In Press

Open Access

Article

Article ID: 3978

How social support affects psychological well-being in colorectal cancer ostomates: A moderated mediating effect model

by Wenjing Yan, Shuai Gong, Ying Zhu, Manli Wang, Wenjun Yan, Yang Li, Qin Li

Psycho-Oncologie, Vol., No., 2025; 145 Views

The present study aims to explore the influence of social support on the psychological well-being (PWB) of colorectal cancer (CRC) ostomates. It specifically examines how depression mediates the relationship between social support and PWB and explores if body image disturbances moderate this process. This study utilized convenience sampling to conduct a questionnaire survey on 319 CRC ostomates, employing the perceived social support scale, body image self-rating scale, depression self-rating scale and PWB scale. The results showed that the total scores of social support, body image disturbance, depression and PWB were 63.596 ± 12.081, 32.423 ± 17.057, 57.477 ± 14.867 and 69.828 ± 17.331, respectively. Social support had a positive impact on PWB (B = 0.790, t = 11.703, p < 0.01). Depression had a mediating effect of 0.078 between social support and PWB, accounting for 9.0% of the total effect. The direct predictive effect of social support on PWB and the mediating effect of depression between the two were both moderated by body image disturbance (p < 0.01). This study highlights the mediating role of depression in the relationship between social support and PWB and the moderating role of body image disturbance in CRC ostomates, indicating that enhancing social support can further improve PWB by reducing depressive symptoms, while improving body image disturbance can help heighten the patient’s overall PWB.

Open Access

Article

Article ID: 3651

Effect of borderline resection of mandible combined with psychological intervention on oral cancer

by Yuqi Zeng, Renguo Gong, Sen Yang, Lijuan Guo

Psycho-Oncologie, Vol., No., 2025; 118 Views

Oral cancers are defined as cancers that occur in people’s mouth or back of the throat. The mucosal tissue of the lips and gums, the tongue itself, the root of the tongue, the outer mouth area, the neck, or beneath the tongue can all develop oral cancers. The common type of oral is squamous cell carcinoma (SCC) is the most common oral cancer, nearly occurrences for 90% of cases. Additional types comprise oral melanoma and adenocarcinoma by area and demography, prevalence rates differ. Monitoring of illness prevalence and disease-specific risk behaviors, mostly alcohol and tobacco use, are the main areas of difficulty. The research intended to observe the impact of psychosocial therapies in conjunction with mandible resection on oral cancer outcomes. We recruited 100 patients with oral cancer who had their mandibles resected. The data were analyzed using SPSS version 28.0 software. To obtain preoperative ratings and up to 12-month postoperative scores using anxiety and depression scale (ADS) for anxiety and depression. The result shows that in 4, 8, and 12 postoperative months, respectively, the number of patients who met the cut-off values for depression and adjustment disorder was achieved. The primary site and marital status were identified as variables influencing the ADS scores by the analysis of variance (ANOVA). Score variances at the preoperative and 12-month postoperative stages were analyzed using ANOVA to find group differences and validate results at a significance level of p < 0.05. Superior results are achieved when marginal mandible resection and psychological psychotherapy are combined as a comprehensive strategy for treating oral cancer.

Open Access

Article

Article ID: 3656

The effect of acceptance and commitment therapy nursing intervention on the psychological and mental state of patients with advanced cancer

by Caixia Lin

Psycho-Oncologie, Vol., No., 2025; 123 Views

Introduction: To investigate the effect of a nursing intervention with Acceptance and Commitment Therapy (ACT) on the improvement of psychological and mental state in patients with advanced cancer. Method: A total of 93 patients with advanced cancer who were admitted to the hospital from March 2022 to May 2024 were selected as the study sample and randomly divided into two groups. These patients were subsequently categorized into two distinct groups, employing a rigorous random grouping methodology. Specifically, the control group comprised 46 patients who underwent the standard nursing intervention. Conversely, the observation group, consisting of 47 patients, was administered ACT while adhering to the established standards of the control group. A comparison was conducted between the two groups, focusing on the disparities in mental state measured by the Hope Index Scale (HHI), psychological distress evaluated by the Functional Assessment of Chronic Disease Treatment-Spirituality Scale (FACIT-Sp), anxiety levels assessed through the Anxiety Self-Rating Scale (SAS), depression scores determined using the Depression Self-Rating Scale (SDS), and the quality of life indices calculated based on the Quality of Life Measurement Scale for Cancer Patients (FACT). Result: The scores of realistic and future positive attitudes [(11.82 ± 2.26) points], positive actions [(12.46 ± 1.95) points] and maintaining intimate relationships with others [(11.67 ± 1.28) points] in the HHI scale scores in the observation group were higher than those in the control group (P < 0.05). After intervention, the SAS scale score [(56.91 ± 3.23) points] and SDS scale score [(56.53 ± 4.41) points] of the patients in the observation group were significantly lower than those in the control group (P < 0.05). After the intervention, the FACIT-Sp score of the observation group significantly increased to (122.99 ± 13.02), demonstrating a statistically significant elevation compared to the control group (P < 0.05). Furthermore, the scores pertaining to physiological status within the observation group in the FACT scale were elevated to (20.84 ± 3.72), (19.21 ± 3.06), (21.34 ± 3.85), and (18.04 ± 3.22), respectively, all of which were notably higher than those observed in the control group (P < 0.05). Conclusion: ACT nursing intervention in patients with advanced cancer has significant effects, increasing the level of hope, reducing negative emotions and psychological distress, and improving quality of life.

