Psycho‐Oncology最新文献

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Virtual Reality for advanced cancer patients assisted at home: A randomized controlled interventional study. 为在家接受治疗的晚期癌症患者提供虚拟现实技术:随机对照干预研究。
IF 3.3 2区 医学
Psycho‐Oncology Pub Date : 2024-07-01 DOI: 10.1002/pon.6368
Andrea Giannelli, Serena Moscato, Rita Ostan, Raffaella Pannuti, Lorenzo Chiari, Guido Biasco, Silvia Varani
{"title":"Virtual Reality for advanced cancer patients assisted at home: A randomized controlled interventional study.","authors":"Andrea Giannelli, Serena Moscato, Rita Ostan, Raffaella Pannuti, Lorenzo Chiari, Guido Biasco, Silvia Varani","doi":"10.1002/pon.6368","DOIUrl":"10.1002/pon.6368","url":null,"abstract":"<p><strong>Objective: </strong>Virtual Reality (VR) has been demonstrated to be an effective option for integrating psychological interventions in different therapeutic settings. This randomized controlled interventional study aims to assess the effects of VR, compared to tablet controlled intervention, on anxiety, depression, pain, and short-term psychophysical symptoms in advanced cancer patients assisted at home.</p><p><strong>Methods: </strong>Participants were provided with a VR headset or a tablet (TAB) for 4 days. On the first and last day, anxiety and depression were measured by Hospital Anxiety and Depression Scale and pain by Brief Pain Inventory. Before and after each VR and tablet session, symptoms were collected by the Edmonton Symptom Assessment Scale (ESAS).</p><p><strong>Results: </strong>Fifty-three patients (27 VR vs. 26 TAB) completed the study. Anxiety significantly decreased in the VR group after the 4-day intervention. The analysis of ESAS showed a significant improvement in pain (p = 0.013), tiredness (p < 0.001), and anxiety (p = 0.013) for TAB group, and a significant reduction in tiredness (p < 0.001) in the VR group.</p><p><strong>Conclusions: </strong>Technological and user-friendly tools, such as VR and tablets, might be integrated with traditional psychological interventions to improve anxiety and cancer-related short-term symptoms. Further studies are needed to better consolidate the possible beneficial effects of VR.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141470399","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}
引用次数: 0
Temporal trends in medication and service use patterns for mental health issues among men with prostate cancer. 男性前列腺癌患者精神健康问题的用药和服务使用模式的时间趋势。
IF 3.3 2区 医学
Psycho‐Oncology Pub Date : 2024-07-01 DOI: 10.1002/pon.6369
Tenaw Tiruye, Mrunal Hiwase, Megan Charlick, Michael O'Callaghan, Ashna Khalid, Ming Li, Liesel M FitzGerald, Gillian E Caughey, Kerry Ettridge, David Roder, Kerri Beckmann
{"title":"Temporal trends in medication and service use patterns for mental health issues among men with prostate cancer.","authors":"Tenaw Tiruye, Mrunal Hiwase, Megan Charlick, Michael O'Callaghan, Ashna Khalid, Ming Li, Liesel M FitzGerald, Gillian E Caughey, Kerry Ettridge, David Roder, Kerri Beckmann","doi":"10.1002/pon.6369","DOIUrl":"https://doi.org/10.1002/pon.6369","url":null,"abstract":"<p><strong>Objective: </strong>Prostate cancer can significantly impact mental wellbeing, creating uncertainty and morbidity. This study described patterns of psychotropic medication and mental health service use, as a proxy measure for mental health problems, 5 years before and 5 years after prostate cancer diagnosis.</p><p><strong>Methods: </strong>Population-based registry data were linked with Pharmaceutical Benefits Scheme and Medicare Benefits Schedule data for all prostate cancer patients diagnosed in South Australia between 2012 and 2020 (n = 13,693). We estimated the proportion and rates of psychotropic medication and mental health service use before and after diagnosis. Multivariable adjusted interrupted time series analyses (ITSA) were conducted to uncover temporal patterns.</p><p><strong>Results: </strong>Fifteen percent of men commenced psychotropic medications and 6.4% sought out mental health services for the first time after diagnosis. Psychotropic medication use rose from 34.5% 5 years before to 40.3% 5 years after diagnosis, including an increase in use of antidepressants (from 20.7% to 26.0%) and anxiolytics (from 11.3% to 12.8%). Mental health service use increased from 10.2% to 12.1%, with the increase mostly being general practice mental health visits (from 7.8% to 10.6%). Multivariable ITSA indicated a significant rise in medication and service utilisation immediately before and in the first 2 years following prostate cancer diagnosis.</p><p><strong>Conclusion: </strong>There is a clear increase in psychotropic medication use and mental health service use around the time of prostate cancer diagnosis. Mental health outcomes of men with prostate cancer may be improved with early mental health screening, particularly during the diagnosis process, to enable early intervention.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141498764","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}
