Psycho‐Oncology最新文献

{"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}

{"title":"From \"Where Are the Latinos?\" to \"How to Find Them\": A Qualitative Study to Inform Recruitment Efforts in an On-Going Psychosocial Cancer Trial for Dyads of Latina Cancer Survivors and Their Intimate Partners.","authors":"Rolando F Trejos, Gabriella Sanabria, Erik Ruiz, Melody Chavez, Gabriel Quiros, Nele Loecher, Laura B Oswald, Sejal Barden, Brian Doss, Dinorah Martinez-Tyson","doi":"10.1002/pon.70247","DOIUrl":"https://doi.org/10.1002/pon.70247","url":null,"abstract":"<p><strong>Background: </strong>The underrepresentation of Latino cancer survivors and their intimate partners (IP) in psychosocial cancer trials hinders progress in tackling inequities in cancer prevention and control.</p><p><strong>Aims: </strong>To explore recruitment and enrollment strategies for LBCS and their IPs into a cancer trial evaluating a psychosocial intervention aiming to improve couples' communication and sexual intimacy.</p><p><strong>Methods: </strong>This qualitative study applied a structural coding approach and content analysis methodologies to identify emerging themes on LBCS and IP recruitment used to inform active recruitment strategies in an on-going psychosocial cancer trial. Between April and June 2022, 21 LBCS and five IP participated in in-depth interviews and focus groups. Other data sources included community advisory board (CAB) meeting minutes conducted in 2023 and 2024, and on-going feedback from the trial's CAB.</p><p><strong>Results: </strong>The emerging themes are (1) We want to participate together: LBCS and IP are interested in dyadic cancer navigation; (2) The salient impact of altruism in Latino enrollment decision-making (to enroll vs. not to enroll); (3) Understanding Latino cultural values in the context of recruiting and enrolling Latinos and their IP; and (4) Navigating Latino taboos regarding intimacy and confidentiality for recruiting and enrolling dyads.</p><p><strong>Conclusions: </strong>Study findings underscore the importance of developing, implementing, and evaluating strategies to recruit Latinos that acknowledge altruism and personalismo, improve trust in research personnel, and promote participation of intimate partners and family members. The findings are being actively implemented in recruitment strategies for an on-going psychosocial cancer trial.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 8","pages":"e70247"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144744538","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 Conceptualization and Measurement of Cancer-Related Fatigue in Different Types of Research (Diagnosis, Mechanisms, and Intervention): Systematic Review.","authors":"Agata Zdun-Ryżewska, Julia Jastrzębska, Magdalena Błażek, Ilona Poćwierz-Marciniak","doi":"10.1002/pon.70252","DOIUrl":"10.1002/pon.70252","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Cancer-related fatigue (CRF) is a prevalent and debilitating symptom that significantly impacts patients' quality of life. Despite its recognition as a critical issue in oncology, there remains substantial variability in how CRF is conceptualized and measured. Standardized frameworks recommend multidimensional assessments, yet research practices remain inconsistent.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;This systematic review aims to evaluate how CRF is conceptualized and measured in contemporary oncology research (2021-2024). Specifically, it examines CRF assessment within studies focusing on (1) diagnosis, (2) underlying biological and psychological mechanisms, (3) interventions, which include two subtypes: interventions against fatigue and interventions against cancer, the latter referring to studies evaluating the impact of cancer treatment on fatigue.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A systematic literature search was conducted across PubMed, EMBASE, and Google Scholar following PRISMA guidelines. Eligible studies included clinical and observational research using quantitative methodologies to assess CRF as a primary or secondary outcome. Studies were screened and selected independently by two reviewers, with a third reviewer resolving discrepancies. A total of 968 studies were included in the review, covering the period from 2021 to 2024. Data extraction focused on fatigue conceptualization, measurement tools, their psychometric properties, and the placement of fatigue as a study variable.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The review identified substantial variability in CRF measurement approaches. Fatigue was most frequently assessed as a secondary outcome, particularly in studies on cancer treatments (89%) and interventions (67%), while fewer studies considered it a primary endpoint. A significant proportion of studies relied on single-item measures or subscales rather than comprehensive validated fatigue questionnaires, particularly in research examining cancer treatment effects (64%) and fatigue diagnosis (60%). Furthermore, many studies failed to report the psychometric properties of fatigue measurement tools. Notably, self-designed instruments often lacked theoretical justification and validation, limiting their reliability. The review also identified significant research gaps, including a limited number of studies on rare cancers, combined treatment approaches, and specific fatigue-related interventions such as psychological support and spiritual care.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;This review highlights key gaps in CRF research, particularly in the underrepresentation of certain cancer types, treatment modalities, and intervention strategies. The findings emphasize the need for a more consistent application of multidimensional fatigue assessments, a stronger focus on CRF as a primary research outcome and the prioritizing psychometric rigor and transparency in measurement reporting. Addressing these ga","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 8","pages":"e70252"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144874827","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":"Effects of an Interpersonal Counseling Intervention on Interdependence of Symptoms in Cancer Survivor-Informal Caregiver Dyads.","authors":"Chris Segrin, Terry A Badger, Nathan Cunicelli, Alla Sikorskii","doi":"10.1002/pon.70250","DOIUrl":"10.1002/pon.70250","url":null,"abstract":"<p><strong>Background: </strong>Cancer survivors and their caregivers can experience interdependent symptoms.</p><p><strong>Aims: </strong>The objective of this research was to determine if participation in a telephone delivered interpersonal counseling intervention, compared to an educational intervention, increases observed dyadic interdependence in depression, anxiety, and other symptoms in cancer survivors and their informal caregivers.</p><p><strong>Method: </strong>A dyadic sample of survivors in treatment for solid tumor cancers and their caregivers participated in a 17-week sequential multiple assignment trial of symptom management interventions. Participants completed weekly measures of depression, anxiety, and other symptoms. Initially, all survivors and caregivers received a Symptom Management and Survivorship Handbook (SMSH) intervention. Survivors who still had unresolved depression or anxiety symptoms after 4 weeks were randomized with their caregivers to continue with SMSH alone or add a telephone interpersonal counseling (TIPC) intervention for the next 8 weeks (N = 87). For this sample, the lagged-dependent Actor-Partner Interdependence Model was used to estimate longitudinal actor and partner effects for each of the three symptom measures. Interaction terms representing intervention condition (SMSH vs. SMSH + TIPC) were entered into the models to determine if intervention moderated the observed actor or partner effects.</p><p><strong>Results: </strong>The caregiver→survivor partner effect for anxiety was significantly stronger in the SMSH + TIP arm compared to the SMSH alone arm. No other moderation effects were observed.</p><p><strong>Conclusions: </strong>Participating in the interpersonal counseling intervention as an addition to an educational intervention delivered to both members of a survivor-caregiver dyad does not appear to affect dyadic interdependence in symptoms other than anxiety.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 8","pages":"e70250"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785142","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}