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Objective: To evaluate the literature to clarify the concept of psychosocial distress and to conceptualize it in cancer patients.
Methods: The Walker and Avant concept analysis approach was applied for this review. A comprehensive search of studies published from inception to March 2024 was searched in PubMed, EMBASE, Cochrane Library, Web of Science, and PsycINFO, utilizing the PRISMA 2020 reporting checklist. Additional studies were included by manually reviewing the reference lists from relevant research. A total of 5,941 studies were identified in the initial search, and 36 articles were ultimately included for further analysis and synthesis.
Results: Four attributes of psychosocial distress in terms of cancer were identified: role dysfunction, negative self-perception, disrupted daily life, and unpleasant emotion. Antecedents of psychosocial distress were cancer-related stress and the inability to cope. The consequences were identified as negative health-related behaviors and unhealthy outcomes.
Conclusions: The four identified attributes of psychosocial distress in cancer patients provide healthcare providers with a more comprehensive framework for assessment and recognition than existing instruments, which often focus only on anxiety and depression. It will aid researchers and healthcare providers in understanding the concept, guiding the development of suitable assessment instruments and the design of targeted psychosocial interventions.
Implications For Nursing Practice: Through clarifying the concept, this study may enhance health professional's understanding of the nature of psychosocial distress and improve their awareness of periodically assessing and managing individuals' psychosocial distress.
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http://dx.doi.org/10.1016/j.soncn.2025.152014 | DOI Listing |
JMIR Hum Factors
September 2025
KK Women's and Children's Hospital, Singapore, Singapore.
Background: Breast cancer treatment, particularly during the perioperative period, is often accompanied by significant psychological distress, including anxiety and uncertainty. Mobile health (mHealth) interventions have emerged as promising tools to provide timely psychosocial support through convenient, flexible, and personalized platforms. While research has explored the use of mHealth in breast cancer prevention, care management, and survivorship, few studies have examined patients' experiences with mobile interventions during the perioperative phase of breast cancer treatment.
View Article and Find Full Text PDFSupport Care Cancer
September 2025
Carbone Cancer Center, School of Medicine and Public Health, University of WI-Madison, Madison, WI, USA.
Purpose: For cancer survivors, self-efficacy is needed to manage the disease and the effects of treatment. The COVID-19 pandemic disrupted cancer-related healthcare, which may have impacted self-management self-efficacy. We investigated self-efficacy reported by cancer survivors during COVID-19, including associations with healthcare disruptions, distress, and general health.
View Article and Find Full Text PDFFront Oral Health
August 2025
Institute of Dentistry, Suranaree University of Technology, Nakhon Ratchasima, Thailand.
Background: Oral behaviours, both functional and non-functional, are commonly reported and can negatively impact oral health. Among orofacial pain patients, non-functional oral behaviours have been observed in association with elevated psychosocial factors. However, the extent to which these findings apply to individuals without orofacial pain remains inconclusive.
View Article and Find Full Text PDFInt J Nurs Stud
August 2025
End-of-life Care Research Group, Vrije Universiteit Brussel (VUB) & Ghent University, Belgium; Vrije Universiteit Brussel (VUB), Department of Family Medicine and Chronic Care, Belgium.
Background: Advanced cancer impacts the lives of both patients and their family caregivers. They often experience substantial declines in quality of life and physical, emotional, and spiritual distress that generate significant unmet psychosocial care needs. These effects are interrelated.
View Article and Find Full Text PDFNurse Educ Pract
September 2025
Department of Allied Health Education and Digital Learning, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan, ROC. Electronic address:
Aim: To evaluate the effectiveness of the CARES-MFW (Clinical Augmented Reality Education Simulation for Malignant Fungating Wounds) app in enhancing nurses' knowledge and clinical reasoning in the care of MFWs.
Background: Malignant fungating wounds (MFWs) affect many patients with advanced cancer, with nearly 50 % dying within six months of diagnosis. These wounds often present with heavy exudate, pain, malodor and bleeding, leading to profound physical and psychosocial distress.