Psycho‐Oncology最新文献

{"title":"Development and Pilot-Testing of a WeChat-Based Problem-Solving Skills Training Program for Parents of Children With Cancer: A Nonrandomized Clinical Trial.","authors":"Tianji Zhou, Yuanhui Luo, William Ho Cheung Li, Wenjin Xiong, Yinan Qiu, Zhenyu Meng, Nancy Xiaonan Yu, Jingping Zhang","doi":"10.1002/pon.70226","DOIUrl":"10.1002/pon.70226","url":null,"abstract":"<p><strong>Background: </strong>Problem-solving skills training (PSST) has been shown to improve psychosocial outcomes for parents managing childhood cancer. However, accessibility barriers hinder its in-person delivery, particularly in regions with limited psychological resources. This study aimed to develop a WeChat-based PSST (WB-PSST) intervention and pilot-test its feasibility and preliminary impact.</p><p><strong>Methods: </strong>The WB-PSST intervention was developed using an iterative process, including evidence synthesis, stakeholder interviews, intervention modeling, and expert consultation. The intervention included eight weekly sessions delivered via a WeChat mini-program titled \"No problem\", featuring interactive modules tailored to parents' typical caregiving challenges to practice problem-solving steps. A nonrandomized clinical trial using before-and-after comparisons was then conducted among parents of children with any type of cancer, who were required to own a smartphone with WeChat installed. Outcomes were assessed using the Reach-Effectiveness-Adoption-Implementation-Maintenance framework.</p><p><strong>Results: </strong>Twenty parents enrolled and completed the intervention. Parents reported potential signals of improvement in problem-solving skills (difference, 6.95, p < 0.001) and family adaptation (difference, 6.35, p = 0.002) and reductions in depressive symptoms (difference, -2.80, p < 0.001). Parental and pediatric quality of life showed a positive but non-significant trend. Parents logged into \"No problem\" an average of 33.45 days over 8 weeks, with high satisfaction (8.95-9.35 out of 10) and fidelity (93.0%). Qualitative feedback revealed emotional relief, strengthened decision-making, and a user-friendly design and tailored stepwise practice.</p><p><strong>Conclusions: </strong>The intervention was feasible and showed early indications of improvement in parental problem-solving skills, depressive symptoms, and family adaptation. Further full-scale randomized clinical trials are warranted.</p><p><strong>Trial registration: </strong>ChiCTR2400087599.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 7","pages":"e70226"},"PeriodicalIF":3.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601300","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":"Saying the Final Goodbye: When Some Say Goodbye, We Say Hello.","authors":"Lori Wiener, Joel Marcus, Cassandra Rasmussen, Matthew Loscalzo, William E Rosa, Andrew Roth","doi":"10.1002/pon.70178","DOIUrl":"10.1002/pon.70178","url":null,"abstract":"<p><p>This paper is based on a symposium delivered at the 21^st Annual American Psychosocial Oncology Society Conference in Albuquerque, New Mexico in March 2024. The symposium derived from presenters' clinical and academic experiences, spanning from trainee to experienced senior mental health practitioners, working in diverse clinical cancer settings with persons dying from cancer across the life course. The final goodbye is not just a statement of farewell, but rather a conversation begun from the moment of \"hello\" in a therapeutic psychosocial-oncology relationship that may encompass a range of dimensions including time and space, verbal utterances, bodily gestures, and unspoken thoughts. Consideration of the ultimate goodbye, and the universality of death, especially when unpredictable, and even if never articulated, can inform the therapy and mold a helpful and caring end to the relationship. Maintaining a focus on living with present circumstances - what is feared, what is regretted, what is cherished, and what can still be hoped for, while understanding the certitude of death during the end stages of cancer - may be considered the art of psychosocial oncology. Since it can only be garnered over time with practice, there are few \"wrong\" ways to do this with humility-and many formidable experiences to learn from.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 7","pages":"e70178"},"PeriodicalIF":3.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12270712/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660031","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":"From Burden to Empowerment. Patient-Reported Influencing Factors on Participation in Shared Decision Making in Oncology, a Meta-Study.","authors":"L Mertens, H Wildiers, H Van Veenendaal, R Oueslati, T Kasmi, G Bekkering, K Hannes, N Delvaux, M Vermandere, P Van Bostraeten, J Jaeken, B Aertgeerts","doi":"10.1002/pon.70218","DOIUrl":"10.1002/pon.70218","url":null,"abstract":"<p><strong>Objective: </strong>We aim to provide a literature overview on patient-reported barriers and facilitators to participation in Shared Decision Making (SDM) within the setting of oncology.