Psycho‐Oncology最新文献

{"title":"Thinking, Feeling, Choosing: How Affect Is Reflected in Prostate Cancer Treatment Decision Making-A Qualitative Study.","authors":"Rui Gong, Nayrelis Alfonso, Aida M van Mossel, Maria Nieto Ordosgoitia, Jacqueline M Montano, Armand Jacques, Lara Traeger, Aaron S Heller, Michael H Antoni, Tracy E Crane, Mark L Gonzalgo, Brandon A Mahal, Bruno Nahar, Chad Ritch, Dipen J Parekh, Sanoj Punnen, Frank J Penedo","doi":"10.1002/pon.70569","DOIUrl":"10.1002/pon.70569","url":null,"abstract":"<p><strong>Background: </strong>Shared decision-making (SDM) emphasizes informed, value-aligned choices, yet affect has not been a primary focus and is rarely addressed explicitly in cancer contexts. Among men with low-to intermediate-risk prostate cancer (LIRPC), active treatment and active surveillance each involve distinct affective challenges that may influence risk perception, decisional uncertainty, and treatment satisfaction. Despite prior work in affect and decision making literature, its integration into cancer contexts remains limited.</p><p><strong>Aims: </strong>To address the gap, this study examined how affect, alongside cognition and psychosocial factors, was reflected in men's accounts of LIRPC treatment decision making, guided by SDM and affective science frameworks.</p><p><strong>Methods: </strong>We conducted semi-structured interviews with 28 men with LIRPC across three treatment pathways: AS, AT, and AS-AT transition. Interviews were theory-informed and explored (a) how participants learned and interpreted diagnostic information; (b) how thoughts, emotions, and relationships were experienced in decision-making; and (c) how men reflected on preferred roles. Participants also completed the Control Preferences Scale.</p><p><strong>Results: </strong>Eleven themes emerged across domains. Understanding of information depended on both the clarity of medical communication and its relational context. Participants described strong affective responses at diagnosis, awaiting test results, and shortly before surgery. Decision-making was often deliberative, with men weighing options alongside personal values and priorities, physician trust, and family support. Post-treatment reflections emphasized autonomy and value alignment, with coping used to manage affect and maintain a sense of control.</p><p><strong>Conclusions: </strong>In LIRPC decision-making, affect appeared to vary across contexts and time points. Although decisions were often described as deliberative, affect seemed embedded in how men interpreted information, navigated relationships, and defined what mattered (including quality of life, anticipated treatment outcomes, and autonomy), which influenced how options were weighed. Incorporating affect into decision support, particularly around key moments, may strengthen SDM and treatment satisfaction.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"35 8","pages":"e70569"},"PeriodicalIF":3.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13453287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148702239","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":"Dyadic Latent Profiles of Sexual and Reproductive Distress in Young Adult Cancer Survivors and Their Partners: A Cross-Sectional Analysis.","authors":"Jessica R Gorman, Soyoung Choun, Karen S Lyons, Chiara Acquati, S Marie Harvey, John M Salsman, Lisa Flexner, Geethika Koneru, Brandon Hayes-Lattin, Jennifer B Reese","doi":"10.1002/pon.70587","DOIUrl":"10.1002/pon.70587","url":null,"abstract":"<p><strong>Background: </strong>Young adult (YA) breast and gynecologic cancer (BGC) survivors commonly experience sexual and reproductive health (SRH) distress after cancer, with far-reaching consequences for relational functioning, health outcomes, and quality of life. Despite this burden, the dyadic experience and relational patterns of SRH distress in this population have not been well characterized.</p><p><strong>Aims: </strong>The objectives of this study were to characterize dyadic profiles of SRH distress and to examine the association with other individual and interpersonal characteristics.</p><p><strong>Methods: </strong>This study employed dyadic Latent Profile Analysis (LPA) in STATA/SE to identify distinct SRH distress profiles across 79 survivor-partner couples, with measures of reproductive and sexual distress as LPA indicators. Following profile identification, we used ANOVA and chi-square tests to examine how these dyadic profiles differed across characteristics.</p><p><strong>Results: </strong>Three dyadic profiles emerged: low-distress (30.4%), moderate-distress (43.0%), and high-distress (26.6%). Low-distress couples had significantly higher levels of dyadic coping, constructive communication, and open discussion of SRH concerns along with the highest rates of sexual activity. In contrast, high-distress couples demonstrated poorer coping and communication and significantly lower sexual activity. Moderate-distress dyads fell between these extremes. Comparisons across these profiles showed no significant differences in demographic or cancer characteristics.</p><p><strong>Conclusions: </strong>Findings underscore the central role of relationship processes, including dyadic coping and communication, and their potential as modifiable intervention targets for YA BGC survivor couples experiencing SRH distress. Identifying distinct couples' profiles of SRH distress may facilitate more precise identification of high-need dyads and guide the development of tailored interventions.