potential to alleviate scanxiety among people with advanced lung cancer.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 1","pages":"e70048"},"PeriodicalIF":3.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971974","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":"Mental Health Consequences of Opioid Pain Medication Use Behaviors and Motives Among Adolescents and Young Adults With Cancer: Results From a National Survey.","authors":"Andrew H Rogers, Melissa Pielech, Tyler G Ketterl, Tonya M Palermo","doi":"10.1002/pon.70082","DOIUrl":"10.1002/pon.70082","url":null,"abstract":"<p><strong>Background: </strong>Adolescents and young adults (AYA) with cancer experience long-term consequences into survivorship that impact quality of life, including mental health symptoms, substance use, and persistent pain. Given the elevated rates of pain, AYA cancer survivors are at increased risk for opioid pain medication (OPM) exposure, increasing risk for opioid-related negative consequences, particularly for those with mental health symptoms. Minimal research has documented that a considerable proportion of AYAs with cancer receive OPM that continues into survivorship, yet the lack of consensus on the definition of problematic opioid use coupled with the high clinical need for OPM makes it particularly challenging to understand the impact of OPM use in this population.</p><p><strong>Aims: </strong>Therefore, the current study examined differences in opioid pain medication use, use behaviors, and motives between AYA cancer survivors and non-cancer controls.</p><p><strong>Methods: </strong>Using the National Survey on Drug Use and Health, we tested the impact of OPM use behaviors and motives on depressive symptoms and mental healthcare utilization variables.</p><p><strong>Results: </strong>Results show that, compared to non-cancer controls, AYA cancer survivors evince higher rates of opioid use, behaviors, and pain relief motives. Within the cancer survivor group only, there were differential patterns of associations between OPM behaviors, motives, depressive symptoms, and mental healthcare utilization, with using opioid pain medication for emotion coping/to get high showed the largest effect sizes with outcome variables.</p><p><strong>Conclusions: </strong>The results highlight the importance of moving beyond use itself and examining how and why AYAs with cancer are using opioids to understand potential negative consequences.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 1","pages":"e70082"},"PeriodicalIF":3.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971944","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":"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":"Abstracts from the American Psychosocial Oncology Society 22nd Annual Conference, 5-7 March 2025.","authors":"","doi":"10.1002/pon.70088","DOIUrl":"https://doi.org/10.1002/pon.70088","url":null,"abstract":"","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 Suppl 1 ","pages":"e70088"},"PeriodicalIF":3.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557832","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":"\"You [God] Gotta Go Through It With Me\": Black Women Navigating Spirituality During the Breast Cancer Journey.","authors":"Praise Owoyemi, Tammie Denyse, Yrvane K Pageot, Kimberly J Martin, K Denise DeLuz, Jacqueline H J Kim, Annette L Stanton","doi":"10.1002/pon.70085","DOIUrl":"10.1002/pon.70085","url":null,"abstract":"<p><strong>Background: </strong>Black women generally report high levels of spirituality. Less is known about Black women's spiritual coping with a cancer diagnosis. Persisting health disparities between Black breast cancer survivors and other racial groups necessitate examining whether spirituality can be a contextual and personal resource for Black women with breast cancer.</p><p><strong>Aims: </strong>This qualitative study's goals were to: (1) characterize positive and negative dimensions of spirituality in a sample of Black women diagnosed with breast cancer; and (2) examine whether and how women used spirituality during their cancer experience.</p><p><strong>Methods: </strong>Three Gatherings (i.e., culturally curated focus groups) were conducted as part of Project SOAR (Speaking Our African American Realities), a community-academic partnership. In these all-Black women Gatherings, participants (N = 37) discussed their breast cancer experience, including how spirituality played a role.</p><p><strong>Results: </strong>Through reflexive thematic analysis, six themes were identified: (1) faith is central to my identity even through challenging times; (2) meaningful, ineffective, or non-existent support from my spiritual community; (3) grappling with spiritual discontent during breast cancer; (4) God is omnipotent; (5) spiritual anchors helped me persevere through the breast cancer journey; (6) breast cancer reflections enhanced my spiritual gratitude and growth.</p><p><strong>Conclusions: </strong>Participants' experiences highlight the complexities of spirituality when confronting breast cancer. Many Black women reflected on the centrality of spirituality to their lives and cited spirituality as a resource and effective coping process during their cancer experience. Findings have important implications for understanding how spirituality can be incorporated to support Black women with breast cancer.