首页 > 最新文献

Journal of Psychosomatic Research最新文献

英文 中文
Comorbid DSM-5 mental disorders and chronic pain: What kind of relationship? Findings from the P3 cross-sectional study DSM-5精神障碍和慢性疼痛的共病：什么样的关系？P3横断面研究结果
IF 3.3 2区 医学 Q2 PSYCHIATRY
Journal of Psychosomatic Research
Pub Date : 2026-01-29 DOI: 10.1016/j.jpsychores.2026.112549
Lorenzo Pelizza , Simona Pupo , Camilla Barbi , Marika Alessia Incardona , Giovanni Musetti , Marco Menchetti

Purpose

Mental disorders and chronic pain frequently co-occur. The prevalence of this comorbidity varies widely across investigations and is certainly overestimated using screening self-reports. The main aim of this cross-sectional research was to calculate prevalence rates of mental disorders in a chronic pain population during their first consultation in an Italian specialized pain clinic using the narrow diagnostic criteria of the DSM-5. Additionally, we examined the relationship between this psychiatric comorbidity and a broad range of socio-demographic and clinical parameters related to chronic pain.

Procedures

174 participants were enrolled in the Pain Therapy Service at the Parma University Hospital. They completed the Structured Clinical Interview for DSM-5 mental disorders (SCID-5) and the Brief Pain Inventory (BPI). Associations between psychiatric comorbidity and other parameters were explored using regression analyses.

Main findings

57 (32.7%) subjects with chronic pain had DSM-5 psychiatric comorbidity, particularly major depression and anxiety disorders. This comorbid psychopathology showed significant associations with BPI pain severity and interference scores, as well as with the presence of widespread chronic pain (including fibromyalgia) and the prescription of anti-neuropathic medication at entry. Notably, only a minority (n = 18; 31.6%) of these participants with current comorbid mental disorders were treated in psychiatric services.

Conclusions

A large portion of chronic pain patients with comorbid psychiatric syndromes remain undiagnosed and undertreated. The presence of mental health operators in multidisciplinary chronic pain teams is justified and recommended.
目的障碍和慢性疼痛经常同时发生。这种合并症的患病率在不同的调查中差异很大，使用筛查自我报告肯定会被高估。本横断面研究的主要目的是利用DSM-5的狭窄诊断标准，计算慢性疼痛人群在意大利专门疼痛诊所首次咨询期间精神障碍的患病率。此外，我们研究了这种精神合并症与慢性疼痛相关的广泛的社会人口统计学和临床参数之间的关系。174名参与者在帕尔马大学医院的疼痛治疗服务中心登记。他们完成了DSM-5精神障碍结构化临床访谈（SCID-5）和简短疼痛量表（BPI）。用回归分析探讨精神共病与其他参数之间的关系。主要发现：57例（32.7%）慢性疼痛患者有DSM-5精神疾病共病，特别是重度抑郁和焦虑障碍。这种共病精神病理显示与BPI疼痛严重程度和干扰评分，以及广泛存在的慢性疼痛（包括纤维肌痛）和入院时抗神经病变药物的处方有显著关联。值得注意的是，只有少数（n = 18; 31.6%）患有当前共病性精神障碍的参与者在精神科接受了治疗。结论有相当一部分慢性疼痛患者合并精神疾病，但仍未得到诊断和治疗。心理健康操作员在多学科慢性疼痛团队的存在是合理的和推荐的。
{"title":"Comorbid DSM-5 mental disorders and chronic pain: What kind of relationship? Findings from the P3 cross-sectional study","authors":"Lorenzo Pelizza ,&nbsp;Simona Pupo ,&nbsp;Camilla Barbi ,&nbsp;Marika Alessia Incardona ,&nbsp;Giovanni Musetti ,&nbsp;Marco Menchetti","doi":"10.1016/j.jpsychores.2026.112549","DOIUrl":"10.1016/j.jpsychores.2026.112549","url":null,"abstract":"<div><h3>Purpose</h3><div>Mental disorders and chronic pain frequently co-occur. The prevalence of this comorbidity varies widely across investigations and is certainly overestimated using screening self-reports. The main aim of this cross-sectional research was to calculate prevalence rates of mental disorders in a chronic pain population during their first consultation in an Italian specialized pain clinic using the narrow diagnostic criteria of the DSM-5. Additionally, we examined the relationship between this psychiatric comorbidity and a broad range of socio-demographic and clinical parameters related to chronic pain.</div></div><div><h3>Procedures</h3><div>174 participants were enrolled in the Pain Therapy Service at the Parma University Hospital. They completed the Structured Clinical Interview for DSM-5 mental disorders (SCID-5) and the Brief Pain Inventory (BPI). Associations between psychiatric comorbidity and other parameters were explored using regression analyses.</div></div><div><h3>Main findings</h3><div>57 (32.7%) subjects with chronic pain had DSM-5 psychiatric comorbidity, particularly major depression and anxiety disorders. This comorbid psychopathology showed significant associations with BPI pain severity and interference scores, as well as with the presence of widespread chronic pain (including fibromyalgia) and the prescription of anti-neuropathic medication at entry. Notably, only a minority (<em>n</em> = 18; 31.6%) of these participants with current comorbid mental disorders were treated in psychiatric services.</div></div><div><h3>Conclusions</h3><div>A large portion of chronic pain patients with comorbid psychiatric syndromes remain undiagnosed and undertreated. The presence of mental health operators in multidisciplinary chronic pain teams is justified and recommended.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"203 ","pages":"Article 112549"},"PeriodicalIF":3.3,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146081107","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
Respect: An often-overlooked but essential component of the doctor-patient relationship. 尊重：医患关系中一个经常被忽视的重要组成部分。
IF 3.3 2区 医学 Q2 PSYCHIATRY
Journal of Psychosomatic Research
Pub Date : 2026-01-29 DOI: 10.1016/j.jpsychores.2026.112558
Michela Chiarlo, Marco Bobbio
{"title":"Respect: An often-overlooked but essential component of the doctor-patient relationship.","authors":"Michela Chiarlo, Marco Bobbio","doi":"10.1016/j.jpsychores.2026.112558","DOIUrl":"https://doi.org/10.1016/j.jpsychores.2026.112558","url":null,"abstract":"","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":" ","pages":"112558"},"PeriodicalIF":3.3,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133413","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
Illness perception profiles and psychological and subjective physical symptoms in atrial fibrillation. 房颤患者的疾病感知特征、心理和主观生理症状。
IF 3.3 2区 医学 Q2 PSYCHIATRY
Journal of Psychosomatic Research
Pub Date : 2026-01-26 DOI: 10.1016/j.jpsychores.2026.112540
Minjie Zheng, Xinxin Shi, Zhijuan Xie, Shiyu Zhang, Shan Qu

