Asia-Pacific Journal of Oncology Nursing,
Год журнала:
2024,
Номер
12, С. 100641 - 100641
Опубликована: Дек. 14, 2024
This
study
was
aimed
at
investigating
the
network
structures
of
fatigue
symptoms
in
patients
with
advanced
cancer,
a
focus
on
identifying
central
symptom-an
aspect
crucial
for
targeted
and
effective
symptom
management.
In
this
cross-sectional
study,
cancer
were
recruited
from
treatment
center
tertiary
hospital
China
between
January
December
2022.
Symptom
occurrence
severity
assessed
Cancer
Fatigue
Scale.
Network
analysis
conducted
to
explore
structure
identify
core
symptoms.
The
included
416
cancer.
Lack
energy
(2.25
±
1.24),
lack
interest
anything
(2.20
1.22),
self-encouragement
(2.03
1.25)
most
severe
belonged
affective
dimension.
overall
network,
reluctance
(r
s
=
5.622),
heavy
tired
body
5.424),
tiring
easily
5.319)
had
highest
strength
values.
All
these
classified
within
physical
dimension
remained
stable
before
after
adjustment
covariates.
identified
reluctance,
body,
as
thus
providing
valuable
insight
help
clinical
nurses
formulate
more
management
strategies.
Future
interventions
could
assess
efficacy
targeting
cluster
alleviating
other
patient
burden.
JAMA Network Open,
Год журнала:
2025,
Номер
8(2), С. e2457859 - e2457859
Опубликована: Фев. 4, 2025
Importance
Cancer
and
its
treatment
negatively
impact
the
mental
health
of
older
adults.
The
potential
exercise
interventions
as
a
complementary
to
alleviate
psychological
impacts
cancer
is
promising,
but
there
are
gaps
in
current
literature.
Objective
To
determine
if
associated
with
improvements
outcomes
among
adults
cancer.
Data
Sources
PubMed,
Embase,
PsycINFO,
Cochrane
databases
were
searched
from
database
inception
November
5,
2024.
Search
terms
used
geriatrics
,
depression
anxiety
quality
life
.
Study
Selection
English-language
randomized
clinical
trials
(RCTs)
that
analyzed
association
various
at
least
1
3
(depression,
anxiety,
or
health-related
quality-of-life
[HRQOL])
included.
control
groups
given
usual
care.
Studies
included
mean
age
participants
was
than
60
years
had
diagnosis
any
regardless
comorbidities.
Extraction
Synthesis
screened,
data
extracted
by
2
independent
authors.
Random-effects
meta-analyses
meta-regressions
for
analysis.
Preferred
Reporting
Items
Systematic
Reviews
Meta-Analyses
guideline
followed.
Main
Outcomes
Measures
primary
depression,
HRQOL.
Standardized
difference
(SMD)
quantify
outcomes.
Results
A
total
27
RCTs
1929
Meta-analyses
observed
an
significant
reduction
levels
(SMD
=
−0.53;
95%
CI,
−0.79
−0.28)
−0.39;
−0.66
−0.12)
overall
HRQOL
0.63;
0.10
1.17).
Subgroup
analyses
revealed
mind-body
significantly
improved
−0.89;
−1.51
−0.27)
−0.77;
−1.54
−0.01)
compared
conventional
interventions.
Conclusion
In
this
systematic
review
meta-analysis
RCTs,
found
be
reduced
These
findings
suggest
care
professionals
policymakers
should
focus
more
on
implementing
improve
vulnerable
population.
JAMA Network Open,
Год журнала:
2025,
Номер
8(2), С. e2457544 - e2457544
Опубликована: Фев. 17, 2025
Importance
Reliable
estimates
of
the
prevalence
and
risk
suicide
suicidal
ideation
(SI)
among
childhood
cancer
survivors
(CCSs)
are
crucial
in
informing
efforts
to
address
this
issue.
Objective
To
systematically
evaluate
SI
CCSs.
Data
Sources
A
literature
search
was
conducted
PubMed,
Embase,
Cochrane
Library,
PsycINFO
from
January
1,
2000,
November
17,
2024.
Study
Selection
All
noncontrolled
controlled
studies
that
evaluated
drew
comparisons
between
CCSs
their
counterparts.
Studies
including
participants
older
than
25
years,
no
reported
outcomes,
case
studies,
reviews,
review
articles
were
excluded.
Extraction
Synthesis
The
Preferred
Reporting
Items
for
Systematic
Reviews
Meta-analyses
reporting
guideline
followed
with
prospective
PROSPERO
registration.
Prevalence
pooled
single-arm
studies.
Relative
ratio
(RR)
double-arm
Metaprop
used
meta-analyze
under
a
generalized
linear
mixed
model.
For
dichotomous
meta-analyses
performed
compute
RR
psychological
outcome
compared
controls.
Main
Outcomes
Measures
SI,
controls,
factors
associated
suicidality
outcomes.
Results
From
531
records,
16
included.
on
included
148
869
20
140
participants.
0.30%
(0.13%-0.69%)
9%
(95%
CI,
7%-11%).
There
significantly
increased
controls
(RR,
1.67
[95%
Cl,
1.39-2.01]),
but
not
1.50
0.63-3.62]).