</p><p><strong>Methodology: </strong>Within the set of selected studies for a larger qualitative meta-summary, using five databases, we selected the studies that had surveyed patients with oncologic illness for further analysis in this paper. Search terms were based on the concepts: 'decision making', 'patient participation', 'patient perceptions' and 'study design' aimed at eliciting patients' perspective, including patient surveys, interviews and focus groups.</p><p><strong>Results: </strong>Out of the 90 studies that had been selected for the larger review, we selected 22 articles concerning oncologic illness for more detailed analysis in this review. In total, we identified 33 different barriers and facilitators. Based on the most frequently reported barriers and facilitators, we defined six broad analytical themes, reflecting patients' most frequently recurring challenges (Themes 1 and 2) and needs (Themes 3-6) in this setting: (1) 'High burdens', (2) 'Low self-efficacy to participate', (3) 'Clear information provision', (4) 'Social support', (5) 'Physicians' support', (6) 'Education, preparation and assertiveness'.</p><p><strong>Conclusion: </strong>The high decisional and emotional burdens oncologic patients experience appear to be specific challenges to SDM in oncology, which often undermine patients' self-efficacy to participate and complicate patients' engagement in SDM. However, when offered the right support, patients may overcome the existing burdens and become more empowered to engage in SDM.</p><p><strong>Practice implications: </strong>These insights need to be integrated in SDM strategies so that they may serve the ethical imperative of greater equality and the inclusion of diverse patient groups in different SDM settings.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 7","pages":"e70218"},"PeriodicalIF":3.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12260273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637871","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":"Enhancing Patient-Provider Communication to Overcome Racial Bias and Medical Mistrust in Hematopoietic Stem Cell Transplant Survivorship.","authors":"Lyndsey J Wallace, Amy Fraire, Erica McKinney, Karen Kersting, Mackenzie Goertz","doi":"10.1002/pon.70219","DOIUrl":"10.1002/pon.70219","url":null,"abstract":"<p><strong>Introduction: </strong>Racially insensitive cancer care contributes to medical distrust, poor health outcomes, limited access, and low adherence to follow-up. Racially responsive care extends beyond treating physical symptoms. It requires an understanding of the cultural influences on the values, attitudes, and behaviors of patients and their families.</p><p><strong>Methods: </strong>Here, we report a case of a 61-year-old Black woman who underwent an allogeneic hematopoietic stem cell transplant for myelodysplastic syndromes and felt her ongoing concerns related to survivorship were dismissed by the medical team. The psycho-oncology service intervened by organizing a multidisciplinary family meeting.</p><p><strong>Results: </strong>The meeting included healthcare providers from multiple disciplines and the patient's family members. It aimed to increase family engagement and foster shared decision-making. The patient reported feeling affirmed and heard, which improved her trust in the care team and her engagement in follow-up care.</p><p><strong>Discussion: </strong>This case underscores the importance of culturally sensitive, racially responsive care in oncology. Multidisciplinary interventions can play a critical role in rebuilding trust and improving outcomes for racially marginalized patients.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 7","pages":"e70219"},"PeriodicalIF":3.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144560895","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":"How to Support Participants in Urogenital and Prostate Clinical Trials: A Qualitative Perspective.","authors":"Natasha A Roberts, Ian D Davis, David Wyld, Jeffrey Goh, Maxwell Thompson, Craig Gedye, Haryana M Dhillon","doi":"10.1002/pon.70214","DOIUrl":"10.1002/pon.70214","url":null,"abstract":"<p><strong>Background: </strong>Clinical trials are fundamental to improving cancer treatment and clinical outcomes. Whilst clinical trials offer treatment options to affected individuals, less is known about how to best support those who participate.