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 1","pages":"e70085"},"PeriodicalIF":3.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11964284/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143033963","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":"Longitudinal Psychological Distress After Malignant Brain Tumor Diagnosis: A Multilevel Analysis of Patients and Their Caregivers.","authors":"André Karger, Anna-Maria Kisić, Caterina Quente, Maike K Klett, Ralf Schäfer, Michael Sabel, Marion Rapp","doi":"10.1002/pon.70064","DOIUrl":"10.1002/pon.70064","url":null,"abstract":"<p><strong>Objective: </strong>Malignant brain tumors are associated with debilitating symptoms and a poor prognosis, resulting in high psychological distress for patients and caregivers. There is a lack of longitudinal studies investigating psychological distress in this group. This study evaluated fear of progression (FoP), anxiety and depression in patients and their caregivers in the 6 months following malignant brain tumor diagnosis.</p><p><strong>Methods: </strong>This prospective, observational study assessed FoP (FoP-Q-SF[P]), anxiety and depression (HADS) at diagnosis (T0) and after three (T1) and 6 months (T2) in patients with malignant brain tumors (primary, secondary) and their caregivers. Multilevel analyses were used to examine changes over time and differences between patients and caregivers, while accounting for the interdependence in their distress values.</p><p><strong>Results: </strong>Seventy-one patients and 68 caregivers were included in the analysis. Throughout the study period, over 50% reported clinically relevant FoP, almost 50% reported clinically relevant anxiety, and over 30% reported relevant depression. Over all time points, caregivers reported significantly higher anxiety and depression than patients. Anxiety decreased between T0 and T2 in both groups. Exploratory analyses showed that female sex was associated with higher anxiety, and older age with higher depression. No significant predictors were identified for FoP.</p><p><strong>Conclusion: </strong>A substantial number of patients and caregivers experience clinically relevant psychological distress in the 6 months following a malignant brain tumor diagnosis. Caregivers are particularly distressed, reporting higher anxiety and depression. Integrating psycho-oncological assessments and interventions for both patients and caregivers into clinical care is critical to address the psychological distress associated with malignant brain tumors.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 1","pages":"e70064"},"PeriodicalIF":3.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11723856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142966574","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":"Community-Based Participatory Research to Address the Disproportionate Burden of Breast Cancer in Black Women.","authors":"Helen Hailu, Starla Gay, Wei-Ting Chen, Chiquita Tuttle, Juanita Waugh, Regina Guillory, Lenora Williams-Omenka, Barakah Love, Taylor Hollis, Stav Spinzi, Lisa G Rosas","doi":"10.1002/pon.70073","DOIUrl":"10.1002/pon.70073","url":null,"abstract":"<p><strong>Objective: </strong>Black/African American women with breast cancer have disproportionately higher mortality rates and report experiencing a lower quality of life during survivorship compared to non-Hispanic white women. Despite support for the integration of peer navigation in cancer care and survivorship to address these inequities, Black/African American women often have limited access to culturally tailored peer navigation programs. We aimed to investigate the unique needs and strengths of Black/African American women with breast cancer and survivors to inform the development of a culturally tailored peer navigation program for Black/African American women.</p><p><strong>Methods: </strong>We developed a community-university partnership based on best practices of community-based participatory research. The partnership conducted storytelling sessions with Black/African American survivors of breast cancer and their caregivers and key informant interviews with community partners and applied thematic analysis.</p><p><strong>Results: </strong>A total of 14 survivors and 4 caretakers took part in storytelling sessions and 6 community partners took part in key informant interviews. Themes from the storytelling sessions included spirituality, social support, information seeking, and relationship with care team. These themes were then incorporated into developing the theoretical basis, structure, and content of the BLACC peer navigation program. The key informant interviews were instrumental in building new partnerships to support the implementation of the peer navigation program.</p><p><strong>Conclusions: </strong>The community-university partnership successfully identified the unique needs and strengths of Black/African American women who either had breast cancer or were survivors of breast cancer, identified valuable resources, and secured buy-in from community leaders to develop a comprehensive peer navigation program.