Psycho‐Oncology最新文献

{"title":"Integration of Low Intensity Psychological Support for Children and Young People Receiving Cancer Services: A Qualitative Study of Staff Perspectives.","authors":"Mariam Shah, Hannah Duncan, Helen Griffiths, Natasha Prescott, Rebecca Sweet, Isobel Heyman, Anna Roach, Anaïs d'Oelsnitz, Isabella Stokes, Zoe Berger, Sophie D Bennett, Roz Shafran","doi":"10.1002/pon.70133","DOIUrl":"10.1002/pon.70133","url":null,"abstract":"<p><strong>Objective: </strong>Despite children and young people (CYP) with cancer having elevated mental health needs, accessing evidence-based psychological support remains difficult. Delivering low-intensity cognitive behavioural therapy (LICBT) to CYP with cancer could increase access to support. This qualitative study aimed to understand the views of key clinician stakeholders regarding the potential facilitators and barriers to implementation of LICBT in paediatric cancer services.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with 39 professionals working in paediatric hospital cancer services. Interviews were transcribed and analysed using framework analysis informed by the Consolidated Framework for Implementation Research.</p><p><strong>Results: </strong>Professionals indicated a potential need and utility for LICBT, and saw it as distinct from existing provision, addressing patient needs and filling a gap in services. Integration into the service and existing pathways was considered a key facilitator to successful implementation. Anticipated potential barriers included scepticism of LICBT efficacy due to the perceived high complexity of patient presentations and concerns about the relevance and suitability of existing manualized interventions for this population. LICBT practitioner ability to independently assess patient suitability for the intervention and to deliver LICBT effectively was also questioned.</p><p><strong>Conclusions: </strong>Cancer professionals' perceptions of LICBT indicate its potential use for the CYP cancer population to improve access to evidence-based psychological interventions. Incorporating the identified facilitators and barriers into implementation strategies, including information about the effectiveness of LICBT for young people with chronic illness will help to ensure effective integration of LICBT into routine paediatric healthcare settings.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 4","pages":"e70133"},"PeriodicalIF":3.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11964891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143773255","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":"What Decisions Matter to Women Facing a Breast Cancer Diagnosis? A Case Study From the Global South on Treatment Shared Decision-Making and the Management of Distress.","authors":"Loreto Fernández-González, Constanza Quezada, Valentina Turén, Paulina Bravo","doi":"10.1002/pon.70138","DOIUrl":"10.1002/pon.70138","url":null,"abstract":"<p><strong>Background: </strong>Breast cancer (BC) is the leading cause of cancer deaths among Chilean women. BC treatment is guaranteed by Chilean law through the Explicit Health Guarantees (GES) plan. There is insufficient evidence on how women navigate the healthcare system and how they exercise shared decision-making (SDM) following a BC diagnosis in global South scenarios.</p><p><strong>Aim: </strong>To understand how women make decisions about BC treatment.</p><p><strong>Methods: </strong>A qualitative study based on 29 individual, semi-structured, in-depth interviews with women undergoing BC treatment in three hospitals in Santiago. Recruitment took place from November 2022 until July 2023. Thematic analysis was performed with AtlasTi.</p><p><strong>Results: </strong>The experience that care is not happening quickly enough organizes the trajectory of BC patients under the major, in vivo theme of \"Everything is slow.\" Managing this wait mobilizes women through clinical milestones, configuring high or low participation scenarios. Scenarios of high participation comprised decisions mostly regarding practical issues, financial and insurance decisions and whatever actions could be taken to shorten waiting times. Scenarios of low-experienced participation coincided with clinical encounters with health professionals, with treatment decisions delegated to or exclusively made by clinicians.