引用次数: 0
Understanding the treatment experiences of adults diagnosed with early-onset colorectal cancer: A qualitative study. 了解确诊为早发结直肠癌的成年人的治疗经历:定性研究。
IF 3.3 2区 医学
Psycho‐Oncology Pub Date : 2024-07-01 DOI: 10.1002/pon.6367
Ashleigh C Russell, Helen Reid, Helen G Coleman, Olinda Santin
{"title":"Understanding the treatment experiences of adults diagnosed with early-onset colorectal cancer: A qualitative study.","authors":"Ashleigh C Russell, Helen Reid, Helen G Coleman, Olinda Santin","doi":"10.1002/pon.6367","DOIUrl":"https://doi.org/10.1002/pon.6367","url":null,"abstract":"<p><strong>Objective: </strong>Early-onset colorectal cancer (CRC) incidence in adults aged under 50 is increasing. There is a critical lack of knowledge regarding the challenges faced by early-onset CRC patients and their experiences of treatment. The aim of this study was to explore the lived experiences of individuals receiving treatment for early-onset CRC, and the resulting impact on their lives.</p><p><strong>Methods: </strong>Semi-structured interviews of patients with early-onset CRC in the UK (n = 21) were conducted from August 2021 to March 2022. Interviews were recorded and transcribed verbatim. Data were analysed using thematic analysis.</p><p><strong>Results: </strong>Results identified four key themes: (1) early-onset CRC treatment results in sudden physical, psychological and social impacts in all aspects of life; (2) early-onset CRC patients have unique supportive care needs which are not recognised in current practice; (3) there is a need for tailored information; (4) a lack of support was identified in the areas of mental health, sexual health and fertility.</p><p><strong>Conclusions: </strong>Our study highlights numerous unique issues experienced by the early-onset CRC patient group during treatment. There is a need for change in clinical practice, along with the development of international guidelines and tailored resources for both patients and healthcare professionals, in order to improve care.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141470398","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}
引用次数: 0
Effects of exercise interventions on quality of life in patients with breast cancer: A systematic review and network meta-analysis. 运动干预对乳腺癌患者生活质量的影响:系统综述和网络荟萃分析。
IF 3.3 2区 医学
Psycho‐Oncology Pub Date : 2024-07-01 DOI: 10.1002/pon.6370
Bing Han, Peizhen Zhang, Haojie Zhao, Xiaojie Zhang, Hongyue Gao, Jiating Dong, Liqing Zeng, Peng Pi, Jiayi Pei
{"title":"Effects of exercise interventions on quality of life in patients with breast cancer: A systematic review and network meta-analysis.","authors":"Bing Han, Peizhen Zhang, Haojie Zhao, Xiaojie Zhang, Hongyue Gao, Jiating Dong, Liqing Zeng, Peng Pi, Jiayi Pei","doi":"10.1002/pon.6370","DOIUrl":"https://doi.org/10.1002/pon.6370","url":null,"abstract":"<p><strong>Objective: </strong>To compare and rank the effectiveness of four primary categories of exercise modalities (aerobic, resistance, mind-body, and combined exercise [CE]) in improving the Quality of life (QoL) of women with breast cancer in a network meta-analysis (NMA).</p><p><strong>Methods: </strong>Articles published in English and indexed in the PubMed (MEDLINE), EBSCO, Web of Science, SPORTDiscus, The Cochrane Library, Google Scholar, PsycINFO, EMBASE, and CINAHL Plus databases were identified from inception to 12 October 2023. Studies that met the eligibility criteria were assessed for risk of bias. A frequentist NMA was conducted to appraise the efficacy of different exercise types.</p><p><strong>Results: </strong>This study included 56 studies with 3904 participants. Aerobic, mind-body, and combined exercises effectively improved QoL compared to controls. The surface under the cumulative ranking curve (SUCRA) indicated that CE best improved patients' QoL (SUCRA = 96.7%). Analysis of the secondary outcomes suggests that exercise reduced patients' depression (standardized mean difference [SMD] = -0.38, 95% confidence interval [CI] = -0.70 to -0.06, p < 0.001; I<sup>2</sup> = 79%) and anxiety (SMD = -0.50, 95% CI = -0.69 to -0.31, p < 0.001; I<sup>2</sup> = 27.4%) but did not affect self-esteem.</p><p><strong>Conclusion: </strong>All exercise types but resistance were effective in improving the QoL of women with breast cancer, CE (the combination of aerobic and resistance exercise) had the highest likelihood of being optimal for improving QoL.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141470395","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}
