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
{"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}
Katie DeWitt, Paige Reimche, Mike Finch, Lucie Turcotte
{"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}
Chiara Filipponi, Marianna Masiero, Davide Mazzoni, Mariam Chichua, Sara Marceglia, Roberta Ferrucci, Elisa Fragale, Florence Didier, Gabriella Pravettoni
{"title":"The voices of breast cancer survivors with chronic pain: A qualitative thematic analysis of patients' challenges to pain management.","authors":"Chiara Filipponi, Marianna Masiero, Davide Mazzoni, Mariam Chichua, Sara Marceglia, Roberta Ferrucci, Elisa Fragale, Florence Didier, Gabriella Pravettoni","doi":"10.1080/07347332.2024.2348595","DOIUrl":"10.1080/07347332.2024.2348595","url":null,"abstract":"<p><strong>Objectives: </strong>Recognizing the limitations of the current pain therapies, the study aimed to explore the unique needs and obstacles related to pain management in Breast Cancer Survivors (BCs) with Chronic Pain (CP).</p><p><strong>Methods: </strong>4 focus groups were conducted involving 17 BCs with CP (Mage = 51, SD = 7.99) with varying pain intensities. Thematic analysis was applied to transcribed discussions.</p><p><strong>Findings: </strong>Three key themes emerged: (1) Challenges to pain management, including \"Doctor-patients communications barriers\" and \"Contextual and societal barriers\"; (2) Self-management needs, encompassing \"Psycho-social support,\" \"Care-related needs,\" and \"Shared decision-making\"; (3) Treatment preferences and perceptions of pain management, with subthemes like \"Treatment preferences,\" \"Institution preference,\" and \"Decision role perception.\"</p><p><strong>Conclusions: </strong>This study emphasizes tailored support systems targeting patient hesitancy, countering pain normalization, and addressing healthcare providers' attitudes. It underscores the importance of integrating caregiver and peer support. Findings advocate refining healthcare provider education, adopting a comprehensive multidisciplinary approach, and strategically incorporating eHealth tools into such care.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"34-58"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140946179","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}
Agnes Shu Sze Chong, Mahadir Ahmad, Hamidah Alias, Rizuana Iqbal Hussain, Afifi Lateh, Caryn Mei Hsien Chan
{"title":"An intervention module for caregivers of children with acute lymphoblastic leukemia (ALL).","authors":"Agnes Shu Sze Chong, Mahadir Ahmad, Hamidah Alias, Rizuana Iqbal Hussain, Afifi Lateh, Caryn Mei Hsien Chan","doi":"10.1080/07347332.2024.2364670","DOIUrl":"10.1080/07347332.2024.2364670","url":null,"abstract":"<p><strong>Introduction: </strong>Childhood cancer caregivers report psychological distress and unmet psychosocial needs, affecting outcomes for their children. An experimental study was carried out to measure the effectiveness of an intervention in addressing traumatic stress, depression and anxiety.</p><p><strong>Methods: </strong>Caregivers (<i>n</i> = 59) of children with ALL were allocated to both groups (intervention, <i>n</i> = 29; TAU control, <i>n</i> = 30) via the SNOSE method. The intervention is a physical copy of a 2-week psychosocial self-help guidebook. Scores on the PCL-5, BDI and BAI were recorded at baseline, post-intervention and 1-month follow-up.</p><p><strong>Results: </strong>There was a statistically significant difference in traumatic stress symptoms post intervention (<i>F</i>(1, 57) = 5.760, <i>p</i> = .020, <i>n<sub>p</sub></i><sup>2</sup> = 0.093) in favor of the intervention group. No statistical significance was found for its effect at one-month follow-up, overall depression and anxiety.</p><p><strong>Conclusion: </strong>A psychosocial module developed for caregivers of children with ALL was found to be effective in reducing symptoms of traumatic stress and potentially depression. However, the maintenance of its effectiveness and the effectiveness on anxiety requires further study.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"73-87"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141318604","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}
Emily L Moscato, May V Albee, Ashley Anil, Matthew C Hocking
{"title":"The interaction of family functioning and disease- and treatment-related factors on quality of life for children after cancer.","authors":"Emily L Moscato, May V Albee, Ashley Anil, Matthew C Hocking","doi":"10.1080/07347332.2024.2354298","DOIUrl":"10.1080/07347332.2024.2354298","url":null,"abstract":"<p><strong>Purpose: </strong>Children with cancer experience low quality of life (QOL), yet heterogeneity underscores a need to understand how risk and resilience factors interact. This study evaluated if family functioning relates to QOL differentially depending on diagnosis and treatment intensity.</p><p><strong>Methods: </strong>Participants included children (ages 8-14) who completed treatment within six months for either brain tumor (BT; <i>n</i> = 42) or non-central nervous system solid tumor (ST; <i>n</i> = 29). Caregivers and children rated QOL and family functioning. Treatment intensity was categorized as low, moderate, or high. Cross-informant moderation models tested hypothesized interactions.</p><p><strong>Results: </strong>Child-reported family functioning significantly interacted with diagnosis and treatment intensity in models of caregiver-reported QOL. More maladaptive family functioning was associated with reduced QOL for children with BT and moderately-intense treatments.</p><p><strong>Conclusions: </strong>Children with BT and moderate treatment intensities are sensitive to family functioning, highlighting an at-risk group to target for family-level intervention. Future work should evaluate these associations longitudinally.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"143-155"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11612033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238679","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}
