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A Three Factor Model of Parental Coping With Childhood Cancer. 父母应对儿童癌症的三因素模型。
IF 3.5 2区 医学 Q2 ONCOLOGY Pub Date : 2025-10-01 DOI: 10.1002/pon.70294
Oz Hamtzani, Michael J Dolgin, Talma Kushnir

Objectives: Parents of children with cancer are at increased risk for anxiety, depression, and post-traumatic stress, although wide variability among parents has been documented. This cross-sectional study was designed to examine the individual contributions and simultaneous interaction of three coping constructs-coping strategy, repertoire of coping techniques, and flexibility in applying these techniques-in parental distress related to childhood cancer.

Methods: A sample of 88 mothers and 57 fathers (N = 145) of children undergoing active cancer treatment were recruited from a pediatric hematology-oncology department. Parents' ages ranged from 22 to 58 years. Parents completed standardized measures including the Brief COPE, Coping Flexibility Scale-Revised, the Pediatric Parenting Stress Inventory, and the Profile of Mood States.

Results: Avoidance-focused coping strategy, repertoire of coping techniques, and coping flexibility were individually found to be significantly correlated with parental distress. Bootstrap mediation analysis revealed that the collective model explained 37%-43% of the variance in parental distress, with avoidance-focused coping strategy emerging as the most significant predictor, accounting for approximately 29% of the total variance.

Conclusions: These results suggest that clinical interventions should prioritize identifying and reducing parental reliance on avoidance-focused coping techniques as a primary target. Subsequently, expanding parents' repertoire of problem- and emotion-focused coping techniques and enhancing flexibility in their application could lead to better distress reduction. However, the cross-sectional design limits causal interpretation, and future longitudinal studies employing larger sample sizes are needed to establish the relationships between these constructs.

目的:癌症儿童的父母患焦虑、抑郁和创伤后应激的风险增加,尽管有文献记载父母之间存在很大差异。本横断面研究旨在探讨在儿童癌症相关的父母痛苦中,三个应对结构——应对策略、应对技巧的曲目和应用这些技巧的灵活性——的个人贡献和同时的相互作用。方法:从儿童血液肿瘤科招募88名接受积极癌症治疗的儿童母亲和57名父亲(N = 145)。父母的年龄从22岁到58岁不等。父母完成了标准化的测量,包括简短的COPE,应对灵活性量表-修订,儿科父母压力量表和情绪状态概况。结果:以回避为中心的应对策略、应对技巧和应对灵活性分别与父母痛苦有显著相关。Bootstrap中介分析显示,集体模型解释了37%-43%的父母痛苦方差,以回避为中心的应对策略是最显著的预测因子,约占总方差的29%。结论:这些结果表明,临床干预应优先识别和减少父母对以逃避为中心的应对技术的依赖,并将其作为主要目标。随后,扩大父母的问题和情绪为中心的应对技巧的剧目,并提高其应用的灵活性,可以更好地减少痛苦。然而,横断面设计限制了因果解释,未来需要采用更大样本量的纵向研究来建立这些结构之间的关系。
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引用次数: 0
Development and Psychometric Testing of the Social Participation Scale for Pediatric Cancer Patients. 儿童癌症患者社会参与量表的编制与心理测试。
IF 3.5 2区 医学 Q2 ONCOLOGY Pub Date : 2025-10-01 DOI: 10.1002/pon.70303
Wang Mengjia, Liu Guo, Li Dan, Ji Jinglan, Ma Zilong, Wang Qing, Guo Xinyan, Zhang Ruixing

Objectives: Social participation plays a key role in the rehabilitation process, improving mental health, reducing isolation, and enhancing quality of life. Despite its importance, existing tools for assessing social participation in pediatric cancer patients are limited in comprehensiveness and specificity. The aim of this study was to develop and evaluate the psychometric properties of a Social Participation Scale for Pediatric Cancer Patients (SPS-PC).

Methods: Items were created after an extensive literature review and evaluated through expert consultation and a pilot study. A convenience sampling approach was employed to recruit 420 pediatric cancer patients from pediatric departments of three tertiary grade-A hospitals in Zhengzhou for psychometric testing of the scale. Item selection was based on item analysis, exploratory factor analysis was conducted to extract factors, and confirmatory factor analysis was used to assess structural validity.

Results: The final version of the SPS-PC includes 16 items across four dimensions: school participation, family participation, peer participation, and health management participation. The scale demonstrated excellent content and construct validity, with high internal consistency (Cronbach's α = 0.900) and strong reliability (test-retest reliability = 0.820). Exploratory and confirmatory factor analyses confirmed a robust four-factor structure.

