Psycho‐Oncology最新文献

{"title":"Effect of Couple-Based Virtual Intervention on Spousal Support and Quality of Life for Women With Breast and Gynecological Cancers in Nigeria.","authors":"Mosidat Oshodi-Bakare, Chinomso Ugochukwu Nwozichi, Elizabeth Titilayo Olaogun, Oluwabusola Kolawole, Oluwaseun Deborah Martins-Akinlose, Deliverance Brotobor","doi":"10.1002/pon.70179","DOIUrl":"https://doi.org/10.1002/pon.70179","url":null,"abstract":"<p><strong>Background: </strong>Breast and gynecological cancers contribute significantly to cancer-related mortality among Nigerian women. Despite the proven benefits of spousal support in improving cancer outcomes, male involvement in caregiving remains limited due to cultural norms, stigma, and systemic healthcare challenges.</p><p><strong>Aims: </strong>This study evaluated the effectiveness of a couple-based virtual intervention in enhancing spousal support and improving the quality of life (QoL) of women undergoing cancer treatment in Nigeria.</p><p><strong>Methods: </strong>An embedded mixed-methods design was employed involving 133 Nigerian couples, where women were receiving treatment for breast or gynecological cancer. The intervention consisted of an 8-week virtual peer support program for male partners, delivered via Zoom. Quantitative data were collected using validated instruments assessing spousal support and QoL, and analyzed using descriptive and inferential statistics. Qualitative data were obtained through semi-structured interviews with 21 male participants and analyzed thematically using NVivo 14.</p><p><strong>Results: </strong>Post-intervention, significant improvements were recorded in spousal support across emotional (p = 0.0413), practical (p = 0.0296), financial (p = 0.0493), and health-related (p = 0.0313) domains. Women's QoL significantly improved in physical (p = 0.0109), psychological (p = 0.0452), social (p = 0.0024), and spiritual (p = 0.0417) domains. Thematic analysis revealed five key themes: emotional growth and support, understanding of partner's needs, building confidence, value of peer connections, and cultural or logistical barriers.</p><p><strong>Conclusions: </strong>The couple-based virtual intervention significantly improved male caregiving engagement and the quality of life of women undergoing cancer treatment. Findings support culturally tailored, gender-sensitive interventions in oncology care within resource-limited settings.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 5","pages":"e70179"},"PeriodicalIF":3.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094338","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":"Improving Shared Decision-Making in Early Phase Clinical Trials and Palliative Care: A Prospective Study on the Impact of an Online Value Clarification Tool Intervention.","authors":"Liza G G van Lent, Julia C M van Weert, Maja J A de Jonge, Mirte van der Ham, Esther Oomen-de Hoop, Martijn P Lolkema, Marjolein van Mil, Eelke H Gort, Jelle van Gurp, Jeroen Hasselaar, Carin C D van der Rijt","doi":"10.1002/pon.70168","DOIUrl":"10.1002/pon.70168","url":null,"abstract":"<p><strong>Objectives: </strong>This study evaluated the impact of the OnVaCT intervention, a narrative-based Online Value Clarification Tool (OnVaCT), combined with communication training for oncologists, on shared decision-making (SDM) in discussions on potential early phase clinical trial participation and palliative care. These high-stakes decisions often challenge patients and oncologists in addressing patient values, a crucial component of SDM. We hypothesized that the intervention would improve oncologist-patient communication, specifically SDM application, and (consequently) reduce patient decisional conflict.</p><p><strong>Methods: </strong>In this prospective, multicentre pre-post clinical study, patients completed two surveys, and their recorded consultations on early phase clinical trials and palliative care were assessed by independent coders. Pre-intervention patients received usual care, while post-intervention patients used the OnVaCT. Oncologists underwent communication training between study phases. Endpoints included decisional conflict (primary), the extent to which oncologists, patients and relatives participate in SDM, consultation length, and patient decisions (secondary).</p><p><strong>Results: </strong>Decisional conflict (p = 0.394) did not differ between pre-test (n = 116, M = 30.0, SD = 16.9) and post-test (n = 99, M = 29.4, SD = 15.2). Oncologists significantly increased their SDM application post-intervention (p < 0.001; n = 129, M = 38.5, SD = 12.6) compared to pre-intervention (n = 163, M = 28.8, SD = 9.2), particularly when the OnVaCT was discussed. Other outcomes, including consultation length, remained stable.</p><p><strong>Conclusions: </strong>The OnVaCT intervention enhanced SDM and supported value-based discussions, without prolonging consultations. Further research should explore whether additional implementation efforts could reduce decisional conflict and the intervention's potential impact on other patient-centred outcomes. Some decisions, however, may inherently involve unresolved conflict.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 5","pages":"e70168"},"PeriodicalIF":3.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12041624/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051068","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":"Effects of Psychological Intervention Based on Digital Health Technology on Psychological Outcomes in Cancer Survivors: Systematic Review and Meta-Analysis.","authors":"Mengyuan Dong, Yongqi Huang, Xuan Zhang, Liuliu Wu, Lubna Ghazal, Fenglin Cao","doi":"10.1002/pon.70166","DOIUrl":"https://doi.org/10.1002/pon.70166","url":null,"abstract":"<p><strong>Objectives: </strong>Digital health technology (DHT)-based psychological interventions are emerging as a means to enhance psychological outcomes for cancer survivors. This study aims to assess the effects of DHT-based psychological interventions on anxiety, depression, sleep disturbances, fatigue, and quality of life among cancer survivors.