Psycho‐Oncology最新文献

{"title":"Identifying and Addressing Distress in Cancer Care: A Study of Screening Outcomes and Referrals in Australian Oncology Outpatients.","authors":"E Matthews, K Webber, C Parker, C Feola, T Gencarelli, P Koe-Leong, J F Wiley","doi":"10.1002/pon.70584","DOIUrl":"https://doi.org/10.1002/pon.70584","url":null,"abstract":"<p><strong>Objective: </strong>Psychological distress is highly prevalent among oncology patients and represents an important unmet supportive care need. Yet referrals made following routine distress screening remain poorly understood. This study examined referrals following routine distress screening in outpatient oncology to assess how screening supports patient care, especially for psychological concerns.</p><p><strong>Methods: </strong>All outpatient medical oncology distress screenings at a major metropolitan Victorian hospital from 1 December 2023 to 31 May 2024 were extracted from medical records. Screening was conducted with the NCCN distress thermometer (DT), problem list and additional custom items. Patient characteristics, screening uptake, and referral following screening were analysed.</p><p><strong>Results: </strong>Of 850 distress screening encounters offered to 773 patients, 82 (9.6%) were declined, leaving 768 completed screening encounters. Among respondents, 53.6% reported clinically significant distress (DT ≥ 4) and 60.4% reported psychological concerns. 35.8% (n = 275) of screenings resulted in at least one referral. Patients with more distress and greater patient-reported need for support were more likely to be referred (both p < 0.001). However, only a small proportion of referrals following screening targeted psychological concerns directly, with just five directed to specialist mental health services.</p><p><strong>Conclusions: </strong>Distress and psychological concerns are highly prevalent in outpatient oncology, yet referral following screening often does not align with concerns reported. Most referrals are made to external services, limiting integration with oncology care. Improving referral pathways and enhancing access to mental health services within oncology settings are critical steps towards better meeting patients' psychological needs and ensuring that distress screening translates into meaningful, patient-centred care.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"35 8","pages":"e70584"},"PeriodicalIF":3.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13492088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148797364","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":"\"MyLogbook-I Know My Way Around\": A Psychological Therapy Program to Enhance Health Literacy and Positive Emotional Adjustment in Pediatric Oncology.","authors":"Liesa J Weiler-Wichtl, Verena Fohn-Erhold, Verena Rosenmayr, Rita Hansl, Maximilian Hopfgartner, Jonathan Fries, Carina Schneider, Kristina Herzog, Kirsten Neumann, Tobias Schellenberg, Dorothee Schönenberger-Loppacher, Christiane Faist-Schweika, Barbara Schönthaler, Nicole Stember, Karin Wiegele, Maike Reddig, Anne Paduch, Iris Lein-Köhler, Rahel Hoffmann, Alina Kollmann, Ulrike Just, Nicole Salzmann, Marina Gerhardt, Stefanie Essl, Janina Borbely, Manuel Köpper, Katharina Pal-Handl, Verena Wasinger-Brandweiner, Sarah Rinner, Lisa Schubert, Sandra Lange, Ulrike Leiss","doi":"10.1002/pon.70577","DOIUrl":"10.1002/pon.70577","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Severe and chronic illnesses such as an oncological disease in children, adolescents, and young adults (CAYAs) are accompanied by profound physical, psychological, and social challenges for the patients and their families. Consensus- and evidence-based psychosocial standards of care aim to address these challenges but implementation is heterogeneous. The current paper presents the consensus- and evidence-based psychosocial therapy tool \"MyLogbook-I know my way around\" which aims to operationalize and implement existing guidelines for psychosocial care in pediatric oncology, supporting patients from diagnosis through follow-up care with psychoeducational and emotional resources.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Procedure: &lt;/strong&gt;This multi-center pilot study evaluated the feasibility and efficacy of \"MyLogbook\" in 240 participants (mean age = 9.00, SD = 2.78; 50.8% female) across 22 pediatric oncology treatment centers and rehabilitation centers in Germany, Austria, Switzerland, and Italy. The therapy program involves psychoeducational modules tailored to different medical treatment phases and includes assessments of emotional well-being and health literacy. Psychosocial health care professionals (HCPs) of the respective center conducted selected modules with children, with each module consisting of two 60-min sessions. Efficacy was determined through pre- and post-session assessments of children's emotional states with validated measures and their self-perceived, module-specific expertise (health literacy) on a scale of [1;5].