Christina P Wang, Lauren Guerra, Karisma Pantaleon, Mita S Goel, Yael T Harris, Juan P Wisnivesky, Jenny J Lin
{"title":"Examining the interplay between race/ethnicity, patient-physician communication and cancer-related post-traumatic stress in breast cancer survivors with comorbid diabetes.","authors":"Christina P Wang, Lauren Guerra, Karisma Pantaleon, Mita S Goel, Yael T Harris, Juan P Wisnivesky, Jenny J Lin","doi":"10.1080/07347332.2025.2528831","DOIUrl":"10.1080/07347332.2025.2528831","url":null,"abstract":"<p><strong>Background: </strong>Breast cancer survivors (BCS) are at risk of developing psychological distress associated with their cancer and are also more likely to experience comorbid diabetes mellitus (DM), which may worsen distress. Effective patient-physician communication is associated with increased psychological well-being, higher quality of life, and may prolong survival. We aimed to examine the association between race/ethnicity, patient-provider communication, and cancer-related distress in BCS with comorbid DM.</p><p><strong>Methods: </strong>BCS with DM were surveyed using the Impact of Events Scale-Revised (IES-R) to assess for cancer-related post-traumatic stress (PTS) and the Patient Reactions Assessment (PRA) to assess their views of provider communications with their cancer (PRA-C) and DM providers (PRA-D). Bivariate analyses were conducted to examine the relationships between race/ethnicity, cancer-related PTS, and PRA scores. Pearson's correlation coefficients were used to examine the relationship between PRA and IES-R scores by race/ethnicity.</p><p><strong>Results: </strong>A total of 181 female BCS with DM [mean (SD) age: 66.7 (7.0) years] who self-identified as White (39.8%), Black (32.0%), or Hispanic/Other (28.2%) were included. Non-White groups reported worse communication with their cancer (<i>p</i> = 0.01) but not with their DM providers (<i>p</i> = 0.09). BCS with cancer-related PTS had lower PRA-C scores (<i>p</i> = 0.04) but no difference in PRA-D scores (<i>p</i> = 0.22), versus those without cancer-related PTS. PRA-C and IES-R scores were significantly correlated, such that better communications with cancer (<i>r</i> = -0.23, <i>p</i> = 0.01) but not DM providers (<i>r</i> = -0.13, <i>p</i> = 0.08), were associated with lower IES-R scores. In subgroup analyses, the correlation between cancer-related PTS and PRA-C scores was significant in Hispanic/Other BCS (<i>r</i> = -0.39, <i>p</i> = 0.01), in contrast to Black (<i>r</i> = -0.12, <i>p</i> = 0.42) and White BCS (<i>r</i> = -0.09, <i>p</i> = 0.49); no significant correlation was observed between cancer-related PTS and PRA-D scores by race/ethnicity.</p><p><strong>Conclusions: </strong>Compared to White BCS, minoritized BCS with comorbid DM report less satisfaction in communications with their cancer providers, which is associated with higher levels of cancer-related distress.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"119-127"},"PeriodicalIF":1.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12270333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144620877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Teletia R Taylor, Arshdeep Kaur, Fariha Tariq, Dustin Bastaich, Alejandra Hurtado-de-Mendoza, Anita Kumar, Vanessa B Sheppard
{"title":"The role of patient-provider communication, patient satisfaction, and self-efficacy on health-related quality of life in hormone receptor-positive breast cancer survivors.","authors":"Teletia R Taylor, Arshdeep Kaur, Fariha Tariq, Dustin Bastaich, Alejandra Hurtado-de-Mendoza, Anita Kumar, Vanessa B Sheppard","doi":"10.1080/07347332.2026.2626387","DOIUrl":"10.1080/07347332.2026.2626387","url":null,"abstract":"<p><strong>Background: </strong>Effective patient-provider communication (PPC) is critical during the initiation of adjuvant endocrine therapy (AET) and is essential to health-related quality of life (HRQoL). Research highlighting factors linking PPC and HRQoL among women initiating AET is limited. This study sought to examine the relationship between PPC and HRQoL through the serial mediating effect of patient satisfaction (PS) and communication/attitudinal self-efficacy (CA-SE) among women initiating AET.</p><p><strong>Methods: </strong>572 hormone receptor-positive breast cancer survivors (BCSs) on AET completed questionnaires assessing demographic/clinical variables, HRQoL, PPC, PS and CA-SE. A serial mediation analysis was conducted.