Conclusion: The SPS-PC is a reliable and valid instrument for assessing social participation in pediatric cancer patients. The scale's comprehensive approach makes it an essential tool for clinical practice and research in pediatric oncology, contributing to the social reintegration of these children.

目标:社会参与在康复过程中发挥关键作用,改善心理健康,减少孤立,提高生活质量。尽管它很重要,但现有的评估儿童癌症患者社会参与的工具在全面性和特异性方面是有限的。本研究的目的是开发和评估儿童癌症患者社会参与量表(SPS-PC)的心理测量特征。方法:在广泛的文献回顾和专家咨询和试点研究评估后,创建项目。采用方便抽样的方法,从郑州市三所三级甲等医院儿科抽取420名儿童肿瘤患者进行心理测试。项目选择基于项目分析,探索性因子分析提取因子,验证性因子分析评估结构效度。结果:最终版本的SPS-PC包括学校参与、家庭参与、同伴参与和健康管理参与四个维度的16个项目。量表具有较好的内容和结构效度,具有较高的内部一致性(Cronbach’s α = 0.900)和较强的信度(重测信度= 0.820)。探索性和验证性因素分析证实了稳健的四因素结构。结论:SPS-PC是一种可靠、有效的评估儿童癌症患者社会参与的工具。该量表的综合方法使其成为儿科肿瘤学临床实践和研究的重要工具,有助于这些儿童重新融入社会。
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引用次数: 0
Using consideRATE to Evaluate Patient Experience in a Cancer Center: Psychometric and Healthcare Assessments. 在癌症中心使用体贴评估病人体验:心理测量学和保健评估。
IF 3.5 2区 医学 Q2 ONCOLOGY Pub Date : 2025-10-01 DOI: 10.1002/pon.70292
Joseph P Nano, Gabrielle Stevens, Glyn Elwyn, Leeza Petrov, Saahithya Gowrishankar, Shaday Robitaille, Aricca D Van Citters, Eugene C Nelson, Garrett T Wasp, Kathryn B Kirkland, Meredith A MacMartin, Catherine H Saunders

Background: consideRATE is a patient- and care-partner-reported measure of care experience during serious illness. We used consideRATE with patients and care partners at the Dartmouth Cancer Center to assess patient experience, evaluate psychometric properties, and explore scoring approaches.

Methods: Patients and care partners who are aged 18+ and English proficient participated in a cross-sectional survey. Participants completed consideRATE (8 items), CANHELP Lite (21 items), and demographic questions. Reliability was assessed using Cronbach's α, and validity was evaluated with Pearson's correlations. Continuous and top-box scoring approaches were used. Psychometric properties were analyzed for patients, care partners, and subgroups with lower educational attainment or income.

Results: 244 participants (114 patients, 128 care-partners, 2 unspecified) completed the survey. consideRATE has internal reliability (α = 0.86); the correlation (r) between consideRATE continuous scoring and CANHELP Lite scores for all participants was 0.5; p < 0.001, for patients 0.5; p < 0.001, for care-partners 0.5; p < 0.001, for patients (n = 71) with lower educational attainment 0.5, p < 0.001, and for patients (n = 50) with lower income 0.7, p < 0.001. We also found correlations between consideRATE top-box scoring and CANHELP Lite scores for all participants (rpb = 0.4, p < 0.001), with stronger associations among the patient (rpb = 0.5, p < 0.001) and lower income (rpb = 0.6, p = 0.005) subgroups. We found discriminant validity between consideRATE and Single-item Health Literacy (SIL) measures for continuous scoring (r = -0.05 to 0.09, p > 0.05) and top-box scoring (r = -0.02 to 0.09, p > 0.05). We found no significant difference in overall experience between patients with solid and hematologic malignancy cancer categories.

Conclusion: We demonstrated in this sample of patients attending a cancer center that consideRATE has good internal reliability and is well correlated with CANHELP Lite.