&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A significant improvement in subjective module-specific health literacy was observed, with self-reported expertise increasing from a mean of 2.97 (SD = 1.45) following session 1 to 3.97 (SD = 1.13) following session 2 (Wilcoxon V = 1597.5, p &lt; 0.001). Negative emotions significantly decreased across sessions (B = -0.342, p &lt; 0.001), as did neutral emotions (beta = -0.194, p &lt; 0.001), whereas positive emotions significantly increased (beta = 0.051, p = 0.011). Notably, 38% of children and 40% of parents reported average QoL at baseline, which had no impact on the outcome of emotional well-being over time. The highest efficacy of the therapy program \"MyLogbook\" was observed in psychoeducational modules addressing early treatment phases (e.g., more than half of used booklets are accounted for by \"Everything there is to know!\", \"My path to diagnosis\" and \"I'M Ready\").&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;The psychological therapy program \"MyLogbook\" effectively translates psychosocial care guidelines into clinical practice, improving emotional well-being and health literacy among pediatric oncology patients and their families. To maximize its impact, future efforts should address structural challenges, integrate modules into a unified format, and expand accessibility through multi-lingual adaptations. This published psychosocial therapy program demonstrates the feasibility of deliver","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"35 8","pages":"e70577"},"PeriodicalIF":3.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13499291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148797415","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":"Adaptive, Stepped-Care for Cancer-Related PTSD Symptoms in HCT Survivors: Results From a SMART Trial.","authors":"Sophia K Smith, Eric Kuhn, Tamara J Somers, Eric Laber, Cole Manschot, Anthony D Sung, Sarah A Kelleher, Catherine Majestic, Karen L Syrjala, Deborah Mayer, Sergio Giralt, Andrea Pires, Rebecca R Gebert, Jason E Owen, Jean C Yi, Allison J Applebaum","doi":"10.1002/pon.70554","DOIUrl":"10.1002/pon.70554","url":null,"abstract":"<p><strong>Objective: </strong>Cancer-related posttraumatic stress disorder (PTSD) is prevalent among hematopoietic cell transplantation (HCT) survivors, yet access to evidence-based care is limited. This study evaluated adaptive, stepped-care treatment sequences for PTSD symptoms using a Sequential Multiple Assignment Randomized Trial (SMART), comparing digital and therapist-delivered interventions.</p><p><strong>Methods: </strong>HCT survivors (N = 477), 1-5 years post-transplant, with probable or subthreshold PTSD, were randomized to the Cancer Distress Coach (CaDC) app or Usual Care. At Week 4, non-responders (i.e., < 5-point PCL-5 reduction) were re-randomized to CaDC + Coaching or therapist-delivered cognitive behavioral therapy for PTSD (CBT-PTSD). PTSD symptoms (primary outcome), depression, and anxiety were assessed at baseline, Week 4, Month 3 (primary endpoint), and Month 6.</p><p><strong>Results: </strong>Both initial treatment groups demonstrated symptom reductions at Week 4 with no significant between-group differences; approximately 60% met early response criteria. By Month 3, outcomes reflected treatment escalation rather than direct comparison of initial interventions. Regimen-level analyses demonstrated differences across adaptive sequences for PTSD at Months 3 and 6, and for depression and anxiety at Month 3 (global p-values ≤ 0.018). Regimens escalating to CBT-PTSD were associated with greater and more sustained reductions than those escalating to CaDC + Coaching. The sequence initiating with CaDC and escalating to CBT-PTSD produced the largest effects.</p><p><strong>Conclusions: </strong>Although a self-guided digital intervention did not outperform Usual Care initially, adaptive stepped-care strategies that triage early responders and escalate non-responders to therapist-delivered CBT-PTSD were associated with the greatest reductions in symptoms. Digital tools may function as entry points within stepped-care models to allocate higher-intensity psychotherapy.</p><p><strong>Trials registration: </strong>ClinicalTrials.gov, NCT04058795, registered 8/16/2019.