</p><p><strong>Aim: </strong>To explore the experiences of participants in urogenital and prostate cancer clinical trials to identify opportunities to improve care for this cohort of patients.</p><p><strong>Methods: </strong>This qualitative study was conducted in Australian hospitals. Participants were included if they had consented to participate in an Australian collaborative investigator led clinical trial for prostate or other urogenital cancer. Semi-structured interviews with participants were completed by telephone. Using verbatim transcriptions, their experiences relative to key stages of a clinical trial were analysed using a Framework Method. Findings were interpreted to develop key recommendations for use by investigators developing a clinical trial.</p><p><strong>Results: </strong>22 people consented and participated in interviews. They came from rural, regional, and metropolitan areas across Australia. Participants were being treated for advanced uro-genital and prostate cancers. Across interviews, participants spoke about their supportive care needs and how they valued their relationships with the multi-disciplinary research team and the clinical oncology and urology teams. There was variation in participant needs according to the stage of the clinical trial. Despite times of uncertainty, it was reported clinical trial participation was meaningful. Receiving information about overall findings of the clinical trial was important to participants allowing them to understand the impact of their contribution.</p><p><strong>Conclusion: </strong>Understanding the experiences of clinical trial participants can improve the design of trial protocol processes and procedures. Participants want to stay connected with their clinical trial.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 7","pages":"e70214"},"PeriodicalIF":3.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12260335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637872","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":"Experiences and Preferences of Young Adult Patients With Cancer and Their Romantic Partner Caregivers: A Qualitative Study.","authors":"Emily A Walsh, Zeba N Ahmad, Laura Dunderdale, Greta J Khanna, Riley Psenka, Shibani Datta, Kathryn E Post, Elyse R Park, Jennifer S Temel, Joseph A Greer, Sharon Manne, Giselle K Perez, Jamie M Jacobs","doi":"10.1002/pon.70239","DOIUrl":"https://doi.org/10.1002/pon.70239","url":null,"abstract":"<p><strong>Background: </strong>Young adults (YA, ages 25-39) with cancer and their romantic partners experience unique and distressing physical effects and psychological outcomes. While several interventions for YAs exist, few incorporate partner caregivers into treatment and often lack developmentally appropriate material for YA couples.</p><p><strong>Aims: </strong>Through this qualitative study, we sought to explore unmet needs and preferences for a psychosocial intervention to support YA patients and their partners.</p><p><strong>Methods: </strong>Between 7/2022-3/2023, we recruited and enrolled YAs who were undergoing or had recently (< 1 year) completed treatment for cancer and their partners. We stratified couples by treatment status. Semi-structured interviews with couples captured experiences with cancer and treatment, supportive care needs, and preferences for an intervention. We recorded, transcribed, and independently coded interviews via thematic content analysis.</p><p><strong>Results: </strong>Across 20 couples, six themes emerged: navigating challenges together in the relationship; communication changes; adjustment of life milestones; negative impact on sex, intimacy, and body image; use and challenges of social support; and intervention preferences. Patients and partner caregivers discussed challenges, including uncertainty about the future and changing priorities. Couples reported interest in a psychosocial intervention to provide strategies for managing communication, intimacy, and behavioral health.</p><p><strong>Conclusions: </strong>YA couples experience changes to their relationship and across life domains as a result of cancer and expressed interest for future interventions in this population. A psychosocial intervention for YA couples managing cancer may be acceptable, address unmet needs, and promote YA patient and partner caregiver outcomes in survivorship.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 7","pages":"e70239"},"PeriodicalIF":3.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668224","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":"Bereavement Support for Spouses: An Evaluation of a 6-Session Group Program.","authors":"Sue E Morris","doi":"10.1002/pon.70221","DOIUrl":"10.1002/pon.70221","url":null,"abstract":"<p><strong>Background: </strong>Within oncology, bereavement outreach to families varies greatly following the death of a patient, depending upon the institution and its resources, the discipline of the provider, and the types of bereavement support offered. Bereavement support groups are commonplace, though little attention has been paid to understanding the impact on family members and what aspects of a group they find beneficial.