背景:体贴是一个病人和护理伙伴报告的严重疾病期间护理经验的措施。我们对达特茅斯癌症中心的患者和护理伙伴使用了“体贴”来评估患者的体验,评估心理测量特性,并探索评分方法。方法:对18岁以上英语熟练的患者及护理伴进行横断面调查。参与者完成了体谅(8项)、帮助生活(21项)和人口统计问题。信度采用Cronbach′s α评价,效度采用Pearson′s相关评价。采用连续评分法和顶盒评分法。分析了患者、护理伙伴和教育程度或收入较低的亚组的心理测量特性。结果:244名参与者(114名患者,128名护理伙伴,2名未指明)完成了调查。体谅有内部信度(α = 0.86);所有参与者的体贴连续得分与CANHELP生活得分的相关系数(r)为0.5;p pb = 0.4, p pb = 0.5, p pb = 0.6, p = 0.005)子组。我们发现,在连续评分(r = -0.05至0.09,p > 0.05)和顶盒评分(r = -0.02至0.09,p > 0.05)上,体贴和单项健康素养(SIL)测量之间存在判别效度。我们发现实体恶性肿瘤和血液恶性肿瘤患者的总体经验没有显著差异。结论:我们在这个癌症中心的患者样本中证明了体贴具有良好的内部信度,并且与CANHELP life具有良好的相关性。
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引用次数: 0
Distinguishing Mental From Physical Fatigue in Patients With Low-Grade Glioma. 低度胶质瘤患者精神疲劳与躯体疲劳的区别。
IF 3.5 2区 医学 Q2 ONCOLOGY Pub Date : 2025-10-01 DOI: 10.1002/pon.70289
Femke F Siebenga, Sandra E Rakers, Floor Gelmers, Hiska L van der Weide, Miranda C A Kramer, Anouk van der Hoorn, Roelien H Enting, Ingeborg Bosma, Rob J M Groen, Hanne-Rinck Jeltema, Michiel Wagemakers, Jacoba M Spikman, Anne M Buunk

Background: Fatigue is a common consequence of low-grade gliomas (LGG), but its specific nature has not been extensively studied. In particular, it remains unclear if the prevalence and determinants of mental fatigue differ from those of physical fatigue. Therefore, this study aimed to examine (1) whether the prevalence and severity of mental fatigue differ from physical fatigue in patients with LGG; (2) the specific determinants of mental and physical fatigue, including cognitive impairments, affective symptoms and radiological abnormalities.

Methods: A total of 148 patients with LGG were included and assessed with the Dutch Multifactor Fatigue Scale (DMFS; mental and physical fatigue) and the Hospital Anxiety and Depression Scale (HADS; affective symptoms). Neuropsychological tests were administered to measure cognitive impairments, particularly in basic and complex information processing speed.

Results: Severe mental fatigue affected 38% of patients, a significantly different prevalence than that of severe physical fatigue (22%), with an overlap of 15%. Patients with severe mental fatigue had significantly lower scores on a divided attention task, compared to patients with non-severe mental fatigue. In a hierarchical linear prediction model with demographical, radiological and psychological variables, different sets of determinants were found for mental fatigue (anxiety and depression) and physical fatigue (depression, educational level and tumor volume).

Conclusions: Mental fatigue can be distinguished from physical fatigue in patients with LGG, characterized by a high prevalence and unique determinants. Therefore, mental fatigue should be considered as a distinct construct and presumably requires a different (neuro)psychological therapeutic approach compared to physical fatigue.

背景:疲劳是低级别胶质瘤(LGG)的常见后果,但其具体性质尚未得到广泛研究。特别是,目前尚不清楚精神疲劳的患病率和决定因素是否与身体疲劳不同。因此,本研究旨在检验(1)LGG患者精神疲劳的患病率和严重程度是否与躯体疲劳不同;(2)精神和身体疲劳的具体决定因素,包括认知障碍、情感症状和放射学异常。方法:采用荷兰多因素疲劳量表(DMFS;身心疲劳)和医院焦虑抑郁量表(HADS;情感症状)对148例LGG患者进行评估。通过神经心理学测试来测量认知障碍,特别是在基本和复杂信息处理速度方面。结果:38%的患者存在严重精神疲劳,与严重身体疲劳(22%)的患病率有显著差异,重叠率为15%。与非严重精神疲劳的患者相比,严重精神疲劳的患者在分散注意力任务中的得分明显较低。在包含人口统计学、放射学和心理学变量的分层线性预测模型中,发现精神疲劳(焦虑和抑郁)和身体疲劳(抑郁、教育水平和肿瘤体积)有不同的决定因素。结论:精神疲劳与躯体疲劳在LGG患者中具有明显的区别,具有高患病率和独特的决定因素。因此,精神疲劳应被视为一种独特的结构,与身体疲劳相比,可能需要不同的(神经)心理治疗方法。
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引用次数: 0
Factors Associated With Fear of Cancer Recurrence in a Multiethnic Cohort of Patients With Breast Cancer. 多种族乳腺癌患者对癌症复发恐惧的相关因素
IF 3.5 2区 医学 Q2 ONCOLOGY Pub Date : 2025-10-01 DOI: 10.1002/pon.70307
Armaan Jamal, Fangyuan Zhao, Jincong Q Freeman, Yijia Sun, Marcia M Tan, Rita Nanda, Nan Chen, Olufunmilayo I Olopade, Dezheng Huo

Background: Fear of cancer recurrence (FCR) is prevalent among patients with breast cancer, yet those at high risk are not well characterized.

Aims: This study aimed to identify the patient characteristics associated with FCR after diagnosis.

