Psycho‐Oncology最新文献

{"title":"Mapping Behavioral Research in Post-Treatment Cancer Care in Sub-Saharan Africa: A Scoping Review.","authors":"Motolani E Ogunsanya, Jessica Saintibert, Opeyemi O Bolajoko, Danetta Hooks, Shari Clifton, Folakemi T Odedina","doi":"10.1002/pon.70106","DOIUrl":"10.1002/pon.70106","url":null,"abstract":"<p><strong>Objective: </strong>This scoping review explores the multifaceted experience of cancer survivorship in Sub-Saharan Africa (SSA), with a focus on the post-treatment phase. The primary objective is to examine the psychosocial, cultural, and economic factors that influence post-treatment survivorship care and outcomes.</p><p><strong>Methods: </strong>A comprehensive literature review was conducted using databases such as Web of Science Core Collection to identify studies published between 2000 and 2023. Eligible studies focused on post-treatment cancer survivorship in SSA. Data were extracted, analyzed, and synthesized to identify key themes and research gaps.</p><p><strong>Results: </strong>The review identified substantial psychological distress among survivors, including depression, anxiety, and insomnia, often exacerbated by financial toxicity and limited access to psychosocial support services. Cultural factors, such as spiritual beliefs, reliance on traditional healers, and cancer-related stigma, influenced healthcare-seeking behaviors and overall well-being. Despite these challenges, social support networks, religiosity, and targeted psychosocial interventions improved emotional resilience and quality of life. However, major gaps remain, including insufficient integration of cultural beliefs into survivorship care, inadequate long-term follow-up (LTFU) programs, limited oncofertility support, and a lack of regionally diverse and longitudinal data.</p><p><strong>Conclusions: </strong>Cancer survivorship in SSA is shaped by intricate psychosocial, cultural, and economic dynamics that extend beyond clinical care. Addressing these challenges requires culturally sensitive, evidence-based interventions, including financial counseling, spiritual care integration, and the establishment of structured LTFU programs. Additionally, expanding access to oncofertility support and integrating culturally relevant psychosocial services can further enhance survivorship outcomes. Strengthening collaboration between policymakers, healthcare providers, and researchers-through interdisciplinary task forces, psycho-oncology workforce development, and community-driven initiatives-is essential for improving post-treatment outcomes and advancing cancer survivorship care in SSA.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 3","pages":"e70106"},"PeriodicalIF":3.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11902885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531859","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":"Exploring the Influence of Virtual Reality on Psychological Variables Within Paediatric Oncology Treatment: A Systematic Review.","authors":"Edward Philcox, Emily Watson, Nicholas Hudson","doi":"10.1002/pon.70118","DOIUrl":"https://doi.org/10.1002/pon.70118","url":null,"abstract":"<p><strong>Introduction: </strong>Virtual reality (VR) is a burgeoning technology with applications across healthcare. It remains unclear what the effect of VR on psychological factors within paediatric oncology is.</p><p><strong>Method: </strong>A systematic review was conducted according to PRISMA guidelines. 436 records were screened against the inclusion and exclusion criteria, with adult focused studies, those with an unclear definition of VR, and non-oncology-based studies excluded. Once final studies were identified, an effect direction plot and narrative review was completed.</p><p><strong>Results: </strong>Seventeen records met criteria. Ten studies were RCTs, the remaining studies (n = 7) were various designs. Psychological factors included impact on anxiety, distress, depression, and positive psychological variables.</p><p><strong>Conclusions: </strong>Some studies indicated some positive effects on psychological variables whilst other results from the studies were mixed, with non-significant findings. It is difficult to reach firm conclusions regarding the effect of VR, given the poor quality of studies, risk of bias, and the unresolved issue of how the quality of VR platform may influence outcomes.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 3","pages":"e70118"},"PeriodicalIF":3.