Psycho‐Oncology最新文献

{"title":"Using Drawings to Measure Emotional Processing in Breast Cancer Survivors and Its Association With Depression, Pain, and Fatigue.","authors":"Asnat Weinfeld-Yehoudayan, Johanna Czamanski-Cohen, Karen L Weihs, Miri Cohen","doi":"10.1002/pon.70099","DOIUrl":"10.1002/pon.70099","url":null,"abstract":"<p><strong>Background: </strong>Conscious and unconscious emotional processing (EP) may be related to breast cancer survivors' (BCS) response to the stress of dealing with cancer and its treatment, and often entails myriad psychological and physical symptoms.</p><p><strong>Aims: </strong>To examine the relationship between EP expressed by BCS in drawings made during art therapy and its relationship with depression, pain, and fatigue.</p><p><strong>Methods: </strong>This cross-sectional secondary analysis used data from the Role of Emotional Processing in Art Therapy study. BCS (N = 81) answered self-report questionnaires measuring depression, pain, and fatigue at baseline. Their drawings were coded for EP using the Drawing-Based Emotional Processing Scale (DRAWEP).</p><p><strong>Results: </strong>Levels of depression, pain intensity and interference, and fatigue, were high, and a substantial percentage of participants were beyond the cutoff scores for severe symptoms. Controlling for background variables, EP subscales of making sense and organization were negatively associated with pain intensity, pain interference, and depression, but not with fatigue. These relationships are demonstrated with selected drawings.</p><p><strong>Conclusions: </strong>Since drawing involves embodied processes and has the potential to capture latent aspects of EP, examining drawings can provide a means of investigating EP among BCS and its relationship to depression and pain and learn more about the emotional experiences of BCS.</p><p><strong>Implications for practice: </strong>The DRAWEP can assist art therapists in increasing their awareness of EP, which may benefit their ability to identify women at risk. Moreover, this article can contribute to the development and enhancement of art therapists' awareness of EP.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 2","pages":"e70099"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11813831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399813","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 Prevalence and Associated Factors of Cancer-Related Worries in Adult Survivors of Childhood Cancer: A Systematic Review.","authors":"Anne Maas, Anne Westerweel, Heleen Maurice-Stam, Leontien C M Kremer, Alied M van der Aa-van Delden, Daniël Zwerus, Elvira C van Dalen, Martha A Grootenhuis","doi":"10.1002/pon.70101","DOIUrl":"10.1002/pon.70101","url":null,"abstract":"<p><strong>Background: </strong>Many childhood cancer survivors (CCS) experience cancer-related worries (CRW), for example about late effects and cancer recurrence. CRW are associated with lower quality of life (QoL) and maladaptive health care use. We examined the prevalence, severity, and factors associated with CRW in adult CCS.</p><p><strong>Methods: </strong>We included quantitative studies of ≥ 100 participants reporting on prevalence, severity, mean scores and/or associated factors of CRW among CCS aged ≥ 18 years, diagnosed at ≤ 21 years, and ≥ 2 years post-diagnosis. We searched MEDLINE/PubMed and APA PsycINFO, hand-searched reference lists, and consulted experts. Risk of bias was assessed using the Cochrane Childhood Cancer Risk of Bias Criteria. Results were synthesized descriptively.</p><p><strong>Results: </strong>The 17 included studies with a total of 26,306 CCS identified three main themes of CRW: health-related, financial, and interpersonal. Most prevalent were health-related worries regarding future health (88%-92%), late effects (83%), cancer recurrence (25%-88%), second cancers (50%-91%), and infertility (34%-68%). Factors associated with increased CRW varied depending on the specific CRW. These included female sex, more pain, anxiety, depression, chronic conditions (e.g., neurologic, being overweight), and treatment history (chemotherapy, radiotherapy).</p><p><strong>Discussion and implications: </strong>Although most included studies used single items to assess CRW, this review underscores that health-related worries are particularly prevalent among CCS. Effectively identifying CCS at high risk, for example through using validated measures, and addressing severe CRW can facilitate adaptive healthcare use and improve QoL among CCS. Potential interventions can be providing information about late effects, psycho-education, discussions during follow-up care, and targeted psychosocial support for those with severe CRW.