引用次数: 0
Oncologists' psychological flourishing: A driving force for positive attitudes at work. 肿瘤学家的心理繁荣:工作中积极态度的推动力。
IF 3.3 2区 医学
Psycho‐Oncology Pub Date : 2024-07-01 DOI: 10.1002/pon.6372
Marie Bossard, Julien Lejeune, Hélène Coillot, Philippe Colombat, Evelyne Fouquereau
{"title":"Oncologists' psychological flourishing: A driving force for positive attitudes at work.","authors":"Marie Bossard, Julien Lejeune, Hélène Coillot, Philippe Colombat, Evelyne Fouquereau","doi":"10.1002/pon.6372","DOIUrl":"https://doi.org/10.1002/pon.6372","url":null,"abstract":"<p><strong>Objective: </strong>Oncologists' psychological health is a major challenge due to the consequential concerning the quality of the care they provide. However, only critical states of their health have been really examined by scientists. This study sought to plug this gap by investigating the mediating role of psychological flourishing in the relationship between the perception of the professional social context (i.e., perceived workplace isolation and organizational support) and positive attitudes at work among oncologists (i.e., work engagement, task adjustment and empathy).</p><p><strong>Methods: </strong>The study was a cross-sectional, including 541 French oncologists. Participants completed a self-report questionnaire. Structural Equation Modeling was employed to test the hypotheses.</p><p><strong>Results: </strong>The analysis revealed that workplace isolation and organizational support perceptions were related to oncologists' work engagement, task adjustment and empathy. Additionally, psychological flourishing acted as a partial mediator between these perceptions of professional social context and oncologists' work-related attitudes.</p><p><strong>Conclusions: </strong>This research underlined the potential of enhancing the psychological flourishing of oncologists by improving organizational support and mitigating their sense of isolation, and in turn, to enhance some dimensions of their positive attitudes at work.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141470396","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}
引用次数: 0
Psychometric properties and measurement invariance of the Chinese version of the cognitive emotion regulation questionnaire-short in patients with cancer. 中文版认知情绪调节问卷(短)在癌症患者中的心理计量特性和测量不变性。
IF 3.3 2区 医学
Psycho‐Oncology Pub Date : 2024-07-01 DOI: 10.1002/pon.6373
Xiaoting Zheng, Xia Tian, Xiaojun Zhou, Yongqi Huang, Wenli Xiao
{"title":"Psychometric properties and measurement invariance of the Chinese version of the cognitive emotion regulation questionnaire-short in patients with cancer.","authors":"Xiaoting Zheng, Xia Tian, Xiaojun Zhou, Yongqi Huang, Wenli Xiao","doi":"10.1002/pon.6373","DOIUrl":"https://doi.org/10.1002/pon.6373","url":null,"abstract":"<p><strong>Objective: </strong>The study aimed to evaluate the psychometric properties and measurement invariance (MI) of the Chinese version of the cognitive emotion regulation questionnaire-short (CERQ-short) in cancer patients.</p><p><strong>Methods: </strong>This cross-sectional study included 505 cancer patients from mainland China. In addition to sociodemographic and clinical characteristics, the CERQ-short and the distress thermometer were included in the study measures.</p><p><strong>Results: </strong>Item analysis indicated a promising result. And the results of CFA indicated that the CERQ-short demonstrated satisfactory factorial validity in cancer patients. Cronbach's alpha coefficients were between 0.663 and 0.910, while McDonald's omega coefficients were between 0.664 and 0.910. The CERQ-short had sufficient convergent, discriminant and concurrent validity among cancer patients. Lastly, MI supported that the CERQ-short demonstrated strong measurement equivalence across gender, residence and age.</p><p><strong>Conclusions: </strong>This study shows that the Chinese version of the CERQ-short has convincing psychometric properties and MI, which supports its use in cancer patients.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141470397","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}
