Journal of Psychosocial Oncology最新文献

{"title":"From theory to practice - establishing an oncology family caregiver support process.","authors":"Victoria Rezash, Brendan Hurst, Kelsi Ream, Katlyn Lenox, Josh Burton, Judy Reynolds, Delora Taylor","doi":"10.1080/07347332.2025.2548822","DOIUrl":"https://doi.org/10.1080/07347332.2025.2548822","url":null,"abstract":"<p><strong>Background: </strong>Over the past 25 years, a growing body of literature has shown oncology family caregivers experience as much, if not more, stress than the oncology patient. This research has demonstrated the need to establish programs to support these family caregivers.</p><p><strong>Aim: </strong>To establish a proactive oncology family caregiver support process to assist family caregivers during the cancer patient's treatment regimen.</p><p><strong>Methods: </strong>Based on the Iowa Model of Evidence-Based Practice, an evidence-based practice process was established in a large, downtown hospital's oncology infusion center designed to assess the distress and burden level of the family caregivers. Using the Caregiver Quality of Life Index - Cancer questionnaire, family caregivers were assessed for their overall sense of well-being. In the initial pilot process, family caregivers of patients with GI or lung cancer were asked if they wished to participate as they represented two of the largest disease group populations for this oncology clinic. Eighty-three family caregivers (44%) agreed. The sixty-six family caregivers who reported an increased level of distress were referred to the oncology medical social worker to assist with interventions as indicated by their responses.</p><p><strong>Results: </strong>The efficacy of this proactive approach of assessing family caregiver distress resulted in the implementation of 95 baseline interventions for the 66 participants. The follow-up assessments resulted in 25 interventions, a 26% decrease. Family caregivers reported a 13% increase in their reported quality of life at the time of their third evaluation with the lowest scores improving by 50%.</p><p><strong>Conclusion: </strong>The need for ongoing support services for oncology family caregivers to help them thrive through the cancer journey was validated. In response to this need, as of September 2024, this process became a permanent feature of the hospital's oncology infusion center services which now supports family caregivers of patients in all oncology disease groups.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-11"},"PeriodicalIF":1.5,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974050","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":"Coping strategies and changes in depressive symptoms: Insights from a collaborative care intervention for individuals facing cancer in underserved communities.","authors":"Taylor Nicholas, Heidi A Hamann, Sarah N Price, Karen Weihs","doi":"10.1080/07347332.2025.2542451","DOIUrl":"https://doi.org/10.1080/07347332.2025.2542451","url":null,"abstract":"<p><strong>Objective: </strong>Coping trajectories are important predictors of depressive symptoms among individuals with cancer. However, less is understood about the relationship between coping and depression within the context of psychosocial interventions, especially among minoritized (i.e. \"underserved\") populations. The current study addresses this gap by investigating the relationship between coping strategies and changes in depression severity among underserved cancer patients participating in the Collaborative Oncology Project to Enhance Depression Care (COPE-D), a 12-week collaborative care depression management intervention for patients with cancer.</p><p><strong>Methods: </strong>The sample comprised 137 participants who completed both baseline and 12-week follow-up measures. Coping strategies were measured using a shortened version of the adapted Coping Orientation to Problems Experienced (COPE) Inventory, and depression severity was assessed using the Patient Health Questionnaire-9 (PHQ-9). Pre-intervention coping strategies were investigated as predictors of change in depression severity over the intervention, and changes in coping were investigated as moderators of the association between pre- and post-intervention depression severity.</p><p><strong>Results: </strong>Participants reported significant increases in approach-oriented coping over the course of the intervention (<i>t</i> = 6.57, df = 140, <i>p</i> < 0.001). Conversely, participants exhibited a statistically significant decrease in avoidance-oriented coping (<i>t</i> = -2.76, df = 192, <i>p</i> = 0.006). Neither the degree of approach nor avoidant baseline coping strategies significantly predicted changes in depression severity over the course of the intervention. Changes in avoidance-oriented coping were associated with changes in depression severity (<i>β</i> = 0.2662, <i>p</i> = 0.0304) such that those who maintained or increased avoidant coping over time were less likely to report decreases in depressive symptoms.</p><p><strong>Conclusions: </strong>Baseline coping did not predict changes in depression severity during the intervention. However, increases in avoidance-oriented coping were associated with greater increases in depression severity over time. These findings underscore the importance of considering coping strategies in depression management interventions for cancer patients.