Psycho‐Oncology最新文献

{"title":"School Bullying of Childhood Leukemia Survivors.","authors":"Yaacov B Yablon, Sigal Eden, Michal Dayan-Sharabi, Yifat Ezer-Cohen, Dina Mazor-Yehezkel, Moria Charka, Sigal Dahan, Gali Avrahami, Shlomit Barzilai-Birenboim, Gil Gilad, Liron Martin, Irit Schwartz-Attias, Anat Yahel, Shai Izraeli, Naomi Litichever, Sarah Elitzur","doi":"10.1002/pon.70244","DOIUrl":"10.1002/pon.70244","url":null,"abstract":"<p><strong>Background: </strong>With improving childhood cancer cure rates, there is a growing focus on the long-term health and well-being of survivors. School reintegration is crucial for their rehabilitation and psychosocial adaptation, yet little is known about school violence and bullying faced by cancer survivors upon their return.</p><p><strong>Aims: </strong>This study aimed to investigate the prevalence and forms of school bullying against childhood acute lymphoblastic leukemia (ALL) survivors, identifying risk and protective factors.</p><p><strong>Methods: </strong>ALL survivors aged 6-18 years were assessed through interviews and questionnaires. A paired comparison group of healthy students was recruited from their classrooms.</p><p><strong>Results: </strong>The study included 70 students from grades 6-12 (mean age 14.9 ± 1.82 years), comprising 35 ALL survivors and a paired comparison group. ALL survivors endured more physical (M = 1.64, SD = 1.00) and relational bullying (M = 1.50, SD = 1.04) than their healthy classmates (M = 0.90, SD = 0.58; M = 0.90, SD = 0.51 respectively), while facing similar verbal bullying levels (M = 1.71, SD = 0.99 vs. M = 1.38, SD = 0.69). However, survivors reported less cyberbullying (M = 0.45, SD = 0.36) and severe bullying (M = 0.41, SD = 0.05) than their healthy classmates (M = 1.49, SD = 0.48; M = 0.66, SD = 0.53 respectively). Survivors who returned to a different school cohort post-remission faced higher bullying risks than those who rejoined their original cohort (-0.79 < β < -0.92; p < 0.001). Physical disfigurements following cancer treatment were a risk factor for victimization only among those who returned to their original cohort.</p><p><strong>Conclusions: </strong>The findings highlight the unique challenges faced by childhood leukemia survivors in school reintegration after cancer therapy, emphasizing the significant effect of the school cohort environment on their bullying experiences.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 8","pages":"e70244"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12306848/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144744540","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":"\"If I Can't Live as a Man, I'd Rather Not Live at All\": Older Prostate Cancer Patients Discuss Doctors' Attitudes Toward Their Sexuality.","authors":"Shlomit Manor, Roy Holland","doi":"10.1002/pon.70263","DOIUrl":"10.1002/pon.70263","url":null,"abstract":"<p><strong>Objective: </strong>Prostate cancer is the most common cancer among men in the Western world and frequently requires treatment with androgen deprivation therapy (ADT), which carries significant side effects, including loss of sexual function. This study explores how older men with prostate cancer perceive physician communication about the sexual and emotional impact of ADT, and whether they feel their values, masculinity, and quality-of-life concerns are considered in treatment decisions.</p><p><strong>Methods: </strong>This qualitative study employed an interpretative phenomenological approach based on in-depth interviews with 25 men aged 60-80 undergoing or having completed ADT. Participants interviewed about their experiences with cancer treatment, physician communication, and their perceptions of how sexuality and masculinity were addressed. Interviews were transcribed and thematically analyzed.</p><p><strong>Results: </strong>Two central themes emerged: (i) physicians often minimized or overlooked the significance of sexual function and masculinity in older men, reflecting ageist and paternalistic assumptions; and (ii) information about ADT and its effects was frequently presented in generic or emotionally detached ways, with limited sensitivity to individual preferences or emotional readiness. While most patients received some information about side effects, many described the communication as dismissive or lacking in nuance. Several reported feeling excluded from shared decision-making.</p><p><strong>Conclusion: </strong>Older men undergoing ADT often feel that their sexuality and masculinity are undervalued in clinical care. Physician communication may reflect ageist assumptions and insufficient engagement with patient preferences. These findings underscore the need for more patient-centered, culturally competent, and age-sensitive approaches in prostate cancer care, particularly around sensitive issues such as sexual function.