</p><p><strong>Results: </strong>PPC was positively correlated with HRQoL (<i>r</i> = 0.219, <i>p</i> < 0.001). A serial mediation analysis demonstrated that PPC was a significant determinant of HRQoL which was primarily explained by the serial effect of PS and CA-SE (<i>β</i> = 0.04, <i>BS</i>CI [0.02, 0.07]).</p><p><strong>Conclusions: </strong>Findings highlight the benefit of optimal PPC, PS, and CA-SE on HRQoL in BCSs initiating AET. Identifying such factors elucidate possible targets for future interventions.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"555-571"},"PeriodicalIF":1.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jana Winzig, Laura Inhestern, Désirée Sigmund, Verena Paul, Lesley-Ann Hail, Stefan Rutkowski, Gabriele Escherich, Corinna Bergelt
{"title":"How important it is to feel self-efficacious - an exploratory analysis of pediatric and adolescent childhood cancer survivors during long-term follow-up care.","authors":"Jana Winzig, Laura Inhestern, Désirée Sigmund, Verena Paul, Lesley-Ann Hail, Stefan Rutkowski, Gabriele Escherich, Corinna Bergelt","doi":"10.1080/07347332.2025.2602631","DOIUrl":"10.1080/07347332.2025.2602631","url":null,"abstract":"<p><strong>Objectives: </strong>While improved survival rates among pediatric cancer patients are a significant success, the intensive treatments required can lead to treatment-related late effects, psychosocial burden, and reduced health-related quality of life (HRQoL). Therefore, this paper examined the HRQoL of survivors with regard to gender-specific differences and explored the associations between health literacy (HL), self-efficacy (SE) and HRQoL using an exploratory approach.</p><p><strong>Methods: </strong>Quantitative data of <i>n</i> = 58 childhood cancer survivors between 11 and 18 years were analyzed using a mediation model. All participants had completed cancer treatment and were in follow-up care. The mean age at diagnosis was 5 years. The majority of participants had been diagnosed with leukemia (55%), while the remaining participants had lymphomas, brain tumors, or other types of tumors. We assessed survivors HRQoL using the KINDL-R, a validated pediatric quality of life measure. To measure HL and SE, we used self-developed items, with SE defined as confidence in managing one's own health.</p><p><strong>Results: </strong>No significant gender-specific differences were found between the survivors with regard to their HRQoL (t(55) = 1.65, <i>p</i> = 0.11). The mediation analysis revealed that SE fully mediated the relationship between HL and HRQoL. The direct effect of HL on HRQoL was not significant (<i>β</i> = -0.06, <i>p</i> = 0.715), while the indirect effect through SE was significant (<i>β</i> = -0.26, <i>p</i> = 0.024). According to the squares of multiple correlation coefficients, this model explained 31% of the variation in HRQoL and 18.2% of the variation in SE.</p><p><strong>Conclusions: </strong>Our findings suggest that SE has a potentially important role, being positively associated with HRQoL and acting as a key mediator in the relationship between HL and HRQoL in childhood cancer survivors. Given the modest sample size and preliminary nature of this study, we recommend that future research further investigate SE's mediating role in larger cohorts. Screening for low SE and the development of SE-targeted interventions may be promising strategies to support survivors' abilities and promote autonomous health care, but these should be considered as exploratory suggestions pending further validation.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"572-586"},"PeriodicalIF":1.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Using drawings to examine the interactions between parents with advanced lung cancer and their children/adolescents.","authors":"Mei-Ling Chu, I-Ching Hou, Chao-Chi Ho, Yen-Ya Chen, Ya-Ting Kuan","doi":"10.1080/07347332.2026.2631595","DOIUrl":"10.1080/07347332.2026.2631595","url":null,"abstract":"<p><strong>Background: </strong>Parental advanced lung cancer substantially affects parent-child relationships, particularly with children/adolescents.</p><p><strong>Objective: </strong>This study examined interactions, communication patterns, and coping strategies between middle-aged parents with advanced lung cancer and their children/adolescents.</p><p><strong>Methods: </strong>Purposive sampling recruited parents with advanced lung cancer and their children/adolescents. Data were collected through in-depth interviews and children's drawings using interpretative phenomenological analysis.