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624698","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":"Pancreatic Cancer Patients Supportive Care Needs: A Qualitative Analysis.","authors":"Sara E Fleszar-Pavlovic, Roberto M Benzo, Rui Gong, Amber Browder, Aria Nawab, Arianna E Brito, Nipun B Merchant, Frank J Penedo","doi":"10.1002/pon.70135","DOIUrl":"10.1002/pon.70135","url":null,"abstract":"<p><strong>Objective: </strong>Pancreatic cancer (PaCa) patients face a 5-year survival rate of just 13%. Most patients present with unresectable disease and endure aggressive treatments with significant chronic and debilitating side effects. PaCa patients also experience significant unmet supportive care needs (e.g., physical, psychological, informational/educational); however, limited qualitative studies have explored the specific needs of racially and ethnically diverse PaCa populations.</p><p><strong>Aims: </strong>This study identified supportive care needs in a racially and ethnically diverse sample of PaCa survivors.</p><p><strong>Methods: </strong>As part of a larger project to develop a psychosocial symptom management intervention, semi-structured qualitative interviews were conducted with PaCa survivors to explore the supportive care needs at diagnosis and after treatment. Qualitative data were analyzed using Rapid Qualitative Analysis, and personal/medical characteristics were analyzed using descriptive statistics.</p><p><strong>Results: </strong>PaCa survivors (n = 18; M_age = 64) participated, with the majority identifying as female (66.7%), White (88.9%), and Hispanic (55.6%). Over one-third completed interviews in Spanish. Four themes emerged: (1) information/health system needs, including difficulty understanding complex medical concepts, limited holistic care, post-treatment symptom management, and health behaviors; (2) psychosocial needs related to quality of life and relationships with family and healthcare providers; (3) physical and functional needs, including persistent side effects and lifestyle changes; and (4) positivity and gratitude.</p><p><strong>Conclusions: </strong>We emphasize the themes of unmet supportive care needs in a racially and ethnically diverse sample of PaCa survivors. These findings underscore the importance of developing interventions to address these gaps and improve the overall quality of life for diverse PaCa patients.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 3","pages":"e70135"},"PeriodicalIF":3.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693139","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":"A Dyadic Analysis of Optimism, Pessimism, and Fear of Cancer Recurrence in Couples Coping With Early-Stage Breast Cancer.","authors":"Michael Morreale, Alyssa L Fenech, Hannah A Brownlee, Scott D Siegel, Jean-Philippe Laurenceau","doi":"10.1002/pon.70125","DOIUrl":"https://doi.org/10.1002/pon.70125","url":null,"abstract":"<p><strong>Purpose: </strong>Fear of cancer recurrence (FCR) is a common yet unaddressed concern among breast cancer (BC) survivors and their intimate partners. Moderate-to-severe FCR has been associated with numerous negative health outcomes and diminished functioning among survivors and their intimate partners. Therefore, it is essential to understand what factors are associated with higher FCR for both patients and partners. Dispositional traits, such as optimism and pessimism, have been associated with FCR severity at the individual (intrapersonal) level. However, few studies have focused on this link in a dyadic, interpersonal context. To address this gap, the present study sought to investigate the association between optimism, pessimism, and FCR in BC survivors and their intimate partners.</p><p><strong>Methods: </strong>Optimism, pessimism, and FCR were assessed for 79 couples (n = 158 paired individuals) in which one partner was an early-stage BC survivor who had recently completed adjuvant treatment. The intrapersonal (actor) and interpersonal (partner) associations between optimism or pessimism and FCR were simultaneously investigated using actor-partner interdependence modeling.</p><p><strong>Results: </strong>A significant positive intrapersonal effect was observed between pessimism and FCR for both survivors and partners, but not between optimism and FCR. No significant interpersonal effects were observed between either optimism or pessimism and FCR.</p><p><strong>Conclusions: </strong>Findings indicated that higher levels of pessimism (rather than optimism) are uniquely associated with higher FCR in early-stage BC survivors and their partners. Understanding the role of pessimism in FCR susceptibility will allow for more efficient and timely support of BC survivors and their intimate partners following a cancer diagnosis.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 3","pages":"e70125"},"PeriodicalIF":3.