Psycho‐Oncology最新文献

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Navigating the Hardship Together: Factors Associated With Couple Relationship Functioning in Parents With Cancer Who Have Dependent Children. 共同克服困难:与有依赖子女的癌症父母的夫妻关系功能相关的因素。
IF 3.5 2区 医学
Psycho‐Oncology Pub Date : 2025-08-01 DOI: 10.1002/pon.70245
Andrea Hess Engström, Anette Alvariza, Astrid Kuylenstierna, Anna Wikman, Lisa Ljungman
{"title":"Navigating the Hardship Together: Factors Associated With Couple Relationship Functioning in Parents With Cancer Who Have Dependent Children.","authors":"Andrea Hess Engström, Anette Alvariza, Astrid Kuylenstierna, Anna Wikman, Lisa Ljungman","doi":"10.1002/pon.70245","DOIUrl":"10.1002/pon.70245","url":null,"abstract":"<p><strong>Background: </strong>When a parent is diagnosed with cancer, it often affects both family life and the couple relationship significantly. However, research on factors that influence relationship functioning over time in this population is limited.</p><p><strong>Aims: </strong>To investigate the development of relationship functioning and factors associated with relationship functioning over a 1-year period among parents with cancer.</p><p><strong>Methods: </strong>In this longitudinal study, 180 parents with cancer, aged 24-60 years, with dependent children completed online surveys at 2 time-points: at inclusion (T1) and 1 year later (T2). Data included self-reported sociodemographic, physical health and psychological factors, and relationship functioning. The outcome was relationship functioning at T2 assessed using 4 subscales (Dyadic cohesion, Dyadic satisfaction, Sensuality, and Sexuality) of the validated self-assessment scale Quality of Dyadic Relationship Scale-36 (QDR). Linear regression analyses were conducted to identify factors associated with the outcome.</p><p><strong>Results: </strong>All aspects of relationship functioning statistically declined over time, except sexuality. After adjusting for multiple T1 factors, completion of cancer treatment predicted higher Dyadic cohesion; poor self-rated health predicted lower Dyadic satisfaction; higher age, being a mother and attachment-related anxiety predicted lower Sensuality; and lower age of youngest child, anxiety and attachment-related anxiety predicted lower Sexuality.</p><p><strong>Conclusions: </strong>Cancer significantly impacts relationship functioning among parents with cancer who have dependent children, with significant declines in Dyadic cohesion, Dyadic satisfaction, and Sensuality over time. A number of sociodemographic, physical health and psychological factors were shown to predict lower relationship functioning. Addressing these factors may help identify and support parents with cancer who are at risk of, or who perceive, difficulties in their couple relationship.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 8","pages":"e70245"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12306854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144744539","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}
引用次数: 0
Communication and Support-Focused Experiences and Needs of Young Adult Couples Coping With Cancer: A Qualitative Study. 以沟通和支持为中心的年轻成年夫妇应对癌症的经验和需求:一项定性研究。
IF 3.5 2区 医学
Psycho‐Oncology Pub Date : 2025-08-01 DOI: 10.1002/pon.70248
Katie Darabos, Sharon L Manne, Katie A Devine, Sean McHugh, Shannon Desbiens
{"title":"Communication and Support-Focused Experiences and Needs of Young Adult Couples Coping With Cancer: A Qualitative Study.","authors":"Katie Darabos, Sharon L Manne, Katie A Devine, Sean McHugh, Shannon Desbiens","doi":"10.1002/pon.70248","DOIUrl":"10.1002/pon.70248","url":null,"abstract":"<p><strong>Background: </strong>Cancer among young adult (YA) couples is a profoundly distressing experience, extracting a significant toll on YA couples' relationships (e.g., with partners, family, friends). It is well recognized that effective communication within social relationships is critical for fostering well-being among couples coping with cancer. Despite this, limited research exists focused on communication and support needs among YA couples.</p><p><strong>Aims: </strong>Through qualitative semi-structured interviews, we explored the unique needs and experiences of YA couples with a focus on communication and support within their relationship and with their social support networks.