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 1","pages":"e70073"},"PeriodicalIF":3.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047704","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":"Dialectical Behavior Therapy Skills Training as a Brief Intervention for Cigarette Smoking by Patients With Cancer: A Scoping Review and Narrative Synthesis of Related Literature.","authors":"Marcia H McCall, Charlotte T Boyd, Nicole D Kerr, Stephanie S Daniel, Erin L Sutfin","doi":"10.1002/pon.70074","DOIUrl":"10.1002/pon.70074","url":null,"abstract":"<p><strong>Objective: </strong>Novel behavioral interventions are needed for patients with cancer who smoke cigarettes. Standard tobacco treatment may not effectively address the psychological distress and/or emotion dysregulation that makes quitting smoking difficult for many patients. Dialectical Behavior Therapy-Skills Training (DBT-ST) has demonstrated efficacy as a brief intervention for managing emotions and stress across varied populations but has not been adapted for patients with cancer who smoke. To determine its suitability for this population, we conducted a scoping review of brief DBT-ST with similar populations: people with substance use, breast cancer, or emotion dysregulation.</p><p><strong>Methods: </strong>We followed PRISMA-ScR (preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews) guidelines. Studies were restricted to English-language publications of DBT-ST as a brief intervention of 20 or fewer sessions. We found 26 publications representing 23 research studies, extracted study details, and narratively synthesized the results.</p><p><strong>Results: </strong>The 23 studies included 12 quasi-experimental designs, seven pilot randomized controlled trials (RCTs), and four RCTs. All studies found at least one improvement in a main outcome following DBT-ST intervention, with results maintained at follow-up. Qualitative outcomes indicated high satisfaction with DBT-ST and good retention. Studies recruited diverse participants, with some far exceeding population averages. Over half of the studies included only females or males. We found considerable heterogeneity across studies in intervention design, testing, and measurement.</p><p><strong>Conclusion: </strong>DBT-ST as a brief intervention for people with substance use, cancer, or emotion dysregulation demonstrates sufficient positive outcomes to adapt this approach for patients with cancer who smoke cigarettes.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 1","pages":"e70074"},"PeriodicalIF":3.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142953549","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":"Course of Mental Disorders in Early Cancer Survivorship in Relation to Socioeconomic Status: A Multi-Center Prospective Longitudinal Study (LUPE).","authors":"Franziska Springer, Ute Goerling, Tanja Zimmermann, Jochen Ernst, Christoph Engel, Myriel Hermann, Peter Esser, Beate Hornemann, Ulrich Keilholz, Florian Lordick, Olaf von dem Knesebeck, David Kissane, Anja Mehnert-Theuerkauf","doi":"10.1002/pon.70059","DOIUrl":"10.1002/pon.70059","url":null,"abstract":"<p><strong>Objective: </strong>Individuals with low socioeconomic status (SES) exhibit higher rates of mental disorders; however, data in oncological populations are insufficient. This study investigated the course of DSM-5 mental disorders in cancer patients, stratified by SES, over a period of 1.5 years following initial cancer diagnosis.</p><p><strong>Methods: </strong>This multi-center prospective longitudinal study assessed cancer patients within two months of cancer diagnosis (t1), and at 6-, 12-, and 18-month follow-up (t2-t4) using the SCID-5 interview for mental disorders based on DSM-5 criteria. Chi-square-tests were tested for frequency changes over time. A generalized linear mixed model (GLMM) was applied with fixed effects for SES and time on mental disorders.</p><p><strong>Results: </strong>Out of 1030 patients with a SCID-5 at baseline (53.2% men, 60 years), 821, 719 and 654 participated at respective follow-ups. The most common diagnoses were skin and prostate cancer. Point prevalence of mental disorders was 20.9% at baseline, decreasing to 18.2%, 14.6%, and 15.0% (t2-t4; χ² (3) = 15.3, p = 0.002). Patients with low SES consistently showed highest prevalence rates, whereas patients with high SES showed decreasing rates of mental disorders over time, with a main effect of time (χ² (3) = 19.9, p < 0.001) and SES (χ² (2) = 8.8, p = 0.01) in the GLMM. Two thirds never met diagnostic criteria for a mental disorder. Sensitivity analysis among study completers (n = 592) revealed a similar pattern to the main analysis.</p><p><strong>Conclusions: </strong>Cancer patients with low SES exhibit impaired coping with cancer-related stressors, increasing their risk for mental disorders. Social disparities affect physical and mental health, possibly via health behavior or health literacy, and need to be addressed by tailored survivorship care planning.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 1","pages":"e70059"},"PeriodicalIF":3.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11711303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142953513","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}