Journal of Psychosocial Oncology最新文献

{"title":"Psychosocial support utilization among breast cancer patients experiencing reproductive concerns: A cross-sectional cohort study.","authors":"Tamar Parmet, Alaina L Carr, Sydneyjane Roberts, Levi Bonnell, Virginia Borges, Elissa Kolva","doi":"10.1080/07347332.2025.2600377","DOIUrl":"10.1080/07347332.2025.2600377","url":null,"abstract":"<p><strong>Objectives: </strong>Many patients with breast cancer (BC) experience reproductive concerns that contribute to psychosocial distress. Although many patients experience elevated levels of distress, few pursue psychosocial support (PSS) to manage their distress. We characterized the associations between BC patients' PSS utilization and demoralization, hopelessness, anxiety, depression, health-related quality of life (HRQOL), and previous experiences with psychosocial providers.</p><p><strong>Methods: </strong>One hundred and four BC patients with reproductive concerns were recruited. Bivariate correlations assessed the relationships between measures of psychosocial distress and health care utilization. Independent logistic regressions were run to evaluate the unique associations between predictors of interest and PSS utilization.</p><p><strong>Results: </strong>Most participants (57.7%) reported utilizing PSS during treatment. Higher levels of demoralization (OR = 1.109, <i>p</i> = 0.004) and HRQOL (OR = 0.964, <i>p</i> = 0.010) were significantly associated with increased odds of PSS utilization. Prior satisfaction with mental healthcare practitioners was also significantly associated with psychosocial utilization (OR = 0.561, <i>p</i> = 0.018). Anxiety, depression, and hopelessness were not significantly associated with PSS utilization.</p><p><strong>Conclusions: </strong>These data underscore the role of demoralization, HRQOL, and prior mental health care experiences in BC patient's PSS utilization. Many distress screening tools assess patients for the presence of depression and anxiety, but do not assess for demoralization. Thus, incorporating demoralization into screening tools may better identify and engage BC patients with reproductive concerns in PSS services.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"546-554"},"PeriodicalIF":1.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145783329","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":"Distress Thermometer: proposal for cutoff points and evaluation of factors related to post-surgical distress in breast cancer patients.","authors":"Elizabeth Masotti, Eduardo Remor, Andrea Pires Souto Damin","doi":"10.1080/07347332.2025.2593635","DOIUrl":"10.1080/07347332.2025.2593635","url":null,"abstract":"<p><strong>Objectives: </strong>The study aims to evaluate distress levels and concerns, assess the effectiveness of the Distress Thermometer in screening for psychological distress in patients undergoing mastectomy or conservative surgery, and propose an appropriate cutoff point for this population.</p><p><strong>Methods: </strong>Cross-sectional study evaluating 236 women who had surgery within the last 36 months. An interview protocol gathered sociodemographic and clinical data, the Distress Thermometer (DT, version 2.2022), and the Hospital Anxiety and Depression Scale (HADS).</p><p><strong>Results: </strong>Distress levels had a mean of 5.4 (<i>SD</i> 2.7). Anchored by HADS-T, this study proposes \"6\" as the cutoff point for the Distress Thermometer (sensitivity: 0.80, specificity: 0.72, Youden coefficient: 0.52) when evaluating Brazilian women with breast cancer. 45.76% (<i>n</i> = 108) of participants scored above the new cutoff point (≥6). The main concerns were emotional (worry and anxiety, 89%) and practical (caring for others, 73.3%).</p><p><strong>Conclusions: </strong>DT effectively screens for psychological distress in Brazil, aiding in the diagnosis and referral of patients for appropriate follow-up.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"444-460"},"PeriodicalIF":1.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145649701","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":"Psychological flexibility, distress, and coping in ovarian cancer survivors.","authors":"Rachel Telles, Alexis Hosch, Kathryn P Pennington, Matthew Schlumbrecht, Bonnie A McGregor, Leslie Heron, Sharaf Zia, Alyssa Noble, Michael J Goodheart, Megan Noonan, Frank J Penedo, Susan K Lutgendorf","doi":"10.1080/07347332.2025.2588632","DOIUrl":"10.1080/07347332.2025.2588632","url":null,"abstract":"<p><strong>Background: </strong>Ovarian cancer survivors report elevated levels of psychological distress due to the high rates of recurrence and mortality, but little is currently known about the coping skills and strengths that survivors draw upon during their cancer survivorship. One such possible strength is psychological flexibility, defined as the ability to stay in the present moment regardless of unpleasant experiences and make behavioral choices based on values.</p><p><strong>Objective: </strong>The study aimed to explore psychological flexibility and coping among ovarian cancer survivors prior to their participation in a web-based psychosocial intervention and to examine potential mediators of distress.</p><p><strong>Methods: </strong>Ovarian cancer survivors were recruited to participate in an 11-week group-based, web-delivered psychosocial intervention. Participants completed assessments of mood, psychological flexibility and coping before the intervention. 