Journal of Psychosocial Oncology最新文献

{"title":"Subjective cognitive functioning in patients with cancer: A network approach.","authors":"Gabriel Baník, Ivana Piterová, Matúš Adamkovič, Denisa Fedáková, Michal Kentoš, Miroslava Bozogáňová, Mária Dědová","doi":"10.1080/07347332.2024.2449000","DOIUrl":"https://doi.org/10.1080/07347332.2024.2449000","url":null,"abstract":"<p><strong>Purpose: </strong>The current study aimed to (1) examine the sociodemographic, clinical and psychological factors related to subjective cognitive functioning (SCF); (2) analyze the complex mutual interconnections between SCFs; and (3) address patients' perspectives on SCF and supportive care.</p><p><strong>Method: </strong>A heterogeneous sample of oncological patients (<i>N</i> = 566) was recruited.Items inquiring about the senses, attention, memory, spatial functions, decision-making and speech were administered. A network of subjectively perceived changes in cognitive functions was estimated while three open-ended questions addressed patients' perspectives on SCF.</p><p><strong>Results: </strong>Within the network, deficits in spatial perception, attention focus and problem-solving ability had the highest strength index while the deficits related to the senses were the least influential.</p><p><strong>Conclusion: </strong>The findings indicate that psychological-based interventions focused on higher cognitive functions could improve patients' quality of life. The presence of supportive care and available information could strengthen SCF intervention and prevention for patients with cancer.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-22"},"PeriodicalIF":1.5,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014015","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":"Self-affirmation intervention for patients newly diagnosed with advanced cancer: a preliminary efficacy trial.","authors":"Mei Bai, David Cella, Sangchoon Jeon, Rang Govindarajan, Michael J Birrer","doi":"10.1080/07347332.2025.2450013","DOIUrl":"https://doi.org/10.1080/07347332.2025.2450013","url":null,"abstract":"<p><strong>Objective: </strong>Cancer diagnosis represents a life crisis. It remains unclear whether/what psychosocial intervention may enhance cancer patients' quality of life (QoL) during existential plight. This study aimed to examine preliminary efficacy of a brief writing intervention for patients newly diagnosed with advanced cancer with a focus on affirming personally important values and beliefs.</p><p><strong>Methods: </strong>This is a single-arm pilot study testing effect of a 4-week home-based self-affirmation writing intervention for patients newly diagnosed with advanced cancer using interrupted time series design (NCT05235750). Patients were eligible if they were newly diagnosed (within 8 weeks) with advanced stage (III or IV) or recurrent cancer. Longitudinal analyses were performed using generalized linear mixed model incorporating the correlation of repeated measures. All statistical analyses were performed at 5% significance level using SAS^® (version 9.4).</p><p><strong>Results: </strong>Fifty-seven patients newly diagnosed with advanced stage cancer with a mean age of 63 years balanced in gender were enrolled. Intent-to-treat analysis revealed significant post-intervention change for Faith as measured by the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being 12 item scale (FACIT-Sp-12) (ES 0.23, <i>p</i> = .05) and Ge6 \"I worry that my condition will get worse\" as measured by the Functional Assessment of Cancer Therapy - General (FACT-G) (ES 0.26, <i>p</i> = .10). When comparing changes pre- and post-intervention, Ge6 remained clinically significant (ES_Δ 0.36, <i>p</i> = .27).</p><p><strong>Conclusions: </strong>Self-affirmation <i>via</i> writing showed initial short-term efficacy in relieving cancer-specific existential concerns (Ge6 \"I worry that my condition will get worse\") and may be a promising innovative intervention approach that warrant randomized experiments to verify. Further research is also needed to find out who may most likely benefit from this intervention.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-23"},"PeriodicalIF":1.5,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985048","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":"Moderators of interdependent psychological distress in cancer survivor-caregiver dyads.","authors":"Chris Segrin, Alla Sikorskii, Nathan Cunicelli, Terry Badger","doi":"10.1080/07347332.2025.2450012","DOIUrl":"https://doi.org/10.1080/07347332.2025.2450012","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this study was to test dyadic interdependence in psychological distress (anxiety and depressive symptoms) and explore moderators of interdependence among cancer survivors in treatment and their informal caregivers.</p><p><strong>Methods: </strong>Cancer survivors and their caregivers completed measures of anxiety and depressive symptoms, social support, social isolation, and burden of other symptoms, at three points in time over the course of 17 weeks.