Methods: Between July and September 2023, participants in the Chicago Multiethnic Epidemiologic Breast Cancer Cohort completed the 9-item FCR-Short Form Inventory. A score of 22 or higher indicated clinically significant FCR (csFCR). Logistic and linear regression estimated associations between different risk factors and csFCR and FCR scores, respectively. Missing data were addressed using multiple imputation.

Results: Among 1390 stage I-III patients (mean age 63.1 years and 9.1 [mean] years since diagnosis), 262 (18.8%) reported csFCR. In adjusted models, csFCR was associated with having another cancer excluding non-melanoma skin (adjusted odds ratio [aOR], 2.64; 95% CI, 1.66-4.21), greater levels of stress (aOR, 2.40 per 1-SD increment; 95% CI, 1.98-2.91), having a prior recurrence (aOR, 2.26; 95% CI, 1.14-4.47), and having estrogen receptor-positive tumors (aOR, 1.60; 95% CI, 1.06-2.40). Older age at diagnosis (aOR, 0.64 per 10-year increment; 95% CI, 0.56-0.73) was associated with lower odds of csFCR. Similar associations were observed with continuous FCR scores, along with advanced stage at diagnosis associated with higher FCR scores (p-trend = 0.001).

Conclusions: Nearly 1 in 5 breast cancer patients reported csFCR. Key risk factors included younger age at diagnosis, history of recurrence or other malignancies, greater levels of stress, and estrogen receptor-positive breast cancer, which can inform targeted interventions to support survivorship.

背景:对癌症复发的恐惧(Fear of cancer recurrence, FCR)在乳腺癌患者中普遍存在,但高危患者的特征尚未明确。目的:本研究旨在确定诊断后与FCR相关的患者特征。方法:在2023年7月至9月期间,芝加哥多种族流行病学乳腺癌队列的参与者完成了9项fcr短表量表。22分及以上提示临床显著性FCR (csFCR)。Logistic回归和线性回归分别估计了不同危险因素与csFCR和FCR评分之间的关系。缺失的数据使用多重输入处理。结果:1390例I-III期患者(平均年龄63.1岁,诊断后平均9.1岁)中,262例(18.8%)报告csFCR。在调整后的模型中,csFCR与除非黑色素瘤外的其他癌症(调整优势比[aOR], 2.64; 95% CI, 1.66-4.21)、较高的应激水平(调整优势比[aOR],每1-SD增加2.40;95% CI, 1.98-2.91)、既往复发(aOR, 2.26; 95% CI, 1.14-4.47)以及雌激素受体阳性肿瘤(aOR, 1.60; 95% CI, 1.06-2.40)相关。诊断时年龄越大(aOR为0.64 / 10年;95% CI为0.56-0.73)与csFCR发生几率较低相关。在连续FCR评分中观察到类似的关联,以及诊断时的晚期与较高的FCR评分相关(p趋势= 0.001)。结论:近1 / 5的乳腺癌患者报告了csFCR。主要的风险因素包括诊断时年龄较小、复发史或其他恶性肿瘤、较高的压力水平和雌激素受体阳性的乳腺癌,这些因素可以为有针对性的干预提供信息,以支持幸存者。
{"title":"Factors Associated With Fear of Cancer Recurrence in a Multiethnic Cohort of Patients With Breast Cancer.","authors":"Armaan Jamal, Fangyuan Zhao, Jincong Q Freeman, Yijia Sun, Marcia M Tan, Rita Nanda, Nan Chen, Olufunmilayo I Olopade, Dezheng Huo","doi":"10.1002/pon.70307","DOIUrl":"10.1002/pon.70307","url":null,"abstract":"<p><strong>Background: </strong>Fear of cancer recurrence (FCR) is prevalent among patients with breast cancer, yet those at high risk are not well characterized.</p><p><strong>Aims: </strong>This study aimed to identify the patient characteristics associated with FCR after diagnosis.</p><p><strong>Methods: </strong>Between July and September 2023, participants in the Chicago Multiethnic Epidemiologic Breast Cancer Cohort completed the 9-item FCR-Short Form Inventory. A score of 22 or higher indicated clinically significant FCR (csFCR). Logistic and linear regression estimated associations between different risk factors and csFCR and FCR scores, respectively. Missing data were addressed using multiple imputation.</p><p><strong>Results: </strong>Among 1390 stage I-III patients (mean age 63.1 years and 9.1 [mean] years since diagnosis), 262 (18.8%) reported csFCR. In adjusted models, csFCR was associated with having another cancer excluding non-melanoma skin (adjusted odds ratio [aOR], 2.64; 95% CI, 1.66-4.21), greater levels of stress (aOR, 2.40 per 1-SD increment; 95% CI, 1.98-2.91), having a prior recurrence (aOR, 2.26; 95% CI, 1.14-4.47), and having estrogen receptor-positive tumors (aOR, 1.60; 95% CI, 1.06-2.40). Older age at diagnosis (aOR, 0.64 per 10-year increment; 95% CI, 0.56-0.73) was associated with lower odds of csFCR. Similar associations were observed with continuous FCR scores, along with advanced stage at diagnosis associated with higher FCR scores (p-trend = 0.001).</p><p><strong>Conclusions: </strong>Nearly 1 in 5 breast cancer patients reported csFCR. Key risk factors included younger age at diagnosis, history of recurrence or other malignancies, greater levels of stress, and estrogen receptor-positive breast cancer, which can inform targeted interventions to support survivorship.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 10","pages":"e70307"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12531357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145308763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Psychosocial Risk Factors and Perceived Well-Being in Survivors of Gastrointestinal Cancer. 胃肠癌幸存者的心理社会风险因素和感知幸福感。
IF 3.5 2区 医学 Q2 ONCOLOGY Pub Date : 2025-10-01 DOI: 10.1002/pon.70302
Samuel D Butensky, Kurt S Schultz, Elizabeth L Godfrey, Jihoon Kim, Tara Sanft, Caroline H Johnson, Ira L Leeds, Sajid A Khan