Mar Estupiñán Fdez de Mesa, Afrodita Marcu, Emma Ream, Katriina L Whitaker
{"title":"Understanding and tackling cancer inequities: What opportunities does intersectionality offer researchers, policymakers, and providers? A scoping review.","authors":"Mar Estupiñán Fdez de Mesa, Afrodita Marcu, Emma Ream, Katriina L Whitaker","doi":"10.1080/07347332.2024.2361642","DOIUrl":"10.1080/07347332.2024.2361642","url":null,"abstract":"<p><strong>Problem identification: </strong>We summarised the international evidence relating to the role of intersectionality in patients' lived experience of inequities along the cancer care pathway. We produced guidance to use intersectionality in future research.</p><p><strong>Literature search: </strong>We included 42 articles published between 1989 to 2023 that used intersectionality to guide the study and interpretation of inequities in cancer care.</p><p><strong>Data evaluation/synthesis: </strong>Articles predominantly comprised North American (<i>n</i> = 37), followed by European (<i>n</i> = 4) and Asian (<i>n</i> = 1) studies. Similar compounding effects of racism, homophobia, and discrimination across countries exacerbated inequities in cancer care experience and cancer outcomes particularly for women of color and sexual/gender minority groups. Professionals' knowledge, attitudes, and behaviors toward minoritised groups affected patient-provider relationships and influenced cancer patients' psychosocial responses.</p><p><strong>Conclusion: </strong>Intersectionality provides a framework to assess the personal, interpersonal, and structural processes through which cancer inequities manifest within and across countries.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"105-132"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908011","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}
Suzanne C Danhauer, Janet A Tooze, Tebianne Abubaker, Kristi Graves, Nicole D Kerr, Dianna S Howard, Alexandra Thomas, Aylin A Aguilar, Karolina Jimenez, Gretchen A Brenes
{"title":"Feasibility of implementing a culturally and linguistically adapted telephone-based cognitive-behavioral therapy (CBT) intervention for depression and anxiety with Hispanic and Latino cancer survivors.","authors":"Suzanne C Danhauer, Janet A Tooze, Tebianne Abubaker, Kristi Graves, Nicole D Kerr, Dianna S Howard, Alexandra Thomas, Aylin A Aguilar, Karolina Jimenez, Gretchen A Brenes","doi":"10.1080/07347332.2024.2445131","DOIUrl":"10.1080/07347332.2024.2445131","url":null,"abstract":"<p><strong>Purpose/objectives: </strong>Hispanic and Latino (hereafter 'H/L') cancer survivors report higher rates of anxiety/depression and are less likely to receive psychosocial services than other survivors. We field-tested a culturally and linguistically adapted cognitive-behavioral therapy intervention with H/L post-treatment cancer survivors. Goals were to: (1) assess feasibility; (2) describe future efficacy outcomes; and (3) examine feedback for refinements.</p><p><strong>Design/research approach: </strong>Single-arm feasibility study.</p><p><strong>Sample/participants: </strong>H/L cancer survivors (<i>N</i> = 8).</p><p><strong>Methods: </strong>Participants completed the 12-week CBT intervention, pre- and post-intervention measures, brief weekly feedback, and an in-depth interview. Recruitment, retention, and adherence, and changes in anxiety, depression, and fear of recurrence were summarized using descriptive statistics and 95% confidence intervals.</p><p><strong>Findings: </strong>Of 44 H/L survivors approached, 18 agreed to screening, and 9 met criteria; 8 enrolled over 7.4 months. Although we did not perform formal hypothesis testing, we observed clinically meaningful decreases in anxiety and depression. All who completed the intervention (<i>n</i> = 7) recommended the intervention.</p><p><strong>Conclusion: </strong>While recruitment was challenging, participants reported robust decreases in depression and/or anxiety and high intervention satisfaction.</p><p><strong>Implications for psychosocial providers or policy: </strong>Future work should explore ways to decrease stigma and enhance recruitment to fully evaluate the adapted intervention among H/L survivors.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-16"},"PeriodicalIF":1.5,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142898916","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":"Cognitive impairment in young adults after cancer treatment: A descriptive correlational study on levels and associations with disease-related, psychological, and lifestyle factors.","authors":"Sitara Sharma, Jennifer Brunet","doi":"10.1080/07347332.2024.2444276","DOIUrl":"https://doi.org/10.1080/07347332.2024.2444276","url":null,"abstract":"<p><strong>Purpose: </strong>Young adults report challenges concerning cancer--related cognitive impairment (CRCI). This study aimed to: (1) describe cognition in young adults post-cancer treatment using self-report and performance-based measures, and (2) examine associations between cognition and relevant disease-related, psychological, and lifestyle (physical activity; PA) factors.