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 8","pages":"e70263"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144874903","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":"Comparative Effectiveness of Psychosocial Protective Factors for Prostate Cancer Survivorship - A UK Biobank Study.","authors":"Yan Yu, Olivia Miu Yung Ngan, Varut Vardhanabhuti, Xin-Yuan Guan, Fraide A Ganotice","doi":"10.1002/pon.70258","DOIUrl":"10.1002/pon.70258","url":null,"abstract":"<p><strong>Background: </strong>This study investigates psychosocial and lifestyle factors to improve survival outcomes in prostate cancer patients.</p><p><strong>Methods: </strong>From the UK Biobank cohort, 13,110 male prostate cancer subjects were analysed to examine the relationship between psychosocial and lifestyle factors and survival with a mean follow-up of 14.2 years from recruitment.</p><p><strong>Results: </strong>Participation in sports club or gym (HR = 0.82, 95% CI 0.74-0.91, p < 0.005), religious groups (HR = 0.83, 95% CI 0.73-0.94, p < 0.005) and other group activity (HR = 0.87, 95% CI 0.78-0.97, p = 0.01) were associated with lower mortality risk in our analysis, after adjusting for age, deprivation and comorbidities, followed by. In contrast, neither the pub or social club nor the adult education class demonstrated a statistically significant survival benefit. A modest dose-response relationship between the number of social activities engaged in and mortality risk reduction is observed. There were no differential benefits in alcohol intake, while smoking demonstrated a graded risk increase in mortality (HR = 1.74, 95% CI 1.51-2.0, p < 0.005 in current smokers; HR = 1.21, 95% CI 1.1-1.32, p < 0.005 in previous smokers) compared to never smokers. Having close and frequent confidants (HR = 0.83, 95% CI 0.75-0.92, p < 0.005 for daily) also confers benefits to survival.</p><p><strong>Conclusions: </strong>This study demonstrates that participation in sports club or gym, engaging in religious groups and other group activities, forming good health habits such as smoking cessation, and having people to confide in regularly is associated with reduced mortality risk in prostate cancer patients. These findings highlight the importance of integrating psychosocial resilience, health behaviour optimisation, and spiritual engagement into survivorship care. The hierarchical risk reduction profile supports prioritising interventions targeting modifiable health behaviours, spiritual/social support, and group activities. While religious participation is associated with notable survival benefits, this study recognises the complex interplay of cultural, social, and personal factors influencing engagement in such activities. These findings advocate for stratified survivorship care models prioritising engagement modalities with dual physiological, psychosocial, and spiritual benefits.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 8","pages":"e70258"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12357647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144859557","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":"Concerns Oncology Clinicians Bring up During Psychodynamic Supervisions Conducted by Psycho-Oncologists: A Qualitative Exploration.","authors":"Céline Bourquin, Amaelle Gavin, Friedrich Stiefel, Hermance Chanel, Michael Saraga, Laurent Michaud","doi":"10.1002/pon.70238","DOIUrl":"10.1002/pon.70238","url":null,"abstract":"<p><strong>Objective: </strong>To explore the types of concern brought up by oncology clinicians to supervision sessions conducted by psycho-oncologists.</p><p><strong>Methods: </strong>Twenty-two audio-recorded supervision sessions between 11 oncology supervisees, comprising nurses and medical oncologists, and 5 psycho-oncology supervisors were selected for analysis. The method of core story creation was used to structure the supervision contents into coherent and meaningful narratives. An analysis inspired by descriptive typology was then performed on the core stories to identify patterns, group similar cases, and derive types of concern.</p><p><strong>Results: </strong>Four types of concern were identified. Type A (I can't understand): a sense of being lost and in need of orientation when faced with patients whose attitudes and behaviors are perceived as incomprehensible. Type B (I understand, but can't help): a prevailing desire for guidance in managing identified patient problems. Type C (It's not in my hands): feelings of powerlessness within the institutional context, with supervisees seeking to regain a sense of agency. Type D (This moved me): personal emotional impact of a clinical situation, prompting supervisees to reflect on their own psychological responses.</p><p><strong>Conclusion: </strong>These types of concern shed light on the psychological challenges faced by oncology clinicians and underscore the need to address them within oncology training curricula. The findings also reveal essential aspects to be integrated in psycho-oncology training programs.