Open Access

Article

Article ID: 3638

The effects of mindfulness meditation combined with happiness therapy on the psychological status and survival of patients with middle and advanced non-small cell lung cancer

by Yang Yu, Enhui Liu, Juan Zhou, Qingqing Zhao, Rudan Deng, Qing Li, Yong Liu

Psycho-Oncologie, Vol., No., 2025; 105 Views

Objective: The study aimed to investigate the effectiveness of the intervention on psychological resilience, negative emotions, and overall well-being of subjects with non-small cell lung cancer (NSCLC) in middle and advanced stages utilizing happiness therapy combined with positive thinking-meditation expected to provide a basis for clinical psychological intervention. Methods: One hundred patients with stage III/IV SCLC were chosen as the study population. The participants were assigned into two groups randomly, depending on a random number table: a control cohort (n = 50) and an intervention cohort (n = 50). The control group received systemic anti-tumour therapy and daily care, while the intervention group received an additional 4-week psychosocial intervention of happiness therapy and positive thinking meditation on top of the systemic anti-tumour therapy and daily care. The study used the Hospital Anxiety and Depression Scale (HADS), the Psychological Resilience Scale (CD-RISC), and the General Well-Being Scale (GWB) as assessment tools to comprehensively evaluate psychological state before and after therapy, respectively. Patients in the 2 groups were also reviewed at a 6-month follow-up to record progression-free survival (PFS) in both groups. Results: Data analysis illustrated that following intervention, the psychological resilience score (78.30 ± 8.47) and the general well-being score (81.06 ± 3.43) of the patients within the intervention cohort were significantly higher than the control (t = −11.13, −10.14, P < 0.001). Anxiety and depression scores in patients of the intervention group (17.80 ± 3.47) were notably lower than those in the control group (t = 5.30, P < 0.001), and there was a different median progression-free survival (PFS) time (171.00 vs. 219.00 days, P = 0.037). Conclusion: Present study demonstrated that happiness therapy combined with positive thinking meditation as psychological intervention can improve psychological resilience caused by middle- and late-stage NSCLC effectively, reduce their negative emotions, significantly enhance their overall sense of well-being, delay disease progression.

Open Access

Article

Article ID: 4140

Well-dying and psychological well-being: The role of social support in end-of-life peace

by Kee Young Park, Seungwoo Han

Psycho-Oncologie, Vol., No., 2025; 43 Views

This study examines the relationship between well-dying perception, social support, and psychological well-being among elderly patients. As aging populations face terminal illnesses, the concept of a “good death” becomes increasingly relevant, emphasizing dignity, acceptance, and emotional peace. Social support, encompassing emotional, informational, and practical assistance, has been recognized as a key factor in mitigating psychological distress. However, the mechanisms through which well-dying perception and social support interact to influence psychological well-being remain underexplored. Using survey data from 400 elderly cancer patients in South Korea, this study investigates the effects of well-dying perception and both received and provided social support on psychological well-being. Results indicate that a stronger well-dying perception positively influences psychological well-being. Additionally, both receiving and providing social support enhance psychological resilience and moderate the relationship between perceptions of well-dying and well-being. These findings highlight social support’s critical role in emotional adaptation at life’s end.

Open Access

Review

Article ID: 3618

Impact of breathing exercises on anxiety and depression in cancer patients: A systematic review and meta-analysis

by Mengjun Hu, Tae-Ho Kim

Psycho-Oncologie, Vol., No., 2025; 85 Views

Background: Anxiety and depression are prevalent emotional disorders with significant socio-economic impacts. They are particularly common in cancer patients, affecting up to 20% and 10% of patients, respectively, compared to 3.15% and 4.8% in the general population. While medication is a common treatment, it can have side effects and may not address the psychosocial aspects of these conditions. Breathing exercises have emerged as a potential non-pharmacological approach to controlling anxiety and depression. Objective: This systematic review and meta-analysis aimed to assess the efficacy of breathing exercises, to determine if these exercises help reduce anxiety and depression, and to measure the impact compared to a control group. Methods: We conducted a comprehensive literature search across several databases from 1 January 2000 to 1 July 2024, following the PRISMA guidelines. Screening, data extraction, and quality assessment were undertaken independently by two researchers and adjudicated by another. Outcomes included anxiety and depression scores. In meta-analyses, the I² statistic was used to explore heterogeneity. Random effects models were used in the presence of moderate heterogeneity. Sources of heterogeneity were investigated by subgroup analyses and meta-regression. Results: The search yielded 14 eligible studies involving 1067 participants with a mean age of 46.35 years and a female/male ratio of 1.19. Meta-analysis revealed a significant reduction in anxiety (−0.49; 95% CI, −0.68 to −0.30; p < 0.001) and depression (−0.38; 95% CI, −0.53 to −0.23; p < 0.001) following breathing exercises compared to control interventions. Subgroup analysis indicated that yoga breathing exercises had a more pronounced effect on anxiety reduction. Conclusion: Breathing exercises may help reduce anxiety and depression in individuals managing cancer. Further exploration is needed in the future to alleviate anxiety and depression through breathing exercises as the first step in promoting this potentially valuable adjunct therapy.