Psycho‐Oncology最新文献

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Preliminary testing of “roadmap to parenthood” decision aid and planning tool for family building after cancer: Results of a single‐arm pilot study 初步测试 "为人父母路线图 "决策辅助工具和癌症后家庭建设规划工具:单臂试点研究结果
IF 3.6 2区 医学
Psycho‐Oncology Pub Date : 2024-04-17 DOI: 10.1002/pon.6323
Catherine Benedict, Jennifer S. Ford, Lidia Schapira, Alexandra Davis, Pamela Simon, David Spiegel, Michael Diefenbach
{"title":"Preliminary testing of “roadmap to parenthood” decision aid and planning tool for family building after cancer: Results of a single‐arm pilot study","authors":"Catherine Benedict, Jennifer S. Ford, Lidia Schapira, Alexandra Davis, Pamela Simon, David Spiegel, Michael Diefenbach","doi":"10.1002/pon.6323","DOIUrl":"https://doi.org/10.1002/pon.6323","url":null,"abstract":"ObjectiveMany young adult female cancer survivors need to use reproductive medicine, surrogacy, or adoption to have a child. This study pilot tested <jats:italic>Roadmap to Parenthood</jats:italic>, a web‐based, self‐guided decision aid and planning tool for family building after cancer (disease agnostic).MethodsA single‐arm pilot study tested feasibility, acceptability, and obtained effect size estimates of the Roadmap tool. Participants, recruited via hospital‐based and social media strategies, completed a baseline survey (T1), accessed the Roadmap tool (website), then completed surveys at one‐ and 3‐months (T2 and T3, respectively). Feasibility and acceptability were evaluated with rates of eligibility, enrollment, and survey completion, and feedback. Pairwise <jats:italic>t</jats:italic>‐tests and repeated measures ANOVA evaluated usage effects. Effect size estimates were calculated.ResultsParticipants (<jats:italic>N</jats:italic> = 98) averaged 31 years old (SD = 5.61); 71% were nulliparous. Enrollment rate was 73%, T1‐T2 completion rate was 80%, and 93% accessed the website. From T1‐T2, participants reported improvements in decisional conflict (<jats:italic>p</jats:italic> &lt; 0.001; Cohen's <jats:italic>d</jats:italic> = 0.85), unmet information needs (<jats:italic>p</jats:italic> &lt; 0.001; Cohen's <jats:italic>d</jats:italic> = 0.70), self‐efficacy (<jats:italic>p</jats:italic> = 0.003; Cohen's <jats:italic>d</jats:italic> = 0.40), and self‐efficacy for managing negative emotions (<jats:italic>p</jats:italic> = 0.03; Cohen's <jats:italic>d</jats:italic> = 0.29); effects were sustained at T3. There was no change in reproductive distress (<jats:italic>p</jats:italic> = 0.22). By T3, 94% reported increased consideration of preparatory actions and 20%–61% completed such actions.ConclusionsThe Roadmap intervention was feasible to conduct, acceptable to users, and led to improvements in key psychosocial outcomes. Future directions will test intervention efficacy in a randomized controlled trial with a larger sample and over a longer period. A web‐based tool may help women make decisions about family building after cancer and prepare for potential challenges.","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140617745","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 personal impact of living with a myeloproliferative neoplasm 骨髓增生性肿瘤对个人生活的影响
IF 3.6 2区 医学
Psycho‐Oncology Pub Date : 2024-04-13 DOI: 10.1002/pon.6338
A. A. M. Eppingbroek, L. Lechner, E. C. Bakker, M. D. Nijkamp, M. A. de Witte, C. A. W. Bolman
{"title":"The personal impact of living with a myeloproliferative neoplasm","authors":"A. A. M. Eppingbroek, L. Lechner, E. C. Bakker, M. D. Nijkamp, M. A. de Witte, C. A. W. Bolman","doi":"10.1002/pon.6338","DOIUrl":"https://doi.org/10.1002/pon.6338","url":null,"abstract":"ObjectiveThe aim of this study is to gain insight into the physical, psychological and social impact of having a myeloproliferative neoplasm (MPN), a rare type of cancer with an often chronic course.MethodsAn online survey was conducted among 455 Dutch MPN patients (62.7% female, age <jats:italic>M</jats:italic> 63) to explore the impact of the disease by measuring the MPN symptom burden (MPN‐SAF TSS) and quality of life (QoL) (EORTC QLQ‐C30) and its subscales within a hierarchical QoL model. We examined differences in MPN symptom burden and QoL in relation to sociodemographic and disease‐related factors. Hierarchical regression analysis was used to explain