</p><p><strong>Conclusion: </strong>BC is experienced as a distressing diagnosis. Women prioritize decisions that they perceive will speed up their care and do not effectively participate in treatment decision-making. This study is part of a larger mixed-methods project that aims to elucidate factors influencing SDM in BC. Future directions should provide strategies to patients and clinicians to build more symmetrical relationships and evaluate the satisfaction with care of universal coverage-oriented policies, as well as how this could influence the exercise of patients' autonomy.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 4","pages":"e70138"},"PeriodicalIF":3.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143743466","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":"Adolescent Loneliness When a Parent Has Cancer: A Qualitative Systematic Review.","authors":"Lydia Mckeown, Kerry Campbell, Martin Dempster, Jenny Groarke, Lisa Graham-Wisener","doi":"10.1002/pon.70148","DOIUrl":"10.1002/pon.70148","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this systematic review was to synthesise the available qualitative evidence relating to adolescent loneliness (aged 10-19) when a parent has cancer. This included considering how adolescents experience loneliness when their parent has cancer and exploring the perceived factors that influence this experience.</p><p><strong>Methods: </strong>A qualitative systematic literature review was conducted to synthesise and critically evaluate loneliness in adolescents experiencing parental cancer. The JBI qualitative systematic review approach was followed throughout, including quality appraisal, data extraction and a meta-aggregative synthesis. The reports were screened by two independent reviewers and conflicts were resolved by a third reviewer. The review was pre-registered on PROSPERO (CRD42023409596).</p><p><strong>Results: </strong>A total of 17 papers were included, published between 2007-2024. Findings indicate that young people experiencing parental cancer are lonely and deal with overwhelming emotions alone. Loneliness is intensified by a lack of understanding from peers and family constrained communication. Family and social support may protect young people against experiencing loneliness.</p><p><strong>Conclusions: </strong>Although there is a dearth of research on parental cancer which has focused on loneliness in this population, the analysis revealed that experiences of loneliness are indeed apparent in this cohort. Future research should focus on interviewing this population to develop a more comprehensive understanding of their lived experience.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 4","pages":"e70148"},"PeriodicalIF":3.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11979319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812132","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":"Correction to \"Social Support, Depression and Anxiety in Cancer Patient-Relative Dyads in Early Survivorship: An Actor-Partner Interdependence Modeling Approach\".","authors":"","doi":"10.1002/pon.70116","DOIUrl":"10.1002/pon.70116","url":null,"abstract":"","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 4","pages":"e70116"},"PeriodicalIF":3.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12128734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046058","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":"Living Well With Uncertainty in Advanced, Metastatic or Incurable Cancers: A Pragmatic Feasibility Study of the Adapting to Life With Cancer Cognitive ExisteNtial Therapy (ACCENT).","authors":"Cheryl Harris, Lauriane Giguère, Alanna Chu, Jani Lamarche, Tori Langmuir, Kerry Menelas, Nicole Rutkowski, Ghizlène Sehabi, Sophie Lebel","doi":"10.1002/pon.70140","DOIUrl":"10.1002/pon.70140","url":null,"abstract":"<p><strong>Background: </strong>New treatments are contributing to individuals living longer with advanced, metastatic, or incurable (AMI) cancers. The impact of these treatments is unpredictable, resulting in considerable uncertainty for these patients. Currently, there are no interventions that effectively address uncertainty in AMI cancers. To fill this gap, we designed the Adapting to life with Cancer Cognitive ExisteNtial Therapy (ACCENT) intervention.</p><p><strong>Aim: </strong>To evaluate the feasibility, acceptability, and preliminary efficacy of ACCENT in AMI cancers.