</p><p><strong>Methods: </strong>Fifteen semi-structured interviews were conducted with YA couples. YA survivors were eligible if they were diagnosed with cancer as a young adult (aged 18-39) within the past 5 years. Relevant themes in literature guided the development and use of semi-structured interview guides.</p><p><strong>Results: </strong>Content-structuring qualitative analysis was used to identify themes. Across 15 YA couples, four main themes emerged: dyadic communication, dyadic relationship changes, social support network challenges and opportunities, and resource needs.</p><p><strong>Conclusions: </strong>Results highlight YA couples' communication and support needs that are central, and external, to the couple. These findings elucidate how YA couples navigate the cancer experience together, highlighting experiences, needs, and concerns that are central to the developmentally off-time nature of cancer during their relationship. Additionally, results have implications for intervention development focused on communication and support among this vulnerable and underrepresented YA couple population.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 8","pages":"e70248"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12310421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754121","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}
引用次数: 0
Causal Attributions in Patients With Breast and Gynecological Cancers: A Scoping Review. 乳腺癌和妇科癌症患者的因果归因:一项范围综述。
IF 3.5 2区 医学
Psycho‐Oncology Pub Date : 2025-08-01 DOI: 10.1002/pon.70253
Min-Chae Kang, So-Youn Jung, Seeyoun Lee, Yeon Jee Lee, Youn Kyung Chung, Jun-Ha Jang, Boyoung Park, Sun-Young Kong
{"title":"Causal Attributions in Patients With Breast and Gynecological Cancers: A Scoping Review.","authors":"Min-Chae Kang, So-Youn Jung, Seeyoun Lee, Yeon Jee Lee, Youn Kyung Chung, Jun-Ha Jang, Boyoung Park, Sun-Young Kong","doi":"10.1002/pon.70253","DOIUrl":"10.1002/pon.70253","url":null,"abstract":"<p><strong>Objective: </strong>Understanding how patients with cancer attribute their illness is crucial for improving public health interventions and support strategies. This scoping review explores perceived causal attributions among women with breast and gynecological cancers, focusing on quantitative studies. It further examines regional and temporal patterns and identifies gaps in public awareness.</p><p><strong>Methods: </strong>A literature search was conducted in four electronic databases: PubMed, EMBASE, CINAHL, and APA PsycINFO. Eligible studies focusing on women diagnosed with breast or gynecological cancers and their perceived causal attributions were included. Filters were applied for language (English, Korean), publication type (original article), and time-period (1949-2025). Data were extracted, categorized, and analyzed descriptively.</p><p><strong>Results: </strong>Our search identified 3072 studies, of which 41 met the inclusion criteria. Psychological risk factors, particularly stress, were the most frequently reported top-ranked causal attributions (50.0%), followed by biological risk factors (23.8%), while behavioral risk factors were under-recognized. The Western population was more focused on biological risk factors, whereas non-Western population more frequently reported psychological and environmental factors. Moreover, studies published after 2015 reported an increased emphasis on psychological risk factors, while attributions to fate or chance diminished significantly.</p><p><strong>Conclusion: </strong>The persistent over-attribution of psychological risk factors and under-recognition of behavioral risk factors highlight the need for targeted education and campaigns. Cultural and societal influences shape these perceptions, emphasizing the importance of evidence-based education to improve cancer awareness and prevention strategies.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 8","pages":"e70253"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12375843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966409","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}
引用次数: 0
Optimizing Yoga Interventions for Mental Health in Cancer Survivors-A Quantitative Assessment of Dose, Duration, and Subgroup Effects: A Bayesian and Dose-Response Meta-Analysis. 优化瑜伽干预对癌症幸存者心理健康的影响——剂量、持续时间和亚组效应的定量评估:贝叶斯和剂量反应荟萃分析