</p><p><strong>Results: </strong>19 parents and 17 children/adolescents participated. Four themes emerged: (1) parental experiences and effects on parental roles; (2) effects on parent-child relationships; (3) children/adolescent's adjustment to Parental Cancer: physical and psychological; and (4) reconstruction of parent-child interactions and relationships. Families exhibited communication difficulties and emotional distancing, with children desiring love, support, and security.</p><p><strong>Conclusion: </strong>Middle-aged parents with advanced lung cancer experience emotional connection difficulties.</p><p><strong>Practical implications: </strong>Family-centred support is essential for strengthening communication, emotional bonding, and coping strategies.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"647-664"},"PeriodicalIF":1.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cancer fatigue and hair loss experiences among American Indian men.","authors":"Felicia Schanche Hodge, Tracy Line Itty","doi":"10.1080/07347332.2025.2568912","DOIUrl":"10.1080/07347332.2025.2568912","url":null,"abstract":"<p><p><b>Background:</b> Little is known about the cancer symptom experiences of Indigenous populations, particularly concerning fatigue and hair loss. Hair loss can have many detrimental effects given the significant cultural importance of hair in Indigenous communities. Gaining a better understanding of the unique perspectives of American Indian male cancer survivors as they manage these two distinct symptoms is essential for improving symptom management and quality of life measures in this underserved population. <b>Methods:</b> A multi-pronged study explored the barriers, facilitators, and cultural constructs associated with cancer symptoms. Focus group sessions with American Indian cancer survivors and caregivers in the Southwest gathered data on survivor experiences, with male responses isolated for analysis. The subsequent randomized control trial intervention (<i>N</i> = 231) tested an educational toolkit and \"Talking Circles\" designed to help survivors and their families better manage cancer symptoms. <b>Results:</b> Study findings report on the unique fatigue and hair loss experiences of American Indian male cancer survivors. <b>Conclusion:</b> The insights gained prove valuable for educational and intervention programs targeting the mangagement of cancer symptoms among Indigenous populations.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"328-339"},"PeriodicalIF":1.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12704331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145287264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eden R Brauer, Kristen R Choi, Laura Petersen, Patricia A Ganz, Maie A St John, Deborah J Wong, Emily J Martin
{"title":"Social wellbeing, loneliness, and symptom burden in head and neck cancer survivors: a latent class analysis.","authors":"Eden R Brauer, Kristen R Choi, Laura Petersen, Patricia A Ganz, Maie A St John, Deborah J Wong, Emily J Martin","doi":"10.1080/07347332.2025.2565302","DOIUrl":"10.1080/07347332.2025.2565302","url":null,"abstract":"<p><strong>Purpose: </strong>To identify patterns of co-occurring symptoms in a sample of head and neck cancer (HNC) survivors; compare symptom burden among latent classes; and examine associations between symptom classes and social wellbeing outcomes.</p><p><strong>Methods: </strong>This cross-sectional survey of HNC survivors ≥1 year post-diagnosis was conducted in 2020 using a tumor registry at an academic medical center. Primary outcomes were loneliness and activities impairment. Participants reported 19 HNC-specific symptoms using the European Organization for Research and Treatment of Cancer HNC module (EORTC HN-43), and general cancer symptoms (sleep, pain, anxiety, depression, fatigue). Latent class analysis was used to identify subgroups with different symptom patterns. Multivariable regression models were estimated to examine associations between class membership and social wellbeing outcomes.</p><p><strong>Findings: </strong>Three hundred forty-seven survivors (mean age 65.5 ± 11.3 years; 3.72 ± 2.3 years post-diagnosis) completed the survey. Participants were predominantly male (72.6%), White (81.6%), and under age 65 years at diagnosis (59.4%). Three symptom classes were identified: (1) complex symptom burden (45%), (2) oral/sensory symptom dominant (38.9%), and (3) limited symptom impact (15.8%). Membership in the complex symptom burden class was associated with increased activity impairment (<i>β</i> = 28.6, <i>SE</i> = 3.7, <i>p</i><.001) and increased loneliness (<i>β</i> = 1.1, <i>SE</i> = 0.2, <i>p</i><.001) compared to the oral/sensory class (most similar to overall sample).