165 ovarian cancer survivors provided survey data on psychosocial and clinical characteristics prior to randomization. Multiple mediation models were used to examine potential mediators in the relation of psychological flexibility with depression and anxiety.</p><p><strong>Results: </strong>Survivors reported mild levels of depression and anxiety. Multiple mediation models revealed significant indirect effects of psychological flexibility on both anxiety and depression. The negative association between psychological flexibility and anxiety was partially mediated by avoidant coping (<i>p</i> = .030). Moreover, the association between psychological flexibility and depression was mediated by cancer-related worry (<i>p</i> = .004).</p><p><strong>Conclusions: </strong>Psychological flexibility is associated with less distress in ovarian cancer survivors who present for psychological intervention, and this pathway is partially mediated by avoidant coping and cancer-related worry. Mindfulness techniques and coping skills training may ameliorate these effects and improve psychological functioning.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"358-375"},"PeriodicalIF":1.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13187919/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145641205","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":"Cancer, care, and Raining Men: A call for humanity in the care of psychiatrized people.","authors":"Jaclyn O'Connor, Stephanie Bogue Kerr","doi":"10.1080/07347332.2026.2624025","DOIUrl":"10.1080/07347332.2026.2624025","url":null,"abstract":"<p><p>Despite growing attention to the psychosocial aspects entangled within bodies affected by cancer, the needs and rights of a marginalized population continue to be overlooked. Psychiatrized people living with cancer are significantly less likely to benefit from screening, treatment, and end of life care. Paradoxically, they are also less likely to be referred for psychosocial support. There is a dearth of research on the needs of this population, particularly those with cognitive limitations, neurocognitive impairment and psychosis. This article presents a case study to shed light on the factors that shape the illness trajectory of psychiatrized people with cancer. We apply a critical humanistic lens to challenge systemic approaches that advance intervention at the expense of care and propose strategies for psychosocial oncology professionals working with this vulnerable population.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"678-688"},"PeriodicalIF":1.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120637","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":"Impacts of cancer among childhood and adolescent cancer survivors living in rural locations with public insurance.","authors":"Nazan Cetin, Junghee Lee, Susanne Klawetter, Susan Lindemulder, Willam Ted Donlan, Rhiannon Fellure, Susan S Witte","doi":"10.1080/07347332.2026.2622330","DOIUrl":"10.1080/07347332.2026.2622330","url":null,"abstract":"<p><strong>Background: </strong>Advances in cancer treatment have increased survival among childhood and adolescent patients, yet many survivors experience long-term psychosocial and health challenges. Structural factors such as health insurance and geographic location influence access to survivorship care, but little is known about their combined impact.</p><p><strong>Methods: </strong>Secondary data were analyzed from 470 childhood and adolescent cancer survivors who completed the Impact of Cancer-Childhood Survivors (IOC-CS) questionnaire during visits to a survivorship clinic in the US Pacific Northwest. Hierarchical OLS regression examined predictors of positive and negative psychosocial impacts, including demographic, clinical, and environmental variables (geographic location and insurance type), and their interaction.</p><p><strong>Results: </strong>The interaction between rural residence and public insurance significantly predicted higher negative impact scores (<i>β</i> = 0.13, <i>p</i> = .05) after controlling for covariates, indicating compounded risk for psychosocial distress. Public insurance independently predicted higher negative impact and lower positive impact scores. Rurality alone was not a significant predictor after accounting for interaction effects.</p><p><strong>Conclusions: </strong>Survivors with both rural residence and public insurance face intersecting structural barriers that amplify psychosocial challenges. Future research should explore tailored interventions and policy strategies to reduce disparities in survivorship care access and outcomes.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"602-613"},"PeriodicalIF":1.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114286","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":"Hair loss, love stays.","authors":"Awu Isaac Oben","doi":"10.1080/07347332.2025.2570784","DOIUrl":"10.1080/07347332.2025.2570784","url":null,"abstract":"","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"689-690"},"PeriodicalIF":1.