IF 3.5 2区 医学
Psycho‐Oncology Pub Date : 2025-08-01 DOI: 10.1002/pon.70222
Hongkuo Cheng, Zheng Zhou, Hao Wang, Xiaochuan Hang
{"title":"Optimizing Yoga Interventions for Mental Health in Cancer Survivors-A Quantitative Assessment of Dose, Duration, and Subgroup Effects: A Bayesian and Dose-Response Meta-Analysis.","authors":"Hongkuo Cheng, Zheng Zhou, Hao Wang, Xiaochuan Hang","doi":"10.1002/pon.70222","DOIUrl":"https://doi.org/10.1002/pon.70222","url":null,"abstract":"<p><strong>Background: </strong>As the number of cancer survivors increases, so does the number of them facing serious mental health problems, including anxiety and depression, which seriously affect their quality of life and prognosis for recovery. Yoga, as a form of mind-body integration, has shown the potential to alleviate psychological distress in cancer survivors. However, previous meta-analyses have some limitations.</p><p><strong>Objective: </strong>This study aimed to accurately assess the overall effect of yoga on depression and anxiety in cancer survivors and its clinical significance through a Bayesian multilevel meta-analysis and to delve deeper into the dose-response relationship and differences in the effect of key subgroups.</p><p><strong>Methods: </strong>MEDLINE, Embase, Cochrane Library, and Web of Science databases up to April 2025 were systematically searched to include randomized controlled trials (RCTs) assessing the effects of yoga on anxiety and depression in adult cancer survivors. Data were synthesized using Bayesian multilevel random-effects models, and differences in treatment effect (Hedges' g), dose-response relationships, moderators (age, sex), and chemoradiotherapy subgroups were analyzed.</p><p><strong>Results: </strong>A total of 32 RCTs (1913 participants) were included. Results showed that yoga significantly improved depressive symptoms (Hedges' g = -0.26, 95% CrI: -0.34 to -0.19) and anxiety symptoms (Hedges' g = -0.41, 95% CrI: -0.51 to -0.31), both achieving the minimal clinically important difference. In addition, the significant dose range for depression improvement was approximately 70-380 MET-minutes/week; for anxiety, approximately 70-240 MET-minutes/week. Furthermore, while age and sex did not significantly moderate the outcomes, yoga was particularly effective in improving anxiety among patients undergoing chemoradiotherapy. The overall quality of the evidence was rated as \"low.\"</p><p><strong>Conclusions: </strong>This study provides new evidence for the effectiveness of yoga in improving depression and anxiety in cancer survivors and reveals specific dose-effect relationships. These findings support the use of yoga as a promising non-pharmacologic adjunctive therapy to promote psychological recovery and quality of life for cancer survivors.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 8","pages":"e70222"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144822383","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
Unmet Social Needs and Trust in Cancer Information From Health Authorities: Findings From the 2022 Health Information National Trends Survey. 未满足的社会需求和对来自卫生当局的癌症信息的信任:来自2022年健康信息全国趋势调查的结果。
IF 3.5 2区 医学
Psycho‐Oncology Pub Date : 2025-08-01 DOI: 10.1002/pon.70227
Jordan Baeker Bispo, Jessica Star, Ahmedin Jemal, Farhad Islami
{"title":"Unmet Social Needs and Trust in Cancer Information From Health Authorities: Findings From the 2022 Health Information National Trends Survey.","authors":"Jordan Baeker Bispo, Jessica Star, Ahmedin Jemal, Farhad Islami","doi":"10.1002/pon.70227","DOIUrl":"https://doi.org/10.1002/pon.70227","url":null,"abstract":"<p><strong>Background: </strong>Trust in public health messaging bolsters participation in preventive services like cancer screening and vaccination. Social inequality may drive mistrust in health authorities, but little is known about this relationship in the context of cancer messaging.</p><p><strong>Aims: </strong>To examine associations between unmet social needs and trust in sources of cancer information using nationally representative data.