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700638","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":"Identifying the Financial Toxicity Experiences of Childhood Cancer Survivors Through Partnership With a Community Organization Serving Rural and Minoritized Families.","authors":"Catherine Benedict, Kelley Bloomer, Elle Billman, Mary Smith, Heidi Boynton, Lidia Schapira, Stephanie M Smith","doi":"10.1002/pon.70120","DOIUrl":"https://doi.org/10.1002/pon.70120","url":null,"abstract":"<p><strong>Background: </strong>Financial toxicity (FT) refers to cancer-related economic distress and hardship, and disproportionately affects adolescent/young adult (AYA) survivors and minoritized groups. This study explored the FT experiences of AYA survivors of childhood cancer and their parents, and the perspective of staff members of a community-based cancer support organization in a rural region with majority Hispanic/Latino (H/L) residents and high rates of non-English language preference.</p><p><strong>Methods: </strong>A needs assessment study was conducted in partnership with Jacob's Heart, a nonprofit organization that serves predominantly H/L families of childhood cancer in a rural region in California. English- and Spanish-speaking AYA survivors, parents, and Jacob's Heart staff members completed semi-structured interviews. Qualitative data were analyzed using an applied thematic analysis approach.</p><p><strong>Results: </strong>Participants included 12 AYAs, 11 parents, and 7 organization staff. Material hardship was characterized by direct and indirect medical costs (e.g., time, transportation), which impacted parents' employment, required balancing caregiving and financial needs, and caused economic strain. Behavioral effects of FT included adaptations to meet basic needs; cost-coping behaviors included skipping medical visits. Parents and survivors experienced financial stress and worry, exacerbated by disruption in parents' employment and income, transportation pressures of living in a rural area, challenges obtaining or maintaining insurance coverage, and lack of a safety net. Support needs and resources were described.</p><p><strong>Conclusions: </strong>AYA survivors of childhood cancer and their parents experience long-lasting FT across multiple domains, which is exacerbated by socioeconomic and structural factors. Interventions targeting FT should partner with community-based organizations to reach vulnerable populations.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 3","pages":"e70120"},"PeriodicalIF":3.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143650336","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":"Perceptions About Care and Support Among Cancer Survivors With Severe Mental Health Conditions.","authors":"Anat Vass, Marc Gelkopf, Adi Ivzori-Erel, Mordechai Alperin, Hadass Goldblatt, Miri Cohen","doi":"10.1002/pon.70117","DOIUrl":"10.1002/pon.70117","url":null,"abstract":"<p><strong>Background: </strong>Research on the attitudes and support received by cancer survivors with preexisting severe mental health conditions (SMHC) from their families and oncology professionals is lacking.</p><p><strong>Aims: </strong>To explore how individuals with SMHC perceive and experience family and oncology team attitudes and care.</p><p><strong>Methods: </strong>Participants were 25 cancer survivors, 6 men and 18 women, aged 26-86 with preexisting SMHC. The interpretive phenomenological approach and reflexive thematic analysis were used to capture participants' lived experiences.</p><p><strong>Results: </strong>Two themes emerged: (a) \"They don't take us seriously\": perceived family attitudes and support; and (b) \"It was basically like ice\": perceived care from oncology professionals. From these two themes, a core typology was developed, exemplifying the parallel experience and perceptions of care of family members and oncology team: negative attitudes and inadequate support reported by most participants; receiving the essential but unemotional and detached care reported by some participants; and experiencing positive attitudes and adequate support expressed by a few. In some cases, following a cancer diagnosis, family members became more positive. Many participants experienced the oncology professionals' attitudes as affected by stigma and lack of attention to their unique situation.</p><p><strong>Conclusion: </strong>Oncology professionals should address survivors' needs for equality, dignity, humanity, and privacy in terms of care to improve their psychological well-being. In addition, family members supporting a patient with SMHC should receive sufficient information and tools to promote better care.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 3","pages":"e70117"},"PeriodicalIF":3.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11911293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143639798","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 Challenges in Cancer Survivors From Diverse Backgrounds During COVID-19 Pandemic: Insights From the All of Us Research Program.","authors":"Zhiyu Qian, Mansoo Cho, Kevin Zhangxu, Faith Morley, Henry K Onyeaka, Daniel R Stelzl, Filippo Dagnino, Hanna Zurl, Stephan M Korn, Alexander P Cole, Hermioni L Amonoo, Kevin H Kensler, Quoc-Dien Trinh","doi":"10.1002/pon.70119","DOIUrl":"https://doi.org/10.1002/pon.70119","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic exacerbated mental health challenges. This study aimed to investigate the mental health impact of the pandemic on cancer survivors from diverse backgrounds using the All of Us Research Program's COVID-19 Participant Experience (COPE) survey.