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-14"},"PeriodicalIF":1.5,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144822838","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 group compassion-focused therapy on difficulty in emotion regulation, pain severity and quality of life among women with breast cancer: A randomized controlled trial.","authors":"Nastaran Mehrabi, Hamid Amiri, Abdollah Omidi, Mostafa Sarvizadeh","doi":"10.1080/07347332.2025.2543063","DOIUrl":"https://doi.org/10.1080/07347332.2025.2543063","url":null,"abstract":"<p><strong>Background: </strong>Breast cancer is the most prevalent and fatal cancer among women. This study aimed to investigate the effectiveness of group compassion-focused therapy (CFT) on difficulty in emotion regulation, pain, and quality of life in women with breast cancer.</p><p><strong>Method: </strong>The participants were 44 women with breast cancer who had been referred to Yaserbi and Beheshti Hospital in Kashan (Isfahan). After obtaining informed consent, these women were randomly divided into two intervention (<i>n</i> = 22) and control (<i>n</i> = 22) groups, and they were asked to complete the Difficulty in Emotion Regulation Scale (DERS), the Revised McGill Pain Questionnaire (SF-MPQ-2) and Quality of Life questionnaire for cancer patients (QLQ-C30) before treatment, after treatment, and at two-month follow-up.</p><p><strong>Results: </strong>Data analysis using repeated measure ANOVA showed that CFT significantly improves difficulty in emotion regulation, pain intensity, and quality of life of women with breast cancer.</p><p><strong>Discussion: </strong>The findings suggest that CFT can be an effective approach to reducing psychological symptoms in women with breast cancer.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-21"},"PeriodicalIF":1.5,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805058","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":"Understanding meanings and lived experiences of spirituality among adults with cancer.","authors":"Megan Miller, Paul Galchutt, Molly Meyers, William E Rosa","doi":"10.1080/07347332.2025.2541643","DOIUrl":"10.1080/07347332.2025.2541643","url":null,"abstract":"<p><strong>Purpose: </strong>To explore subjective meanings and lived experiences of spirituality among adults with cancer.</p><p><strong>Methods: </strong>Participants (age ≥ 18, any type/stage of cancer, English-speaking) were recruited from one cancer center. Semi-structured interviews elicited what \"spirituality\" means and how it was experienced when facing cancer. Data were analyzed using interpretive thematic analysis.</p><p><strong>Results: </strong>25 participants from diverse religious/spiritual backgrounds, primarily white (92%) and female (64%), with an average age of 59 years (range: 43-90), most often described spirituality as connection with something greater. Spirituality in daily life was described as participation in spiritual practices, engagement in service and nurturing others, finding and/or creating sacredness everyday, holding a supportive worldview, and relating with mortality.</p><p><strong>Conclusions: </strong>Meanings and experiences of spirituality vary widely among people with cancer. Findings underscore the need to tailor spirituality screening. Future research should focus on better understanding spirituality across diverse populations and developing interventions to support spiritual care.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-25"},"PeriodicalIF":1.5,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12360301/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790410","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":"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":"https://doi.org/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":"1-15"},"PeriodicalIF":1.5,"publicationDate":"2025-08-01","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":"Development, preliminary evaluation, and feasibility of a coping strategy and symptom management program for women with gynecological cancer undergoing chemotherapy.","authors":"Eungil Ko, Yaelim Lee","doi":"10.1080/07347332.2025.2536271","DOIUrl":"https://doi.org/10.1080/07347332.2025.2536271","url":null,"abstract":"<p><strong>Background: </strong>Gynecological cancer patients undergoing chemotherapy experience a high symptom burden and reduced quality of life. This study aimed to develop a coping strategy and symptom management program for gynecological cancer patients undergoing chemotherapy and to evaluate its preliminary effects and usefulness.</p><p><strong>Methods: </strong>After developing the program with two modules - one focusing on coping strategies and the other on symptom management - the research team implemented it with 19 patients to assess its preliminary effects. Additionally, the program's feasibility was evaluated by both 20 experts and the 19 patients. The instruments used in the study were the Patient Health Questionnaire (PHQ), Generalized Anxiety Disorder scale (GAD), and Functional Assessment of Cancer Therapy-General (FACT-G). Descriptive analyses and generalized estimation equations were conducted using SPSS 25.0, and participants' open-ended responses were analyzed with ATLAS.ti 8.