</p><p><strong>Trial registration: </strong>NCT04806724.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"35 8","pages":"e70587"},"PeriodicalIF":3.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13502115/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148809102","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":"Efficacy of a Stepped-Care Approach to Cognitive-Behavioural Therapy for Insomnia (Can-Sleep) in Adolescents and Young Adults With Cancer.","authors":"Jordan Maccora, Maria Ftanou, Emma Vaughan, Andrew Murnane, Jeremy Lewin, Ilana Berger, Joshua F Wiley, Michael Jefford, Martha Hickey, Jeremy Goldin, Kate Thompson","doi":"10.1002/pon.70549","DOIUrl":"10.1002/pon.70549","url":null,"abstract":"<p><strong>Objective: </strong>Poor sleep is a common issue among adolescents and young adults (AYA) with cancer. The present study describes the feasibility and impact of the Can-Sleep stepped-care intervention for AYA with cancer.</p><p><strong>Methods: </strong>A total of 51 AYA with cancer were screened. AYA who reported sleep disturbance (defined as insomnia severity index score [ISI] > 7) received self-managed cognitive behavioural therapy for insomnia (SMCBT-I) in the first instance (Step 1) followed by individual cognitive behavioural therapy for insomnia (ICBT-I) if symptoms continued (Step 2). AYA screened as high risk for intrinsic sleep abnormalities (e.g., obstructive sleep apnoea) were referred to a specialised service.</p><p><strong>Results: </strong>Of the 51 AYA, 38 participants reported sleep disturbance. In total, 37 AYA commenced SMCBT-I, four attending the specialised sleep service prior. Thirty-one (84%) completed Step 1. Of these, 45% improved and required no further treatment, and 55% (17) were eligible for ICBT-I (ISI > 7). Following intervention, the SMCBT-I group showed a significant decline in insomnia symptoms (p < 0.001, d = 0.84). Among the 17 AYA continuing to report sleep disturbance, 11 (65%) were referred to ICBT-I, with 8 (73%) accepting and completing Step 2. Those who received the ICBT-I showed a significant reduction in insomnia symptoms (p = 0.007, d = 1.33).</p><p><strong>Conclusions: </strong>This study provides preliminary efficacy and acceptability of a stepped-care intervention for sleep disturbances in AYA with cancer. A stepped-care intervention may offer an effective and resource-efficient method for managing sleep disturbance in AYA with cancer.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"35 8","pages":"e70549"},"PeriodicalIF":3.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13445639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148679818","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":"Navigating the Psychosocial Journey: A Meta-Ethnographic Review of the Psychosocial Needs and Experiences of Children and Adolescents (0-19 Years) Diagnosed With Cancer Across the Care Continuum.","authors":"Alyssa Ebert, Carolyn Ee, Oluwaseyifunmi Andi Agbejule, Michael Osborn, Murray Turner, Catherine Paterson","doi":"10.1002/pon.70582","DOIUrl":"https://doi.org/10.1002/pon.70582","url":null,"abstract":"<p><strong>Background: </strong>Survival rates for childhood cancer have improved; however, psychosocial challenges remain across diagnosis, treatment, and survivorship. Existing qualitative studies typically examine a single phase of care, limiting understanding of how psychosocial needs persist and change over time.</p><p><strong>Aim: </strong>This meta-ethnographic review synthesised qualitative evidence on the psychosocial needs and experiences of children and adolescents (0-19 years) diagnosed with cancer across the care continuum and examined how these needs evolve across phases.</p><p><strong>Method: </strong>A meta-ethnographic synthesis was conducted following Noblit and Hare's approach and reported in accordance with eMERGe guidance. Searches of six databases (Scopus, MEDLINE, Web of Science, PsycINFO, CINAHL, and Google Scholar) identified 31 qualitative studies published between January 2009 and February 2025. First- and second-order constructs were extracted, coded by age group and continuum phase, and integrated into a line-of-argument synthesis.</p><p><strong>Results: </strong>Six psychosocial domains consistently shaped children's needs and experiences: family, relationships, psychosocial care, emotions, control, and information needs. These domains remained consistent across diagnosis, treatment, and survivorship but differed in expression over time. Diagnosis was characterised by emotional shock, uncertainty, and reliance on parental containment. During treatment, children experienced procedural distress, disrupted peer relationships, and fluctuating autonomy. Survivorship involved fear of relapse, challenges with reintegration, and inconsistent psychosocial follow-up. Evidence gaps were identified for toddlers' and school-aged children's needs in survivorship.</p><p><strong>Conclusion: </strong>This synthesis highlights the prehabilitation phase as a potential window for early psychosocial intervention and supports the development of phase-responsive, developmentally responsive psychosocial care pathways extending into survivorship.