Background: Illness perceptions have been associated with outcomes in patients with atrial fibrillation (AF). This study aimed to identify distinct illness perception profiles in patients with AF and examine their associations with psychological and physical responses.

Method: A total of 150 patients with AF were enrolled in this study. Illness perception profiles were identified using latent profile analysis (LPA). Model fit indices were evaluated to determine the optimal class solution. Logistic regression analyses were conducted to examine the associations between illness perception profiles and psychological and physical outcomes, including Generalized anxiety disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), 12-Item Short Form Health Survey (SF-12) and University of Toronto atrial fibrillation severity scale (AFSS).

Result: A two-class model was identified as optimal, comprising a "Reactive-Minimizing" profile (Class 1, 49%) and a "Symptom-Helplessness" profile (Class 2, 51%). Univariate logistic analysis revealed significant differences between classes in age, AF type, work status, PHQ-9, AFSS-symptoms, and AFSS-burden. In the multivariable logistic regression adjusted for age and sex (logistic outcome: Class 2 vs. Class 1), higher AFSS-burden scores were independently associated with the "Symptom-Helplessness" profile (OR = 1.26, 95% CI: 1.09-1.45, p = 0.001). Conversely, higher PHQ-9 scores were associated with the "Reactive-Minimizing" profile (OR for Symptom-Helplessness = 0.92, 95% CI: 0.86-0.99, p = 0.018).

Conclusion: Person-centered illness perception profiling revealed two distinct cognitive-emotional patterns in patients with AF that were associated with depressive symptoms and symptom burden, highlighting their potential value for individualized psychological and clinical management.

背景：疾病认知与房颤（AF）患者的预后相关。本研究旨在确定房颤患者不同的疾病感知特征，并检查其与心理和身体反应的关系。方法：本研究共纳入150例房颤患者。疾病知觉特征用潜在特征分析（LPA）确定。对模型拟合指标进行评价，确定最优类解。采用Logistic回归分析来检验疾病感知概况与心理和身体结果之间的关系，包括广泛性焦虑障碍-7 （GAD-7）、患者健康问卷-9 （PHQ-9）、12项简短健康调查（SF-12）和多伦多大学房颤严重程度量表（AFSS）。结果：两类模型被确定为最佳模型，包括“反应-最小化”模型（类1,49%）和“症状-无助”模型（类2,51%）。单因素logistic分析显示，不同班级在年龄、房颤类型、工作状态、PHQ-9、afss症状和afss负担方面存在显著差异。在调整了年龄和性别的多变量logistic回归中（logistic结局：2级vs. 1级），较高的afss负担得分与“症状-无助”特征独立相关（OR = 1.26, 95% CI: 1.09-1.45, p = 0.001）。相反，较高的PHQ-9分数与“反应最小化”特征相关（症状无助的OR = 0.92, 95% CI: 0.86-0.99, p = 0.018）。结论：以人为中心的疾病感知分析揭示了AF患者与抑郁症状和症状负担相关的两种截然不同的认知-情绪模式，强调了它们对个体化心理和临床管理的潜在价值。
{"title":"Illness perception profiles and psychological and subjective physical symptoms in atrial fibrillation.","authors":"Minjie Zheng, Xinxin Shi, Zhijuan Xie, Shiyu Zhang, Shan Qu","doi":"10.1016/j.jpsychores.2026.112540","DOIUrl":"https://doi.org/10.1016/j.jpsychores.2026.112540","url":null,"abstract":"<p><strong>Background: </strong>Illness perceptions have been associated with outcomes in patients with atrial fibrillation (AF). This study aimed to identify distinct illness perception profiles in patients with AF and examine their associations with psychological and physical responses.</p><p><strong>Method: </strong>A total of 150 patients with AF were enrolled in this study. Illness perception profiles were identified using latent profile analysis (LPA). Model fit indices were evaluated to determine the optimal class solution. Logistic regression analyses were conducted to examine the associations between illness perception profiles and psychological and physical outcomes, including Generalized anxiety disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), 12-Item Short Form Health Survey (SF-12) and University of Toronto atrial fibrillation severity scale (AFSS).</p><p><strong>Result: </strong>A two-class model was identified as optimal, comprising a \"Reactive-Minimizing\" profile (Class 1, 49%) and a \"Symptom-Helplessness\" profile (Class 2, 51%). Univariate logistic analysis revealed significant differences between classes in age, AF type, work status, PHQ-9, AFSS-symptoms, and AFSS-burden. In the multivariable logistic regression adjusted for age and sex (logistic outcome: Class 2 vs. Class 1), higher AFSS-burden scores were independently associated with the \"Symptom-Helplessness\" profile (OR = 1.26, 95% CI: 1.09-1.45, p = 0.001). Conversely, higher PHQ-9 scores were associated with the \"Reactive-Minimizing\" profile (OR for Symptom-Helplessness = 0.92, 95% CI: 0.86-0.99, p = 0.018).</p><p><strong>Conclusion: </strong>Person-centered illness perception profiling revealed two distinct cognitive-emotional patterns in patients with AF that were associated with depressive symptoms and symptom burden, highlighting their potential value for individualized psychological and clinical management.</p>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"203 ","pages":"112540"},"PeriodicalIF":3.3,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133404","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
Impact of optimism training on atherosclerotic biomarkers in coronary artery disease: A randomized controlled trial 乐观训练对冠心病患者动脉粥样硬化生物标志物的影响：一项随机对照试验
IF 3.3 2区 医学 Q2 PSYCHIATRY
Journal of Psychosomatic Research
Pub Date : 2026-01-24 DOI: 10.1016/j.jpsychores.2026.112529
Masoumeh Sadeghi , Nasim Kakavand , Mohammadesmaeil Aramesh Boroujeni , Hamidreza Roohafza , Narges Mohammadi , Alireza Aghayousefi , Mohammad Kermani-Alghoraishi