</p><p><strong>Methods: </strong>Data were from the 2022 Health Information National Trends Survey. The main exposure was number of unmet social needs (0, 1 or ≥ 2), tabulated from survey items on housing, transportation and food insecurity. Dependent variables included binary indicators of trust (high vs. low) in cancer information from doctors, scientists and government agencies, and trust in the healthcare system overall. Associations were evaluated using survey-weighted multivariable logistic regression with adjustment for sociodemographic characteristics.</p><p><strong>Results: </strong>Doctors were the most trusted source of cancer information (72.6%), followed by scientists (56.9%) and government agencies (29.2%). Unmet social needs were associated with reduced trust in cancer information from doctors; in adjusted models, the odds were 39% lower (aOR = 0.61, 95% CI = 0.43-0.86) for respondents with 1 unmet need, and 51% lower (aOR = 0.49, 95% CI = 0.35-0.70) for those with ≥ 2 relative to those with none. A minority (36.1%) of respondents reported high trust in the healthcare system overall, with 61% lower odds among those with ≥ 2 unmet needs (aOR = 0.39, 95% CI = 0.25-0.62).</p><p><strong>Conclusion: </strong>Unmet social needs were associated with reduced trust in cancer information from doctors and the healthcare system. Addressing social needs in the clinical setting may enhance patient trust in cancer messaging from providers.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 8","pages":"e70227"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966363","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
Cancer Patient Symptoms and the Independent Effects on Caregiver Sleep and Mood: A Modeling Approach. 癌症患者症状及对照顾者睡眠和情绪的独立影响:一个模型方法。
IF 3.5 2区 医学
Psycho‐Oncology Pub Date : 2025-08-01 DOI: 10.1002/pon.70269
William Hull, Gary Donaldson, Kristin G Cloyes, Lee Ellington, Kathryn Lee, Kathleen Mooney
{"title":"Cancer Patient Symptoms and the Independent Effects on Caregiver Sleep and Mood: A Modeling Approach.","authors":"William Hull, Gary Donaldson, Kristin G Cloyes, Lee Ellington, Kathryn Lee, Kathleen Mooney","doi":"10.1002/pon.70269","DOIUrl":"https://doi.org/10.1002/pon.70269","url":null,"abstract":"<p><strong>Objective: </strong>Given the effects of patient symptom burden and the unclear temporal associations with family caregiver sleep difficulty and psychological mood states, we longitudinally examined the day-to-day concurrent impacts of caregiver-perceived patient symptom burden, caregiver self-reported sleep difficulty, and anxious and depressive feelings (mood) in home hospice family caregivers of patients with cancer.</p><p><strong>Methods: </strong>In a secondary data analysis, we utilized dynamic structural equation modeling to observe the interdependent evolution of caregiver self-perception of sleep difficulty and mood, and caregiver perception of patient symptoms in 141 family caregivers from 12 home hospice programs.</p><p><strong>Results: </strong>During hospice care, caregiver perception of patient symptom burden impacted caregivers' self-reported feelings of anxiousness and depressed mood (b = 0.005, SE = 0.002, CI [0.001, 0.009], p < 0.012) and these perceived worsening mood states increased caregivers' perception of worsening patient symptom severity (b = 0.34, SE = 0.186, CI [-0.054, 0.710], p < 0.037). However, caregiver-reported patient symptom burden exhibited no direct effect on caregiver perception of their own sleep difficulty. Thus, caregiver self-reported sleep difficulty was indirectly impacted by caregiver self-reported mood; as mood worsened, caregiver-perceived sleep difficulty worsened (b = 0.10, SD = 0.024, CI [0.054, 0.148], p < 0.001).</p><p><strong>Conclusions: </strong>As patient death approaches during home hospice, our findings suggest that caregivers' perceptions of patient symptoms and caregiver self-report of mood and sleep difficulty worsen over time and are interrelated. These findings suggest that caregiver mood may influence the experience of sleep difficulty; therefore, interventions that address mood may benefit sleep-focused strategies.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 8","pages":"e70269"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966375","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
Psychological Domains of Care of Pediatric Palliative Care Within Pediatric Oncology. 儿童肿瘤学中儿童姑息治疗护理的心理领域。
IF 3.5 2区 医学