</p><p><strong>Methods: </strong>This analysis included respondents of the COPE survey with average depression, anxiety, and self-harm metrics computed for individuals completing multiple survey iterations. Multivariable logistic regression assessed the relationship between cancer survivorship, demographic factors, and mental health outcomes. Sensitivity analyses were conducted to investigate peak mental health challenges and time trend.</p><p><strong>Results: </strong>Among 100,203 respondents, 20,561 (20.5%) were cancer survivors. Cancer survivors differed demographically from the general population, tending to be older and more likely to report higher socioeconomic status. Cancer survivors exhibited significantly higher odds of self-harm (aOR = 1.09, 95% CI 1.01-1.18). Sensitivity analyses focusing on peak mental health scores revealed that cancer survivors had significantly increased odds of experiencing anxiety (aOR = 1.11, 95% CI 1.06-1.17), depression (aOR = 1.11, 95% CI 1.06-1.17), and self-harm tendencies (aOR = 1.09, 95% CI 1.01-1.18) compared to non-cancer survivors. Within the cancer survivor subgroup, younger age, gender and sexual minority status, lower income, and widowed/separated/divorced status were associated with worse mental health outcomes.</p><p><strong>Conclusion: </strong>During the COVID-19 pandemic, cancer survivors exhibited significantly higher odds of depression, anxiety, and self-harm compared to non-survivors, with certain subgroups demonstrating heightened vulnerability. Our study highlights the critical need for integrated mental health services in cancer survivorship care programs, especially among those from underserved groups who are at high risk, as we continue to evolve with the pandemic.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 3","pages":"e70119"},"PeriodicalIF":3.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597817","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":"Life Experience of Patients Living With Urostomy: A Meta-Synthesis of Qualitative Research.","authors":"Yanqing Kang, Yingying Zhu, Gaoting Zhong, Aili Lv, Rui Gao, Ning Li, Cong Li, Tianmeng Wang, Ya Zhang","doi":"10.1002/pon.70096","DOIUrl":"https://doi.org/10.1002/pon.70096","url":null,"abstract":"<p><strong>Objective: </strong>Urostomy profoundly alters the body image of bladder cancer patients, leading to a series of physiological, psychological, social, and functional changes. This review aims to synthesize qualitative research on urostomy patients' life experiences to provide healthcare professionals with a complete understanding of the patient's problems and needs, thereby guiding the development of interventions and continuous care services.</p><p><strong>Methods: </strong>This review adhered to the ENTREQ guide. The Cochrane, EMBASE, Ovid (Medline), Web of Science Core Collection, PubMed, EBSCO, CNKI, VIP, and Wan Fang databases were searched for qualitative studies on the life experience of urostomy patients. The search period was from the earliest available records in each database to June 2024. This review selected studies based on the study's objectives and predetermined criteria. The data was synthesized using a meta-aggregation method.</p><p><strong>Results: </strong>A total of 17 studies were included in the synthesis. This review included 242 patients. The 32 qualitative findings were distilled into nine new categories and synthesized into three findings: (1) Facing multiple pressures and challenges that disrupt normalcy; (2) The existence of multidimensional unmet needs; and (3) Growing up after trauma and achieving life reconstruction.</p><p><strong>Conclusions: </strong>Urostomy patients face complex physiological, psychological, and social challenges. These challenges require a comprehensive understanding of patients' experiences, life adjustments, and unmet needs. Healthcare professionals should address these aspects, support patients through their adjustment to stoma life, and enhance their self-care abilities to improve their quality of life.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 3","pages":"e70096"},"PeriodicalIF":3.