</p><p><strong>Aims: </strong>This study sought feedback from participants about the support group curriculum used at Dana-Farber Cancer Institute (DFCI) with recently bereaved spouses and partners.</p><p><strong>Methods: </strong>Adopting a quality improvement framework, bereaved spouses who participated in a 6-session structured CBT-based bereavement support group between April 2020 and December 2022 were invited to complete an evaluation of the group program. Due to the COVID-19 pandemic, all groups were offered virtually.</p><p><strong>Results: </strong>In total, 138 spouses participated in one of 18, 6-session support groups at DFCI with 86 (62.32%) completing the evaluation. 67.44% were female and 74.42% were aged between 60 and 79 years. The participants evaluated the program highly, reporting that they felt less isolated in their grief (4.26/5 on a 5-point Likert Scale); many of their concerns were similar to others (4.42/5); and the session discussion topics were relevant to their experience (4.40/5). 81.40% of participants said that they either liked or strongly liked the virtual format and if given a choice, 56.47% expressed a preference for a hybrid delivery model.</p><p><strong>Conclusions: </strong>The CBT-based bereavement support group curriculum was highly evaluated with a hybrid model endorsed as the preferred method for future groups.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 7","pages":"e70221"},"PeriodicalIF":3.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144718346","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":"Suicide and Head and Neck Cancer: A Systematic Review With Meta-Analysis and Narrative Synthesis.","authors":"Jeffrey R Hanna, Kairen McCloy, Jane Anderson, Angela McKeever, Cherith J Semple","doi":"10.1002/pon.70233","DOIUrl":"10.1002/pon.70233","url":null,"abstract":"<p><strong>Objective: </strong>People with head and neck cancer are up to three times more likely to die by suicide than the general population. There is an urgency to understand and address the growing rates of suicidality within this population. The objectives of this review are (1) to explore the risk factors for thoughts of suicide and self-harm, and suicide completion in patients with head and neck cancer, and (2) to understand the challenges and needs of patients impacted by head and neck cancer who have had thoughts of self-harm and suicide.</p><p><strong>Methods: </strong>Mixed-methods systematic review following the PRISMA protocol. Electronic databases and grey literature searches were completed using MeSH terms and key word searches. A total of 3665 recorded were identified; with 36 studies included. Of these, 22 focussed on suicide completion, with sufficient data to conduct a meta-analysis on several important risk factors for suicide completion. These are sex, age, time since diagnosis and marital status. The remaining 14 studies reported on suicide ideation for this population, with the findings analysed within a narrative synthesis. Findings and clinical implications were refined with input from nine members of a head and neck cancer patient and public involvement group.</p><p><strong>Findings: </strong>Risk of suicide ideation and suicide completion was greatest in male patients. Suicide completion was highest in patients within the first 6-months of diagnosis, who were widowed, or had cancer of the hypopharynx. Suboptimal pain and symptom management appeared related to a higher risk of suicide ideation. A therapeutic and supportive relationship with health and social care professionals was helpful in managing experiences of suicidal ideation.</p><p><strong>Conclusions: </strong>Health and social care professionals should identify, assess, support and follow-up regarding thoughts of suicide for patients with head and neck cancer. Clear pathways are necessary for the management of suicidality, to include appropriate referrals to psychiatry/psychology, supportive interventions to include medications that can help with pain, distress or other symptoms.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 7","pages":"e70233"},"PeriodicalIF":3.