variances in QoL.ResultsMost patients (97%) experienced MPN‐related health complaints, with a significantly higher MPN symptom burden in women (<jats:italic>M</jats:italic> 31.50) compared to men (<jats:italic>M</jats:italic> 24.10). Regarding to fatigue and cognitive functioning MPN patients suffered more compared to a reference group of other cancers. MPN subtype or type of treatment did not show significant differences in MPN symptom burden or QoL. However, experiencing side effects, complications or comorbidities significantly negatively affected MPN symptom burden and QoL. 48.8% of patients reported that MPN affected their ability to work. The explained variance in overall QoL was 58%, most importantly by disease progression, comorbidities, MPN symptom burden and role, emotional and social functioning.ConclusionThis study revealed that having an MPN has a negative impact on several domains of QoL. Symptom assessment and support should be included in the healthcare management of MPN patients.","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140601200","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
Development and validation of the CARE‐FCR: A caregiver‐specific measure of fear of cancer recurrence and progression 开发并验证 CARE-FCR:一种针对护理人员的癌症复发和恶化恐惧测量方法
IF 3.6 2区 医学
Psycho‐Oncology Pub Date : 2024-04-09 DOI: 10.1002/pon.6341
Kyra Webb, Louise Sharpe, Hayley Russell, Joanne Shaw
{"title":"Development and validation of the CARE‐FCR: A caregiver‐specific measure of fear of cancer recurrence and progression","authors":"Kyra Webb, Louise Sharpe, Hayley Russell, Joanne Shaw","doi":"10.1002/pon.6341","DOIUrl":"https://doi.org/10.1002/pon.6341","url":null,"abstract":"ObjectivesFear of cancer recurring or progressing (FCR) is a concern reported by people living with cancer and caregivers alike. Whilst advances in survivor FCR have been made, less is known about caregiver FCR. As a result, measurement of caregiver FCR has relied on instruments developed for survivor populations. Findings from qualitative research indicate caregiver experiences of FCR differ. This study aimed to develop and evaluate the psychometric properties of a caregiver specific measure of FCR (CARE‐FCR).MethodsFour‐hundred and thirty‐eight caregivers (56% female, <jats:italic>M</jats:italic><jats:sub>age</jats:sub> = 50.53 years, SD = 17.38) completed the online survey including demographic questions, information about care provided, the person they care for, as well as the CARE‐FCR. Convergent validity was assessed using pre‐existing measures of fear of recurrence and progression, depression, anxiety, death anxiety and meta‐cognitions. The extraversion dimension of the Big Five Personality Trait questionnaire was used to assess divergent validity. The survey was completed 2 weeks later to assess test‐retest reliability. Exploratory factor analysis (EFA) was used to determine factor structure, followed by confirmatory factor analysis.ResultsEFA indicated a 3‐factor structure: progression, recurrence, and communication. Evidence for convergent, divergent, and test‐retest reliability was adequate. Internal consistency for the CARE‐FCR was strong, overall Cronbach's <jats:italic>α</jats:italic> = 0.96 (progression = 0.94, recurrence = 0.92 and communication = 0.78).ConclusionsWe present a theoretically informed and psychometrically robust measure of caregiver FCR. The CARE‐FCR facilitates quantification of caregiver FCR, capturing unique aspects specific to this population.","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140600765","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 implementation and mechanisms of advance notification for cancer screening: A scoping review 癌症筛查预先通知的实施和机制:范围审查
IF 3.6 2区 医学
Psycho‐Oncology Pub Date : 2024-04-08 DOI: 10.1002/pon.6340
Katelyn E. Collins, Larry S. Myers, Belinda C. Goodwin, Alyssa Taglieri‐Sclocchi, Michael J. Ireland
