American journal of surgery · 2026
"A new normal": A qualitative study of emotional and psychosocial concerns in early-onset colorectal cancer survivors.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Kravchenko Timothy, Vitous C Ann, Bradley Sarah E, Marzoughi Maedeh, Ashmead-Meers Claire, Jacobson Clare E, Norton Tabitha E, Boyce-Suwanabol Jordan, Wallner Lauren P, Suwanabol Pasithorn A
Аннотация
BACKGROUND: The incidence of early-onset colorectal cancer (EOCRC) has increased over the past three decades. Diagnoses coincide with formative emotional and social life stages, creating challenges for patients overlooked by survivorship guidelines. This study explored the emotional and psychosocial impacts of EOCRC.
METHODS: We conducted interviews with 63 patients with EOCRC at seven academic medical centers. Interviews focused on emotional and psychosocial needs and were analyzed using thematic analysis.
RESULTS: Five themes were identified: (1) emotional and psychosocial distress; (2) dealing with uncertainty; (3) coming to terms with a "new normal"; (4) managing distress; and (5) role of medical providers. Patients described disruptions to life events and access to EOCRC-specific mental health and informational resources was an unmet need.
CONCLUSION: EOCRC profoundly impacts emotional and psychosocial well-being. Individuals experienced difficulties adjusting to a "new normal" affecting identity formation, family planning, and career progression. Access to tailored support services was lacking.
METHODS: We conducted interviews with 63 patients with EOCRC at seven academic medical centers. Interviews focused on emotional and psychosocial needs and were analyzed using thematic analysis.
RESULTS: Five themes were identified: (1) emotional and psychosocial distress; (2) dealing with uncertainty; (3) coming to terms with a "new normal"; (4) managing distress; and (5) role of medical providers. Patients described disruptions to life events and access to EOCRC-specific mental health and informational resources was an unmet need.
CONCLUSION: EOCRC profoundly impacts emotional and psychosocial well-being. Individuals experienced difficulties adjusting to a "new normal" affecting identity formation, family planning, and career progression. Access to tailored support services was lacking.