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145287310","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 relationship between self-compassion and psychological distress in cancer patients and survivors: A systematic review and meta-analysis.","authors":"Shahaf Bitan, Ilanit Hasson-Ohayon, Michal Lavidor, Shimrit Daches","doi":"10.1080/07347332.2025.2570787","DOIUrl":"10.1080/07347332.2025.2570787","url":null,"abstract":"<p><strong>Introduction: </strong>Self-compassion, directing kindness toward oneself during difficult experiences, has been linked to lower anxiety, depression, and stress throughout the cancer trajectory. This meta-analysis aimed to systematically review existing findings, calculate aggregated effect sizes, and examine cancer phase (acute vs. survivorship) as a potential moderator.</p><p><strong>Methods: </strong>A systematic review and meta-analysis of 24 studies (3,626 participants across 13 countries) was conducted, assessing associations between self-compassion and anxiety (14 studies), depression (20), and stress (14) in cancer populations. PsycInfo, PubMed, and Google Scholar were searched on June 6, 2025.</p><p><strong>Results: </strong>Medium-to-large negative associations were found between self-compassion and both anxiety and stress, and a large negative association with depression. Cancer phase moderated the relationship with stress, showing a stronger effect in survivorship than in the acute phase.</p><p><strong>Conclusion: </strong>Self-compassion appears protective against psychological distress in cancer patients, especially during survivorship. Tailoring self-compassion-based interventions to cancer phase may enhance their effectiveness.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"409-427"},"PeriodicalIF":1.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145287286","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":"<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":"86-103"},"PeriodicalIF":1.9,"publicationDate":"2026-01-01","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":"Sociocultural considerations in the HRQOL outcomes of school-age Latino survivors of childhood cancer.","authors":"Sabrina Menezes, Amelia Carrera, Emily C Martinez, Melodey Soong, Laura Bava, Lisa Mueller, Heather Huszti, Van Huynh, Kathleen Ingman, Sunita K Patel","doi":"10.1080/07347332.2025.2552379","DOIUrl":"10.1080/07347332.2025.2552379","url":null,"abstract":"<p><strong>Purpose: </strong>Young Latino survivors of Acute Lymphoblastic Leukemia (ALL) and Lymphoblastic lymphoma (LL) are at higher risk for adverse psychosocial health-related quality of life (HRQOL). However, past research investigating within-group variation is limited. The current study compared HRQOL among sub-groups of Latino pediatric ALL/LL survivors based on dominant language spoken at home.</p><p><strong>Participants: </strong>Young Latino ALL/LL survivors and their parent (Spanish-speaking <i>n</i> = 50; English-Speaking <i>n</i> = 56).</p><p><strong>Methods: </strong>Language groups were compared on child self-reports and parent proxies from the Pediatric Quality of Life Inventory (PedsQL).</p><p><strong>Findings: </strong>Children from predominantly Spanish-speaking families reported higher social functioning <i>F</i>(1, 105) = [15.21], <i>p</i> < 0.001); however, this difference was not present for older children (ages ≥ 9 years).</p><p><strong>Conclusion: </strong>Younger Latino survivors from predominantly Spanish-speaking families may experience better social functioning, warranting further investigation on protective factors of traditional Latino culture for social functioning in Latino CCS.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"264-274"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126155","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":"Feasibility of a peer-to-peer parent mentoring program for parents of children recently diagnosed with cancer.","authors":"Karen L Long-Traynor, Katie A Devine, Angela Senger, Michael Lewis","doi":"10.1080/07347332.2026.2618138","DOIUrl":"10.1080/07347332.2026.2618138","url":null,"abstract":"<p><p><b>Aims:</b> A childhood cancer diagnosis can be one of the most distressing experiences for parents and poor social support is linked to higher distress levels. This study aimed to test the feasibility of a parent-to-parent mentoring program, pairing parents of newly diagnosed children with parents of survivors.</p><p><p><b>Methods:</b> Parent mentors were trained using self-guided materials and a virtual workshop. Each mentoring relationship lasted three months and was conducted <i>via</i> phone, text, and/or videoconference.</p><p><p><b>Findings:</b> In total, 10 parent mentors were trained, and 16 mentees enrolled (50% of those invited). Of the enrolled participants, nine (56%) mentor-mentee dyads completed the intervention. One hundred percent of mentors rated the training as acceptable. Of those mentees that completed the intervention, 89% found it beneficial overall, 100% reported increased feeling of support and reduced feeling of isolation, and 77% reported reduction in distress.</p><p><p><b>Conclusion:</b> While the intervention was helpful to those that took part, the low participation rate suggests future implementation may be better suited to larger organizations with access to a larger patient population.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"587-601"},"PeriodicalIF":1.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146012833","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}