Intolerance of Uncertainty and Its Association With Cancer-Related Symptoms: A Scoping Review.

IF 2.5 3区 医学 Q1 NURSING Cancer Nursing Pub Date : 2025-02-03 DOI:10.1097/NCC.0000000000001462
Yesol Yang, Yufen Lin, Bohyun Kim, Stephanie M Gorka, Diane Von Ah
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Abstract

Background: Cancer-related symptoms have negative impacts on the health outcomes of adults with cancer. Thus, it is critical to identify who might be at risk. Intolerance of uncertainty (IU) could be the major contributor for cancer-related symptoms; however, this relationship is understudied in the context of cancer.

Objective: The purpose of this scoping review was to map the literature that has investigated IU and its link to cancer-related symptoms.

Methods: This scoping review used the framework proposed by Arksey and O'Malley and PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews). A comprehensive search was conducted using 5 databases. English-language primary research published focusing on IU and cancer-related symptoms was included in this review.

Results: Of 12 articles included in this review, 11 studies found a positive relationship of IU with affective symptoms, including anxiety, depression, stress, fear, worry, and distress. Additionally, one study showed that higher IU was associated with greater cognitive impairment and that association was mediated by anxiety.

Conclusion: Findings from this scoping review support the positive association between IU and cancer-related symptoms. This review further suggests that IU could be a potential risk factor for cancer-related affective and cognitive symptoms.

Implication for practice: The incidence of affective and cognitive symptoms in cancer survivors is high. Given that IU is associated with these symptoms, IU-focused treatments may be beneficial in this group.

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不确定性不耐受及其与癌症相关症状的关系:一项范围综述
背景:癌症相关症状对成年癌症患者的健康结果有负面影响。因此,确定谁可能处于危险之中是至关重要的。不确定性不耐受(IU)可能是癌症相关症状的主要原因;然而,在癌症的背景下,这种关系还没有得到充分的研究。目的:本综述的目的是绘制研究IU及其与癌症相关症状联系的文献图谱。方法:本范围评价采用Arksey和O'Malley以及PRISMA-ScR(系统评价优选报告项目和范围评价扩展元分析)提出的框架。对5个数据库进行了全面的检索。本综述纳入了关注IU和癌症相关症状的英文主要研究。结果:在本综述纳入的12篇文章中,11项研究发现IU与情感症状呈正相关,包括焦虑、抑郁、压力、恐惧、担忧和痛苦。此外,一项研究表明,较高的IU与更严重的认知障碍有关,而这种联系是由焦虑介导的。结论:这项范围审查的结果支持IU与癌症相关症状之间的正相关。这一综述进一步表明,IU可能是癌症相关情感和认知症状的潜在危险因素。对实践的启示:癌症幸存者中情感和认知症状的发生率很高。考虑到IU与这些症状相关,针对IU的治疗可能对该组有益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Cancer Nursing
Cancer Nursing 医学-护理
CiteScore
4.80
自引率
3.80%
发文量
244
审稿时长
6-12 weeks
期刊介绍: Each bimonthly issue of Cancer Nursing™ addresses the whole spectrum of problems arising in the care and support of cancer patients--prevention and early detection, geriatric and pediatric cancer nursing, medical and surgical oncology, ambulatory care, nutritional support, psychosocial aspects of cancer, patient responses to all treatment modalities, and specific nursing interventions. The journal offers unparalleled coverage of cancer care delivery practices worldwide, as well as groundbreaking research findings and their practical applications.
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