{"title":"The implementation and mechanisms of advance notification for cancer screening: A scoping review","authors":"Katelyn E. Collins, Larry S. Myers, Belinda C. Goodwin, Alyssa Taglieri‐Sclocchi, Michael J. Ireland","doi":"10.1002/pon.6340","DOIUrl":"https://doi.org/10.1002/pon.6340","url":null,"abstract":"ObjectiveTo describe and synthesise information on the content and delivery of advance notifications (information about cancer screening delivered prior to invitation) used to increase cancer screening participation and to understand the mechanisms that may underlie their effectiveness.MethodsSearches related to advance notification and cancer screening were conducted in six electronic databases (APA PsycINFO, CINAHL, Cochrane Library, Embase, PubMed, Web of Science) and results were screened for eligibility. Study characteristics, features of the advance notifications (cancer type, format, delivery time, and content), and the effect of the notifications on cancer screening participation were extracted. Features were summarised and compared across effective versus ineffective notifications.ResultsThirty‐two articles were included in this review, reporting on 33 unique advance notifications. Of these, 79% were sent via postal mail, 79% were distributed prior to bowel cancer screening, and most were sent 2 weeks before the screening offer. Twenty‐two full versions of the advance notifications were obtained for content analysis. Notifications included information about cancer risk, the benefits of screening, barriers to participation, social endorsement of cancer screening, and what to expect throughout the screening process. Of the 19 notifications whose effect was tested statistically, 68% were found to increase screening (by 0.7%–16%). Effectiveness did not differ according to the format, delivery time, or content within the notification, although some differences in cancer type were observed.ConclusionFuture research should explore the effectiveness of advance notification via alternative formats and for other screening contexts and disentangle the intervention‐ and person‐level factors driving its effect on screening participation.","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140601174","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
Is there scope to do better? Clinical communication with adolescents and young adults with cancer—A scoping review 是否还有改进的余地?与青少年癌症患者的临床沟通--范围综述
IF 3.6 2区 医学
Psycho‐Oncology Pub Date : 2024-04-04 DOI: 10.1002/pon.6317
Deborah J. Critoph, Maria Cable, Jessica Farmer, Helen M. Hatcher, Isla Kuhn, Rachel M. Taylor, Luke A. M. Smith
{"title":"Is there scope to do better? Clinical communication with adolescents and young adults with cancer—A scoping review","authors":"Deborah J. Critoph, Maria Cable, Jessica Farmer, Helen M. Hatcher, Isla Kuhn, Rachel M. Taylor, Luke A. M. Smith","doi":"10.1002/pon.6317","DOIUrl":"https://doi.org/10.1002/pon.6317","url":null,"abstract":"IntroductionHow to communicate effectively with adolescent and young adults with cancer (AYACs) is a research priority. In a UK‐wide survey of young people with cancer's research priorities, communication was a striking cross‐cutting theme. It is increasingly recognised that AYACs have experiences and communication needs that differ significantly from those of younger children and older adults. The purpose of this review is to explore the features of effective clinical communication with AYACs.MethodsA literature search was undertaken to identify and map the available evidence using a broad scope to get an overview of the pertinent literature, identify knowledge gaps and clarify concepts. The searches yielded 5825 records, generating 4040 unique articles. These were screened and 71 full articles were read by four researchers with disagreements resolved by discussion leaving 29 included articles. Narrative synthesis was undertaken in relation to each of the research questions.ResultsThree key themes were identified: being an adolescent/young adult, supporters, and healthcare professionals (HCPs). AYACs need to feel that HCPs understand their unique perspective. They want to be involved, this changes over time and in different contexts. Supporters are a central tenet, are most often parents and undertake several roles which are not always universally supportive. HCPs enable involvement of AYACs, and this needs to be actively promoted. AYACs preference for their level of involvement requires continual assessment. The three themes are interlinked and exist within the wider scope of the triadic encounter and cancer experience.ConclusionSupporters, most often parents were a key feature across the data and were seemingly paradoxical in nature. Triadic communication, the presence of a third person, is a central tenet of communication with AYACs and we propose a conceptual model to represent the nuances, components, and facets of this complex communication.","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140600848","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