Background

Atherosclerosis, a chronic inflammatory condition, is the leading cause of cardiovascular disease (CVD) morbidity and mortality worldwide. Intercellular adhesion molecule-1 (ICAM-1) and vascular cell adhesion molecule-1 (VCAM-1) are key mediators of leukocyte-endothelial interactions and drivers of atherosclerotic progression. While optimism-based psychological interventions have demonstrated beneficial effects on several inflammatory biomarkers, their impact on adhesion molecules remains unclear.

Methods

We conducted a randomized controlled trial involving 61 outpatients with stable coronary artery disease (CAD) who had completed cardiac rehabilitation. Participants were randomized to an eight-week group-based optimism training program or an attention-matched cardiac education control. Changes in plasma ICAM-1 and VCAM-1 levels were measured by ELISA at baseline and 16 weeks as well as psychological measures of depression, anxiety, and negative affect.

Results

The optimism intervention significantly improved psychological outcomes, with reductions in depression, anxiety, and negative affect compared to controls (p < 0.05). While post-intervention adhesion molecule levels showed significant between-group differences, effect sizes were small and inconclusive, with no significant group-by-time interactions. Correlation analyses found no significant link between changes in optimism and adhesion molecule levels.

Conclusions

Optimism-based interventions yield meaningful psychological benefits in patients with CAD, though changes in adhesion molecule biomarkers were small and uncertain. High variability in biomarker levels and limited detectable effect sizes highlight the need for larger studies to clarify the clinical significance of these findings.
背景：动脉粥样硬化是一种慢性炎症性疾病，是全球心血管疾病（CVD）发病率和死亡率的主要原因。细胞间粘附分子-1 （ICAM-1）和血管细胞粘附分子-1 （VCAM-1）是白细胞-内皮相互作用的关键介质和动脉粥样硬化进展的驱动因素。虽然基于乐观的心理干预已经证明对几种炎症生物标志物有有益的影响，但它们对粘附分子的影响尚不清楚。方法对61例完成心脏康复的稳定型冠心病（CAD）门诊患者进行随机对照试验。参与者被随机分配到为期八周的小组乐观训练计划或注意力匹配的心脏教育控制。在基线和16周时用ELISA检测血浆ICAM-1和VCAM-1水平的变化，以及抑郁、焦虑和消极情绪的心理测量。结果与对照组相比，乐观干预显著改善了心理结局，抑郁、焦虑和负面情绪均有所减少（p < 0.05）。虽然干预后粘附分子水平在组间有显著差异，但效应量很小且不确定，各组间没有显著的相互作用。相关分析发现乐观情绪的变化和粘附分子水平之间没有显著的联系。结论：尽管粘附分子生物标志物的变化很小且不确定，但基于乐观的干预措施对CAD患者产生了有意义的心理益处。生物标志物水平的高度可变性和有限的可检测效应大小突出了需要更大规模的研究来阐明这些发现的临床意义。
{"title":"Impact of optimism training on atherosclerotic biomarkers in coronary artery disease: A randomized controlled trial","authors":"Masoumeh Sadeghi ,&nbsp;Nasim Kakavand ,&nbsp;Mohammadesmaeil Aramesh Boroujeni ,&nbsp;Hamidreza Roohafza ,&nbsp;Narges Mohammadi ,&nbsp;Alireza Aghayousefi ,&nbsp;Mohammad Kermani-Alghoraishi","doi":"10.1016/j.jpsychores.2026.112529","DOIUrl":"10.1016/j.jpsychores.2026.112529","url":null,"abstract":"<div><h3>Background</h3><div>Atherosclerosis, a chronic inflammatory condition, is the leading cause of cardiovascular disease (CVD) morbidity and mortality worldwide. Intercellular adhesion molecule-1 (ICAM-1) and vascular cell adhesion molecule-1 (VCAM-1) are key mediators of leukocyte-endothelial interactions and drivers of atherosclerotic progression. While optimism-based psychological interventions have demonstrated beneficial effects on several inflammatory biomarkers, their impact on adhesion molecules remains unclear.</div></div><div><h3>Methods</h3><div>We conducted a randomized controlled trial involving 61 outpatients with stable coronary artery disease (CAD) who had completed cardiac rehabilitation. Participants were randomized to an eight-week group-based optimism training program or an attention-matched cardiac education control. Changes in plasma ICAM-1 and VCAM-1 levels were measured by ELISA at baseline and 16 weeks as well as psychological measures of depression, anxiety, and negative affect.</div></div><div><h3>Results</h3><div>The optimism intervention significantly improved psychological outcomes, with reductions in depression, anxiety, and negative affect compared to controls (<em>p</em> &lt; 0.05). While post-intervention adhesion molecule levels showed significant between-group differences, effect sizes were small and inconclusive, with no significant group-by-time interactions. Correlation analyses found no significant link between changes in optimism and adhesion molecule levels.</div></div><div><h3>Conclusions</h3><div>Optimism-based interventions yield meaningful psychological benefits in patients with CAD, though changes in adhesion molecule biomarkers were small and uncertain. High variability in biomarker levels and limited detectable effect sizes highlight the need for larger studies to clarify the clinical significance of these findings.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"203 ","pages":"Article 112529"},"PeriodicalIF":3.3,"publicationDate":"2026-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146081106","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
Adverse childhood experiences and cancer pain: A national cross-sectional analysis of survivors' pain outcomes 不良的童年经历和癌症疼痛：幸存者疼痛结果的全国横断面分析
IF 3.3 2区 医学 Q2 PSYCHIATRY
Journal of Psychosomatic Research
Pub Date : 2026-01-22 DOI: 10.1016/j.jpsychores.2026.112556
Fares Qeadan, Max Moroz, Benjamin Tingey