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 2","pages":"e70101"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11825232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414826","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":"Effect of Technology-Based Psychological Empowerment Interventions on Psychological Well-Being of Parents of Pediatric Cancer Patients: A Meta-Analysis of Randomized Controlled Trials.","authors":"Hazal Ozdemir Koyu, Ebru Kilicarslan","doi":"10.1002/pon.70097","DOIUrl":"10.1002/pon.70097","url":null,"abstract":"<p><strong>Background: </strong>In recent years, technology-based interventions have emerged as effective approaches to provide psychological support for the parents of children with cancer. Despite their increasing use, evidence on the effectiveness of technology-based empowerment interventions remains limited, largely due to the heterogeneity in intervention designs and measured outcomes.</p><p><strong>Aim: </strong>This meta-analysis aims to evaluate the effectiveness of technology-based psychological empowerment interventions on the psychological well-being of parents of pediatric cancer patients.</p><p><strong>Methods: </strong>A comprehensive literature search was conducted databases including Scopus, Medline, PubMed, Embase, Cochrane Library, Web of Science, APA PsycINFO, CINAHL Complete, and the Ovid Nursing Database Scopus, Medline, and PubMed identified 8020 studies, from which 9 RCTs involving 698 parents of children with cancer were included. The risk of bias was assessed using the revised Cochrane Risk of Bias (RoB 2) tool. Data analysis was assessed using a random effects model with standardized mean difference (SMD) using Review Manager Version 5.4. Heterogeneity was assessed using the chi-square test and I² statistic. Subgroup analyses and sensitivity analyses were performed.</p><p><strong>Results: </strong>The meta-analysis revealed significant improvements in psychological outcomes, including decreases in distress (SMD: -0.42, 95% CI [-0.70, -0.13], p = 0.005), depression (SMD: -0.92, 95% CI [-1.56, -0.27], p = 0.005) and anxiety (SMD: -1.47, 95% CI [-2.50, -0.44], p = 0.005) immediately after the intervention. Follow-up analyses showed maintained decreases in depression (SMD: -0.39, 95% CI [-0.61, -0.17], p = 0.005) and anxiety (SMD:-0.32, 95% CI [-0.58, -0.07], p = 0.01). Additionally, significant increases were observed coping (SMD: 4.31, 95% CI [1.19, 7.44], p = 0.007) and resilience (SMD: 4.68, 95% CI [1.23, 8.13], p = 0.008) immediately after the intervention. However, no significant effect was found on health-related quality of life (SMD: 0.02, 95% CI [-0.25, 0.29], p = 0.88).</p><p><strong>Conclusion: </strong>This meta-analysis provides evidence that technology-based psychological empowerment interventions dramatically improve the psychological well-being of parents of children with cancer. By effectively decreasing distress, depression, and anxiety while enhancing coping skills and resilience, these interventions are emerging as essential components of psychosocial support programs. These findings underscore the transformative potential of technology-driven approaches in addressing the unique and multifaceted needs of families, paving the way for more accessible and personalized support systems.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 2","pages":"e70097"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426052","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":"Applying the Intersectionality Lens to Understand Minority Ethnic Women's Experiences of the Breast Cancer Care Pathway in England: A Qualitative Interview Study.","authors":"Mar Estupiñán Fdez de Mesa, Maureen Ferguson, Saran Green, Afrodita Marcu, Emma Ream, Katriina L Whitaker","doi":"10.1002/pon.70092","DOIUrl":"10.1002/pon.70092","url":null,"abstract":"<p><strong>Background: </strong>Exploring the role of structural power in relation to an individual's location in society can yield novel insights into cancer inequities. We aimed to understand how minority ethnic women's identities (age, gender, ethnicity, social position) intersected with social networks and healthcare services to influence their experiences of breast cancer care.</p><p><strong>Methods: </strong>Semi-structured interviews with 20 women aged 31-60 years with a breast cancer diagnosis identifying as: Asian (n = 7), Black (n = 9), and of mixed ethnicity (n = 4) about their breast cancer journey. Data were analysed using Framework Analysis.</p><p><strong>Results: </strong>We developed four themes; feeling stereotyped by (a) healthcare professionals (HCPs) and (b) social networks; influence of HCPs' knowledge, attitudes, and behaviours; perceived barriers in healthcare services; and influence of cultural beliefs. We provided a visual representation to illustrate the multifaceted factors that explain pathways to breast cancer inequities for these groups.</p><p><strong>Conclusion: </strong>Our findings underscored that minority ethnic women negotiated complex processes that influence their coping responses, access to services, and management of their disease. Our study exposed institutional deficiencies that systematically disadvantage minority ethnic women. These findings suggest that policymakers and clinicians should reformulate policies and cancer services to ensure all women with breast cancer receive equal and optimal care.