</p><p><strong>Conclusion: </strong>Elevated and complex HNC symptom burden is associated with higher levels of general cancer symptoms and risk for loneliness and reduced engagement in daily activities. Tailored survivorship care models addressing symptom profiles of HNC survivors, particularly those with complex symptom burden, are needed to improve quality of life.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"275-292"},"PeriodicalIF":1.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12596751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exploring support needs for romantic relationships and marriage post-cancer diagnosis among adolescent and young adult cancer survivors in Japan: A qualitative study.","authors":"Kanako Yoshida, Yutaka Matsui, Satoko Ando","doi":"10.1080/07347332.2025.2509987","DOIUrl":"10.1080/07347332.2025.2509987","url":null,"abstract":"<p><strong>Purpose: </strong>This study explored the types of support necessary for building romantic relationships and marriages after a cancer diagnosis among adolescent and young adult (AYA) cancer survivors.</p><p><strong>Method: </strong>Semi-structured interviews were conducted with 24 AYA cancer survivors who were unmarried at the time of diagnosis, including any form of cancer. Participants were diagnosed between ages 15 and 39 and were aged 20 to 45 at the time of the interviews.</p><p><strong>Results: </strong>Five core themes were identified: Providing Information, Emotional Support, Engaging with Others' Experiences, Structural Support, and Negative or Unintended Consequences of Support. Peer cancer survivors and healthcare professionals were the primary sources of both utilized and desired support, though the type of support differed across these areas.</p><p><strong>Conclusion: </strong>The findings highlight the need for integrated support systems that address the interconnected concerns related to relationships through peer and professional guidance tailored to the age-specific needs of AYA cancer survivors.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"69-85"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144180574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Janne Vanderhaegen, Elise Van Laere, Sara Campens, Lore Vankerckhoven, Jurgen Lemiere, Laurence Claes, Anne Uyttebroeck, Koen Luyckx
{"title":"Embodiment, identity formation, and psychological late effects in adolescent and emerging adult cancer survivors.","authors":"Janne Vanderhaegen, Elise Van Laere, Sara Campens, Lore Vankerckhoven, Jurgen Lemiere, Laurence Claes, Anne Uyttebroeck, Koen Luyckx","doi":"10.1080/07347332.2025.2536270","DOIUrl":"10.1080/07347332.2025.2536270","url":null,"abstract":"<p><strong>Objective: </strong>A cancer experience may complicate how young survivors relate to their bodies. To enhance our understanding, it is necessary to move beyond a narrow focus on bodily appearance. The current study examines how the multidimensional construct of embodiment is related to the developmental trajectories of identity formation and psychological late effects in young survivors.</p><p><strong>Methods: </strong>Survivors completed self-report questionnaires on embodiment at Timepoint 4 and on identity synthesis and confusion, posttraumatic stress symptoms (PTSS), cancer-related worries, and benefit finding at Timepoints 1-3. Using structural equation modeling, embodiment 3 years later was predicted by developmental trajectories of identity and psychological late effects of cancer.</p><p><strong>Results: </strong>Higher initial levels of identity synthesis and lower initial levels of identity confusion, PTSS, and cancer-related worries were associated with higher levels of embodiment 3 years later. Increases in identity synthesis and decreases in identity confusion were associated with higher levels of embodiment 3 years later.</p><p><strong>Conclusions: </strong>This longitudinal study highlights the significant value of embodiment in understanding the bodily experiences of young survivors, and reveals how embodiment is related to identity development and psychological late effects of cancer.