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"35 8","pages":"e70582"},"PeriodicalIF":3.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13484188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148797431","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":"Improving Critical Appraisal of Cancer-Related Health Information: A Pilot Randomised Trial of the Informed Health Choices-Cancer Programme.","authors":"Mengqi Li, Marie Tierney, Claire Beecher, Maura Dowling, Austin G Duffy, Caitriona Duggan, David Robert Grimes, Avril Kennan, Claire Kilty, Allen Nsangi, Andrew D Oxman, Derek C Stewart, Elaine Toomey, Declan Devane","doi":"10.1002/pon.70563","DOIUrl":"10.1002/pon.70563","url":null,"abstract":"<p><strong>Background: </strong>People impacted by cancer may be confronted with conflicting and misleading cancer-related information that is everywhere in daily life. The Informed Health Choices-Cancer (IHC-C) programme was developed to equip participants with the skills and knowledge necessary to think critically and make well-informed health choices.</p><p><strong>Aims: </strong>To assess the feasibility, acceptability, and preliminary outcomes of the IHC-C programme.</p><p><strong>Methods: </strong>We conducted an online pilot randomised trial to compare the IHC-C programme with a waitlist control within a prespecified recruitment window. Adults impacted by cancer (current patients, survivors, informal caregivers and loved ones) were recruited and randomised 1:1. The intervention was a 4-week, nine-unit online learning programme. Primary outcomes assessed feasibility (recruitment, retention, adherence, technical feasibility, and data-collection processes) and acceptability (participation rates, participation burden, and overall acceptability). Secondary outcomes included eHealth literacy, critical thinking and decision-making skills, which were assessed post-intervention.</p><p><strong>Results: </strong>Forty-three participants were randomised (22 intervention; 21 waitlist control), achieving 72% of the recruitment target. In the intervention group, 91% accessed the platform and 64% completed all nine units. Outcome assessment completion was 64% (14/22) in the intervention group and 81% (17/21) in the control group. Acceptability was high among intervention completers, as indicated by both quantitative and qualitative measures. eHealth literacy scores were high in both groups, with ceiling effects and no between-group difference (Hodges-Lehmann median difference -1.0, 95% CI -5.0 to 1.0). Critical thinking and decision-making quiz scores were higher in the intervention group in exploratory analyses (median difference: 1.0, 95% CI: 1.0-2.0), although the distributions clustered near the upper range.</p><p><strong>Conclusions: </strong>The IHC-C programme was feasible to deliver and acceptable to participants within a defined recruitment period. These findings support progression to a fully powered trial, with refinements to engagement strategies and outcome measurement.</p><p><strong>Trial registration: </strong>This trial was registered on ISRCTN registry with ID ISRCTN17391470.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"35 8","pages":"e70563"},"PeriodicalIF":3.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13428618/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654156","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":"Coping Styles of Adolescents With Leukemia at a Tertiary Care Cancer Centre in India: A Qualitative Study.","authors":"K V Ganpathy, Sumith Surendran, Jayita Deodhar, Manju Sengar, Hasmukh Jain, Bhausaheb Bagal","doi":"10.1002/pon.70562","DOIUrl":"10.1002/pon.70562","url":null,"abstract":"<p><strong>Background: </strong>Adolescents with cancer face unique psychological, social, and developmental challenges that are distinct from those faced by children and adults. While coping strategies influence psychological outcomes, the evidence is limited to high-income countries. Minimal longitudinal data exist in low- and middle-income contexts, where sociocultural factors may shape coping strategies differently.</p><p><strong>Methods: </strong>We conducted a longitudinal qualitative study of adolescents newly diagnosed with Acute Lymphoblastic Leukaemia (ALL) at a tertiary cancer centre in India. Thirty participants were purposively sampled and interviewed at baseline,3- and 6-months after treatment initiation. The interviews were transcribed, translated, and analysed using thematic analysis.</p><p><strong>Results: </strong>Among the 30 participants, 93% were male, with a median age of 16.5 years. Coping strategies evolved over time, initially dominated by maladaptive mechanisms such as avoidance, distancing, and blaming. At 3 months, participants employed a combination of strategies, including avoidance, humour, religious coping, and support-seeking. By 6 months, there was an increase in adaptive strategies, including acceptance, meaning-making, and post-traumatic growth. Gender differences emerged: females favoured religious coping and reported concerns about body image, while males preferred humour and fatalistic attributions.