</p><p><strong>Methods: </strong>A systematic search was conducted in PubMed, Web of Science, the Cochrane Library, and Embase. The Cochrane risk-of-bias tool RoB 2 was used to evaluate the quality of the included studies. The Template for Intervention Description and Replication (TIDieR) checklist was used to check if the interventions reviewed were described in detail to be implemented in the clinical setting. Data synthesis was conducted in Review Manager (Version 5.4), and the effect size was calculated by the standardized mean difference and its 95% confidence interval. Sensitivity analysis and subgroup analysis were also conducted. The certainty of evidence was rated using the Grading of Recommendations, Assessment, Development and Evaluation approach.</p><p><strong>Results: </strong>This meta-analysis encompassed 46 randomized controlled trials, involving 5211 participants. DHT-based psychological interventions significantly reduced anxiety (SMD = -0.41, 95% CI -0.59/-0.24), depression (SMD = -0.26, 95% CI -0.39/-0.13), sleep disturbance (SMD = -0.39, 95% CI -0.64/-0.14), fatigue (SMD = -0.47, 95% CI -0.77/-0.17), and improved quality of life (SMD = 0.42, 95% CI 0.22/0.62). Subgroup analysis indicated that interventions lasting for a duration of ≥ 12 weeks, and integrated interventions might be the most effective in addressing adverse psychological outcomes. And cognitive-behavioral therapy interventions demonstrated significant effectiveness in managing sleep disturbance.</p><p><strong>Conclusion: </strong>DHT-based psychological interventions might be effective for improving anxiety, depression, sleep disturbances, fatigue, and quality of life in cancer survivors. We cannot draw definitive conclusions due to intervention and study design heterogeneity. Further rigorous trials are crucial to identify optimal interventions for different types of cancers, determine suitable durations, specify types of DHT-based psychological interventions and validate intervention therapies.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 5","pages":"e70166"},"PeriodicalIF":3.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143996214","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":"Exploratory Analysis of Nationwide Japanese Patient Safety Reports on Suicide and Suicide Attempts Among Inpatients With Cancer Using Large Language Models.","authors":"Ken Kurisu, Maiko Fujimori, Saki Harashima, Masako Okamura, Kazuhiro Yoshiuchi, Yosuke Uchitomi","doi":"10.1002/pon.70150","DOIUrl":"https://doi.org/10.1002/pon.70150","url":null,"abstract":"<p><strong>Objective: </strong>Patients with cancer have a high risk of suicide. However, evidence-based preventive measures remain unclear. This study aimed to investigate suicide prevention strategies for hospitalized patients with cancer by analyzing nationwide patient safety reports using large language models.</p><p><strong>Methods: </strong>Data were drawn from patient safety reports collected by the Japan Council for Quality Health Care from 620 hospitals. Reports involving suicides or attempts among patients with cancer were analyzed. BERTopic was used to identify topics in free-text reports, and conditions such as depressive symptoms were labeled using the OpenAI API. Logistic regression was conducted to analyze the relationship between pre-incident conditions and proposed countermeasures.</p><p><strong>Results: </strong>Among 213 reports, key topics included mental and physical distress, symptom deterioration, nursing records, and post-incident documentation. Over 40% of patients exhibited depressive symptoms, and 30% expressed suicidal ideation. However, fewer received specialized mental care. Notably, over 10% appeared to experience delirium, potentially contributing to the incident. The most frequently suggested countermeasures were mental distress treatment, enhanced medical staff communication, and improved information sharing with families. Logistic regression revealed several associations between proposed countermeasures and pre-incident conditions, including mental health intervention for patients without prior treatment, physical interventions for those in severe pain, and improved staff communication for those with depressive symptoms.</p><p><strong>Conclusions: </strong>This study, based on nationwide patient safety reports, highlights critical suicide prevention strategies for hospitalized patients with cancer, many of which align with previously proposed strategies. Additionally, the study provides new insights, such as the need for preventive measures to manage delirium.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 5","pages":"e70150"},"PeriodicalIF":3.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12050354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045715","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":"The Psychological Impact of Sarcoma From Pre-Diagnosis to Post-Treatment, a Meta-Synthesis.","authors":"Christopher Meek, Michael Baliousis","doi":"10.1002/pon.70174","DOIUrl":"10.1002/pon.70174","url":null,"abstract":"<p><strong>Objectives: </strong>Sarcoma is a rare form of cancer affecting soft tissue and bone. Previous research has highlighted psychological challenges associated with this subset of cancer. The purpose of this paper is to draw together existing qualitative research into the psychological experiences of sarcoma patients, and to identify any sarcoma-specific psychological needs.</p><p><strong>Methods: </strong>A systematic review was conducted with the question: 'What is the psychological impact of sarcoma?'. The protocol for the review was preregistered with PROSPERO (CRD42023439959). Thematic meta-synthesis (meta-ethnography) was used to consolidate a range of qualitative sources.