Journal of Psychosocial Oncology最新文献

{"title":"The relationships between marital support, partner participation, body image, and mental distress among Bedouin women with breast cancer survivors.","authors":"Manor Binyamini Iris","doi":"10.1080/07347332.2025.2509983","DOIUrl":"10.1080/07347332.2025.2509983","url":null,"abstract":"<p><strong>Objective: </strong>Breast cancer is the most common malignancy among Arab women in the Middle East.</p><p><strong>Objectives: </strong>This study examined the relationships between marital support, partner participation, body image, and mental distress among Bedouin women diagnosed with breast cancer.</p><p><strong>Design: </strong>A total of 100 Muslim Bedouin women who were at least a year from their initial breast cancer diagnoses participate in the study.</p><p><strong>Results: </strong>The findings indicated negative and significant relationships between partner support and mental distress and between body image and mental distress. In addition, a clear positive relationship was found between partner support and partner participation in the home and between education, income, and spousal support. Women who underwent breast reconstruction following mastectomy reported a higher level of support and improved psychological outcomes. Finally, several distinct relationships were found between demographic variables and the research variables.</p><p><strong>Conclusion: </strong>The provision of culturally appropriate, patient-centered cancer treatments has not been explored for Muslim Arab women in the Middle East in general and in the Bedouin community more specifically, despite their unique cultural characteristics and increases in the rate of breast cancer among these populations. This study highlights the need for further studies in this area.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"40-54"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182452","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":"149-173"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","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":"The mediating role of psychological distress in the effect of positive psychological intervention on sleep quality among cancer patients undergoing radiotherapy: A randomized controlled trial.","authors":"Ting Luo, Liuna Bi, Suting Zhang, Mi Zhao, Hong Song, Jing Han","doi":"10.1080/07347332.2026.2623141","DOIUrl":"10.1080/07347332.2026.2623141","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the effects of positive psychological intervention (PPI) on sleep quality among cancer patients undergoing radiotherapy, and to investigate whether changes in psychological distress mediate the relationship between PPI and sleep quality specifically.</p><p><strong>Methods: </strong>A total of 60 eligible patients were randomly assigned to two groups. The control group received usual care, and the intervention group received the PPI based on usual care. Sleep quality was assessed with the Pittsburgh Sleep Quality Index (PSQI) and psychological distress with the Distress Thermometer at three time points: pre-intervention (T0), immediate post-intervention (T1), and 4 wk post-intervention (T2).</p><p><strong>Results: </strong>Significant differences were observed between the two groups in terms of sleep quality and psychological distress (<i>p</i> < 0.001). Compared with the control group, the intervention group showed significant and lager effect in improving sleep quality (<i>d</i> = 1.28, <i>p</i> < 0.001) and psychological distress (<i>d</i> = 0.82, <i>p</i> = 0.002) from T0 to T1. At T2, the intervention group maintained a large effect on sleep quality (<i>d</i> = 1.10, <i>p</i> < 0.001), while the effect on psychological distress (<i>d</i> = 0.78, <i>p</i> = 0.004) was significant, with moderate effect. The total effect of PPI on sleep quality encompasses a full mediating effect, with 52.2% of the PPI effects on sleep quality mediated by the reduction in psychological distress at T1, and 45% at T2.</p><p><strong>Conclusions: </strong>A 4-week PPI exerts a significant effect on psychological distress and sleep quality in cancer patients undergoing radiotherapy. Meanwhile, psychological distress acts as a mediating variable in the improvement of sleep quality by PPI.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"614-630"},"PeriodicalIF":1.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144097","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":"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":"224-236"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","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":"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":"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":"188-208"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","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":"Centering the voices of African American women with cancer: A story circle approach to address communication disparities.","authors":"Billie J Baldwin","doi":"10.1080/07347332.2025.2559638","DOIUrl":"10.1080/07347332.2025.2559638","url":null,"abstract":"<p><strong>Purpose: </strong>African American women experience significant disparities in cancer outcomes, shaped not only by social determinants of health but also by persistent communication barriers within oncology care. This manuscript presents a trauma-informed, culturally grounded intervention - story circles - a narrative-based program designed to improve relational trust and mutual understanding between African American women with cancer and their oncology providers.</p><p><strong>Approach: </strong>This article outlines the conceptual foundations, implementation strategy, and evaluation framework for story circles in oncology. The model integrates trauma-informed care, narrative medicine, and critical race theory, and is adapted from UNESCO and the Free Southern Theater's Story Circle Process. It is designed to support cross-cultural dialogue in a structured, inclusive setting.