Psycho‐Oncology Pub Date : 2025-08-01 DOI: 10.1002/pon.70264
Hee Su Park, Katharine E Brock, Katherine Lee, Karyn Korsah, Linda M Radbill
{"title":"Psychological Domains of Care of Pediatric Palliative Care Within Pediatric Oncology.","authors":"Hee Su Park, Katharine E Brock, Katherine Lee, Karyn Korsah, Linda M Radbill","doi":"10.1002/pon.70264","DOIUrl":"https://doi.org/10.1002/pon.70264","url":null,"abstract":"<p><strong>Objective: </strong>A childhood cancer diagnosis can have serious psychological impact on patients and families. While psychological and psychiatric providers bring unique expertise, they are not routinely integrated into pediatric palliative care (PPC) teams. This study aims to outline the psychological concerns addressed by PPC providers during visits for children with cancer.</p><p><strong>Methods: </strong>This secondary analysis stems from a retrospective cohort study of patients 0-27 years with cancer seen by inpatient and/or outpatient PPC within an academic pediatric oncology center between 2017-2022. In the electronic health record (EHR), clinicians selected the topics (subdomains) addressed in each visit. Those related to psychological and psychiatric needs of patients were included. Data were abstracted from the EHR, PPC clinic database, and cancer registry. Differences in the frequency of subdomains were analyzed by demographics, location of PPC service, and more.</p><p><strong>Results: </strong>Across 467 PPC-recipients, there were 7548 PPC visits, of which 89.8% discussed ≥ 1 psychological subdomain and 40.8% discussed ≥ 2 psychological subdomains. The top five psychological subdomains (wellbeing, anxiety, fatigue/tiredness, sleep difficulties, and depression/sadness) were more strongly associated with outpatient visits than inpatient encounters (p ≤ 0.001). The number of psychological subdomains was positively associated with the number of physical symptoms managed in a visit (p < 0.001).</p><p><strong>Conclusions: </strong>In an overwhelming majority of visits, PPC clinicians address psychological symptoms. The psychological domains within PPC practice are wide-ranging and likely incompletely recognized. Gaps in recognizing and managing psychological challenges in children with cancer can be addressed by implementing screening tools and incorporating psychologists and psychiatrists within PPC teams.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 8","pages":"e70264"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966398","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
Exercise That Feels as Good as Possible: Acceptability of an Affect-Based Exercise Prescription Among Stage 0-III Breast Cancer Survivors. 感觉尽可能好的运动:在0- 3期乳腺癌幸存者中基于情感的运动处方的可接受性
IF 3.5 2区 医学
Psycho‐Oncology Pub Date : 2025-08-01 DOI: 10.1002/pon.70225
Courtney J Stevens, Carly A Bobak, Kali J Morrissette, Ryan C Thompson, Kathleen Doyle Lyons, Grace M Wallace, Amanda J Emerson, David E Conroy, David M Williams, Mary D Chamberlin, Martha L Bruce
{"title":"Exercise That Feels as Good as Possible: Acceptability of an Affect-Based Exercise Prescription Among Stage 0-III Breast Cancer Survivors.","authors":"Courtney J Stevens, Carly A Bobak, Kali J Morrissette, Ryan C Thompson, Kathleen Doyle Lyons, Grace M Wallace, Amanda J Emerson, David E Conroy, David M Williams, Mary D Chamberlin, Martha L Bruce","doi":"10.1002/pon.70225","DOIUrl":"10.1002/pon.70225","url":null,"abstract":"<p><strong>Background: </strong>Leaders in the field have called for exercise counseling to become standard of care by 2029. An Affect-based exercise prescription (Affect-Rx) may be a viable strategy for supporting this effort.</p><p><strong>Aims: </strong>Guided by the ORBIT Model for developing behavioral treatments, this Phase 1b study evaluated breast cancer survivors' perceived acceptability of Affect-Rx. Additionally, the feasibility of trial methods and opportunities for protocol refinements were assessed.</p><p><strong>Method: </strong>Participants were 36 stage 0-III breast cancer survivors within 5 years of completing primary cancer treatment. Demographics were collected at baseline and via medical record review. Affect-Rx was delivered in conjunction with a low-touch, physical activity promotion intervention over videoconference call. At end-of-study, participants rated Affect-Rx using the Treatment Acceptability and Preferences (TAP) Measure. Participants responded to the Stanford L-Cat at baseline and end-of-study. ActiGraph wGT3X-BT accelerometers measured moderate-vigorous physical activity (MVPA) over 10-day periods at baseline and follow-up.