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 8","pages":"e70238"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12322352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785129","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":"Effect of Cognitive Training on Cancer-Related Cognitive Impairment in Patients With Breast Cancer: A Systematic Review and Meta-Analysis.","authors":"Celia Sánchez-Gómez, Eduardo José Fernández-Rodríguez, Samuel Jiménez-Sánchez, Emilio Fonseca-Sánchez, Jesus Perez, Víctor Navarro-López, Sara Jiménez García-Tizón, Juan Luis Sánchez-González","doi":"10.1002/pon.70251","DOIUrl":"10.1002/pon.70251","url":null,"abstract":"<p><strong>Background: </strong>Cancer-related cognitive impairment (CRCI) associated with chemotherapy ('chemobrain') in patiens with breast cancer represents a challenging sequelae of cancer treatment. Cognitive training (CT) has shown potential to improve CRCI.</p><p><strong>Aim: </strong>This systematic review with meta-analysis aimed to evaluate the efficacy of CT in improving CRCI in patients with breast cancer.</p><p><strong>Methods: </strong>A systematic literature review was conducted in PubMed, Web of Science, Scopus, Embase, Cochrane Library, PsycInfo, CINAHL Complete, ClinicalTrials.gov and Psicodoc databases for studies published up to January 2025. Methodological quality was assessed using PRISMA, RoB 2 and the PEDro Scale. The protocol was registered in PROSPERO (CRD42025636745).</p><p><strong>Results: </strong>Of 7751 studies identified, 11 met inclusion criteria and 9 were included in the meta-analysis. Eight studies assessed the effect of CT on the FACT-Cog scale global score, showing a significant effect (SMD = 0.2; IC del 95%: -0.39 a -0.01; p = 0.04), and low heterogeneity (I² = 0%). Seven studies analysed perceived cognitive impairments (PCI), perceived cognitive abilities (PCA), and impact on quality of life (QOL), while six included comments from others (OTH), showing a significant overall effect (SMD = 0.39; IC del 95%: -0.58 a -0.19; p < 0.001), with no significant heterogeneity. There were significant improvements in PCI and PCA. Funnel plots analysis suggested possible publication bias.</p><p><strong>Conclusions: </strong>CT could be effective in improving CRCI in patients with breast cancer. However, the existing evidence is of low quality and, therefore, higher quality studies with larger samples are still warranted.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 8","pages":"e70251"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12340179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144822382","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":"Influence of Substance Use Disorders on Mortality in a Systemwide Cohort of Cancer Patients.","authors":"Shawnly Khoyilar, Vidya Purushothaman, Raphael E Cuomo","doi":"10.1002/pon.70243","DOIUrl":"https://doi.org/10.1002/pon.70243","url":null,"abstract":"<p><strong>Background: </strong>Cancer treatment is often complicated by co-occurring substance dependence such as alcohol, cannabis, opioids, amphetamines, and tobacco. The objective of this study was to analyze the association between substance use (alcohol, cannabis, opioids, amphetamines, and tobacco) and mortality among cancer patients.</p><p><strong>Methods: </strong>This retrospective study used de-identified data from the University of California, San Diego Health on 22,763 cancer patients aged ≥ 18 years. Substance dependance post-diagnosis was identified based on clinical observations from electronic health records. Tumor staging was determined using the TNM system, with missing data imputed via biomarker-based regression. Cox proportional hazards models were computed to assess severity-adjusted associations between substance dependance, by type, and mortality.</p><p><strong>Results: </strong>Cannabis dependence was not significantly associated with mortality. Alcohol, tobacco, opioid, and amphetamine dependence were linked to increased mortality in both unadjusted and adjusted models. Adjusting for tumor stage reduced hazard ratios for opioid and tobacco dependence, suggesting stage as a confounding factor. Alcohol and opioid dependence remained significant predictors of mortality, while findings for cannabis and amphetamine were limited by small sample sizes.</p><p><strong>Conclusion: </strong>Alcohol and opioid dependence in cancer patients was observed to be a significant predictor of mortality after adjusting for disease severity, emphasizing the need for targeted interventions among this subpopulation.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 8","pages":"e70243"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966432","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":"Spiritual Well-Being, Religiosity, Quality of Life, Distress, Social Support, Depression, and Anxiety Among English- and Arabic-Speaking Muslim Americans With Advanced Cancer: A Cross-Sectional Study.","authors":"Claudia Ayash, Maria Jdid, Anagha Kakade, Minlun Wu, Bharat Narang, Mark Lazenby, Francesca Gany","doi":"10.1002/pon.70255","DOIUrl":"10.1002/pon.70255","url":null,"abstract":"<p><strong>Objective: </strong>To learn about spiritual and psychosocial palliative care needs of Muslim Americans with advanced cancer.