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12291453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144708537","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 Current State of Palliative Care Research for Adolescents and Young Adults With Cancer: A Systematic Review and Meta-Thematic Analysis of Empirical Literature.","authors":"Anao Zhang, Meiyan Chen, Rachel Brandon, Jennifer Currin-McCulloch, Xingzhi Liu, Brennan Cheladyn, Betty Ferrell, Barbara Jones, Bradley Zebrack, Adam S DuVall","doi":"10.1002/pon.70228","DOIUrl":"10.1002/pon.70228","url":null,"abstract":"<p><strong>Background: </strong>Palliative care is critical to the wellness of cancer patients and survivors, but adolescents and young adults (AYAs) with cancer are confronted with the divide between pediatric and adult palliative care as well as pediatric and adult/medical oncology. Consequently, attention to palliative care for AYAs with cancer has just started, and our understanding of palliative care for AYA oncology remains limited.</p><p><strong>Aim: </strong>This study aims to update our understanding of this salient topic through rigorous research synthesis.</p><p><strong>Design: </strong>A systematic review of empirical literature was adopted, and data was innovatively analyzed using meta-thematic analysis. The review was pre-registered on OSF (https://osf.io/zy9cs). Studies were searched across ten electronic databases from inception to August 1, 2024 (i.e., the search date). Eligibility criteria include: (1) study the topic of palliative care; (2) focus on AYA cancer; and (3) report empirical data. Meta-thematic analysis and reflexive thematic analysis informed data analysis methods.</p><p><strong>Results: </strong>Fifty-six primary studies from 2004 to 2024, inclusive of 478 data points, were included in the meta-thematic analysis. Five broad themes were identified: (1) the overall state of AYA palliative care; (2) key characteristics of palliative care for AYAs with cancer; (3) AYA palliative care communication, decision-making, and AYA involvement; (4) prevalent symptoms, care preferences, and priorities in palliative care among AYAs with cancer; and (5) effective interventions.</p><p><strong>Conclusions: </strong>Key insights regarding AYA cancer palliative care have been revealed. Notable areas of improvement regarding the delivery of palliative care to AYAs and future research directions have been identified.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 7","pages":"e70228"},"PeriodicalIF":3.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12260280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637874","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":"Distress and Emotional Support Needs of Patients With Stage IV Cancer and Their Partners: A Biopsychosocial Assessment.","authors":"Cristiane Decat Bergerot, Paulo Gustavo Bergerot, Errol J Philip, Courtney Bitz, Sebastian Hadaegh, Karen Clark, Matthew Loscalzo, Sumanta Pal","doi":"10.1002/pon.70232","DOIUrl":"https://doi.org/10.1002/pon.70232","url":null,"abstract":"<p><strong>Background: </strong>Cancer diagnosis, particularly at advanced stages, affects both patients and their primary caregivers, often resulting in emotional distress.</p><p><strong>Aims: </strong>To assess and compare distress levels in patients newly diagnosed with stage IV cancer and their partners and identify psychosocial support needs.</p><p><strong>Methods: </strong>In this prospective study, patients and their partners from a public hospital in Brazil completed the SupportScreen-Couples Distress questionnaire, assessing emotional and physical symptoms, relationship issues, and concerns about diagnosis, treatment, prognosis, and end-of-life. Paired t-tests compared distress levels between patients and partners.</p><p><strong>Results: </strong>A total of 128 participants were included, consisting of 64 patients with stage IV cancer and their partners. The findings revealed significant differences in distress levels between patients and partners. Patients reported higher distress in areas such as fatigue (42.1% vs. 29.7%, p = 0.02), worries about the future (28.1% vs. 20.3%, p = 0.08), sleep problems (28.1% vs. 20.3%, p = 0.07), and feelings of depression (26.6% vs. 15.6%, p = 0.03). In contrast, partners experienced higher distress related to anxiety (37.5% vs. 28.1%, p < 0.01) and financial concerns (25.1% vs. 17.2%, p < 0.01).</p><p><strong>Conclusion: </strong>The study highlights the distinct emotional burdens faced by both patients and their partners. While patients are primarily distressed by physical symptoms and future uncertainties, partners are more concerned with caregiving demands and financial strain. These findings emphasize the need for integrated psychosocial support that addresses both patient and partner needs to improve emotional well-being and care outcomes.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 7","pages":"e70232"},"PeriodicalIF":3.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637810","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}