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"35 8","pages":"e70554"},"PeriodicalIF":3.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13449622/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148685481","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":"How has Acceptability Been Defined and Measured in Cancer Screening Research? A Scoping Review.","authors":"Ninian Schmeising-Barnes, Christina Derksen, Charlotte Kelley Jones, Pranay Ruparelia, Ruth E C Evans, Evangelos Katsampouris, Emma Lidington, Lorna McWilliams, Sarah Hindmarch, Anthony Tsang, Adriana B Akbar, Asha V E Parmar, Suzanne E Scott, Jo Waller, Lauren Gatting","doi":"10.1002/pon.70578","DOIUrl":"10.1002/pon.70578","url":null,"abstract":"<p><strong>Objectives: </strong>Cancer screening is crucial for early detection and improved outcomes globally. Screening must be \"acceptable\" to health professionals and the public. However, acceptability definitions and measures have not always been made explicit. This scoping review aimed to explore the definitions, theories, and methods used by researchers investigating acceptability.</p><p><strong>Methods: </strong>We conducted a term-based scoping review of published literature in six databases. Two independent reviewers screened citations for inclusion. Study characteristics (publication year, country, study design, sample size, population, methodological characteristics), characteristics of acceptability (definition, theory, test or device), and screening context (cancer type, screening procedure) were extracted by one author and checked independently by a second author. Results were reported descriptively. Definitions and operationalisations of acceptability were analysed through content analysis.</p><p><strong>Results: </strong>We identified 393 studies, largely published after 2013. Most examined patient or public attitudes towards self-sampling for cervical screening. Few studies cited theory (n = 55, 14%) or provided a definition of acceptability (n = 17, 4.3%). Acceptability was typically defined as a multidimensional construct or as perceptions or attitudes towards screening. Studies operationalised acceptability most often as physical side-effects (n = 68, 42.8%), willingness to attend screening (n = 59, 29.4%), screening method preference (n = 55, 27.4%), ease of use (n = 52, 25.9%), and general attitudes (n = 51, 25.4%).</p><p><strong>Conclusions: </strong>Research focussed on acceptability in cancer screening has not been based on theory and uses a range of operationalisations, including loosely related constructs such as uptake. A specific definition of acceptability in cancer screening and reporting guidelines for interdisciplinary research are needed to support evidence-based decision-making.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"35 8","pages":"e70578"},"PeriodicalIF":3.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13492221/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148797370","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 Cognitive Impairment in Cancer Patients With an Online Course in Mindfulness-Based Stress Reduction-A Randomized Controlled Trial.","authors":"Anna Baumeister, Lea Schuurmans, Lisa Borgmann, Alena Krause, Luca Schmidt, Steffen Moritz, Matthias Rostock","doi":"10.1002/pon.70566","DOIUrl":"10.1002/pon.70566","url":null,"abstract":"<p><strong>Background: </strong>Cancer patients often suffer from neurocognitive impairments due to cancer treatment, the cancer itself, and/or coping with the illness, significantly impairing quality of life and everyday functioning.</p><p><strong>Aims: </strong>This study evaluates the effectiveness of an online MBSR course regarding neurocognitive functioning and well-being of cancer patients.</p><p><strong>Methods: </strong>A total of 170 cancer patients with cognitive impairments 3 months to 5 years after completing antitumor therapy were randomized to an online MBSR course led by an experienced therapist or a waitlist control group. Assessments were conducted online at baseline (T0) and post-intervention (T1, 8 weeks). The control group then received the intervention and was assessed again after 8 weeks (T2). Both groups completed a 3-month follow-up (T3). The primary outcome was subjective neurocognitive functioning (FACT-Cog). Secondary outcomes included quality of life (FACT-G), fatigue (BFI), depressive symptoms (PHQ-9), attention (Go-No-Go), and verbal learning and memory (VLMT). Outcomes were analyzed using mixed models for repeated measures.