‘Just Google it’—A scoping review of online mental health resources for survivors of breast cancer 只需谷歌"--乳腺癌幸存者在线心理健康资源范围审查
IF 3.6 2区 医学
Psycho‐Oncology Pub Date : 2024-04-04 DOI: 10.1002/pon.6337
Natalie Tuckey, Matthew Iasiello, Nadia Corsini, Bogda Koczwara, Monique Bareham, Amy Wellalagodage, Hannah R. Wardill
{"title":"‘Just Google it’—A scoping review of online mental health resources for survivors of breast cancer","authors":"Natalie Tuckey, Matthew Iasiello, Nadia Corsini, Bogda Koczwara, Monique Bareham, Amy Wellalagodage, Hannah R. Wardill","doi":"10.1002/pon.6337","DOIUrl":"https://doi.org/10.1002/pon.6337","url":null,"abstract":"ObjectiveAs the Internet is a ubiquitous resource for information, we aimed to replicate a patient's Google search to identify and assess the quality of online mental health/wellbeing materials available to support women living with or beyond cancer.MethodsA Google search was performed using a key term search strategy including search strings ‘cancer’, ‘wellbeing’, ‘distress’ and ‘resources’ to identify online resources of diverse formats (i.e., factsheet, website, program, course, video, webinar, e‐book, podcast). The quality evaluation scoring tool (QUEST) was used to analyse the quality of health information provided.ResultsThe search strategy resulted in 283 resources, 117 of which met inclusion criteria across four countries: Australia, USA, UK, and Canada. Websites and factsheets were primarily retrieved. The average QUEST score was 10.04 (highest possible score is 28), indicating low quality, with 92.31% of resources lacking references to sources of information.ConclusionsOur data indicated a lack of evidence‐based support resources and engaging information available online for people living with or beyond cancer. The majority of online resources were non‐specific to breast cancer and lacked authorship and attribution.","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140600644","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 experiences of men on active surveillance for prostate cancer and their significant others: A qualitative synthesis 积极监测前列腺癌的男性及其重要他人的经历:定性综述
IF 3.6 2区 医学
Psycho‐Oncology Pub Date : 2024-04-04 DOI: 10.1002/pon.6324
Stephanie Hughes, Hazel Everitt, Beth Stuart, Rebecca Band
{"title":"The experiences of men on active surveillance for prostate cancer and their significant others: A qualitative synthesis","authors":"Stephanie Hughes, Hazel Everitt, Beth Stuart, Rebecca Band","doi":"10.1002/pon.6324","DOIUrl":"https://doi.org/10.1002/pon.6324","url":null,"abstract":"BackgroundActive surveillance (AS) for prostate cancer (PCa) is a monitoring pathway for men with low‐grade, slow growing PCa and aims to delay or avoid active treatment by treating only in the case of disease progression. Experiences of this pathway vary but living with an untreated cancer can have a negative psychological impact on both the patient and their significant other (SO). Literature suggests partners are the primary source of support for men on AS, and therefore it is important to consider SO experiences alongside those of the patient. To the best of our knowledge this is the first UK‐based qualitative review looking specifically at experiences of AS for both men with PCa and their SOs.MethodsMEDLINE (Ovid), EMBASE, PsychINFO, CINAHL and Cochrane Library were searched for literature reporting qualitative experiences of AS for PCa for either men on AS or SOs (or both). 2769 records were identified and screened, with 28 meeting the eligibility criteria. Qualitative data were synthesised and included men on AS (<jats:italic>n</jats:italic> = 428), and SOs (<jats:italic>n</jats:italic> = 51).ResultsExperiences of the AS pathway vary but reports of uncertainty and anxiety were present in the accounts of both men on AS and SOs. SOs are intertwined throughout every part of the PCa journey, and couples presented as a unit that were on AS together. Both patients and SOs expressed a need for more support, and highly valued peer support. Despite this finding, men expressed a dislike towards ‘support groups’.ConclusionsIncreased recognition in clinical practice of SO involvement in AS is needed. Further research is required to explore the specific types of support that would be most acceptable to this population to address the unmet support needs uncovered in this review.","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140600763","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