Context

Adverse childhood experiences (ACEs) are linked to long-term health impacts, including increased pain prevalence. However, the relationship between ACEs and pain presence and pain control among cancer survivors is not well understood.

Objectives

To examine the association between cumulative ACE exposure and (1) the presence of cancer-related physical pain and (2) the current perceived adequacy of pain control among adult survivors in the United States.

Methods

Behavioral Risk Factor Surveillance-System (BRFSS) data from 2019 to 2023 were analyzed, including 19,046 adults with self-reported cancer diagnoses and complete ACE data. Modified Poisson regression estimated crude and adjusted prevalence ratios (PRs, aPRs) for pain presence and pain control. Subgroup analyses were stratified by cancer type. Random forest models assessed ACE domain importance.

Results

A clear dose-response was found between ACEs and pain presence. Each additional ACE was associated with a 6% higher prevalence of pain (aPR = 1.058; 95% CI: 1.005–1.113). Pain prevalence increased from 7.2% (0 ACEs) to 25.4% (8 ACEs). ACEs were not significantly associated with pain control in adjusted models (aPR = 0.994; 95% CI: 0.973–1.016). Stratified analyses revealed stronger associations in certain cancer types, particularly leukemia, pharyngeal, and bladder. Random forest models identified household dysfunction and emotional/sexual abuse as key predictors of pain presence and pain control.

Conclusion

ACEs are significantly associated with pain presence, but not with perceived pain control. These findings underscore the need for ACE-informed screening and trauma-informed care in survivorship planning to address cancer pain.

Key message

Cancer survivors with adverse childhood experiences report higher prevalence of pain, but not significantly lower prevalence of adequate pain control. This study emphasizes the need for trauma-informed care to address the lasting influence of early adversity on cancer-related symptom burden.
不良童年经历（ace）与长期健康影响有关，包括疼痛发生率增加。然而，ace与癌症幸存者疼痛存在和疼痛控制之间的关系尚不清楚。目的研究累积ACE暴露与(1)癌症相关身体疼痛的存在和(2)美国成年幸存者当前疼痛控制的感知充分性之间的关系。方法分析2019 - 2023年行为风险因素监测系统（BRFSS）数据，包括19046名自我报告癌症诊断的成年人和完整的ACE数据。修正泊松回归估计疼痛存在和疼痛控制的粗患病率和调整患病率（pr, aPRs）。亚组分析按癌症类型分层。随机森林模型评估ACE域的重要性。结果ace与疼痛之间存在明显的剂量反应。ACE每增加一次，疼痛发生率增加6% （aPR = 1.058; 95% CI: 1.005-1.113）。疼痛发生率从7.2%（0次ace）增加到25.4%（8次ace）。在调整后的模型中，ace与疼痛控制无显著相关（aPR = 0.994; 95% CI: 0.973-1.016）。分层分析显示，在某些类型的癌症中，特别是白血病、咽癌和膀胱癌，有较强的相关性。随机森林模型确定家庭功能障碍和情感/性虐待是疼痛存在和疼痛控制的关键预测因素。结论ace与疼痛存在感相关，而与感知疼痛控制无关。这些发现强调了在生存计划中进行ace知情筛查和创伤知情护理以解决癌症疼痛的必要性。有不良童年经历的癌症幸存者报告了更高的疼痛患病率，但没有显著降低适当疼痛控制的患病率。本研究强调创伤知情护理的必要性，以解决早期逆境对癌症相关症状负担的持久影响。
{"title":"Adverse childhood experiences and cancer pain: A national cross-sectional analysis of survivors' pain outcomes","authors":"Fares Qeadan,&nbsp;Max Moroz,&nbsp;Benjamin Tingey","doi":"10.1016/j.jpsychores.2026.112556","DOIUrl":"10.1016/j.jpsychores.2026.112556","url":null,"abstract":"<div><h3>Context</h3><div>Adverse childhood experiences (ACEs) are linked to long-term health impacts, including increased pain prevalence. However, the relationship between ACEs and pain presence and pain control among cancer survivors is not well understood.</div></div><div><h3>Objectives</h3><div>To examine the association between cumulative ACE exposure and (1) the presence of cancer-related physical pain and (2) the current perceived adequacy of pain control among adult survivors in the United States.</div></div><div><h3>Methods</h3><div>Behavioral Risk Factor Surveillance-System (BRFSS) data from 2019 to 2023 were analyzed, including 19,046 adults with self-reported cancer diagnoses and complete ACE data. Modified Poisson regression estimated crude and adjusted prevalence ratios (PRs, aPRs) for pain presence and pain control. Subgroup analyses were stratified by cancer type. Random forest models assessed ACE domain importance.</div></div><div><h3>Results</h3><div>A clear dose-response was found between ACEs and pain presence. Each additional ACE was associated with a 6% higher prevalence of pain (aPR = 1.058; 95% CI: 1.005–1.113). Pain prevalence increased from 7.2% (0 ACEs) to 25.4% (8 ACEs). ACEs were not significantly associated with pain control in adjusted models (aPR = 0.994; 95% CI: 0.973–1.016). Stratified analyses revealed stronger associations in certain cancer types, particularly leukemia, pharyngeal, and bladder. Random forest models identified household dysfunction and emotional/sexual abuse as key predictors of pain presence and pain control.</div></div><div><h3>Conclusion</h3><div>ACEs are significantly associated with pain presence, but not with perceived pain control. These findings underscore the need for ACE-informed screening and trauma-informed care in survivorship planning to address cancer pain.</div></div><div><h3>Key message</h3><div>Cancer survivors with adverse childhood experiences report higher prevalence of pain, but not significantly lower prevalence of adequate pain control. This study emphasizes the need for trauma-informed care to address the lasting influence of early adversity on cancer-related symptom burden.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"203 ","pages":"Article 112556"},"PeriodicalIF":3.3,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146025726","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
Associations between physical activity, body esteem, and self-esteem among women with breast and gynecological cancer 乳腺癌和妇科癌症患者的身体活动、身体自尊和自尊之间的关系
IF 3.3 2区 医学 Q2 PSYCHIATRY
Journal of Psychosomatic Research
Pub Date : 2026-01-22 DOI: 10.1016/j.jpsychores.2026.112547
Anna Weronika Szablewska , Bartosz Zając , Martyna Lesińska , Rita Santos - Rocha , Anna Szumilewicz