</p><p><strong>Methods: </strong>ACCENT was delivered online for 6 consecutive weekly sessions of 1.5 hours to five groups of six to seven patients. Thirty-two patients were interested in participating, but 2 did not complete the assessments pre- or post-intervention. A pragmatic feasibility study was conducted using data collected in routine clinical practice. Participants completed the Intolerance of Uncertainty Scale-Short Form, the Generalized Anxiety Disorder scale, and the Impact of Events Scale before and after the intervention. Post-intervention, participants answered open-ended questions to assess acceptability, rated their perceptions of improvement and usefulness, and completed the Satisfaction with Therapy and Therapist Scale.</p><p><strong>Results: </strong>ACCENT appears feasible with participants completing the intervention and all assessments between January 2022 and November 2023. It appears acceptable with an attrition rate of 12.5%, and a high degree of attendance and satisfaction. There was a non-significant decrease in intolerance of uncertainty, and a significant decrease in anxiety, and cancer-specific distress post-intervention.</p><p><strong>Conclusion: </strong>A randomized controlled pilot study is warranted to further evaluate ACCENT in patients with AMI cancers.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 4","pages":"e70140"},"PeriodicalIF":3.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11953013/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143743464","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":"Trajectories of Fear of Cancer Recurrence: A Longitudinal Study on Spouses of Young and Middle-Aged Patients With Breast Cancer Postoperative Chemotherapy.","authors":"Yanfang Zhang, Liangliang Sun, Long Zhao, Yuanyuan Yu, Manman Hu, Xi Wang, Hui Xie, Xiumu Yang","doi":"10.1002/pon.70136","DOIUrl":"https://doi.org/10.1002/pon.70136","url":null,"abstract":"<p><strong>Objective: </strong>Spouses of young and middle-aged patients diagnosed with breast cancer encounter various challenges, among which fear of cancer recurrence (FCR) is particularly prominent. This study aimed to identify distinct FCR trajectories and investigate related factors.</p><p><strong>Methods: </strong>A longitudinal study was conducted with 230 spouses of patients with breast cancer at a medical college affiliated hospital in China. FCR was assessed at five time points: 1-3 days before the surgery to 7 months after the surgery. A growth mixture model was used to identify latent categories of the FCR developmental trajectory. The Wilcoxon rank-sum test and multiple logistics regression were used to analyze the influencing factors for the FCR trajectories.</p><p><strong>Results: </strong>Three FCR trajectories were identified: recovery class (RC, 32.2%), gradually improved class (GIC, 53.1%), and high class (HC, 14.7%). The place of residence, chronic disease, primary caregiver, and education influenced the developmental trajectory of FCR in spouses of patients with breast cancer postoperative chemotherapy.</p><p><strong>Conclusions: </strong>Group heterogeneity in FCR was observed among spouses, mostly at moderate levels. Appropriate psychosocial care should be provided particularly to spouses with lower education levels and chronic conditions and those acting as primary caregivers.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 4","pages":"e70136"},"PeriodicalIF":3.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803935","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 Prospective Multi-National Study of Posttraumatic Stress and Posttraumatic Growth Among Women With Breast Cancer: A Serial Mediation Analysis.","authors":"L Kelada, I Roziner, R Dahabre, G Bentley, P Poikonen-Saksela, K Mazzocco, B Sousa, R Pat-Horenczyk","doi":"10.1002/pon.70126","DOIUrl":"10.1002/pon.70126","url":null,"abstract":"<p><strong>Objective: </strong>Research suggests that posttraumatic stress symptoms (PTSS) after a breast cancer (BC) diagnosis may lead to posttraumatic growth (PTG). Further prospective research is needed to confirm this, and to examine whether modifiable factors mediate the relationship. This study aimed to prospectively determine whether PTSS predicts PTG, and whether social support and cognitive emotion regulation mediate the relationship between PTSS and PTG among women with BC.