引用次数: 0
Anxiety symptoms predict head and neck cancer survival: Exploring mediation by systemic inflammation and tumor response to treatment. 焦虑症状预测头颈癌生存率:探索全身炎症和肿瘤对治疗反应的中介作用。
IF 3.3 2区 医学
Psycho‐Oncology Pub Date : 2024-07-01 DOI: 10.1002/pon.6375
Hannah Houston, Isak Beck, Christy Albert, Iona Palmer, Baylee Polzin, Alyssa Kabithe, Devaughn Crawford, Jeffrey M Bumpous, Elizabeth Cash
{"title":"Anxiety symptoms predict head and neck cancer survival: Exploring mediation by systemic inflammation and tumor response to treatment.","authors":"Hannah Houston, Isak Beck, Christy Albert, Iona Palmer, Baylee Polzin, Alyssa Kabithe, Devaughn Crawford, Jeffrey M Bumpous, Elizabeth Cash","doi":"10.1002/pon.6375","DOIUrl":"10.1002/pon.6375","url":null,"abstract":"<p><strong>Background: </strong>Head and neck cancers (HNC) are associated with high rates of anxiety. Anxiety has been linked to biological pathways implicated in cancer progression, though little is known about its effects on overall survival. We hypothesized that higher pretreatment anxiety levels in patients with HNC would predict poorer 2-year overall survival and expected this relationship to be mediated by both systemic inflammation and tumor response to treatment.</p><p><strong>Methods: </strong>Patients (N = 394) reported anxiety symptomatology via the GAD-7 at treatment planning. Pre-treatment hematology workup provided an index of systemic inflammation (SII; N = 292). Clinical data review yielded tumor response and overall survival. Logistic and multiple regressions and Cox proportional hazard models tested hypothesized relationships.</p><p><strong>Results: </strong>Higher pretreatment anxiety levels were significantly associated with poorer 2-year survival (hazard ratio [HR], 1.039; 95% confidence interval [CI], 1.014-1.066, p = 0.002). The association between anxiety and SII was not significant, though anxiety was associated with poorer tumor response (odds ratio [OR], 1.033; 95% CI, 1.001-1.066, p = 0.043). Tumor response fully mediated the relationship between anxiety symptoms and 2-year survival (HR, 9.290, 95% CI, 6.152-14.031, p < 0.001).</p><p><strong>Conclusions: </strong>Anxiety was associated with overall survival. Tumor response, but not systemic inflammation, emerged as a potential biological pathway mediating this effect. Screening for anxiety may be beneficial to help prospectively address these concerns and ameliorate potentially detrimental impact on clinically meaningful cancer outcomes.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11323704/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141580710","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}
引用次数: 0
Hope-enhancement interventions: A third wave coalesces. 增强希望的干预措施:第三次浪潮正在形成。
IF 3.3 2区 医学
Psycho‐Oncology Pub Date : 2024-07-01 DOI: 10.1002/pon.9300
Benjamin W Corn, David B Feldman, Yael Schenker, William E Rosa, Malka Margalit
{"title":"Hope-enhancement interventions: A third wave coalesces.","authors":"Benjamin W Corn, David B Feldman, Yael Schenker, William E Rosa, Malka Margalit","doi":"10.1002/pon.9300","DOIUrl":"https://doi.org/10.1002/pon.9300","url":null,"abstract":"","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141620798","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}
引用次数: 0
The Ottawa clinical fear of recurrence instruments: A screener, self-report, and clinical interview. 渥太华临床恐惧复发工具:筛选器、自我报告和临床访谈。
IF 3.6 2区 医学
Psycho‐Oncology Pub Date : 2024-06-01 DOI: 10.1002/pon.6364
Lauriane Giguère, Brittany Mutsaers, Cheryl Harris, Allan 'Ben' Smith, Gerald M Humphris, Daniel Costa, Cary S Kogan, Sébastien Simard, Sophie Lebel