Background

Gynecological and breast cancers are among the most prevalent malignancies in women. While survival has improved due to advances in treatment, many survivors experience challenges such as body image disturbances and reduced self-esteem. Physical activity has been identified as a potential protective factor, but evidence specific to this population remains limited.

Aim

The aim of this study was to evaluate the differences in body image and self-esteem among physically active and inactive women with a history of gynecological and breast cancer, as compared to active and inactive healthy controls.

Methods

A cross-sectional online survey was conducted in Poland. Participants were allocated to four groups according to cancer status and physical activity: inactive controls (CON-PI), active controls (CON-PA), inactive cancer survivors (CAN-PI), and active cancer survivors (CAN-PA). Physical activity was defined based on World Health Organization recommendations. Body image and self-esteem were assessed using the Body-Esteem Scale for Adolescents and Adults (BESAA) and the Rosenberg Self-Esteem Scale (RSES).

Results

Physically active women reported significantly higher BESAA and RSES scores compared to inactive women. The CAN-PI group consistently showed the lowest scores across all domains, while the CON-PA group reported the highest. Differences were particularly marked in appearance, attribution, and global self-esteem.

Conclusions

Meeting WHO-recommended physical activity levels was associated with more positive body image and higher self-esteem in women after gynecological and breast cancer treatment. The findings highlight the potential role of physical activity in psychosocial well-being and support its inclusion in survivorship care.
背景妇科和乳腺癌是女性中最常见的恶性肿瘤。虽然由于治疗的进步，生存率有所提高，但许多幸存者仍面临着身体形象障碍和自尊降低等挑战。体育活动已被确定为潜在的保护因素，但针对这一人群的证据仍然有限。目的本研究的目的是评估有妇科和乳腺癌病史的积极运动和不运动的妇女在身体形象和自尊方面的差异，并与积极运动和不运动的健康对照进行比较。方法在波兰进行横断面在线调查。根据癌症状况和身体活动将参与者分为四组：不活跃对照组（CON-PI），活跃对照组（CON-PA），不活跃癌症幸存者（CAN-PI）和活跃癌症幸存者（CAN-PA）。体育活动的定义是基于世界卫生组织的建议。采用青少年和成人身体自尊量表（BESAA）和罗森博格自尊量表（RSES）对身体形象和自尊进行评估。结果运动女性的BESAA和RSES评分明显高于不运动女性。CAN-PI组在所有领域的得分都是最低的，而CON-PA组的得分最高。在外表、归因和全球自尊方面的差异尤为明显。结论：达到世卫组织推荐的身体活动水平与妇科和乳腺癌治疗后女性更积极的身体形象和更高的自尊相关。研究结果强调了体育活动在心理社会健康中的潜在作用，并支持将其纳入幸存者护理。
{"title":"Associations between physical activity, body esteem, and self-esteem among women with breast and gynecological cancer","authors":"Anna Weronika Szablewska ,&nbsp;Bartosz Zając ,&nbsp;Martyna Lesińska ,&nbsp;Rita Santos - Rocha ,&nbsp;Anna Szumilewicz","doi":"10.1016/j.jpsychores.2026.112547","DOIUrl":"10.1016/j.jpsychores.2026.112547","url":null,"abstract":"<div><h3>Background</h3><div>Gynecological and breast cancers are among the most prevalent malignancies in women. While survival has improved due to advances in treatment, many survivors experience challenges such as body image disturbances and reduced self-esteem. Physical activity has been identified as a potential protective factor, but evidence specific to this population remains limited.</div></div><div><h3>Aim</h3><div>The aim of this study was to evaluate the differences in body image and self-esteem among physically active and inactive women with a history of gynecological and breast cancer, as compared to active and inactive healthy controls.</div></div><div><h3>Methods</h3><div>A cross-sectional online survey was conducted in Poland. Participants were allocated to four groups according to cancer status and physical activity: inactive controls (CON-PI), active controls (CON-PA), inactive cancer survivors (CAN-PI), and active cancer survivors (CAN-PA). Physical activity was defined based on World Health Organization recommendations. Body image and self-esteem were assessed using the Body-Esteem Scale for Adolescents and Adults (BESAA) and the Rosenberg Self-Esteem Scale (RSES).</div></div><div><h3>Results</h3><div>Physically active women reported significantly higher BESAA and RSES scores compared to inactive women. The CAN-PI group consistently showed the lowest scores across all domains, while the CON-PA group reported the highest. Differences were particularly marked in appearance, attribution, and global self-esteem.</div></div><div><h3>Conclusions</h3><div>Meeting WHO-recommended physical activity levels was associated with more positive body image and higher self-esteem in women after gynecological and breast cancer treatment. The findings highlight the potential role of physical activity in psychosocial well-being and support its inclusion in survivorship care.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"203 ","pages":"Article 112547"},"PeriodicalIF":3.3,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146025754","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
Loneliness and somatic complaints: An experience sampling method study 孤独与躯体抱怨：经验抽样法研究
IF 3.3 2区 医学 Q2 PSYCHIATRY
Journal of Psychosomatic Research
Pub Date : 2026-01-22 DOI: 10.1016/j.jpsychores.2026.112554
Martine Smeets , Elody Hutten , Peter Verboon , Yvonne Bol , Viviane Thewissen , Ellen M.M. Jongen