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 2","pages":"e70092"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11803129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143365692","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 Landscape of Supportive Care Needs Among Prostate Cancer Patients in New Zealand: A Cross-Ethnic Analysis.","authors":"Hui Xiao, G David Baxter, Lizhou Liu, Tobias Hoeta, Erik Wibowo","doi":"10.1002/pon.70110","DOIUrl":"10.1002/pon.70110","url":null,"abstract":"<p><strong>Background: </strong>Prostate cancer (PCa) is a significant health burden within New Zealand (NZ). Survival gains from prostate cancer have created a shift in focus from survival towards quality of life (QoL) and supportive care during extended survivorship.</p><p><strong>Method: </strong>We launched a nation-wide cross-sectional survey and recruited three cohorts of 1000 men with prostate cancer (men diagnosed with prostate cancer within 1 year, between 1 and 3 years, and between 3 and 5 years) as well as an additional Māori men group (N = 4000 in total). The survey instruments measured quality of life, supportive care needs, and care service utilization.</p><p><strong>Results: </strong>Analysis of 1075 responses revealed that Māori men experienced lower quality of life and reported greater unmet supportive care needs. Information and psychology needs were mostly reported in both Māori and non- Māori groups. Key predictors of these needs included mental health conditions, hormonal imbalances, and employment status.</p><p><strong>Conclusion: </strong>The study highlights significant ethnic disparities in the supportive care needs of New Zealand prostate cancer survivors (PCS), emphasizing the necessity for tailored, culturally sensitive healthcare interventions. Addressing the complex determinants of these needs is crucial for enhancing the well-being of all PCS.</p><p><strong>Implications for cancer survivors: </strong>Actively seeking health information and mental health counselling would significantly benefit PCS by reducing unmet supportive care needs and improving overall quality of life. This approach encourages survivors to take an active role in their healthcare, potentially leading to better health outcomes and enhanced well-being.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 2","pages":"e70110"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143472882","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":"Effect of Symptom Burden on Demoralization in Chinese Lung Cancer Patients: The Mediating Roles of Family Function, Resilience, and Coping Behaviors.","authors":"Chenxing Zhang, Fangfang Wang, Zhixuan Kang, Yuting Hong, Rachel Arbing, Wei-Ti Chen, Feifei Huang","doi":"10.1002/pon.70102","DOIUrl":"10.1002/pon.70102","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to elucidate the mechanisms by which symptom burden affects demoralization in Chinese lung cancer patients, with a focus on the roles of family functionality, resilience, and coping strategies. The study also explored differences in these pathways between two distinct demoralization categories.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among 567 lung cancer patients who completed questionnaires assessing symptom burden, family functioning, resilience, coping strategies, and demoralization. Data were analyzed using partial least squares structural equation modeling (PLS-SEM), with multigroup structural equation modeling (MG-SEM) employed to compare pathways between the psychological distress-subjective incompetence group (PDSIG) and the low demoralization-emotional disturbance group (LDEDG).</p><p><strong>Results: </strong>PLS-SEM analysis demonstrated a good model fit. Symptom burden (β = 0.26), confrontation coping (β = 0.11), and acceptance-resignation coping (β = 0.41) had positive direct effects on demoralization, whereas resilience (β = -0.19) and family function (β = -0.27) had negative direct effects. Additionally, family function, resilience, and acceptance-resignation coping mediated the relationship between symptom burden and demoralization. MG-SEM revealed that, in the PDSIG, symptom burden (β = 0.47) and family function (β = -0.46) had similarly strong impacts on demoralization, with stronger family function associated with lower demoralization. In contrast, resilience (β = -1.02) was the most significant factor in the LDEDG.</p><p><strong>Conclusions: </strong>These findings highlight the importance of screening for demoralization, particularly among lung cancer patients with a high symptom burden, maladaptive resignation coping, family dysfunction, and low resilience. Effective strategies should focus on symptom management, family support, resilience building, and fostering positive coping mechanisms. Tailored interventions based on demoralization subtypes are essential to improve psychological well-being in this population.