</p><p><strong>Methods: </strong>In this study, 489 women from four countries (Finland, Israel, Italy, Portugal) with BC completed questionnaires at diagnosis (M0), and 6-months (M6), 9-months (M9), 15-months (M15), and 18-months (M18) post-diagnosis. Questionnaires included the Posttraumatic Growth Inventory, PTSD Checklist for DSM-5, Cognitive Emotion Regulation Questionnaire, modified Medical Outcomes Study Social Support Survey, and sociodemographic questions. We used serial mediation to determine whether the relationship between PTSS (M6) and PTG (M18) was mediated by social support (M9) and positive cognitive emotion regulation (M15), controlling for age.</p><p><strong>Results: </strong>PTSS (M6) (B = 0.18, 95%CI = 0.07, 0.28), social support (M9) (B = 1.71, 95%CI = 0.30, 3.14) and positive cognitive emotion regulation (M15) (B = 3.34, 95%CI = 1.76, 4.92) all directly predicted PTG (M18). The serial mediation was significant with a very small effect size: PTSS negatively predicted social support which positively predicted positive cognitive emotion regulation which positively predicted PTG (effect = -0.013, 95%CI = -0.02, -0.005).</p><p><strong>Conclusions: </strong>Our study adds support for a prospective, positive relationship between PTSS and PTG among women with BC, and shows that this relationship may be mediated by social support and cognitive emotion regulation. Further research is needed to inform interventions to promote PTG.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 4","pages":"e70126"},"PeriodicalIF":3.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731376","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":"Preferences of Cancer Survivors and Healthcare Providers for a Physical Activity Application: A Group Concept Mapping Study.","authors":"Emma Tack, Maya Braun, An De Groef, Lore Dams, Femke De Backere, Marthe Van Overbeke, Geert Crombez, Annick L De Paepe","doi":"10.1002/pon.70144","DOIUrl":"10.1002/pon.70144","url":null,"abstract":"<p><strong>Background and aims: </strong>Mobile health (mHealth) interventions may help increase physical activity (PA) in diverse groups, including cancer survivors (CSs). Developing an intervention requires a needs assessment of stakeholders, focusing on the preferred features of the application from the perspectives of both CSs and healthcare providers (HCPs).</p><p><strong>Methods: </strong>Group concept mapping was used for this assessment. A first group of stakeholders (CSs: n = 14; HCPs: n = 12) brainstormed and generated statements about preferred app features. A second group (CSs: n = 16; HCPs: n = 23) sorted these statements into thematic clusters and rated their importance. The sorting data was combined, and (dis)similarity matrices were generated through multidimensional scaling. Rating data was aggregated for the overall group and the subgroups (CSs and HCPs) at both the cluster and the statement level.</p><p><strong>Results: </strong>The first phase resulted in 133 statements, which were reduced to 77 distinct preferred features. Analysis of the sorting data in phase two resulted in six clusters, which were labeled: (1) \"Information & Social Support,\" (2) \"Encouragement,\" (3) \"Practical Use,\" (4) \"Self-Monitoring & Feedback,\" (5) \"Planning & Goals,\" and (6) \"Personalization.\" Both groups rated \"Planning & Goals\" and \"Personalization\" as most important. CSs considered the \"Encouragement\" cluster as least important, whereas HCPs rated \"Information & Social Support\" the lowest.</p><p><strong>Conclusions: </strong>These insights can guide the development of interventions to promote a physically active lifestyle among CSs. Applications should prioritize goal setting, planning, and personalization to enhance user engagement. Diverse functionalities with user-friendly navigation are essential. Both stakeholder groups showed similar preferences, reflecting a shared vision for intervention development.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 4","pages":"e70144"},"PeriodicalIF":3.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765008","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":"Supporting Hematopoietic Stem Cell Transplant Family Caregivers: A Pilot Study of Nurse-Led Meaning-Centered Psychotherapy for Cancer Caregivers.","authors":"Natalie S McAndrew, Lyndsey Wallace, Jill Guttormson, Colleen McCracken, Maria Olex, Anjishnu Banerjee, Alexis Visotcky, Jennifer Bartowitz, Jennifer B Seaman, Jennifer M Knight, Betty Ferrell, Areej El-Jawahri, Allison J Applebaum","doi":"10.1002/pon.70142","DOIUrl":"10.1002/pon.70142","url":null,"abstract":"<p><strong>Background: </strong>Family caregivers of patients undergoing hematopoietic stem cell transplantation (HSCT) experience significant challenges (e.g., witnessing suffering and experiencing loss and uncertainty) that contribute to existential distress and poor psychosocial outcomes. Meaning-Centered Psychotherapy for Cancer Caregivers (MCP-C) is a palliative-based intervention that targets existential distress by helping caregivers connect to sources of meaning in their lives.