Background: There are 18 million cancer survivors in the United States; 10% have gastrointestinal (GI) cancer. Psychosocial risk factors (PSRF) and perceived health (PH) are important to their well-being.

Aims: This study examines PSRF among survivors of GI cancer and evaluates their association with PH.

Methods: A cross-sectional analysis of the All of Us Research Program included survivors of GI cancer who completed Social Determinants of Health and Overall Health surveys. PSRF were assessed using validated scales. Regression models evaluated associations between PSRF and PH.

Results: 13,813 patients with GI cancer were included. Female patients were more likely to perceive good physical health (OR 1.52 [95% CI: 1.30-1.79]) than male patients. Black patients reported higher discrimination (β 0.25 [95% CI: 0.20-0.31]) compared to white patients. Increased loneliness and stress decreased the odds of reporting good mental health by 53% (OR 0.47 [95% CI: 0.39-0.56]) and 39% (OR 0.61 [95% CI: 0.50-0.74]), respectively. Increased spirituality was associated with improved perceived mental health (OR 1.12 [95% CI: 1.06-1.17]). Healthcare discrimination (OR 0.87 [95% CI: 0.79-0.97]) and loneliness (OR 0.84 [95% CI: 0.73-0.97]) were negatively associated with perceived physical health. Social support (OR 1.16 [95% CI: 1.06-1.26]) and spirituality (OR 1.08 [95% CI: 1.02-1.14]) were positively associated with quality of life.

Conclusion: Protective PSRF such as social support and spirituality are correlated with better perceived health in survivors of GI cancer. Tailoring supportive services based on patient-reported experience may help improve quality of life in cancer survivorship.