Objective

Previous studies have shown a positive relation between retrospectively measured loneliness and somatic complaints. This study investigated the relation between state loneliness and state somatic complaints as well as the direction of this relation in the context of daily life. It was hypothesized that there is a positive contemporaneous association between state loneliness and state somatic complaints as well as a positive bidirectional temporal association.

Methods

Using the Experience Sampling Method, 16 patients with somatic symptom disorder and 27 participants from the general population received a signal on their smartphones 10 times a day for 14 days to fill out an ESM-item on loneliness and two on somatic complaints. To test our hypotheses, multilevel linear regression models with random effects were estimated.

Results

Associations between state loneliness and state somatic complaints in the context of daily life were demonstrated (B = 0.12, SE = 0.01, p < .001). Temporal analyses revealed, however, that state loneliness (t-1) did not predict somatic complaints (t) in daily life (90-min window; B = 0.01, SE = 0.01, p = .573). Neither did state somatic complaints predict state loneliness (B = 0.02, SE = 0.03, p = .534).

Conclusions

This study demonstrated contemporaneous associations between state loneliness and state somatic complaints in the context of daily life. However, state loneliness did not predict subsequent state somatic complaints, nor did state somatic complaints predict subsequent state loneliness. Future studies are necessary to further disentangle the complex relationship between loneliness and somatic complaints.
目的以往的研究表明，回顾性测量的孤独感与躯体抱怨之间存在正相关关系。本研究探讨了状态孤独与状态躯体抱怨的关系，以及这种关系在日常生活中的走向。假设状态孤独与状态躯体抱怨之间存在正相关，同时存在正相关的双向时间关系。方法采用体验抽样法，选取16例躯体症状障碍患者和27例普通人群，在14天内每天10次通过智能手机接收信号，填写一份关于孤独感的esm项目和两份关于躯体抱怨的esm项目。为了检验我们的假设，我们估计了具有随机效应的多水平线性回归模型。结果在日常生活情境下，状态孤独与状态躯体抱怨之间存在相关性（B = 0.12, SE = 0.01, p < 0.001）。然而，时间分析显示，状态孤独（t-1）不能预测日常生活中的躯体抱怨(t)（90分钟窗口；B = 0.01, SE = 0.01, p = .573）。状态躯体抱怨也不能预测状态孤独（B = 0.02, SE = 0.03, p = .534）。结论：本研究证明了日常生活中状态孤独和状态躯体抱怨之间的同步关联。然而，状态孤独并不能预测随后的状态躯体抱怨，状态躯体抱怨也不能预测随后的状态孤独。未来的研究有必要进一步理清孤独与躯体抱怨之间的复杂关系。
{"title":"Loneliness and somatic complaints: An experience sampling method study","authors":"Martine Smeets ,&nbsp;Elody Hutten ,&nbsp;Peter Verboon ,&nbsp;Yvonne Bol ,&nbsp;Viviane Thewissen ,&nbsp;Ellen M.M. Jongen","doi":"10.1016/j.jpsychores.2026.112554","DOIUrl":"10.1016/j.jpsychores.2026.112554","url":null,"abstract":"<div><h3>Objective</h3><div>Previous studies have shown a positive relation between retrospectively measured loneliness and somatic complaints. This study investigated the relation between state loneliness and state somatic complaints as well as the direction of this relation in the context of daily life. It was hypothesized that there is a positive contemporaneous association between state loneliness and state somatic complaints as well as a positive bidirectional temporal association.</div></div><div><h3>Methods</h3><div>Using the Experience Sampling Method, 16 patients with somatic symptom disorder and 27 participants from the general population received a signal on their smartphones 10 times a day for 14 days to fill out an ESM-item on loneliness and two on somatic complaints. To test our hypotheses, multilevel linear regression models with random effects were estimated.</div></div><div><h3>Results</h3><div>Associations between state loneliness and state somatic complaints in the context of daily life were demonstrated (B = 0.12, SE = 0.01, <em>p</em> &lt; .001). Temporal analyses revealed, however, that state loneliness (t-1) did not predict somatic complaints (t) in daily life (90-min window; B = 0.01, SE = 0.01, <em>p</em> = .573). Neither did state somatic complaints predict state loneliness (B = 0.02, SE = 0.03, <em>p</em> = .534).</div></div><div><h3>Conclusions</h3><div>This study demonstrated contemporaneous associations between state loneliness and state somatic complaints in the context of daily life. However, state loneliness did not predict subsequent state somatic complaints, nor did state somatic complaints predict subsequent state loneliness. Future studies are necessary to further disentangle the complex relationship between loneliness and somatic complaints.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"203 ","pages":"Article 112554"},"PeriodicalIF":3.3,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146025755","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
The association among social participation, loneliness and depression in stroke survivors: A longitudinal cross-lagged panel analysis 脑卒中幸存者社会参与、孤独和抑郁之间的关系：纵向交叉滞后面板分析
IF 3.3 2区 医学 Q2 PSYCHIATRY
Journal of Psychosomatic Research
Pub Date : 2026-01-21 DOI: 10.1016/j.jpsychores.2026.112553
Liping Sun , Yuexia Liao , Zhi'e Gu , Xiaojuan Wan , Ningning Liu

Objective

To examine longitudinal associations among depressive symptoms, loneliness, and social participation in stroke survivors, and the temporal role of loneliness between social participation and depressive symptoms.