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"104-118"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mindfulness and Buddhist principles in oncology: Risks, misconceptions and recommendations for ethical integration.","authors":"Chloe Wells, William Van Gordon, Paul Barrows","doi":"10.1080/07347332.2025.2551625","DOIUrl":"10.1080/07347332.2025.2551625","url":null,"abstract":"<p><p>Mindfulness-based interventions are gaining recognition as effective therapeutic tools for psychological distress in oncology. However, the widespread adoption of mindfulness in Western clinical contexts has raised ethical and philosophical concerns, particularly regarding the Westernisation and cultural appropriation of Buddhist wisdom. This paper examines the ethical implications of employing Buddhist-informed mindfulness in cancer care, focusing on issues affecting patients, practitioners, and researchers. We propose modifications to Westernised MBIs to ensure practitioners are knowledgeable about Buddhist philosophy and equipped to communicate the tradition's origins transparently to oncology patients. Recommendations include ethically and compassionately introducing Buddhist principles into oncology treatment, emphasising clinician education on the philosophical foundations of mindfulness, especially \"Right Mindfulness.\" By fostering understanding that mindfulness is a long-standing ethically informed practice, practitioners can better support patients in addressing existential questions. We advocate for shared decision-making and trauma-informed adaptations, while respecting the cultural origins and philosophical depth of this ancient practice.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"248-263"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Daniela Polese, Alessandro Mazzetta, Leonarda Galiuto, Giovanni Di Nardo, Pasquale Parisi
{"title":"Blood biomarkers and medication response following group psychotherapy as an add-on treatment in refractory idiopathic myelodysplasia.","authors":"Daniela Polese, Alessandro Mazzetta, Leonarda Galiuto, Giovanni Di Nardo, Pasquale Parisi","doi":"10.1080/07347332.2025.2559636","DOIUrl":"10.1080/07347332.2025.2559636","url":null,"abstract":"<p><strong>Background: </strong>Refractory anemia is a hallmark of myelodysplastic syndromes (MDSs), a heterogeneous group of clonal hematopoietic stem cell disorders. Approximately 12% of MDS patients are under 50 years old, and nearly 50% exhibit poor response to standard treatments. Psychodynamic psychotherapy has been shown to be particularly effective in treating somatic disorders and medically unexplained symptoms.</p><p><strong>Objective: </strong>This study reports a clinical case in which group psychotherapy, in combination with standard treatment, led to improvements in hematological parameters and treatment response in a patient with MDS.</p><p><strong>Methods: </strong>A 48-year-old male patient diagnosed with idiopathic refractory myelodysplasia was undergoing treatment with epoetin (40,000 IU/ml, twice weekly) and vitamin B12 (1 g/day). The patient, experiencing depressive and obsessive symptoms, voluntarily initiated a group psychotherapy, based on the Human Birth Theory, a framework that fosters a clinician's focus on curability and vitality.</p><p><strong>Results: </strong>The patient experienced gradual improvements in both psychological and medical conditions. Hematological para-meters began to improve after two years of therapy, reaching a stable normal range after four years. Psychological assessments (Beck Depression Inventory and Beck Anxiety Inventory) showed significant improvement post-treatment. After six years and five months, the patient completed psychotherapy. Four months later, pharmacological treatment was discontinued, with sustained clinical stability.</p><p><strong>Conclusion: </strong>This case suggests that clinicians' attitude and an idea of curability can be crucial for the patient's psychological response to the treatment. Given the potential negative impact of psychiatric comorbidities on treatment efficacy and disease progression, psychological interventions can be considered as part of an integrated therapeutic approach. Psychotherapy based on the Human Birth Theory may offer specific benefits by fostering a more vital psychological response in the patient, in line with its foundational principles.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"390-405"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}