Emotion constructs and outcome measures following false positive breast screening test results: A systematic review of reporting clarity and selection rationale. 乳腺筛查假阳性结果后的情绪构建和结果测量:关于报告清晰度和选择理由的系统性综述。
IF 3.3 2区 医学
Psycho‐Oncology Pub Date : 2024-04-01 DOI: 10.1002/pon.6334
Hannah A Long, Sarah Hindmarch, John-Paul Martindale, Joanna M Brooks, Michelle Harvie, David P French
{"title":"Emotion constructs and outcome measures following false positive breast screening test results: A systematic review of reporting clarity and selection rationale.","authors":"Hannah A Long, Sarah Hindmarch, John-Paul Martindale, Joanna M Brooks, Michelle Harvie, David P French","doi":"10.1002/pon.6334","DOIUrl":"10.1002/pon.6334","url":null,"abstract":"<p><strong>Objective: </strong>(i) To systematically identify constructs and outcome measures used to assess the emotional and mood impact of false positive breast screening test results; (ii) to appraise the reporting clarity and rationale for selecting constructs and outcome measures.</p><p><strong>Methods: </strong>Databases (MEDLINE, CINAHL, PsycINFO) were systematically searched from 1970. Studies using standardised and non-standardised outcome measures to evaluate the emotion or mood impact of false positive breast screening test results were eligible. A 15-item coding scheme was devised to appraise articles on clarity and rationale for selected constructs and measures.</p><p><strong>Results: </strong>Forty-seven articles were identified. The most investigated constructs were general anxiety and depression and disease-specific anxiety and worry. Twenty-two standardised general outcome questionnaire measures and three standardised disease-specific outcome questionnaire measures were identified. Twenty articles used non-standardised scales/items. Reporting of constructs and outcome measures was generally clear, but rationales for their selection were lacking. Anxiety was typically justified, but justification for depression was almost always absent. Practical and psychometric justification for selecting outcome measures was lacking, and theoretical rationale was absent.</p><p><strong>Conclusions: </strong>Heterogeneity in constructs and measures, coupled with unclear rationale for these, impedes a thorough understanding of why there are emotional effects of false positive screening test results. This may explain the repeated practice of investigating less relevant outcomes such as depression. There is need to develop a consensual conceptual model of and standardised approach to measuring emotional impact from cancer screening test results, to address heterogeneity and other known issues of interpreting an inconsistent evidence base.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140319075","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
Exploring the role of cancer fatalism and engagement with skin cancer genetic information in diverse primary care patients. 探索癌症宿命论的作用以及不同初级保健患者对皮肤癌遗传信息的参与。
IF 3.3 2区 医学
Psycho‐Oncology Pub Date : 2024-04-01 DOI: 10.1002/pon.6331
Jennifer L Hay, Yelena Wu, Elizabeth Schofield, Kim Kaphingst, Andrew L Sussman, Delores D Guest, Keith Hunley, Yuelin Li, David Buller, Marianne Berwick
{"title":"Exploring the role of cancer fatalism and engagement with skin cancer genetic information in diverse primary care patients.","authors":"Jennifer L Hay, Yelena Wu, Elizabeth Schofield, Kim Kaphingst, Andrew L Sussman, Delores D Guest, Keith Hunley, Yuelin Li, David Buller, Marianne Berwick","doi":"10.1002/pon.6331","DOIUrl":"10.1002/pon.6331","url":null,"abstract":"<p><strong>Objective: </strong>To broaden the currently limited reach of genomic innovations, research is needed to understand how psychosocial and cultural factors influence reactions to genetic testing in diverse subgroups. Cancer fatalism is important in cancer prevention and deserves theoretical and empirical attention in the context of genomics and behavior change.