</p><p><strong>Results: </strong>Subjective neurocognitive functioning (FACT-Cog) improved significantly in the intervention group compared to controls at T1 (Cohen's d = 0.36-0.72, p = 0.004-< 0.001, depending on subscale), as well as quality of life (FACT-G, Cohen's d = 0.32, p = 0.001), fatigue (BFI, Cohen's d = -0.47, p < 0.001), and depressive symptoms (PHQ-9, Cohen's d = -0.57, p < 0.001). Objective memory performance (VLMT, Cohen's d = 0.25, p = 0.030) improved. Effects were maintained at 3-month follow-up.</p><p><strong>Conclusions: </strong>The online MBSR course can effectively improve cancer-related cognitive impairment and well-being of cancer patients.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"35 8","pages":"e70566"},"PeriodicalIF":3.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13463220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713560","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":"Identifying Features of Scanxiety Among People With Cancer: A Nominal Group Technique Method.","authors":"Nian D F Kemme, Linda Kwakkenbos, Judith B Prins, Evelien J M Kuip, José A E Custers","doi":"10.1002/pon.70560","DOIUrl":"10.1002/pon.70560","url":null,"abstract":"<p><strong>Background: </strong>Patients undergoing cancer-related scans often experience scan-associated anxiety, which can significantly impact their mental well-being. So far, this so-called scanxiety has not been clearly defined, even though it has gained more attention. This study investigated features of scanxiety in cancer patients.</p><p><strong>Methods: </strong>Two nominal group technique (NGT) sessions were conducted with curatively treated and advanced cancer patients. In the first round, participants took turns sharing features of scanxiety, followed by a group discussion to clarify unclear or overlapping features. Finally, participants rated the extent to which they thought features applied to scanxiety. Additional to the NGT sessions, interviews were conducted with patients and healthcare professionals to provide further insights. Findings from the NGT sessions and interviews were collated and reviewed by the research team using a qualitative content analysis.</p><p><strong>Results: </strong>A total of 16 patients (9 men and 7 women) participated in the NGT sessions and an additional 14 people were interviewed (3 patients and 11 healthcare professionals). The NGT sessions and interviews initially generated 72 and 67 features, respectively. After merging and removing duplicates, the final list of features included 63 features. Following discussions in the multidisciplinary research team informed by predefined decision rules, 23 features were identified as unique to scanxiety. These features reflect emotional, cognitive, behavioural, physiological and physical reactions, social and interpersonal characteristics, and care- and process-related characteristics associated with scanxiety.</p><p><strong>Conclusion: </strong>This study provides a first comprehensive characterisation of scanxiety by identifying features that are unique to anxiety associated with cancer-related scans and lays the groundwork for improved assessment and targeted support in cancer care.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"35 8","pages":"e70560"},"PeriodicalIF":3.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13423456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148631390","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 of Postoperative Antidepressant and Anxiolytic Exposure With Overall Survival Following Radical Cystectomy for Bladder Cancer.","authors":"Cheng-Shuo Huang, Kai-Hsiang Tung, Ying-Si Wu, Cheng-Ping Yu, Dah-Shyong Yu, Ming-Hsin Yang, Yong-Eng Lee, Jar-Yi Ho","doi":"10.1002/pon.70581","DOIUrl":"10.1002/pon.70581","url":null,"abstract":"<p><strong>Background: </strong>Psychological distress is an important component of cancer survivorship, particularly among patients undergoing radical cystectomy (RC) for bladder cancer. However, the prognostic significance of postoperative psychiatric medication exposure following RC remains unclear.</p><p><strong>Aims: </strong>To investigate the association between postoperative antidepressant and/or anxiolytic exposure and survival outcomes following RC for bladder cancer.</p><p><strong>Methods: </strong>This retrospective propensity score-matched cohort study used data from the TriNetX US Collaborative Network. Adult patients who underwent RC for bladder cancer (2005-2025) were identified. Postoperative psychiatric medication exposure was defined as new use of antidepressants (Anatomical Therapeutic Chemical: N06A) and/or anxiolytics (ATC: N05B). The primary analysis evaluated combined antidepressant/anxiolytic exposure, with separate antidepressant-only and anxiolytic-only subgroup analyses. Overall survival (OS) and all-cause mortality were evaluated after 1:1 propensity score matching (PSM).