背景:美国有1800万癌症幸存者;10%患有胃肠道(GI)癌。心理社会风险因素(PSRF)和感知健康(PH)对他们的福祉很重要。目的:本研究考察了GI癌症幸存者的PSRF,并评估其与ph的关系。方法:对“我们所有人”研究项目的横断面分析,包括完成健康社会决定因素和整体健康调查的GI癌症幸存者。PSRF采用经验证的量表进行评估。回归模型评估PSRF与ph之间的关系。结果:纳入13813例胃肠道肿瘤患者。女性患者比男性患者更有可能感觉身体健康(OR: 1.52 [95% CI: 1.30-1.79])。与白人患者相比,黑人患者报告更高的歧视(β 0.25 [95% CI: 0.20-0.31])。孤独感和压力的增加使报告良好心理健康的几率分别降低了53% (OR 0.47 [95% CI: 0.39-0.56])和39% (OR 0.61 [95% CI: 0.50-0.74])。增加的灵性与改善的感知心理健康相关(OR 1.12 [95% CI: 1.06-1.17])。保健歧视(OR 0.87 [95% CI: 0.79-0.97])和孤独(OR 0.84 [95% CI: 0.73-0.97])与感知身体健康呈负相关。社会支持(OR 1.16 [95% CI: 1.06-1.26])和精神(OR 1.08 [95% CI: 1.02-1.14])与生活质量呈正相关。结论:社会支持和灵性等保护性PSRF与胃肠道癌症幸存者更好的健康感知相关。根据患者报告的经验量身定制支持服务可能有助于提高癌症幸存者的生活质量。
{"title":"Psychosocial Risk Factors and Perceived Well-Being in Survivors of Gastrointestinal Cancer.","authors":"Samuel D Butensky, Kurt S Schultz, Elizabeth L Godfrey, Jihoon Kim, Tara Sanft, Caroline H Johnson, Ira L Leeds, Sajid A Khan","doi":"10.1002/pon.70302","DOIUrl":"10.1002/pon.70302","url":null,"abstract":"<p><strong>Background: </strong>There are 18 million cancer survivors in the United States; 10% have gastrointestinal (GI) cancer. Psychosocial risk factors (PSRF) and perceived health (PH) are important to their well-being.</p><p><strong>Aims: </strong>This study examines PSRF among survivors of GI cancer and evaluates their association with PH.</p><p><strong>Methods: </strong>A cross-sectional analysis of the All of Us Research Program included survivors of GI cancer who completed Social Determinants of Health and Overall Health surveys. PSRF were assessed using validated scales. Regression models evaluated associations between PSRF and PH.</p><p><strong>Results: </strong>13,813 patients with GI cancer were included. Female patients were more likely to perceive good physical health (OR 1.52 [95% CI: 1.30-1.79]) than male patients. Black patients reported higher discrimination (β 0.25 [95% CI: 0.20-0.31]) compared to white patients. Increased loneliness and stress decreased the odds of reporting good mental health by 53% (OR 0.47 [95% CI: 0.39-0.56]) and 39% (OR 0.61 [95% CI: 0.50-0.74]), respectively. Increased spirituality was associated with improved perceived mental health (OR 1.12 [95% CI: 1.06-1.17]). Healthcare discrimination (OR 0.87 [95% CI: 0.79-0.97]) and loneliness (OR 0.84 [95% CI: 0.73-0.97]) were negatively associated with perceived physical health. Social support (OR 1.16 [95% CI: 1.06-1.26]) and spirituality (OR 1.08 [95% CI: 1.02-1.14]) were positively associated with quality of life.</p><p><strong>Conclusion: </strong>Protective PSRF such as social support and spirituality are correlated with better perceived health in survivors of GI cancer. Tailoring supportive services based on patient-reported experience may help improve quality of life in cancer survivorship.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 10","pages":"e70302"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cancer in Poetry-Poetry in Cancer: A Linguistic Analysis of Poems by Poets on Their Own Cancer and on the Cancer of Their Loved Ones. 诗歌中的癌症——癌症中的诗歌:诗人关于自己癌症和他们所爱的癌症的诗歌的语言分析。
IF 3.5 2区 医学 Q2 ONCOLOGY Pub Date : 2025-10-01 DOI: 10.1002/pon.70297
Ad A Kaptein, Waldie E Hanser, Jan W Schoones, Peter Boot, James W Pennebaker, Brian M Hughes

Background: Poems related to cancer offer a rich perspective on the clinical reality of living with cancer. Therefore, in this paper, poems written by poets about their own cancer and about the cancer of loved ones are examined in the context of communal coping.

Methods: We analyzed 123 poems by 14 poets writing about their own cancer, and 72 poems by 8 poets writing about the cancer of their loved ones, with Linguistic Inquiry and Word Count software (LIWC).

Results: LIWC-scores drawn from poems about one's own cancer exhibited a limited use of "third-person singular", social words ("family", "female", "male"), and time orientation ("focus past"), and an increased focus on the present. Support for this observation comes from significant correlations between words related to the present, body, and health, with strong, negative emotions. Poems about loved ones who suffer cancer tend to focus on grief and mourning, and to exhibit melancholy and represent paternal, maternal, spousal, and filial elegies.

Conclusions: The linguistic characteristics and content of poems by poets writing about their cancer or about the cancer of their loved ones provides rich insights. This linguistic analysis of poems regarding cancer can be used in the further development of theory and clinical application of self-management approaches for persons with cancer, in support of expressive writing interventions, bibliotherapy, photovoice, art therapy, and health humanities.