</p><p><strong>Methods: </strong>The current study employed data from a randomized controlled trial (N = 593) offering skin cancer genetic testing (using the melanocortin-1 receptor [MC1R] gene) in primary care in Albuquerque, New Mexico, USA. We examined interrelations of cancer fatalism with demographics, general health beliefs, perceived risk, perceived control, sun protection and skin screening behaviors and cancer worry in the skin cancer context stratified across Hispanic versus non-Hispanic ethnicity, and examined cancer fatalism as a moderator of intervention effects on study primary outcomes, including 3-month sun protection, cancer worry and perceived risk.</p><p><strong>Results: </strong>Cancer fatalism was significantly related to the perception of control over skin cancer risk behaviors (ps ≤ 0.01) and demographics (ethnicity, education, health literacy; ps < 0.05), but not consistently related to general health beliefs or risk perception. Cancer fatalism did not moderate intervention effects on primary outcomes, except those with higher cancer fatalism randomized to intervention had higher levels of 3-month cancer worry (p = 0.019).</p><p><strong>Conclusions: </strong>These findings will guide future work considering the role of cancer fatalism in use of genomic technologies in the general population. This work anticipates strategies required to address cancer fatalism as translational genomics becomes more commonly available to diverse general population subgroups.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140306696","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
Common dyadic coping and its congruence in couples facing breast cancer: The impact on couples' psychological distress. 面对乳腺癌的夫妇中常见的夫妻应对方式及其一致性:对夫妇心理困扰的影响。
IF 3.6 2区 医学
Psycho‐Oncology Pub Date : 2024-03-01 DOI: 10.1002/pon.6314
Wenjia Liu, Frances Marcus Lewis, Monica Oxford, Ira Kantrowitz-Gordon
{"title":"Common dyadic coping and its congruence in couples facing breast cancer: The impact on couples' psychological distress.","authors":"Wenjia Liu, Frances Marcus Lewis, Monica Oxford, Ira Kantrowitz-Gordon","doi":"10.1002/pon.6314","DOIUrl":"10.1002/pon.6314","url":null,"abstract":"<p><strong>Objective: </strong>Psychological distress is prevalent in couples facing breast cancer. Couples often deal with breast cancer as a unit instead of as individuals. Couple's dyadic coping is important for their adjustment to breast cancer; however, little is known about how couple's coping congruence influences their distress. This study examined how common dyadic coping (CDC) and coping congruence impact psychological distress in couples facing breast cancer.</p><p><strong>Methods: </strong>Baseline data were analyzed from 343 women with recently diagnosed early-stage breast cancer and their partners who participated in a randomized clinical trial. Psychological distress was indicated by depressed mood and state anxiety. Common dyadic coping was measured by a self-report scale. Coping congruence was assessed by the absolute difference between a woman's and her partner's CDC scores.</p><p><strong>Results: </strong>Higher CDC scores were associated with lower psychological distress in both women and partners. In the CDC subscales, women who suffered less scored higher on open communication, sharing a positive outlook, and lower on avoidance coping. Partners who suffered less scored higher on open communication, sharing a positive outlook, spending time talking, and lower on avoidance coping. Greater congruence in CDC was associated with lower psychological distress in women and their partners. Congruence in sharing a positive outlook benefited both members of the dyad; congruence in avoidance coping significantly benefited patients; congruence in open communication significantly benefited partners.</p><p><strong>Conclusions: </strong>CDC and its congruence in specific areas have potential benefit to couple's psychological distress when facing breast cancer. Health care providers could consider enhancing couple's CDC and coping congruence to improve their adjustment.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140065790","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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