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 2","pages":"e70102"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383058","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":"Psychological Distress and Problems Among Young and Middle-Aged Cancer Patients Undergoing Treatment in China.","authors":"Shuman Wang, Wenjie Xu, Aoxing Sun, Zeling Zhang, Yanhong Zhang, Yu Zhu, Hongwei Wan","doi":"10.1002/pon.70062","DOIUrl":"https://doi.org/10.1002/pon.70062","url":null,"abstract":"<p><strong>Objective: </strong>Influenced by their life stage and socio-cultural background, young and middle-aged cancer patients in China may experience unique psychological distress. Therefore, this study investigated the severity, problems, and associated factors of psychological distress among young and middle-aged cancer patients.</p><p><strong>Methods: </strong>We conducted a cross-sectional study on young and middle-aged cancer patients aged 18-59 who were treated at a radiotherapy center from February 2022 to September 2023. Participants' psychological distress severity and problems were measured using the Distress Thermometer and the Problem List. Binary logistic regression was used to identify sociodemographic and clinical factors, as well as PL items, associated with clinically significant psychological distress in young and middle-aged cancer patients.</p><p><strong>Results: </strong>Among the 510 participants, 102 (20.0%) had DT scores ≥ 4, reported an average of 3.36 ± 3.78 problems, and 360 (70.6%) reported at least one problem. The five most frequently reported problems were worry, no time and energy to take care of children/elderly people, memory loss/lack of concentration, appearance/shape, and work/school. Annual household income, self-reported loneliness, nervousness, loss of interest in daily activities, eating, and nausea were associated with DT scores ≥ 4.</p><p><strong>Conclusions: </strong>One-fifth of young and middle-aged cancer patients experienced clinically significant psychological distress. Greater attention should be paid to patients with lower household incomes and those who self-report loneliness, nervousness, loss of interest in daily activities, eating, and nausea, providing targeted support to alleviate psychological distress.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 1","pages":"e70062"},"PeriodicalIF":3.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142953852","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":"Comparative Efficacy of Different Cognitive Behavior Therapy Delivery Formats for Depression in Patients With Cancer: A Network Meta-Analysis of Randomized Controlled Trials.","authors":"Liyang Duan, Shu Zhang, Qianwen Yan, Xiaolin Hu","doi":"10.1002/pon.70078","DOIUrl":"10.1002/pon.70078","url":null,"abstract":"<p><strong>Background: </strong>Cognitive behavior therapy (CBT) has been shown to be effective in improving depression in patients with cancer. However, diversity exists in the CBT delivery formats, and the optimal delivery format remains unconfirmed.</p><p><strong>Objectives: </strong>To compare the efficacy of different delivery formats of CBT interventions on depression in patients with cancer.</p><p><strong>Design: </strong>Network meta-analysis of randomized controlled trials.</p><p><strong>Data source: </strong>Six databases, including PubMed, Web of Science, Embase, CINAHL, the Cochrane Central Register of Controlled Trials and PsycINFO, were searched from inception to May 30, 2024.</p><p><strong>Methods: </strong>Two reviewers independently conducted study inclusion, data extraction, and risk of bias assessment. A pairwise meta-analysis and a network meta-analysis were performed sequentially to determine the efficacy of CBT delivery formats for improving depression in patients with cancer.</p><p><strong>Results: </strong>A total of 34 randomized controlled trials involving six delivery formats of CBT were included. Face-to-face group CBT (SMD = -0.88, 95% CI [-1.33, -0.44]), internet-based individual CBT (SMD = -0.49, 95% CI [-0.92, -0.06]), app-based individual CBT (SMD = -0.81, 95% CI [-1.45, -0.18]), and combined delivery formats of CBT for individual (SMD = -0.35, 95% CI [-0.62, -0.09]) were significantly more effective than the inactive control. The ranking probabilities revealed that face-to-face group CBT (P-score = 0.86), app-based individual CBT (P-score = 0.74) and internet-based individual CBT (P-score = 0.57) were the three most effective delivery formats of CBT.</p><p><strong>Conclusions: </strong>This study revealed the efficacy ranking of different CBT delivery formats in improving depression in patients with cancer. These findings are expected to provide evidence-based support for future research and clinical decision making for improving depression in patients with cancer.</p><p><strong>Trial registration: </strong>PROSPERO (CRD42024553977).</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 1","pages":"e70078"},"PeriodicalIF":3.