</p><p><strong>Results: </strong>In 315 dyads, depressive symptoms and anxiety were transmitted from caregivers to survivors. Survivors with high symptom burden or low social support were especially influenced by caregivers' depressive symptoms. Caregivers who had high social isolation or low social support were most likely to be influenced by survivors' depressive symptoms.</p><p><strong>Conclusion: </strong>Psychological distress is transmitted within dyads during cancer treatment. Dyadic interdependence was most pronounced from caregivers to survivors. Symptom burden, social isolation, and low social support enhanced this dyadic interdependence.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-19"},"PeriodicalIF":1.5,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956594","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":"Participants' perceptions support the coexistence of benefits and burdens of cancer clinical trial participation.","authors":"Kim Mooney-Doyle, Kathleen A Knafl, Liming Huang, Gwenyth R Wallen, Connie M Ulrich","doi":"10.1080/07347332.2024.2366996","DOIUrl":"10.1080/07347332.2024.2366996","url":null,"abstract":"<p><strong>Background: </strong>To advance oncology treatment for adults, comprehensive understanding of how and why people decide to enroll in, remain in, and withdraw from cancer clinical trials is needed. While quantitative findings provide insights into these benefits and burdens, they provide limited understanding of how adults with cancer appraise their situation and approach decisions to undertake a clinical trial. The goal of this mixed methods analysis was to conceptualize participants' assessment of benefits and burdens related to cancer clinical trial participation.</p><p><strong>Materials and methods: </strong>This sub-group analysis of 21 participants was part of a larger sequential, explanatory mixed methods study. We used Creamer's integrated approach to linking quantitative and qualitative data to assess convergence, with qualitative data explaining quantitative results. Participants were grouped into four categories based on quantitative benefit/burden scores and thematic analysis of their qualitative data was used to describe these categories.</p><p><strong>Results: </strong>Across groups participants varied in descriptions of benefits and burdens of cancer clinical trial participation and reasons for participating. Those reporting high benefit/low burden described \"seizing the opportunity to participate;\" those reporting low benefit/low burden described \"taking responsibility\" through trial participation; those reporting low benefit/high burden described how they were \"willing to endure,\" and those with high benefit/high burden emphasized \"deciding to act.\"</p><p><strong>Conclusions: </strong>Participants' qualitative descriptions of benefits and burdens were more nuanced and dynamic than reflected in their quantitative ratings. Thus, current measures may be missing important concepts, such as logistic challenges of trial participation. Our results have implications for consenting procedures and decisional support guidance offered to patients and their caregivers.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"88-104"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141440974","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":"Sedentary time transitions and associations with quality of life in cancer survivors during the COVID-19 pandemic.","authors":"Alyssa R Neville, Allyson Tabaczynski, Alexis Whitehorn, Denise Bastas, Linda Trinh","doi":"10.1080/07347332.2024.2346560","DOIUrl":"10.1080/07347332.2024.2346560","url":null,"abstract":"<p><strong>Background: </strong>Patterns in sedentary time (SED) and its impact on quality of life (QoL) in cancer survivors during the COVID-19 pandemic remains unknown. The purpose of this study was to 1) compare total and domain-specific SED before and during the pandemic; and 2) examine its association with QoL in a global sample of cancer survivors.</p><p><strong>Methods: </strong>In an online survey, cancer survivors retrospectively self-reported domain-specific SED (e.g. transportation, television) before and during the pandemic via the Domain-Specific Sitting Time Questionnaire. QoL was assessed via the Functional Assessment of Cancer Therapy (FACT)-General and FACT-Fatigue. Paired <i>t</i>-tests compared daily SED before and during the pandemic. Analysis of covariance compared QoL among: those who remained high (>8 h/day), remained low (<8 h/day), increased (<8 h/day to >8 h/day), or decreased (>8 h/day to <8 h/day) daily SED.</p><p><strong>Results: </strong>Among cancer survivors (<i>N</i> = 477, M_age=48.5 ± 15.4), 60.8% reported that their SED remained high, 19.7% remained low, 7.5% increased SED, and 11.9% decreased SED. Computer and television screen time significantly increased (<i>p's</i><.001), while SED during transportation significantly decreased (<i>p</i><.001). Sub-group analyses revealed that those who reduced SED who were normal or underweight (<i>p</i>=.042) or were meeting physical activity guidelines (<i>p</i>=.031) had significantly less fatigue than those who increased or remained high in SED, respectively. Those who remained high in SED with <3 comorbidities (<i>p's</i> =.005) had significantly better social well-being than those who increased SED.