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625283","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":"Beyond Treatment: Prevalence, Predictors, and Changes in Anxiety and Depression Among Parents of Childhood Cancer Survivors.","authors":"Hannah Kurz, Verena Paul, Mona L Nasse, Konstantin A Krauth, Daniela Kandels, Stefan Rutkowski, Gabriele Escherich, Laura Inhestern, Corinna Bergelt","doi":"10.1002/pon.70115","DOIUrl":"10.1002/pon.70115","url":null,"abstract":"<p><strong>Background: </strong>Childhood cancer remains a significant psychological burden for parents. Even after end of treatment, parents of childhood cancer survivors remain at high risk of developing anxiety and depression. However, knowledge about the prevalence and changes of these conditions post-treatment is limited.</p><p><strong>Aims: </strong>This study aimed to assess the proportion of parents exhibiting clinically relevant symptoms of anxiety and/or depression, explore gender differences, examine factors associated with these conditions and their longitudinal data.</p><p><strong>Methods: </strong>Five hundred and sixteen parents of childhood cancer survivors (aged 0-17 years at diagnosis of leukemia or central nervous system tumors) were evaluated after treatment and again 12-18 months later. Anxiety (GAD-7) and depression (PHQ-9) symptoms were assessed. Generalized linear mixed models were used to analyze factors influencing these conditions and their changes.</p><p><strong>Results: </strong>At baseline, 30% of parents reported clinically relevant depression, and 34% reported anxiety, both decreasing to 16% at follow-up. Mothers reported higher anxiety and depression scores, with more meeting clinically relevant thresholds. Low family functioning, psychotherapy, physical illness, and a recent diagnosis were significant predictors of both conditions. Additional predictors for depression included unemployment, single-parent status, and fear of progression, while female gender was a predictor for anxiety in the final model. Greater symptom improvements were associated with higher baseline symptoms, whereas longer time since diagnosis was linked to less improvement.</p><p><strong>Conclusion: </strong>Anxiety and depression represent significant burdens for parents of childhood cancer survivors, with several modifiable risk factors identified. Targeted psychosocial support, early screening, and tailored interventions may reduce distress and improve family well-being.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 3","pages":"e70115"},"PeriodicalIF":3.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11872680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537645","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":"Drivers of Job Loss Among Chinese Breast Cancer Survivors: A Qualitative Analysis.","authors":"Susan Chimonas, Yashasvini Sampathkumar, Xiaoxiao Huang, Christina Tran, Zhenlan Wang, Ting-Ting Kuo, Shoshana M Rosenberg, Javier González, Francesca Gany, Victoria Blinder","doi":"10.1002/pon.70122","DOIUrl":"https://doi.org/10.1002/pon.70122","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to understand the reasons for the high risk of job loss previously identified among foreign-born Chinese breast cancer survivors in the United States Qualitative interviews were conducted to explore challenges leading to job loss during/after treatment and to help identify potential interventions to promote job retention and re-employment.</p><p><strong>Patients and methods: </strong>The research team conducted semi-structured interviews with foreign-born Chinese breast cancer survivors in New York City. A total of 12 participants, previously enrolled in the Breast Cancer and the Workforce study, were interviewed between February and November 2018. Purposive sampling was used to identify participants diverse across job type and work history. Thematic content analysis was conducted on translated interview transcripts.</p><p><strong>Results: </strong>Since diagnosis, 8/12 participants had experienced job loss (6/6 in service/production, 1/5 retail/administrative, and 1/1 professional/managerial). Many described being unable to work due to treatment side-effects, inflexible schedules, and a perception that work accommodations were unavailable. Only one participant who had lost her job went on to secure stable re-employment.</p><p><strong>Conclusions: </strong>Job type, language barriers, and cultural attitudes towards work accommodations contributed to a high job-loss rate in this population. Those who remained employed had received work accommodations. Lack of awareness or belief in obtaining accommodations was a critical factor in job loss.</p><p><strong>Implications for cancer survivors: </strong>These findings highlight the necessity of advocacy for work accommodations for cancer patients and culturally competent care. Addressing these issues could improve job retention and financial stability for breast cancer survivors, particularly among immigrant and minority groups.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 3","pages":"e70122"},"PeriodicalIF":3.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606031","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}