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010580","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":"Effectiveness of Psychological Interventions in Improving Relationship Functioning Among Couples Coping With Prostate Cancer: A Systematic Review and Meta-Analysis.","authors":"Hongen Ma, Yi Yang, Yingna Li, Laura Cariola, David Gillanders","doi":"10.1002/pon.70080","DOIUrl":"10.1002/pon.70080","url":null,"abstract":"<p><strong>Objective: </strong>There is an increasing amount of literature acknowledging the significance of addressing the psychosocial impact of prostate cancer (PCa) on couples' relationship functioning and well-being. However, research on developing and evaluating psychological interventions for individuals and couples coping with PCa remains limited. This systematic review aimed to critically evaluate and synthesise the effectiveness of psychological interventions in improving the relationship functioning of couples affected by PCa and to identify the moderating role of several methodological characteristics of intervention studies.</p><p><strong>Methods: </strong>Five databases MEDLINE, PsycINFO, Embase, Global Health, and Cochrane Library were searched up to September 2024. Twenty-three studies with randomised trials and a total sample size of 3333 participants were included. Random effects meta-analyses for relationship functioning, sensitivity analysis for outliers, and publication bias analysis were conducted.</p><p><strong>Results: </strong>The results showed that psychological interventions had a non-significant trivial effect (g = 0.06, p = 0.328) on improving relationship functioning among couples coping with PCa. Subgroup analyses identified two potential moderators: firstly, the intervention format (conjoint vs. individual; p = 0.005), and secondly, the intervention frequency (session number < 6 vs. session number ≥ 6; p = 0.004).</p><p><strong>Conclusions: </strong>The findings suggest that more high-quality intervention studies are needed to improve the relationship functioning of those affected by PCa, with screening processes to select more representative samples at entry. The implications for clinical practice highlight the need to tailor interventions to the specific needs of couples coping with PCa.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 1","pages":"e70080"},"PeriodicalIF":3.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11728261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971084","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":"Styles of Delivering News About a Child's Cancer and Parents' PTSD Symptoms.","authors":"Moshe U Farchi, Yori Gidron","doi":"10.1002/pon.70071","DOIUrl":"https://doi.org/10.1002/pon.70071","url":null,"abstract":"<p><strong>Background: </strong>Receiving a child's cancer diagnosis is a highly traumatic experience for parents, often leading to significant psychological distress, including symptoms of Post-Traumatic Stress Disorder (PTSD). The way healthcare professionals deliver this news can affect the severity of parents' reactions. While some research examines communication style's impact on patients, few studies focus on its effects on parents.</p><p><strong>Aims: </strong>This study explores the relationship between the communication style used by oncologists when delivering a child's cancer diagnosis and the subsequent levels of PTSD symptoms, mental resilience, and self-efficacy in parents.</p><p><strong>Methods: </strong>One hundred twenty eight parents of children diagnosed with cancer participated. Data were collected using the Styles of Communicating Questionnaire (SCQ), PTSD Checklist for DSM-V (PCL-5), the Connor-Davidson Resilience Scale (CD-RISK), and the General Self-Efficacy Scale. Correlations and hierarchical multiple regressions were performed to examine the relationship between communication style and psychological outcomes.</p><p><strong>Results: </strong>Parents who perceived the oncologist's communication style as more activating (clear, structured, and action-oriented) reported significantly lower levels of PTSD symptoms and higher levels of resilience and self-efficacy. The perception of empathy played a crucial role, particularly when physicians balanced emotional and cognitive empathy. This balance was linked to better psychological outcomes in parents.</p><p><strong>Conclusions: </strong>The study highlights the critical role of communication style in mitigating the psychological impact of a child's cancer diagnosis on parents. Training healthcare providers to balance cognitive and emotional empathy in communication may reduce PTSD symptoms and enhance resilience and self-efficacy in parents, ultimately improving their psychological well-being during such a challenging time.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 1","pages":"e70071"},"PeriodicalIF":3.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142953923","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}