</p><p><strong>Results: </strong>Screening of four relevant databases identified 43 studies for inclusion, with 40 contributing to the synthesis, post-quality assessment. Psychological experiences were split into two timepoints: Early Days (highlighting delays, shock, and immediate interpretations) and Living With and Beyond (encompassing relationships, anxieties and fears, sadness and loss, coping and growth). Many psychological impacts on general cancer populations are also applicable to sarcoma, such as fear of recurrence and progression of the disease. However, some have increased resonance in those with sarcoma, due in part to its rarity, disabling potential and its occurrence at younger age. Those with Kaposi's sarcoma face unique challenges around stigmatisation.</p><p><strong>Conclusions: </strong>Health professionals who work with sarcoma patients should be aware of the additional informational, relational, and emotional challenges faced by those with sarcoma. Further research could identify what interventions could meet these challenges.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 5","pages":"e70174"},"PeriodicalIF":3.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036641","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":"Clinical Reflections and the Lived Experience of Child Life Therapy at an Australian Centre.","authors":"Irene Adam, Christina Signorelli, Bec Joyno","doi":"10.1002/pon.70188","DOIUrl":"https://doi.org/10.1002/pon.70188","url":null,"abstract":"<p><p>A cancer diagnosis in childhood is life changing for children and their families. Children may experience medical and physical side-effects, and both children and carers may suffer from distress and other psychological challenges. Supportive care interventions are vitally important in helping children and their families cope adaptively to ensure positive long-term adjustment. Child Life Therapy (CLT) is an allied health profession that involves evidence-based interventions that focus on supporting, educating, and empowering young people through their healthcare journey.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 5","pages":"e70188"},"PeriodicalIF":3.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136450","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":"In Memoriam Anthony R. Marchini, MA October 1936-March 2025.","authors":"Ivelisse Belardo","doi":"10.1002/pon.70169","DOIUrl":"https://doi.org/10.1002/pon.70169","url":null,"abstract":"","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 5","pages":"e70169"},"PeriodicalIF":3.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042153","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":"Insomnia in Patients With Cancer: Challenges and Management Strategies.","authors":"Cristiane Decat Bergerot, Fernanda Cesar Oliveira, Benjamin Brewer, Matthew Loscalzo","doi":"10.1002/pon.70171","DOIUrl":"https://doi.org/10.1002/pon.70171","url":null,"abstract":"","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 5","pages":"e70171"},"PeriodicalIF":3.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022097","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":"Correction to \"Facilitators and Barriers to Cancer Screening Participation Across Southeastic Asia: A Scoping Review\".","authors":"","doi":"10.1002/pon.70163","DOIUrl":"10.1002/pon.70163","url":null,"abstract":"","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 5","pages":"e70163"},"PeriodicalIF":3.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12128742/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042832","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":"Getting Cancer Is \"Just Bad Luck\": Exploring Bereaved Emerging and Young Adults' Cancer Risk Uncertainty After Caring for a Parent With Advanced Cancer.","authors":"Amanda Kastrinos, Caroline Salafia, Rebecca R Gebert, Emily L Mroz, Carla L Fisher, Allison J Applebaum","doi":"10.1002/pon.70161","DOIUrl":"10.1002/pon.70161","url":null,"abstract":"<p><strong>Background: </strong>Emerging and young adult caregivers (EYACs) who provide care to a parent with advanced cancer are underrepresented in caregiving scholarship, and yet, are not uncommon. Little is known about the psychosocial impacts of caring for a parent at this age or how EYACs manage their uncertainty regarding their own, potentially elevated, future cancer risk.</p><p><strong>Aims: </strong>To employ Uncertainty Management Theory (UMT) to examine how bereaved EYACs of a parent who died of advanced cancer appraise and manage their uncertainty regarding their personal cancer risk.</p><p><strong>Methods: </strong>We conducted a secondary analysis of in-depth, semi-structured interviews with EYACs (age 18-35) who cared for a parent who died of advanced cancer (n = 33) < 5 years prior. The interviews were transcribed and thematically analyzed.</p><p><strong>Results: </strong>Some EYACs described appraising their cancer risk uncertainty as an opportunity and were motivated to reduce their risks through behavior choices. Others appraised it as a danger and experienced anxiety, paranoia, and fatalism about their risk. Others described their parents' cancer as \"just bad luck,\" believing it to be a random anomaly that could not impact their cancer risk and reported no changes in their appraisal of their cancer risk uncertainty.</p><p><strong>Conclusions: </strong>EYACs' opportunity and danger appraisals align with studies of high hereditary risk populations but reporting no change in cancer risk uncertainty is unique. The long-term health implications of appraising their parent's cancer as a random occurrence, disconnected from their personal risk, remain unknown. Future research should seek to help both bereaved and active EYACs better understand their cancer risk and manage their uncertainty.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 5","pages":"e70161"},"PeriodicalIF":3.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12139470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143977783","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}