</p><p><strong>Program description: </strong>Oncology social workers facilitate sessions of four to six participants using structured storytelling prompts and reflective dialogue. Participants include African American women with cancer and oncology providers. Each session emphasizes cultural humility, listening without judgment, and honoring lived experience. Story circles promote trust, and provider empathy, relational insight, and communication equity.</p><p><strong>Implications: </strong>Story circles are a low-cost, scalable strategy that aligns with institutional health equity priorities and national quality standards and can be integrated into ongoing professional development and psychosocial oncology services. Oncology social workers are well-positioned to lead implementation. This model supports cultural responsiveness, strengthens communication, and can inform future quality improvement and policy initiatives.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"376-389"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139079","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":"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":"174-187"},"PeriodicalIF":1.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12854212/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Designing and psychometrics properties of Existential Guilt Questionnaire in cancer patients.","authors":"Moslem Arian, Mohammad Saeed Khanjani, Abbas Ebadi, Martin Adams, Seyyed Jalal Younesi, Manoochehr Azkhosh, Zahra ArianRad, Samaneh Hosseinzadeh","doi":"10.1080/07347332.2025.2596069","DOIUrl":"10.1080/07347332.2025.2596069","url":null,"abstract":"<p><strong>Background and objective: </strong>Clinically, existential issues are of significant importance in cancer patients, particularly existential guilt. To measure this construct, a suitable tool is needed. Therefore, this study aimed to design and validate the Existential Guilt Questionnaire (EGQ) in cancer patients.</p><p><strong>Method: </strong>This study employed a sequential exploratory mixed-method design for tool development. In the qualitative phase of tool design, the hybrid concept analysis method was used to explain the concept of existential guilt and generate items. Subsequently, psychometric properties such as face and content validity, construct validity through exploratory and confirmatory factor analysis, and reliability through internal consistency (Cronbach's alpha) and stability (relative and absolute reliability) were assessed.</p><p><strong>Results: </strong>The 27- item EGQ, rated on a five-point Likert scale, was obtained with these psychometric properties: face validity (Impact Score > 1.5), content validity ratio (CVR > 0.62), average content validity index (SCVI/Ave > 0.8), exploratory factor analysis with four factors (unlived life, being another, dialogical or interpersonal dimension, and incompleteness) with a cumulative variance of 40.3%, and good fit indices in confirmatory factor analysis including RMSEA =0.07, χ^2/df = 2.50, comparative fit index (CFI) = 0.91, and incremental fit index (IFI) = 0.91. Additionally, internal consistency reliability (α = 0.87), relative reliability (ICC = 0.985), and absolute reliability (SEM = 2.29), interpretability, responsiveness, and ceiling and floor effects were obtained.</p><p><strong>Conclusion: </strong>This valid and reliable questionnaire for measuring existential guilt in cancer patients helps therapists assess patients in this regard and implement therapeutic interventions in response to this issue.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"480-501"},"PeriodicalIF":1.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018153","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":"Interpersonal impacts of cancer diagnosis and treatment: A mixed methods study among young adult cancer survivors.","authors":"Kyla Dennis, Hannah Arem, Darcey M McCready, Afrah Howlader, Sheena Shajan, Palash Bhanot, Lillian Shaffer, Laura C Schubel, Carla J Berg","doi":"10.1080/07347332.2025.2602620","DOIUrl":"10.1080/07347332.2025.2602620","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined cancer-related disruptions to family, friend, and intimate relationships, as well as fertility/reproduction, and related implications regarding hope among young adults.</p><p><strong>Methods: </strong>We analyzed data from young adult survivors (ages 18-39) who participated in: 1) qualitative interviews (April-July, 2023; <i>n</i> = 23) regarding cancer's social/reproductive impacts; and 2) surveys (February-September, 2024; <i>n</i> = 155) assessing quality of life (FACT-G and PROMIS) and hope.</p><p><strong>Results: </strong>Interview themes included cancer's impacts on: relationships with friends/family (increased prioritization of family/relationships, unanticipated reconnections, role disruption, others not relating or providing support); intimate relationships (importance of spouses/partners, disclosure to potential partners); and reproduction (family planning disruptions). Multivariable linear regression models indicated that higher scores on FACT-G social well-being and PROMIS participating in social roles/activities were associated with higher hope, adjusting for covariates and other quality of life measures.</p><p><strong>Conclusions: </strong>Interventions for this population targeting hope and navigating social relationships/roles may enhance quality of life.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"461-479"},"PeriodicalIF":1.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821664","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":"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":"131-148"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","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}