背景:与癌症相关的诗歌为癌症患者的临床生活提供了丰富的视角。因此,在本文中,诗人所写的关于他们自己的癌症和关于亲人的癌症的诗歌是在共同应对的背景下进行研究的。方法:采用语言探究与字数统计软件(LIWC)对14位诗人关于自己癌症的123首诗和8位诗人关于亲人癌症的72首诗进行分析。结果:从关于自己癌症的诗歌中提取的liwc分数显示,“第三人称单数”、社交词汇(“家庭”、“女性”、“男性”)和时间取向(“关注过去”)的使用有限,而对现在的关注有所增加。与现在、身体和健康相关的词汇与强烈的负面情绪之间存在显著的相关性,这一点支持了这一观察结果。关于罹患癌症的亲人的诗歌往往集中在悲伤和哀悼上,表现出忧郁,代表了父亲、母亲、配偶和子女的哀歌。结论:诗人写关于自己或亲人的癌症的诗歌的语言特征和内容提供了丰富的见解。这种对癌症诗歌的语言分析可以用于癌症患者自我管理方法的理论和临床应用的进一步发展,以支持表达性写作干预、阅读疗法、光声疗法、艺术疗法和健康人文学科。
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引用次数: 0
Balancing Treatment Efficacy and Cardiovascular Risk: Implications for Psychosocial Care in Men With Castration-Resistant Prostate Cancer. 平衡治疗效果和心血管风险:对去势抵抗性前列腺癌患者的心理社会护理的意义
IF 3.5 2区 医学 Q2 ONCOLOGY Pub Date : 2025-10-01 DOI: 10.1002/pon.70300
Ewan K Cobran, Umar Afzal, Lanyu Mi
{"title":"Balancing Treatment Efficacy and Cardiovascular Risk: Implications for Psychosocial Care in Men With Castration-Resistant Prostate Cancer.","authors":"Ewan K Cobran, Umar Afzal, Lanyu Mi","doi":"10.1002/pon.70300","DOIUrl":"https://doi.org/10.1002/pon.70300","url":null,"abstract":"","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 10","pages":"e70300"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145252211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Proactive Identification and Digital Mental Health Intervention for the Treatment of Depression Among Individuals With Likely Incurable Cancer: A Pilot Randomized Clinical Trial. 积极识别和数字心理健康干预治疗抑郁症的个体可能无法治愈的癌症:一项试点随机临床试验。
IF 3.5 2区 医学 Q2 ONCOLOGY Pub Date : 2025-10-01 DOI: 10.1002/pon.70309
Evan M Graboyes, Olivia Levins, Reid DeMass, Nivetha Baskar, Noelle Natale, Katherine R Sterba, Jihad S Obeid, Shivani Sharma, Elizabeth G Hill, Jennifer Dahne

Background: Although depression is prevalent and has significant consequences among individuals living with likely incurable cancer (ILLIC), optimal methods of identifying and treating depression in this population remain unknown.

Aims: To evaluate a paradigm of (1) proactive identification (ID) (i.e., remotely and asynchronously from clinical encounters) of depression among ILLIC and (2) digital mental health intervention (DMHI) for depression treatment.

Methods: In this decentralized randomized clinical trial, ILLIC with elevated depressive symptoms were proactively identified using electronic health record data and randomized 2:1 to a DMHI-based Behavioral Activation treatment or usual care (UC) depression treatment. Measures of feasibility (accrual, retention) and acceptability (engagement) were described; depression severity (change in PHQ-9 scores through 4 weeks post-randomization) was modeled with a generalized estimating equation.

Results: Among 88 ILLIC who completed screening, 30 were eligible and randomized to the trial. No patients were lost to follow-up or withdrew; 80% of patients randomized to proactive ID + DMHI used the app through 4 weeks. Proactive ID + DMHI improved depression from baseline to 4 weeks relative to proactive ID + UC (mean difference in change from baseline to week 4 = -2.7; 90% CI: -4.9 to -0.4). At 4 weeks, the odds of a clinical response (PHQ-9 decrease of ≥ 5 points) was 9.0-fold higher for patients in proactive ID + DMHI relative to proactive ID + UC (OR 9.0; 90% CI: 1.1-74.2).

Conclusions: A proactive ID + DMHI approach to identifying and treating depression among ILLIC is feasible, acceptable, and potentially efficacious. These promising data support conducting a large efficacy trial evaluating this approach.

Trial registration: ClinicalTrials.gov identifier: NCT05932810.

背景:虽然抑郁症在可能无法治愈的癌症(ILLIC)患者中很普遍,并且有显著的后果,但在这一人群中识别和治疗抑郁症的最佳方法仍然未知。目的:评估(1)ILLIC中抑郁症的主动识别(ID)(即远程和异步的临床遭遇)和(2)数字心理健康干预(DMHI)治疗抑郁症的范式。方法:在这个分散的随机临床试验中,使用电子健康记录数据主动识别抑郁症状升高的ILLIC,并随机2:1分配到基于dmhi的行为激活治疗或常规护理(UC)抑郁症治疗。描述了可行性措施(应计、保留)和可接受性措施(投入);抑郁严重程度(随机化后4周PHQ-9评分的变化)用广义估计方程建模。结果:在88名完成筛选的ILLIC中,30名符合条件并随机分配到试验中。无患者失访或退诊;随机分配到主动ID + DMHI组的80%的患者在4周内使用了该应用程序。相对于主动ID + UC,主动ID + DMHI从基线到4周改善抑郁(从基线到第4周变化的平均差异= -2.7;90% CI: -4.9至-0.4)。在第4周,相对于主动ID + UC患者,主动ID + DMHI患者的临床缓解几率(PHQ-9下降≥5分)高出9.0倍(OR 9.0; 90% CI: 1.1-74.2)。结论:主动ID + DMHI方法识别和治疗ILLIC患者抑郁症是可行的,可接受的,并且可能有效。这些有希望的数据支持进行大型疗效试验来评估这种方法。试验注册:ClinicalTrials.gov标识符:NCT05932810。
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引用次数: 0
A Pilot Study of the Cancer Distress Coach-Caregiver App: A Digital Intervention for Reducing PTSD Symptoms in HCT Caregivers. 癌症困扰教练-照顾者应用程序的试点研究:减少HCT照顾者PTSD症状的数字干预。
IF 3.5 2区 医学 Q2 ONCOLOGY Pub Date : 2025-10-01 DOI: 10.1002/pon.70305
Allison J Applebaum, Rebecca R Gebert, Cole Manschot, Eric Kuhn, Eric Laber, Amanda Kastrinos, Osborn Owusu Ansah, Hannah-Rose Mitchell, Sophia K Smith