</p><p><strong>Results: </strong>Following the coping strategy module, participants showed a significant decrease in depression (<i>p</i> < 0.001) and anxiety (<i>p</i> = 0.005). After the symptom management module, participants' depression further decreased (<i>p</i> = 0.009), and their quality of life significantly improved (<i>p</i> < 0.001). While participants rated the program highly for feasibility, they suggested simplifying the educational contents and including strategies to enhance homework compliance.</p><p><strong>Conclusion: </strong>The program effectively improved depression, anxiety and quality of life in gynecological cancer patients receiving chemotherapy, and this study demonstrated the feasibility of the program.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-18"},"PeriodicalIF":1.5,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761772","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":"Mind Over Matter: A group intervention integrating CBT, ACT, and psychoeducation to empower emotional coping in cancer patients and caregivers.","authors":"Rebecca McIntyre, Michelle Ferretti","doi":"10.1080/07347332.2025.2531106","DOIUrl":"https://doi.org/10.1080/07347332.2025.2531106","url":null,"abstract":"<p><strong>Objective: </strong>One in three individuals will be diagnosed with cancer, often accompanied by psychological distress that worsens medical outcomes and raises healthcare costs. Mind Over Matter (MOM) is a five-week psychoeducational group program designed to support the emotional well-being of cancer patients and caregivers.</p><p><strong>Methods: </strong>MOM integrates Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), and psychoeducation. Offered in-person or via telehealth, it helps participants manage the content of, and relationship to, thoughts and feelings.</p><p><strong>Results: </strong>Since 2014, MOM has expanded to nine annual internal offerings. Externally, 60 facilitators have been trained, with the first cohort delivering 16 MOM programs within one year. Preliminary data indicate reductions in anxiety, depression, and physical symptom severity. MOM has been culturally adapted for Spanish-speaking participants, and feasibility among Black and African American women is under evaluation.</p><p><strong>Conclusion: </strong>MOM is an innovative, evidence-based coping program for cancer care, scalable and adaptable across diverse healthcare settings.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-13"},"PeriodicalIF":1.5,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709424","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":"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":"1-9"},"PeriodicalIF":1.5,"publicationDate":"2025-07-13","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}

{"title":"<i>\"We're going to get through this together\":</i> patient, parent, and oncologist recommendations for providing emotional support in advanced childhood cancer.","authors":"Caroline Christianson, Shoshana Mehler, Calliope Reeves, Harmony Farner, Tara M Brinkman, Justin N Baker, Pamela S Hinds, Jennifer W Mack, Erica C Kaye","doi":"10.1080/07347332.2025.2528830","DOIUrl":"10.1080/07347332.2025.2528830","url":null,"abstract":"<p><p>A diagnosis of pediatric cancer generates emotional distress for patients and parents, particularly during prognostic discussions in the context of upsetting information and uncertainty. Emotional support from pediatric oncologists is cited as a key factor in psychological well-being during these conversations; however, gaps persist in addressing emotional needs. This qualitative study explored perspectives from 25 patients with cancer aged 12-25 years with an estimated survival of ≤50%, 40 parents, and 20 pediatric oncologists on best practices for providing emotional support during prognostic discussions. Using a structured rapid qualitative analysis approach that employed standardized templates and summary matrices, we generated four key approaches for optimizing emotional support: 1) deliver high-quality information with consistent reliability; 2) dedicate time, space, and attention to families; 3) validate emotions; and 4) preserve hope and positivity. These themes offer actionable insights to inform the design of future communication skills training as well as clinical interventions to encourage individualized emotional support for patients and families facing advanced cancer.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-18"},"PeriodicalIF":1.5,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12338866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144620876","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":"Positionality in psychosocial oncology: Reflections on becoming an insider.","authors":"Rachel H Adler","doi":"10.1080/07347332.2025.2523776","DOIUrl":"https://doi.org/10.1080/07347332.2025.2523776","url":null,"abstract":"","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-3"},"PeriodicalIF":1.5,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144620878","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}