</p><p><strong>Conclusions: </strong>As we transition to a post-pandemic era, behavioral strategies for cancer survivors should focus on reducing screen time to improve QoL and fatigue.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"16-33"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140865453","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":"An exploration into the relationship between insomnia and repetitive negative thinking among cancer survivors.","authors":"Kimberly A Arditte Hall, Sarah N Price, Alexander R Lucas, Elyse R Park, Lynne I Wagner, Helen R Mizrach, Michael H Werner, Brooke C Juhel, Michael R Goldstein, Mark J Gorman, Daniel L Hall","doi":"10.1080/07347332.2024.2356193","DOIUrl":"10.1080/07347332.2024.2356193","url":null,"abstract":"<p><strong>Objective: </strong>Insomnia and repetitive negative thinking (RNT) are both prevalent among cancer survivors, yet little work has investigated their interrelationship. To explore the hypothesis that RNT and insomnia are related, we conducted secondary analyses on data from a pilot clinical trial of cognitive behavioral therapy for insomnia (CBT-I) for cancer survivors.</p><p><strong>Methods: </strong>This study analyzed survey data from 40 cancer survivors with insomnia who participated in a pilot randomized trial of CBT-I. Correlations and linear regression models were used to determine associations between aspects of RNT and related constructs (fear of cancer recurrence [FCR], cancer-specific rumination, worry, and intolerance of uncertainty) and sleep (insomnia and sleep quality), while accounting for psychiatric symptoms such as anxiety and depression. Treatment-related change in RNT was examined using a series of linear mixed models.</p><p><strong>Results: </strong>Evidence for an association between RNT and insomnia among cancer survivors emerged. Higher levels of FCR and cancer-related rumination were correlated with more severe insomnia symptoms and worse sleep quality. Notably, FCR levels predicted insomnia, even after controlling for anxiety and depression. Results identified potential benefits and limitations of CBT-I in addressing RNT that should be examined more thoroughly in future research.</p><p><strong>Conclusions: </strong>RNT is a potential target to consider in insomnia treatment for cancer survivors.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"59-72"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11612031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238676","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":"The role of emotion regulation through mindfulness in oncological patients: A pilot study.","authors":"Carmen Yélamos Agua, Sofía Luque Suárez, María Ruesga García, Rosario Sepulcre Canto, Renmaly Angulo Belisario, Tamara Hernandez Baute, Carlos Hortelano Luna, Sira Izárbez Loriente, Mercedes Márquez Fernández, Montserrat Parejo Espinar, María Isabel Sánchez Jiménez, Ruth San José García, Elísabeth Berzal Pérez","doi":"10.1080/07347332.2024.2389094","DOIUrl":"10.1080/07347332.2024.2389094","url":null,"abstract":"<p><strong>Background: </strong>Traditional MBSR or MBTC programs do not delve deeply enough into emotional regulation, which is especially relevant in oncological patients. The aim of this study was to analyze the benefits of a mindfulness-based emotion regulation program in adult oncological patients.</p><p><strong>Method: </strong>Psycho-oncologists from the AECC developed a mindfulness-based emotion regulation program. The Five Facet Mindfulness Questionnaire (FFMQ), Trait Meta-Mood Scale (TMMS), and Hospital Anxiety and Depression Scale (HADS) were administered before and after the program. A single-group pre-post test design with repeated measures was employed, utilizing the General Linear Model.</p><p><strong>Results: </strong>Ninety-seven adult cancer patients completed the pre- and post-program assessments. Statistically significant improvements were observed in all FFMQ subscales, increased clarity of emotional discrimination, mood repair, and statistically significant reductions in anxiety and depressive symptoms.</p><p><strong>Conclusions: </strong>Regardless of the phase of the disease, the results of this study suggest that emotional regulation may improve and anxiety and depressive symptomatology decrease after a mindfulness-based emotion regulation program in oncological patients.