Background: Caregivers of hematopoietic cell transplantation (HCT) survivors face high risk for posttraumatic stress disorder (PTSD) but lack psychosocial support. Digital health tools may offer scalable solutions to address caregiver distress. This pilot study evaluated the feasibility, acceptability, and preliminary efficacy of Cancer Distress Coach-Caregiver (CaDC-C), an app designed to reduce PTSD symptoms in cancer caregivers.

Method: This report focuses on the first-stage intervention of a larger Sequential Multiple Assignment Randomized Trial (SMART). Participants were initially randomized to receive CaDC-C or Usual Care (i.e., offered psychosocial services available at their respective institutions). Assessments were conducted at baseline and Week 4, and those with no meaningful symptom improvement at Week 4 were re-randomized to higher-intensity interventions. While details about the second-stage randomization will be reported separately, here we report on acceptability of CaDC-C use at Week 14.

Results: Forty-four caregivers consented to participate, N = 36 completed Week 4 surveys (82% retention) and N = 31 completed Week 14 surveys (70% retention). Our post-intervention acceptability benchmark was achieved at Week 14 with 78.9% (n = 15) endorsing at least moderate satisfaction. Additionally, most reported CaDC-C enhanced their knowledge of PTSD and caregiving (84.2%, n = 16), explained their symptoms (78.9%, n = 15), and provided practical solutions to their problems (68.4%, n = 13). At Week 4, 81% (n = 13) reported a clinically meaningful reduction in PTSD symptoms (≥ 5 decrease in PCL-5 score). CaDC-C participants also demonstrated a significant reduction in anxiety symptoms at Week 4 (p = 0.02).

Discussion: This pilot demonstrates the feasibility, acceptability, and preliminary efficacy of CaDC-C as a first-line intervention for PTSD symptoms in cancer caregivers. Future research should evaluate outcomes from higher-intensity interventions and determine the efficacy of CaDC-C in larger, more diverse samples.

背景:造血细胞移植(HCT)幸存者的护理人员面临创伤后应激障碍(PTSD)的高风险,但缺乏社会心理支持。数字健康工具可以提供可扩展的解决方案来解决护理人员的困扰。这项试点研究评估了癌症困扰教练-护理者(CaDC-C)的可行性、可接受性和初步疗效,这是一款旨在减少癌症护理者PTSD症状的应用程序。方法:本报告侧重于一个较大的顺序多分配随机试验(SMART)的第一阶段干预。参与者最初随机接受CaDC-C或常规护理(即在各自的机构提供心理社会服务)。在基线和第4周进行评估,在第4周没有明显症状改善的患者重新随机分配到更高强度的干预措施中。虽然关于第二阶段随机化的细节将单独报告,但在这里,我们报告了第14周使用CaDC-C的可接受性。结果:44名护理人员同意参与,N = 36人完成了第4周的调查(保留率82%),N = 31人完成了第14周的调查(保留率70%)。我们的干预后可接受基准在第14周达到78.9% (n = 15)认可至少中等满意度。此外,大多数报告的CaDC-C增强了他们对PTSD和护理的知识(84.2%,n = 16),解释了他们的症状(78.9%,n = 15),并为他们的问题提供了实用的解决方案(68.4%,n = 13)。在第4周,81% (n = 13)的患者报告PTSD症状有临床意义的减轻(PCL-5评分降低≥5)。CaDC-C参与者在第4周也表现出焦虑症状的显著减少(p = 0.02)。讨论:本试验证明了CaDC-C作为一线干预癌症护理者PTSD症状的可行性、可接受性和初步疗效。未来的研究应该评估高强度干预的结果,并在更大、更多样化的样本中确定CaDC-C的疗效。
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期刊
Psycho‐Oncology
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