</p><p><strong>Results: </strong>Affect-Rx was rated acceptable (TAP overall M = 3.30, SD = 0.53). Study retention and accelerometer measurement completion was ≥ 80% across time. L-Cat scores were discordant from accelerometer-measured MVPA at baseline.</p><p><strong>Conclusions: </strong>Affect-Rx warrants further testing. The trial methods were feasible; however, physical inactivity verification procedures along with targeted recruitment efforts are needed to support future work. The field needs intervention strategies that can be deployed with limited resources and at low cost to offer survivors exercise counseling support in line with the new National Standards for Cancer Survivorship Care, the affect-based exercise prescription is designed to serve this mission.</p><p><strong>Trial registration: </strong>The study protocol was registered with ClinicalTrials.gov prior to the initiation of participant recruitment NCT04903249.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 8","pages":"e70225"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12412301/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144744537","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}
引用次数: 0
The Process of Cancer Prevention Behaviors in Individuals at High Risk of Hereditary Cancer: A Grounded Theory Study. 遗传性癌症高危人群的癌症预防行为过程:一个扎根的理论研究。
IF 3.5 2区 医学
Psycho‐Oncology Pub Date : 2025-08-01 DOI: 10.1002/pon.70246
Kyunghwa Lee, Sue Kim, Hyangkyu Lee, Sanghee Kim, Tae Il Kim, Eui Geum Oh
{"title":"The Process of Cancer Prevention Behaviors in Individuals at High Risk of Hereditary Cancer: A Grounded Theory Study.","authors":"Kyunghwa Lee, Sue Kim, Hyangkyu Lee, Sanghee Kim, Tae Il Kim, Eui Geum Oh","doi":"10.1002/pon.70246","DOIUrl":"https://doi.org/10.1002/pon.70246","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to explore the process of cancer prevention behaviors in individuals at high risk of hereditary cancer in Korea.</p><p><strong>Methods: </strong>We included 10 adults with pathogenic variants in genes related to hereditary breast and ovarian cancer syndrome, hereditary non-polyposis colorectal cancer, or familial adenomatous polyposis, but who had never been diagnosed with cancer. Data were collected through in-depth interviews at the cancer prevention center of a tertiary hospital in Korea. Data were analyzed using the grounded theory method proposed by Corbin and Strauss.</p><p><strong>Results: </strong>50 concepts, 20 subcategories, and 10 categories were identified. The categories were as follows: (1) identifying genetic vulnerability, (2) facing the risk of cancer, (3) negative emotions caused by the cancer risk-like destiny, (4) support from medical staff and providing information for hereditary cancer, (5) expanding support for medical expenses at the national level, (6) Exploring information on hereditary cancer and cancer prevention, (7) cancer screening for early detection, (8) lifestyle for cancer prevention, (9) risk-reduction surgery to relieve cancer fear, and (10) living with fear and worry. The core category for the process of cancer prevention behavior in individuals at high risk of hereditary cancer was \"managing cancer fear\".</p><p><strong>Conclusion: </strong>Person-centered counseling and educational interventions to support cancer prevention in individuals at high risk of hereditary cancer should be developed and should include assessing psychosocial symptoms, including fear of cancer, and managing it. Making an appropriate system for medical expenses should be considered.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 8","pages":"e70246"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761079","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
Where Mothers Go Unseen-and Come Together: A Call to Action on Maternal Mental Health in Paediatric Oncology Shelters in Peru. 《在母亲们看不见的地方——走到一起:秘鲁儿科肿瘤学收容所关于产妇心理健康的行动呼吁》。
IF 3.5 2区 医学
Psycho‐Oncology Pub Date : 2025-08-01 DOI: 10.1002/pon.70262
Olenka Retiz
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