</p><p><strong>Results: </strong>The primary analysis identified 2461 exposed and 7257 unexposed patients, yielding 1521 matched pairs after PSM. Patients exposed to postoperative psychiatric medication were associated with significantly poorer OS than their matched controls (hazard ratio [HR]: 1.377, 95% confidence interval [CI]: 1.261-1.502; log-rank p < 0.001). Similar associations were observed in subgroup analyses. Antidepressant-only exposure was associated with poorer OS (HR: 1.260, 95% CI: 1.161-1.367; p < 0.001), and the anxiolytic-only subgroup demonstrated the strongest association with poorer survival (HR: 1.457, 95% CI: 1.324-1.604; p < 0.001).</p><p><strong>Conclusions: </strong>Psychiatric medication use may represent a clinically observable marker of psychological burden and survivorship vulnerability following RC. Early recognition of postoperative psychological vulnerability may facilitate timely psycho-oncological support and multidisciplinary survivorship care following RC.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"35 8","pages":"e70581"},"PeriodicalIF":3.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13479785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148765295","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":"Desired Support and Design Preferences for a Supported Self-Management Intervention for People With Lower-Grade Gliomas: Co-Design Findings From the Ways Ahead Project.","authors":"Ben Rimmer, Sophie Williams, Joanne Lewis, Lizzie Dutton, Richéal Burns, Pamela Gallagher, Vera Araújo-Soares, Tracy Finch, Linda Sharp","doi":"10.1002/pon.70561","DOIUrl":"10.1002/pon.70561","url":null,"abstract":"<p><strong>Background: </strong>Lower-grade gliomas (LGG) are a subgroup of primary brain tumours. People with LGG often live long-term with wide-ranging symptoms and impairments (e.g., seizures, cognitive impairment) and uncertainty about their disease progression. Self-management interventions can improve quality-of-life (QoL) in cancer survivors; however, adaptability, acceptability, and feasibility of existing interventions for people with LGG is unclear.</p><p><strong>Aims: </strong>Co-design, with multiple stakeholders, an early prototype supported self-management intervention for people with LGG.</p><p><strong>Methods: </strong>Co-design activities followed two sequential phases. Phase one comprised three semi-structured interview sets with people with LGG, caregivers, and healthcare professionals (HCP). Desired support and design preferences were inductively identified and mapped to the TIDieR checklist; this informed a paper prototype outline. Phase two comprised four discussion groups with people with brain tumours, caregivers, and HCPs, and a survey. These activities considered the prototype design, feasibility, and acceptability. A preliminary intervention logic model was developed from Phases one and two, evidence and self-management theory.</p><p><strong>Results: </strong>Early co-design findings indicate preference for a blend of online and face-to-face access to information and support with consideration given to technology literacy and accessibility. A support 'toolkit' was desired for advice, signposting, and support, with the option for caregivers to access intervention content, where appropriate. To improve QoL, the intervention needs to improve symptom knowledge and self-efficacy for symptom management, and support psychological adjustment and independence.</p><p><strong>Conclusions: </strong>This groundwork, involving multiple stakeholders, will help ensure intervention acceptability, feasibility and effectiveness. There is scope for wider applicability to other brain tumour groups.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"35 7","pages":"e70561"},"PeriodicalIF":3.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13405862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148607025","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":"Codesigning an Online Psychotherapeutic Intervention for Carers of People With Cancer-A Qualitative Study of Carer Needs and Perspectives on Psychological Support.","authors":"Claire Hudson, Sarah Giunta, Joanne Shaw, Iona Gurney, Rebekah Laidsaar-Powell","doi":"10.1002/pon.70548","DOIUrl":"10.1002/pon.70548","url":null,"abstract":"<p><strong>Background: </strong>Caring for a person with cancer can be a physically and emotionally demanding role, with cancer carers experiencing disproportionately high rates of depression and anxiety. Existing psychosocial interventions for carers are limited by minimal carer input during development and underutilisation of Cognitive Behavioural Therapy (CBT) techniques.