{"title":"The Ottawa clinical fear of recurrence instruments: A screener, self-report, and clinical interview.","authors":"Lauriane Giguère, Brittany Mutsaers, Cheryl Harris, Allan 'Ben' Smith, Gerald M Humphris, Daniel Costa, Cary S Kogan, Sébastien Simard, Sophie Lebel","doi":"10.1002/pon.6364","DOIUrl":"https://doi.org/10.1002/pon.6364","url":null,"abstract":"<p><strong>Objective: </strong>Clinical fear of cancer recurrence (FCR) was recently defined by a group of experts during a Delphi study. Five criteria were agreed upon, namely: (a) high levels of preoccupation, (b) high levels of worry, (c) that are persistent, (d) hypervigilance and hypersensitivity to physical sensations that e) may result in functional impairment. No existing instruments comprehensively capture all these criteria for clinical FCR.</p><p><strong>Methods: </strong>To remedy this gap, a set of three patient-reported outcome instruments including a one-item screener, self-report questionnaire, and semi-structured clinical interview, named the Ottawa Clinical Fear of Recurrence instruments, were developed. To do so, the research team first conducted a literature review of potential items. Additional FCR experts discussed the content of the screener and interview. The self-report's items were assessed for content validity by the same expert panel using Likert ratings and the Content Validity Index to narrow down the number of items. The three instruments were piloted with a group of cancer survivors to assess face validity following the European Organization for Research and Treatment of Cancer recommendations.</p><p><strong>Results: </strong>The literature review and content validity assessment led to a final draft pre-pilot of 23 potential items for the self-report questionnaire. The instruments were piloted. Pilot study participants suggested changing wording and response options (particularly for the self-report) for greater clarity.</p><p><strong>Conclusions: </strong>Based on the feedback received, minor modifications were made, mostly for the self-report. In general, content and face validity for the three instruments were good for both experts and cancer survivors.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141186690","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}
引用次数: 0
"If I have a limited amount of time left, this is not how I want to spend it": A qualitative descriptive study of factors influencing daily life participation following a cancer diagnosis. "如果我剩下的时间有限,我不想这样度过":癌症确诊后影响日常生活参与因素的定性描述研究。
IF 3.6 2区 医学
Psycho‐Oncology Pub Date : 2024-06-01 DOI: 10.1002/pon.6366
Nirmala Shivakumar, Allison A King, Kathleen D Lyons, Allison J L'Hotta
{"title":"\"If I have a limited amount of time left, this is not how I want to spend it\": A qualitative descriptive study of factors influencing daily life participation following a cancer diagnosis.","authors":"Nirmala Shivakumar, Allison A King, Kathleen D Lyons, Allison J L'Hotta","doi":"10.1002/pon.6366","DOIUrl":"https://doi.org/10.1002/pon.6366","url":null,"abstract":"<p><strong>Objective: </strong>Following a cancer diagnosis, restricted participation in daily life is common. Restricted participation can be temporary or long lasting. The aim of this study was to characterize how daily life participation is impacted following a cancer diagnosis.</p><p><strong>Methods: </strong>Eligible individuals included adults (>18 years) with any stage/grade brain, breast, colorectal, or lung cancer in any phase of treatment or post-treatment. Participants completed a semi-structured interview about how their life participation was impacted following their cancer diagnosis. Data were analyzed through team-based thematic analysis.</p><p><strong>Results: </strong>Forty adults, 10 per disease category, participated. Four themes were identified that supported or hindered daily life participation: (1) self-expectations, (2) expectations of others, (3) awareness of mortality, and (4) symptoms and side effects of cancer. Participants discussed how their cancer experience resulted in a reprioritization of what they valued doing in their life. However, many survivors struggled to adapt and described a tension between their need to adapt to their current life circumstances and their contrasting desire to stay connected with their pre-cancer selves through daily life participation. The mental health challenges associated with decreased participation were also outlined by participants.</p><p><strong>Conclusions: </strong>Cancer survivors' daily life participation is influenced by expectations from themselves and others, awareness of mortality, and disease symptoms/side effects. Future interventions can target these domains to supports survivors' life participation.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141331560","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}
引用次数: 0
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