{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T11:26:59Z","timestamp":1786706819728,"version":"build-2736575974"},"reference-count":55,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T00:00:00Z","timestamp":1770336000000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Testicular cancer (TC) disproportionately affects younger men and carries unique psychosocial and physiological consequences that extend well beyond treatment. Despite favorable survival rates, TC survivors frequently report diminished health\u2010related quality of life (HRQoL). These burdens are often compounded by masculinity\u2010related identity disruptions, fear of recurrence, sexual dysfunction, and a lack of tailored psychosocial support. Existing interventions remain limited, with most programs focused on physical rehabilitation or early detection. Few address the multidimensional stressors that shape the TC survivorship experience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This narrative review examines the literature on HRQoL among TC survivors and evaluates the potential of mindfulness\u2010based interventions (MBIs) as a viable therapeutic strategy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>A comprehensive literature search identified artivles that were produced in the past two decades+ that investigated the relationship between MBIs and TC survivor HRQoL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Evidence from broader cancer populations demonstrates that MBIs, such as meditation, breathing exercises, and mindfulness\u2010based psychoeducation, can reduce psychological distress and promote emotional regulation. Programs like MindCAN have shown promise in improving self\u2010awareness, affect, and coping. Importantly, MBIs offer a low\u2010cost, flexible, and sustainable approach that aligns with the autonomy often valued by men navigating survivorship.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>To date, no fully developed mindfulness trials have been developed specifically for TC survivors. Given the early age of diagnosis and long survivorship trajectories, as well as the unique psychological and physiological health outcomes associated with TC, MBIs may be especially well\u2010suited to this population. This review calls for a renewed focus on implementing mindfulness\u2010based strategies designed for the lived realities of TC survivors. Doing so may meaningfully enhance post\u2010treatment outcomes, reduce disparities in male mental health care, and promote holistic wellness in one of the most underserved cancer survivor populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cam4.71523","type":"journal-article","created":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T09:23:36Z","timestamp":1770369816000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Promise of Mindfulness\u2010Based Interventions: A Stress\u2010Reduction Strategy for Testicular Cancer Survivors' Health\u2010Related Quality of Life"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8086-3460","authenticated-orcid":false,"given":"Michael J.","family":"Rovito","sequence":"first","affiliation":[{"name":"University of Central Florida  Orlando Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-3663-0471","authenticated-orcid":false,"given":"Colin F.","family":"O'Mahony","sequence":"additional","affiliation":[{"name":"University of South Carolina  Columbia South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamalie","family":"Thomas","sequence":"additional","affiliation":[{"name":"University of Central Florida  Orlando Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keith","family":"Brazendale","sequence":"additional","affiliation":[{"name":"University of Central Florida  Orlando Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8834-9669","authenticated-orcid":false,"given":"Ciaran M.","family":"Fairman","sequence":"additional","affiliation":[{"name":"University of South Carolina  Columbia South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,6]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.34064"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.34220"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers16071332"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764\u2010024\u201001589\u20100"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19010599"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5667"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1200\/jco.19.00572"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers13225816"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.2030"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.k1415"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17196938"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.4103\/2347\u20105625.177394"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2019.10.025"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.22542"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000000989"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.35508"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/1557988312469659"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010020\u201005723\u20103"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.26355\/eurrev_201802_14290"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/15579883211012601"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.15039"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102605.2010.01073.x"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.2147\/cmar.s198039"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/1557988316675794"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2010.04.005"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764\u2010019\u201000835\u20100"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.22374\/ijmsch.v2i1.16"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2010.03.022"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1590\/s1807\u201059322011000700001"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdu447"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/ju.0000000000001364"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41416\u2010018\u20100044\u20107"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13104\u2010017\u20102531\u2010y"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1093\/abm\/kaad010"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.17533\/udea.iee.v32n2a04"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.1177\/0300891618765546"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2022.1054885"},{"key":"e_1_2_13_39_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102024\u2010085597"},{"key":"e_1_2_13_40_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2024.1347336"},{"key":"e_1_2_13_41_1","doi-asserted-by":"publisher","DOI":"10.1037\/ccp0000186"},{"key":"e_1_2_13_42_1","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/3289521"},{"key":"e_1_2_13_43_1","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.6435"},{"key":"e_1_2_13_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2019.109916"},{"key":"e_1_2_13_45_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12671\u201002001373\u2010y"},{"key":"e_1_2_13_46_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5771"},{"key":"e_1_2_13_47_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-020-05792-4"},{"key":"e_1_2_13_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.copsyc.2018.12.011"},{"key":"e_1_2_13_49_1","doi-asserted-by":"publisher","DOI":"10.1177\/1745691617709589"},{"key":"e_1_2_13_50_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5355"},{"key":"e_1_2_13_51_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5237"},{"key":"e_1_2_13_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cnur.2023.07.005"},{"key":"e_1_2_13_53_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5214"},{"key":"e_1_2_13_54_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina57090993"},{"key":"e_1_2_13_55_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mcna.2017.10.003"},{"key":"e_1_2_13_56_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0959\u20108049(03)00151\u20105"}],"container-title":["Cancer Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cam4.71523","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/cam4.71523","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cam4.71523","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T10:28:06Z","timestamp":1786703286000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cam4.71523"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":55,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1002\/cam4.71523"],"URL":"https:\/\/doi.org\/10.1002\/cam4.71523","archive":["Portico"],"relation":{},"ISSN":["2045-7634","2045-7634"],"issn-type":[{"value":"2045-7634","type":"print"},{"value":"2045-7634","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2]]},"assertion":[{"value":"2025-09-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e71523"}}