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"278-293"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914195","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":"A powerful safety net: Social support moderates the association of quality of life deficits with suicidal ideation in long-term childhood cancer survivors.","authors":"Tamara Schwinn, Judith Hirschmiller, Elmar Brähler, Hiltrud Merzenich, Jörg Faber, Philipp S Wild, Manfred E Beutel, Mareike Ernst","doi":"10.1080/07347332.2024.2379827","DOIUrl":"10.1080/07347332.2024.2379827","url":null,"abstract":"<p><strong>Objectives: </strong>Cancer survivors are at risk for suicidality. We aimed to expand the knowledge about protective factors and their interplay with risk factors by testing social support as a modifier of the association of Quality of Life (QoL) deficits with suicidal ideation.</p><p><strong>Research approach: </strong>We surveyed <i>N</i> = 633 childhood cancer survivors (CCS) using validated questionnaires (EORTC Core Quality of Life questionnaire QLQ-C30, Patient Health Questionnaire PHQ-9). The interaction of QoL and social support was investigated using multiple linear regression analysis.</p><p><strong>Findings: </strong>CCS reporting suicide attempts and current suicidal ideation (SI) had lower QoL. CCS with SI reported less social support. QoL and social support were independently associated with SI and interacted: among CCS with less social support, low QoL was more strongly associated with SI.</p><p><strong>Conclusion: </strong>The results highlight the need for interdisciplinary survivorship care, and to focus on risk and protective factors to strengthen suicide prevention.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"230-247"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861249","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":"The effectiveness of live music intervention on psychological distress among adolescent and young adult patients undergoing hematopoietic stem cell transplantation.","authors":"Qian Sun, Ying-Long Duan, Cheng-Yuan Li, Jian-Fei Xie, Andy Sk Cheng","doi":"10.1080/07347332.2024.2373232","DOIUrl":"10.1080/07347332.2024.2373232","url":null,"abstract":"<p><strong>Objective: </strong>To explore the effects of live music to decrease psychological distress in adolescent and young adult (AYA) patients undergoing hematopoietic stem cell transplantation (HSCT).</p><p><strong>Method: </strong>A quasi-experimental study was conducted. Sixty patients undergoing HSCT were divided into two groups, receiving either 4 week of live music (<i>n</i> = 31) or standard care (<i>n</i> = 29). Psychological distress, anxiety, the severity of symptom clusters and symptom interference were measured.</p><p><strong>Results: </strong>When compared with the immediately and 1 month after intervention, patients in LM intervention group had significantly lower psychological distress and anxiety level than wait-list group. AYA undergoing HSCT reported significantly milder general symptom cluster and neurological symptom cluster at T3 than at baseline.</p><p><strong>Conclusions: </strong>Live music intervention showed a positive effect on relieving psychological distress and anxiety in AYA patients undergoing HSCT. However, further researches are warranted to explore the effects of live music intervention on symptom cluster.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"189-205"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555704","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":"Investigating and quantifying obsessive-compulsive and related disorders among childhood cancer survivors: a brief report.","authors":"Katie DeWitt, Paige Reimche, Mike Finch, Lucie Turcotte","doi":"10.1080/07347332.2024.2365372","DOIUrl":"10.1080/07347332.2024.2365372","url":null,"abstract":"<p><strong>Objective: </strong>Long-term psychological impacts are well--documented among childhood cancer survivors. To our knowledge, however, no research has been conducted to investigate obsessive--compulsive and related disorders (OCRD) among childhood -cancer survivors (CCS).</p><p><strong>Methods: </strong>Using a large electronic medical record database, relative risk were calculated to examine associations between demographic characteristics and childhood cancer type and OCRDs among childhood cancer survivors.</p><p><strong>Results: </strong>Among 121 survivors of childhood cancer diagnosed with OCRD, 57% were female. The most common childhood cancer diagnoses were leukemia/lymphoma (41%) and central nervous system (CNS) malignancies (38%), and OCRD diagnoses most frequently observed were obsessive-compulsive disorder (OCD; 76%) and excoriation disorder (13%). Female sex (RR= 1.39, 95% confidence interval (CI) 1.17-1.61), White race (RR= 1.28, 95% CI 1.15-1.36) and history of CNS malignancies (RR= 1.36, 95% CI 1.18, 1.92) were associated with OCD.</p><p><strong>Conclusions: </strong>Numerous factors, including sex, race, and cancer type, were seen as contributors to risk variance for OCRDs, particularly OCD, among CCS, compared to CCS with no OCRD diagnosis. This provides an enhanced understanding of risk factors for OCRD development and may help improve early identification and care for at-risk survivors.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"133-142"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141318605","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}