Methods

277 stroke survivors were conveniently sampled from two tertiary hospitals in Yangzhou, China. Depressive symptoms, loneliness, and social participation were assessed using the Patient Health Questionnaire-9, UCLA Loneliness Scale, and Utrecht Scale for Evaluation of Rehabilitation-Participation, respectively. Data were collected at baseline (T1), 3 months (T2), and 6 months (T3) post-stroke, with a cross-lagged panel model used to examine the reciprocal relationships among variables.

Results

Cross-lagged panel analysis revealed: T1 depressive symptoms positively predicted T2 loneliness (β = 0.133, P = 0.046)；T1 social participation negatively predicted T2 loneliness (β = −0.226, P < 0.001) and depressive symptoms (β = −0.256, P < 0.001)；T2 depressive symptoms negatively predicted T3 social participation (β = −0.098, P = 0.027)；T2 loneliness positively predicted T3 depressive symptoms (β = 0.171, P = 0.006)；T2 social participation negatively predicted T3 loneliness (β = −0.174, P = 0.001). Mediation analysis showed T2 loneliness mediated T1 social participation's effect on T3 depressive symptoms (indirect effect = −0.037, 95% CI [−0.082, −0.010]).

Conclusion

Alternating cross-lagged effects were observed among depressive symptoms, loneliness, and social participation in stroke survivors, with loneliness potentially acting as a mediator between social participation and subsequent depressive symptoms. These findings suggest hypotheses for phase-specific interventions, which should be tested in future studies.
目的探讨脑卒中幸存者抑郁症状、孤独感和社会参与之间的纵向关系，以及孤独感在社会参与和抑郁症状之间的时间作用。方法从扬州市两所三级医院抽取277例脑卒中幸存者。抑郁症状、孤独感和社会参与分别采用患者健康问卷-9、UCLA孤独感量表和乌得勒支康复参与评估量表进行评估。在脑卒中后基线（T1）、3个月（T2）和6个月（T3）收集数据，采用交叉滞后面板模型来检验变量之间的倒数关系。结果交叉滞后面板分析显示：T1抑郁症状正预测T2孤独（β = - 0.226, P < 0.001）和抑郁症状（β = - 0.256, P < 0.001）；T2抑郁症状负预测T3社会参与（β = - 0.098, P = 0.027）；T2孤独正预测T3抑郁症状（β = 0.171, P = 0.006）；T2社会参与负预测T3孤独（β = - 0.174, P = 0.001）。中介分析显示T2孤独感介导T1社会参与对T3抑郁症状的影响（间接效应= - 0.037,95% CI[- 0.082, - 0.010]）。结论脑卒中幸存者抑郁症状、孤独感和社会参与之间存在交变滞后效应，孤独感可能在社会参与与随后的抑郁症状之间起中介作用。这些发现提出了针对特定阶段干预措施的假设，这些假设应该在未来的研究中得到检验。
{"title":"The association among social participation, loneliness and depression in stroke survivors: A longitudinal cross-lagged panel analysis","authors":"Liping Sun ,&nbsp;Yuexia Liao ,&nbsp;Zhi'e Gu ,&nbsp;Xiaojuan Wan ,&nbsp;Ningning Liu","doi":"10.1016/j.jpsychores.2026.112553","DOIUrl":"10.1016/j.jpsychores.2026.112553","url":null,"abstract":"<div><h3>Objective</h3><div>To examine longitudinal associations among depressive symptoms, loneliness, and social participation in stroke survivors, and the temporal role of loneliness between social participation and depressive symptoms.</div></div><div><h3>Methods</h3><div>277 stroke survivors were conveniently sampled from two tertiary hospitals in Yangzhou, China. Depressive symptoms, loneliness, and social participation were assessed using the Patient Health Questionnaire-9, UCLA Loneliness Scale, and Utrecht Scale for Evaluation of Rehabilitation-Participation, respectively. Data were collected at baseline (T1), 3 months (T2), and 6 months (T3) post-stroke, with a cross-lagged panel model used to examine the reciprocal relationships among variables.</div></div><div><h3>Results</h3><div>Cross-lagged panel analysis revealed: T1 depressive symptoms positively predicted T2 loneliness (<em>β</em> = 0.133, <em>P</em> = 0.046)；T1 social participation negatively predicted T2 loneliness (<em>β</em> = −0.226, <em>P</em> &lt; 0.001) and depressive symptoms (<em>β</em> = −0.256, <em>P</em> &lt; 0.001)；T2 depressive symptoms negatively predicted T3 social participation (<em>β</em> = −0.098, <em>P</em> = 0.027)；T2 loneliness positively predicted T3 depressive symptoms (<em>β</em> = 0.171, <em>P</em> = 0.006)；T2 social participation negatively predicted T3 loneliness (<em>β</em> = −0.174, <em>P</em> = 0.001). Mediation analysis showed T2 loneliness mediated T1 social participation's effect on T3 depressive symptoms (indirect effect = −0.037, 95% <em>CI</em> [−0.082, −0.010]).</div></div><div><h3>Conclusion</h3><div>Alternating cross-lagged effects were observed among depressive symptoms, loneliness, and social participation in stroke survivors, with loneliness potentially acting as a mediator between social participation and subsequent depressive symptoms. These findings suggest hypotheses for phase-specific interventions, which should be tested in future studies.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"203 ","pages":"Article 112553"},"PeriodicalIF":3.3,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146015598","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
Distress in postural orthostatic tachycardia syndrome (POTS) is largely driven by ineffective healthcare, not patients' attitudes 体位性心动过速综合征（POTS）的痛苦主要是由无效的医疗保健驱动的，而不是患者的态度
IF 3.3 2区 医学 Q2 PSYCHIATRY
Journal of Psychosomatic Research
Pub Date : 2026-01-21 DOI: 10.1016/j.jpsychores.2026.112552
Svetlana Blitshteyn , Blair P. Grubb
{"title":"Distress in postural orthostatic tachycardia syndrome (POTS) is largely driven by ineffective healthcare, not patients' attitudes","authors":"Svetlana Blitshteyn ,&nbsp;Blair P. Grubb","doi":"10.1016/j.jpsychores.2026.112552","DOIUrl":"10.1016/j.jpsychores.2026.112552","url":null,"abstract":"","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"203 ","pages":"Article 112552"},"PeriodicalIF":3.3,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146025727","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
Quality of life trajectory in breast cancer survivors: A longitudinal, two-year post treatment follow-up study 乳腺癌幸存者的生活质量轨迹：一项治疗后两年的纵向随访研究。
IF 3.3 2区 医学 Q2 PSYCHIATRY
Journal of Psychosomatic Research
Pub Date : 2026-01-20 DOI: 10.1016/j.jpsychores.2026.112551
Aashruti Pathania , SreeRekha KR , K. Ramdas , Ankita Chakrawal , Manoj Pandey