Subgroup
analyses
suggested
is
much
higher
during
active
period
years
after
(proportion,
0.14
0.10-0.19]
vs
0.08
0.06-0.09]).
systematic
identified
preexisting
mental
illness,
poor
physical
health,
age,
male
sex,
being
single
as
Conclusions
Relevance
In
meta-analysis
CCSs,
different
had
SI.
Future
needed
explore
outcomes
guide
targeted
support
policies.
Abstract
Background
Patients
with
a
rare
cancer
in
rural,
regional,
and
remote
Australia
experience
heightened
challenges
their
illness
journey,
including
significant
psychosocial
impacts.
Although
peer
support
has
shown
benefits
for
common
patients
living
urban
areas,
these
programs
often
do
not
reach
underserved
groups
instance
those
cancer,
or
regional
areas.
This
study
aimed
to
explore
the
characteristics
of
Methods
Focus
interviews
were
conducted
39
people
10
healthcare
providers
key
points
inclusion
service
diagnosed
Data
transcribed
verbatim
analysed
thematically,
using
Nvivo.
Results
Participants
described
needs
terms
who,
what,
how,
where,
when.
advocated
flexible,
multicomponent
intervention
that
could
meet
varied
fluctuating
this
group.
also
noted
practical
delivery
such
service,
specifically,
risk
receiving
misinformation,
adverse
emotional
reactions,
interpersonal
implementation
issues.
Conclusions
highlights
role
addressing
unmet
particularly
rural
emphasising
importance
tailored,
multimodal
interventions
addresses
diverse
needs.
Frontiers in Psychiatry,
Год журнала:
2025,
Номер
16
Опубликована: Март 24, 2025
Introduction
Hepatitis
B
is
a
highly
contagious
viral
infection
that
has
long
been
significant
global
health
concern.
Given
its
adverse
effects
on
the
course
of
disease,
evaluating
psychiatric
outcomes
important.
Despite
indications
an
increased
risk
psychological
among
those
with
hepatitis
B,
extent
this
association
remains
unclear.
Methods
This
PRISMA-adherent
systematic
review
(PROSPERO:
CRD42024564246)
searched
PubMed,
Embase,
Cochrane,
and
PsycINFO
for
all
studies
prevalence
anxiety
depressive
symptoms
in
individuals
B.
Random
meta-analyses
meta-regression
were
used
primary
analysis.
Results
A
total
31
included.
We
identified
high
(Proportion=19%,
95%
CI:
11-31)
(Proportion=30%,
18-45)
There
was
also
significantly
(RR=1.45,
1.00-2.09,
P=0.049)
(RR=1.40,
1.11-1.78)
compared
to
controls.
Subgroup
analyses
indicated
older
age
chronic
associated
higher
symptoms.
The
found
being
single,
unemployed,
having
lower
income,
education
level,
comorbidities,
family
history
mental
illness
factors
poorer
outcomes.
Conclusion
Our
study
highlights
vulnerability
emphasize
urgent
need
early
detection
additional
support
at-risk
group.
Systematic
registration
https://www.crd.york.ac.uk/prospero/
,
identifier
CRD42024564246.
World Journal of Psychiatry,
Год журнала:
2025,
Номер
15(4)
Опубликована: Март 25, 2025
BACKGROUND
Natural
killer
(NK)/T-cell
non-Hodgkin's
lymphoma
(NHL)
in
the
nasal
cavities
and
paranasal
sinuses
accounts
for
approximately
10%
of
all
lymphomas,
occurrence
NHL
is
related
to
Epstein-Barr
virus
infection.
AIM
To
explore
anxiety
depression
status
patients
with
NK/T-cell
analyzes
relevant
influencing
factors.
METHODS
A
retrospective
analysis
was
performed,
which
included
30
primary
treated
Shaanxi
Provincial
People’s
Hospital
from
January
2017
2023.
An
additional
50
healthy
volunteers
were
selected
as
control
group.
Both
groups
assessed
using
self-rating
scale
(SAS)
Self-rating
(SDS).
SDS
SAS
scores
at
different
disease
stages
analyzed,
they
further
grouped
into
negative
emotion
(NE)
(n
=
19)
non-NE
11)
based
on
their
anxiety.
Factors
affecting
NEs
analyzed
univariate
multivariate
logistic
regression
models.
RESULTS
Patients
exhibited
higher
than
controls.
Moreover,
III
IV
had
those
stage
I.
Among
patients,
there
13
(43.3%),
16
(53.3%),
10
both
(33.3%).
Univariate
identified
a
proportion
people
NE
group
III-IV
NHL,
an
educational
level
≤
high
school,
monthly
household
income
<
5000
yuan
compared
Multiple
revealed
that
risk
factor
NHL.
CONCLUSION
The
closely
patient
depression.
staging,
greater
incidence
Frontiers in Immunology,
Год журнала:
2024,
Номер
15
Опубликована: Дек. 9, 2024
Autoimmune
diseases
pose
significant
health
challenges
worldwide
and
affect
millions.
In
recent
years,
there
has
been
growing
interest
in
exploring
preventive
strategies
through
nutritional
interventions
using
vitamins,
antioxidants,
micronutrients
to
reduce
the
risk
of
developing
autoimmune
diseases.
However,
excessive
supplementation
also
associated
with
toxicity.