</p><p><strong>Conclusion: </strong>Coping in adolescents with ALL evolved during treatment, with an early reliance on maladaptive responses and a subsequent shift towards adaptive strategies. Gendered patterns reflect cultural and developmental contexts. These findings underscore the importance of culturally sensitive and developmentally tailored psychosocial interventions, including structured psychoeducation, fertility counselling, and identity-focused support, to enhance resilience and improve psychosocial outcomes.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"35 8","pages":"e70562"},"PeriodicalIF":3.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13443496/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148679754","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":"Communication Barriers and Facilitators to Specialist Pediatric Palliative Care Involvement in Pediatric Oncology Settings Across Canada.","authors":"Leeat Granek, Stephanie Veldhuijzen van Zanten, Kimberley Widger, Lori Wiener, Donna Johnston, Fyeza Hasan, Nathasha Datoo, Karen Fergus, Anthony K C Chan, Alisha Kassam, Dave Lysecki, Emily McCullogh, Sumit Gupta, Adam Rapoport","doi":"10.1002/pon.70568","DOIUrl":"10.1002/pon.70568","url":null,"abstract":"<p><strong>Objectives: </strong>To examine how healthcare provider communication shapes referral, acceptance and ongoing integration of specialist pediatric palliative care (SPPC).</p><p><strong>Methods: </strong>A qualitative study was conducted across four pediatric cancer centers in Canada. Sixty-six healthcare providers working in oncology and palliative care settings participated in in-depth interviews. Participants included physicians, nurses, psycho-social clinicians and other members of the interprofessional health team. Transcripts were analyzed using iterative, inductive coding based on the Grounded Theory method.</p><p><strong>Results: </strong>Communication barriers to referral and acceptance included inadequate explanations for SPPC involvement, incomplete or misleading descriptions of services, and framing SPPC solely as end-of-life care. Oncologist discomfort, avoidance, and use of ambiguous \"coded\" language further hindered referral conversations. Facilitators included strong communication skills, clear and comprehensive explanations of SPPC, and age-appropriate engagement with patients. For ongoing integration of SPPC, poor interprofessional communication and unclear role and responsibilities among team members created risks for fragmented care. In contrast, structured collaboration such as joint meetings, shared care planning, and proactive information exchange, supported effective integration of SPPC and consistent messaging to patients and families.</p><p><strong>Conclusions: </strong>Communication is central to successful SPPC referral, acceptance, and integration in pediatric oncology settings. Both clinician-family and interprofessional communication practices directly shaped understanding and engagement with SPPC services. Interventions should prioritize communication training, clearer framing of SPPC, and enhanced collaboration between teams. Early involvement of the psychosocial provider along with an SPPC specialist may further improve communication and uptake, ultimately strengthening care for children with serious illness and their families.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"35 8","pages":"e70568"},"PeriodicalIF":3.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13449623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148685518","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 Process of Adapting to Altered Bowel Function in Patients With Rectal Cancer: A Grounded Theory Study.","authors":"Ling-Chun Lu, Ann Long, Fan-Ko Sun","doi":"10.1002/pon.70574","DOIUrl":"10.1002/pon.70574","url":null,"abstract":"<p><strong>Aims: </strong>To develop a theoretical framework for understanding the adaptation process to altered bowel function in patients with rectal cancer.</p><p><strong>Methods: </strong>This is a constructivist grounded theory study using theoretical sampling to select 24 patients who experienced low anterior resection syndrome, and were followed-up at a cancer centre in Northern Taiwan. Data were collected using interviews until theoretical saturation was reached. During the interview, field notes synchronously were written as a memo to capture what was seen, heard, felt, and thought. Data were analysed using iterated constant comparisons, initial coding, focused coding, and theoretical coding.</p><p><strong>Results: </strong>A substantive theory was developed that describes how participants adapted to altered bowel functioning. These categories encompassed experiences of altered bowel functioning, distress from altered bowel functioning, tolerance of distress fuels motivation for self-empowerment, dynamic self-regulation styles, and \"living with\" altered bowel functioning. From this process, a core category emerged: \"The journey from painful struggles toward self-empowerment.\"</p><p><strong>Conclusion: </strong>These findings could guide healthcare professionals to comprehensively evaluate patients' distress from altered bowel functioning, witness those who are motivated to govern their situation, and provide timely information and tailored resources to sustain the growth of compassionate self-care strategies that enable them to deal with, and live with, their altered bowel function. In future research, the findings could help researchers to develop a tool to comprehensively evaluate distress from altered bowel function and design a timely, ongoing, individual, and cost-effective protocol that guides patients on a healing pathway.