Background

Advances in breast cancer treatment have improved survival, making Quality of Life (QOL) a critical endpoint. This study examines longitudinal QOL in Indian breast cancer survivors using the Functional Assessment of Cancer Therapy for Breast (FACT-B) questionnaire.

Methods

A longitudinal cohort study followed 338 women with curable breast cancer, assessing QOL at baseline (before treatment), 3 months, 6 months, 12 months, and 24 months post-treatment. The FACT-B provided total and subscale scores (Physical, Social, Emotional, Functional, and Breast-specific well-being).

Results

Of 338 patients, 63 (18.64%) completed all assessments up to 24 months, and 68 (20.12%) completed up to 12 months. QOL decreased significantly at 3 months post-treatment (mean 74.98 vs. 85.6 at baseline, p < 0.001), remained below baseline at 6 months (79.34, p < 0.001), returned to baseline by 12 months (87.94, p = 0.147), and improved significantly by 24 months (110.92, p < 0.001). Physical and Functional well-being showed early declines, Social and Emotional well-being remained stable or improved, and Breast-specific well-being remained low, reflecting body image concerns.

Conclusion

The U-shaped QOL trajectory highlights the need for interventions at 3–6 months post-treatment, particularly for body image and physical function. These findings provide a foundation for targeted supportive care in Indian breast cancer survivors.
背景：乳腺癌治疗的进步提高了生存率，使生活质量（QOL）成为一个关键的终点。本研究使用乳腺癌治疗功能评估（FACT-B）问卷调查印度乳腺癌幸存者的纵向生活质量。方法：采用纵向队列研究方法，对338例治愈乳腺癌患者进行基线（治疗前）、治疗后3个月、6个月、12个月和24个月的生活质量评估。FACT-B提供了总分和子量表得分（身体、社会、情感、功能和乳房特定幸福感）。结果：在338例患者中，63例（18.64%）完成了24个月的所有评估，68例（20.12%）完成了12个月的评估。治疗后3个月，生活质量显著下降（平均74.98比基线时的85.6,p）。结论：u型生活质量轨迹强调了治疗后3-6个月干预的必要性，特别是身体形象和身体功能。这些发现为印度乳腺癌幸存者的针对性支持性护理提供了基础。
{"title":"Quality of life trajectory in breast cancer survivors: A longitudinal, two-year post treatment follow-up study","authors":"Aashruti Pathania ,&nbsp;SreeRekha KR ,&nbsp;K. Ramdas ,&nbsp;Ankita Chakrawal ,&nbsp;Manoj Pandey","doi":"10.1016/j.jpsychores.2026.112551","DOIUrl":"10.1016/j.jpsychores.2026.112551","url":null,"abstract":"<div><h3>Background</h3><div>Advances in breast cancer treatment have improved survival, making Quality of Life (QOL) a critical endpoint. This study examines longitudinal QOL in Indian breast cancer survivors using the Functional Assessment of Cancer Therapy for Breast (FACT-B) questionnaire.</div></div><div><h3>Methods</h3><div>A longitudinal cohort study followed 338 women with curable breast cancer, assessing QOL at baseline (before treatment), 3 months, 6 months, 12 months, and 24 months post-treatment. The FACT-B provided total and subscale scores (Physical, Social, Emotional, Functional, and Breast-specific well-being).</div></div><div><h3>Results</h3><div>Of 338 patients, 63 (18.64%) completed all assessments up to 24 months, and 68 (20.12%) completed up to 12 months. QOL decreased significantly at 3 months post-treatment (mean 74.98 vs. 85.6 at baseline, <em>p</em> &lt; 0.001), remained below baseline at 6 months (79.34, p &lt; 0.001), returned to baseline by 12 months (87.94, <em>p</em> = 0.147), and improved significantly by 24 months (110.92, p &lt; 0.001). Physical and Functional well-being showed early declines, Social and Emotional well-being remained stable or improved, and Breast-specific well-being remained low, reflecting body image concerns.</div></div><div><h3>Conclusion</h3><div>The U-shaped QOL trajectory highlights the need for interventions at 3–6 months post-treatment, particularly for body image and physical function. These findings provide a foundation for targeted supportive care in Indian breast cancer survivors.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"203 ","pages":"Article 112551"},"PeriodicalIF":3.3,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146068365","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
首页 上一页 下一页 尾页
类型
全部 化学•材料 生命科学 医学 物理 工程技术 环境•农林 材料科学 地球科学 法学 管理学 化学 环境科学与生态学 计算机科学 教育学 经济学 农林科学 人文科学 生物学 数学 物理与天体物理 心理学 综合性期刊 其他 工业工程 理学 历史学 农学 文学 信息工程
数据库
全部 ACS Publications Elsevier ieeexplore Springer The Royal Society of Chemistry Wiley
期刊
Journal of Psychosomatic Research
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
﹀
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号：604180095
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们：info@booksci.cn
Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1