</p><p><strong>Methods: </strong>A cross-sectional English/Arabic (patient preference) survey was conducted with 120 Muslim Americans with advanced cancer in New York City (2022-2023). Survey instruments included Functional Assessment of Cancer Therapy-General (FACT-G, quality of life), Hospital Anxiety and Depression Scale (HADS-2 subscales), Medical Outcomes Study (MOS-emotional, tangible, affectionate support, positive social interactions), Functional Assessment of Chronic Illness Therapy-Spiritual Wellbeing (FACIT-SP-spiritual wellbeing, Modified Duke Religious Index (DUREL-religious involvement), Distress Thermometer and Problems List.</p><p><strong>Results: </strong>Most participants were from South Asia (30.8%), Middle East/North Africa (30.8%), and US (21.7%). On average, patients had high quality of life (FACT-G), little anxiety/depression (HADS), and high social support (MOS), spiritual wellbeing (FACIT-Sp), and religious involvement (DUREL); 51.7% had clinically high Distress Thermometer scores (4-10). We found strong positive correlations between FACIT-Sp and both total FACT-G (p < 0.001) and MOS (p < 0.001). There was a moderate positive correlation between FACIT-Sp and DUREL-intrinsic religiosity (p = 0.002). There was a strong positive correlation between total FACT-G and MOS (p < 0.001). There were strong negative correlations between Distress and FACT-G (p < 0.001), FACIT-Sp (p < 0.001), and MOS (p < 0.001). There were strong negative correlations between the HADS scales and FACT-G (p < 0.001), FACIT-Sp (p < 0.001), and MOS (p < 0.001). The HADS scales showed strong positive correlations with distress (p < 0.001) and each other (p < 0.001).</p><p><strong>Conclusions: </strong>Spirituality, religiosity, and social support may be assets in palliative care for Muslim Americans. Providers should work with patients to determine their individual palliative care needs.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 8","pages":"e70255"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144848528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of an Ostomy on Body Image and Sexual Function of Patients With Colorectal Cancer: A Systematic Review and Meta-Analysis.","authors":"Claudia Redeker, Elizabeth Grunfeld, Anne Miles","doi":"10.1002/pon.70249","DOIUrl":"10.1002/pon.70249","url":null,"abstract":"<p><strong>Background: </strong>Body image disturbance and sexual dysfunction are two of the most common issues reported by patients with colorectal cancer (CRC). The objective of our systematic review and meta-analysis was to examine the effects of an ostomy on body image (BI) and sexual dysfunction (SX) in patients with CRC.</p><p><strong>Methods: </strong>In this systematic review and meta-analysis, we searched seven databases (MEDLINE, PsychINFO, EMBASE, The Cochrane Library, PubMed, CINAHL, WEB of SCIENCE) covering articles published in English between January 1st, 2000 and July 20, 2024. Statistical analysis was carried out using the Comprehensive Meta-Analysis (CMA) version 4 software.</p><p><strong>Results: </strong>Of 6321 identified articles, 92 met the inclusion criteria, totalling 27,039 patients. Patients with an ostomy reported significantly more body image concerns (g = -0.467 (95% CI -0.546 to -0.388), p < 0.001; prediction interval (PI): -1.046 to 0.112) and sexual dysfunction (g = -0.331 (95% CI -0.406 to -0.256), p < 0.001; PI: -0.894 to 0.232). Meta-regression showed that for BI, publication date and the choice of questionnaire explained 30% of the variance in effect size (R²analog = 0.30, df = 3, p < 0.05). For SX, gender and publication date explained 31% of the variance in effect size (R²analog = 0.3, df = 2, p < 0.001).</p><p><strong>Conclusion: </strong>The findings revealed that patients with an ostomy, compared to those without, experience significantly higher levels of BI concerns and SX, with moderate-to-large effect sizes observed. However, there was significant heterogeneity, indicated by the broad prediction interval across studies. Results from the meta-regression suggested that the measurement tools, gender and publication date contributed to the observed variability. Future research should explore additional factors that influence outcomes in body image and sexual health for individuals with lived experience of CRC.</p><p><strong>Prospero registration: </strong>No CRD42020167716.