</p><p><strong>Aims: </strong>The purpose of this qualitative study was to inform the modification of an established online CBT (iCBT) intervention for cancer patients to be carer centred.</p><p><strong>Methods: </strong>Using the Person-Based Co-Design Approach, semi-structured, think-aloud interviews were conducted with 15 cancer carers, eliciting key carer challenges, cognitions, and behaviours, and ascertaining necessary modifications to transform a patient intervention into a carer intervention. Participants completed sociodemographic and psychosocial questionnaires prior to interviews. Interpretative Description methodology was used for qualitative analysis. Seven carers were re-interviewed for feedback on the acceptability of modifications for a proposed carer iCBT intervention.</p><p><strong>Results: </strong>Carers discussed the stressful and multifaceted nature that contributed to cognitive, emotional and behavioural responses. Carers identified the importance of representing this context in a carer iCBT intervention for relatability, which informed necessary intervention transformations. Carers also had varied preferences regarding intervention design, content and usability.</p><p><strong>Conclusions: </strong>Carers expressed substantial unmet psychological needs and held favourable views towards carer-centred psychological support via self-directed iCBT. Heterogeneity in carer burden, coping and preferences warrants additional future research into suitable delivery and implementation of carer psychotherapeutic interventions. Recommendations regarding delivery are proposed.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"35 7","pages":"e70548"},"PeriodicalIF":3.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13356820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148430900","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":"Exploring the Experiences of Cancer Patients Following an Internet-Based Cognitive Behavioral Therapy for Insomnia With Professional Phone Guidance: The Sleep-4-All-2.0 Study.","authors":"Jonathan Journiac, Anne-Laure Sébert, Louise Zanni, Léonor Fasse, Dominique Hernot, Alexandra Monod, Cécile Charles, Jean-Bernard Le Provost, Estelle Guerdoux, Guilhem Paillard-Brunet, Josée Savard, Sarah Dauchy, Diane Boinon","doi":"10.1002/pon.70532","DOIUrl":"10.1002/pon.70532","url":null,"abstract":"<p><strong>Background: </strong>Sleep problems affect 30%-95% of cancer patients. Cognitive Behavioral Therapy for Insomnia is recognized as the most effective treatment for insomnia. However, implementing it is challenging due to a lack of time, human resources, and financial support. Internet-Based Cognitive Behavioral Therapy (ICBT-I) is appreciated by patients, but it lacks professional guidance.</p><p><strong>Aims: </strong>The Sleep-4-All-2.0 study combined a validated ICBT-I program, lasting 6-12 weeks, with up to four individual, phone-based ICBT-I psychology sessions. The current study sought to explore patients' experiences of the program, focusing on their perceptions of the professional guidance.</p><p><strong>Methods: </strong>Cancer patients from three different hospitals were interviewed. Out of their discourse, a thematic analysis was conducted.</p><p><strong>Results: </strong>48 patients were included. Three themes were constructed: (1) Coping with the program, (2) Connections at play (professionals, family, patients, sleep interactions), (3) Benefits and limits of psychological guidance. Although most participants were delighted with the program and the guidance, they encountered numerous difficulties due to personal and external issues, as well as the demands of CBT. Participants highlighted the need to be connected to other patients, supported by their families, and to receive well-informed care from healthcare professionals (HCP). The phone guidance was important for pragmatic and motivational reasons.</p><p><strong>Conclusion: </strong>In order to improve program follow-up, clinicians should work beforehand to adjust expectations and take into account the specific vulnerabilities of certain patients.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"35 7","pages":"e70532"},"PeriodicalIF":3.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13309683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148339992","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}