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"35 8","pages":"e70574"},"PeriodicalIF":3.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13475146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148761767","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":"A Mixed Methods Evaluation of Psychological Skills Training for Level 1 Cancer Care Staff.","authors":"Elle Colbeck, Lisa Marie Berry, Leanne Messham, Jaime Wood","doi":"10.1002/pon.70536","DOIUrl":"10.1002/pon.70536","url":null,"abstract":"<p><strong>Background: </strong>The need for psychological skills training among the cancer workforce has been recognised since NHS recommendations (2004) suggested that more holistic support is needed to address the psychosocial impact of cancer. Previous research has focused on the development of training for clinical staff, however with supportive roles (such as Care Navigators) developing to include increased patient contact. This service evaluation aims to address the gaps in training for this staff group.</p><p><strong>Aims: </strong>We aimed to evaluate a one-day training package developed and delivered at Calderdale and Huddersfield NHS Foundation Trust to support the improvement of psychological skills and staff wellbeing among supportive and assistive staff.</p><p><strong>Methods: </strong>The effectiveness of training was assessed using pre-post self-rated competency scales, standardised wellbeing measures, and semi-structured interview data analysed using thematic analysis.</p><p><strong>Results: </strong>Psychological skills training significantly improved staff's self-perceived competency in identifying and supporting psychological distress. Wellbeing measures indicated no change, although interview data suggested a positive impact on wellbeing. Thematic analysis indicated that the training was valued by staff, increasing their confidence, knowledge and skills, motivating them to develop further. Some staff remained less confident in their ability to address suicidality and would benefit from further support through extra training or supervision.</p><p><strong>Conclusions: </strong>The findings from this service evaluation suggest this training package may benefit the psychological skills of those in supportive and assistive roles, and that this was experienced positively by staff. Further implementation and evaluation is warranted before generalising these findings to routine clinical practice.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"35 8","pages":"e70536"},"PeriodicalIF":3.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13471041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148721318","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":"Association Between Psychological Distress and Site-Specific Cancer Incidence: A Systematic Review and Meta-Analysis.","authors":"Shin Tae Kim, Chun Il Park, Jong Yeob Kim, Se Joo Kim, Jee In Kang, Jae Il Shin","doi":"10.1002/pon.70559","DOIUrl":"10.1002/pon.70559","url":null,"abstract":"<p><strong>Objective: </strong>Depression and anxiety are hypothesized to increase the risk for the development of chronic disease(s), including cancer. Several published observational studies and meta-analyses have investigated the link between depression and anxiety in cancer but have reported conflicting results. To clarify this relationship, a meta-analysis of observational studies reporting an association between depression, anxiety, and cancer incidence was performed.</p><p><strong>Methods: </strong>Prospective and retrospective cohort studies investigating the relationship between depression, anxiety, and cancer incidence were included. A literature search of the PubMed was performed, with the final search conducted in March 2026. Egger's test and funnel plots were used to evaluate publication bias. Meta-analysis was performed using a random-effects model because high heterogeneity among the studies was expected.</p><p><strong>Results: </strong>In the analysis including both retrospective and prospective studies, patients with depression or anxiety exhibited an elevated risk for lung, hepatobiliary-pancreatic (HBP), hematological, and kidney, ureter, and bladder (KUB) cancers. In the analysis including only prospective studies, patients with depression or anxiety exhibited an elevated risk for female reproductive organ and lung cancer. Finally, in the analysis including only retrospective studies, patients with depression or anxiety exhibited an elevated risk for lung, HBP, hematological, KUB, and oral cancers, and a notably lower risk for female reproductive organ cancer.</p><p><strong>Conclusions: </strong>Results of this study revealed that depression and anxiety were associated with an elevated risk for specific cancers. A future meta-analysis including only prospective cohort studies with the same measures of depression or anxiety may further clarify this relationship.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"35 8","pages":"e70559"},"PeriodicalIF":3.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13470656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148723560","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}