</p><p><strong>Methods: </strong>Forty-six young adults (M<sub>age</sub> = 31.4 ± 5.4 years; 91.3% female) completed web-based questionnaires and neuropsychological tests; data were analyzed via descriptive statistics and bivariate correlations.</p><p><strong>Results: </strong>Most (60.9%) self-reported clinically meaningful CRCI and displayed poorer executive functioning and processing speed (but not working memory) than normative data. Disease-related factors, psychological factors, and PA had null-to-moderate (<i>r</i>s = -0.32-0.28), small-to-large (<i>r</i>s = -0.74-0.77), and trivial-to-moderate (<i>r</i>s = -0.16 - 0.36) correlations with cognition (respectively), with differences in magnitude between self--reported and objective cognition.</p><p><strong>Conclusion: </strong>The observed correlations warrant further exploration in larger prospective studies, and trials should investigate causative mechanisms and specific PA parameters.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-15"},"PeriodicalIF":1.5,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899444","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}
Vagner Deuel de O Tavares, Colleen Cuthbert, Megan Teychenne, Felipe B Schuch, Daniel Cabral, Geovan Menezes de Sousa, Carla M Prado, Scott Patten, Nicole Leite Galvão-Coelho, Mats Hallgren
{"title":"The effects of exercise on anxiety and depression in adults with cancer: A meta-review of meta-analyses.","authors":"Vagner Deuel de O Tavares, Colleen Cuthbert, Megan Teychenne, Felipe B Schuch, Daniel Cabral, Geovan Menezes de Sousa, Carla M Prado, Scott Patten, Nicole Leite Galvão-Coelho, Mats Hallgren","doi":"10.1080/07347332.2024.2441693","DOIUrl":"https://doi.org/10.1080/07347332.2024.2441693","url":null,"abstract":"<p><strong>Background: </strong>This meta-review aimed to synthesize the evidence of the effects of exercise on anxiety and depression symptoms amongst adults with cancer, and cancer-survivors, comparing effects sizes between meta-analysis.</p><p><strong>Methods: </strong>Major databases were searched up to February 9, 2024 for meta-analyses evaluating the effects of exercise, using anxiety and/or depression scales. Effect size (ES) values were calculated as standardized differences in the means and expressed as the Standardized Mean Difference (SMD) with the 95% confidence interval (95%CI). A total of eight unique meta-analyses were included.</p><p><strong>Results: </strong>Among meta-analyses examining both anxiety and depression symptoms overall, a small beneficial effect of exercise was shown [SMD = 0.41 (0.25-0.57); <i>p</i> < 0.0001]. Subgroup analyses revealed that exercise has a small effect on decreasing anxiety [SMD = 0.42 (0.04-0.79); <i>p</i> = 0.027], and depressive symptoms [SMD = 0.38 (0.21-0.56); <i>p</i> < 0.0001]. In addition, aerobic exercise has a moderate effect on reducing depressive symptoms [SMD = 0.54 (0.16-0.93); <i>p</i> = 0.005], whereas resistance exercise has no effect. Subgroup analyses by type of cancer observed a moderate effect on decreasing depressive symptoms in patients with breast cancer [SMD = 0.51 (0.27-0.74); <i>p</i> < 0.0001].</p><p><strong>Conclusions: </strong>Exercise (specifically aerobic) should be considered by healthcare professionals as a strategy to treat/manage symptoms of anxiety and depression amongst adults with cancer and cancer-survivors.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-24"},"PeriodicalIF":1.5,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865827","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":"Trauma Informed Care and early distress identification in oncology settings.","authors":"Angelika Simkhaev","doi":"10.1080/07347332.2024.2433976","DOIUrl":"https://doi.org/10.1080/07347332.2024.2433976","url":null,"abstract":"<p><p>Cancer is not only a physical illness but also a source of substantial emotional and psychological trauma and distress for patients. Oncology-related trauma stems from the uncertainty of diagnosis, invasive treatments, and the potential threat to life, leading to emotional distress, anxiety, and in some cases, Post-Traumatic Stress Disorder (PTSD). Addressing this trauma early is essential for patient well-being, as unresolved distress and trauma can exacerbate mental health challenges and hinder treatment adherence. Trauma-Informed Care (TIC) offers a framework to mitigate these issues by focusing on safety, trustworthiness, choice, collaboration, and empowerment in care settings. Organizational attention to trauma is critical, as healthcare environments that fail to address emotional distress can contribute to patient dissatisfaction, higher healthcare costs, and poorer outcomes. Oncology Social Workers (OSW) are professional that are positioned to lead the implementation of TIC due to their training in psychosocial care and trauma identification. OSWs role in healthcare encompasses not just individual patient support, but also educating healthcare teams, advocating for system-wide changes, and creating trauma-informed practices that benefit both patients, staff, and organizations. This manuscript discusses the implementation of TIC in oncology settings, recommending the use of a Trauma-Informed Assessment Protocol, such as the Distress Thermometer (DT), to facilitate early identification and intervention of distress, ultimately improving patient outcomes and organizational effectiveness.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-24"},"PeriodicalIF":1.5,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787362","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}