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 8","pages":"e70249"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776017","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":"A Hybrid Effectiveness-Implementation Study of the Managing Cancer and Living Meaningfully Psychosocial Intervention Across Established Psychosocial Oncology and Palliative Care Programs in Alberta's Calgary and South Zone.","authors":"J M de Groot, A Feldstain, C Sears, K Silveira, L Labelle, S Hales, C Hao, G Liu, J Gamboa, K Sitter, H Roth, F Strohschein","doi":"10.1002/pon.70259","DOIUrl":"10.1002/pon.70259","url":null,"abstract":"<p><strong>Background: </strong>The brief evidence-based Managing Cancer and Living Meaningfully (CALM) psychotherapy effectively addresses common psychosocial concerns among people with advanced non-curative cancers across cultures. Implementation strategies are required to speed uptake of psychotherapies, such as CALM, to address clinical needs.</p><p><strong>Aims: </strong>The study aimed to develop and compare implementation referral strategies for CALM, assess the feasibility of training clinicians for CALM competence and assess patient adherence and satisfaction with CALM. Patient-reported outcomes were included to confirm effectiveness.</p><p><strong>Methods: </strong>A pragmatic single-arm Hybrid Type 3 effectiveness-implementation study with concurrent, mixed-methods design was used to evaluate implementation outcomes of referral strategies, while collecting clinical effectiveness data for CALM. The Consolidated Framework for Implementation Research framework informed interviews to obtain clinician and community cancer care organization leaders' perspectives on barriers and facilitators to CALM referrals.</p><p><strong>Results: </strong>Clinicians resonated with the CALM model, conveyed receptivity to change for beneficial interventions and valued a CALM coordinator in facilitating referrals with clinician and patient information. Patients referred to CALM through the psychosocial oncology (PSO) programme, after distress screening, had higher attrition (X² = 6.3, p = 0.01) than patients directly referred by frontline clinicians. Training multidisciplinary clinicians to CALM competence was limited by attrition.</p><p><strong>Conclusion: </strong>CALM implementation was feasible with new direct referral pathways by frontline oncology clinicians across established PSO and palliative care programs. A CALM study coordinator facilitated referrals, and provided information material, Training early career clinicians may support integration of CALM into clinical practice and support clinical needs of patients with advanced cancer.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 8","pages":"e70259"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12365429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144883546","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":"Sarcoma Patient Narratives With Respect to the Social Determinants of Health: A Thematic Analysis.","authors":"Emily M Peairs, Kali Morrissette, Devika A Shenoy, Nicole Levine, Kiera Lunn, Elizabeth Sachs, Brian Brigman, William C Eward, Chad Cook, Julia D Visgauss","doi":"10.1002/pon.70257","DOIUrl":"10.1002/pon.70257","url":null,"abstract":"<p><strong>Objectives: </strong>Sarcomas are rare, mesenchymal tumors that require multimodality treatment provided by multidisciplinary teams. This study seeks to better understand sarcoma patient narratives and quality of life in relation to the social determinants of health (SDoH).</p><p><strong>Methods: </strong>Eligible patients who were diagnosed with sarcoma, treated by our institution's orthopedic oncology team, and identified with at least one social risk factor were contacted about participating in a semi-structured interview. SDoH information collected included (1) Economic Stability, (2) Access to Health Care, (3) Neighborhood & Physical Environment, (4) Social & Community Context, and (5) Education Access and Quality. Interviews were then recorded, de-identified, transcribed, and coded by reviewers. The validated Framework Method for qualitative research was used to summarize themes. Descriptive statistics were used to summarize the percentage of participants that identified with each SDoH concern.</p><p><strong>Results: </strong>100% of patients (N = 17) discussed how quality and access to healthcare affected their experience. 88.2% of participants expressed the importance of transportation. 29.4% of participants discussed how they thought their educational background affected their cancer care. Other common themes centered around social support, employment, financial security, and insurance.</p><p><strong>Conclusion: </strong>Our research elicited ways in which SDoH affected the care experience of patients with sarcoma. The identified domains offer clinicians valuable information into non-clinical factors, such as employment concerns or transportation issues, that may affect care for patients with sarcoma. Interdisciplinary care providers (social workers, psychologists, financial navigators) may also help promote open dialogues with patients about their social circumstances and actively facilitate connections to institutional resources or community support systems.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 8","pages":"e70257"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144848527","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}