</p><p><strong>Aims: </strong>Test the feasibility and acceptability of nurse-delivered Meaning-Centered Psychotherapy for Cancer Caregivers (MCP-C) for caregivers of hematopoietic stem cell transplantation (HSCT) recipients.</p><p><strong>Methods: </strong>Single-arm pilot trial of 7-session palliative-based intervention delivered via Zoom/telephone. We enrolled 32 caregivers of adult autologous/allogeneic HSCT recipients at a tertiary care academic center. Feasibility was assessed by (1) ability to recruit 32 caregivers within the 20-month study enrollment period, (2) percentage who consented, (3) completed 4 or more intervention sessions, and (4) percentage who remained on study. Acceptability of MCP-C was assessed with Likert scale items and through exit interviews.</p><p><strong>Findings: </strong>We approached 90 caregivers in 11 months to recruit target sample of 32; 90.6% (n = 29) completed all sessions/assessments; 96% (n = 31) met benchmark of 4 sessions. In exit interviews (n = 22), participants endorsed the (1) value of MCP-C, (2) nurse interventionist's knowledge of transplant care, and (3) convenience of telehealth delivery.</p><p><strong>Conclusions: </strong>Nurse-delivered MCP-C via telehealth is feasible and acceptable for caregivers of HSCT recipients. A future randomized controlled trial is needed to fully evaluate the intervention's effect on caregiver outcomes.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 4","pages":"e70142"},"PeriodicalIF":3.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788713","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":"Symptom Attribution, Help Seeking and Willingness to Undergo Diagnostic Investigations for Bowel Cancer Symptoms in People With Anxiety and/or Depression-A Vignette Study.","authors":"Bettina Friedrich, Cristina Renzi, Lucy Mitchinson, Rupert A Payne, Samuel W D Merriel, Georgios Lyratzopoulos, Gary Abel, Christian von Wagner","doi":"10.1002/pon.70151","DOIUrl":"https://doi.org/10.1002/pon.70151","url":null,"abstract":"<p><strong>Background: </strong>Bowel cancer is a common cause of cancer deaths and survival increases dramatically with earlier diagnosis. People with mental health problems such as anxiety and/or depression (A/D) are less likely to engage in health behaviours important for early detection.</p><p><strong>Aims: </strong>We explored whether three processes crucial for early cancer diagnosis are different in the A/D group compared to controls: (1) 'attributions' that is, assumed causes of bodily changes typical for bowel cancer, (2) help seeking actions participants would be likely to take and (3) willingness to do a relevant test (stool test or sigmoidoscopy/colonoscopy).</p><p><strong>Methods: </strong>In this randomised online vignette study, 1883 participants were presented one of four scenarios that each featured one bodily change typical of bowel cancer. Attributions were indicated using a free text response option. Help seeking options were presented in a list and likelihood of engaging in them was explored. Willingness to take a test was assessed using a question with response options 'yes', 'no' and 'unsure'.</p><p><strong>Results: </strong>Participants with A/D were more likely to attribute symptoms to their mental health than to cancer. Male participants with A/D were less likely to engage in several help-seeking actions. Participants in the A/D group were less likely to be willing to undergo invasive diagnostic testing.</p><p><strong>Conclusions: </strong>People with A/D should be encouraged to take bodily changes typical of cancer seriously and be proactive in help seeking and taking tests. Clinicians need to be aware that people with A/D may misattribute bodily changes associated with cancer and support them to seek help and undergo testing.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 4","pages":"e70151"},"PeriodicalIF":3.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11993246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992896","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}