{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T13:43:31Z","timestamp":1782913411167,"version":"3.54.5"},"reference-count":15,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T00:00:00Z","timestamp":1746489600000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003975","name":"Israel Cancer Association","doi-asserted-by":"publisher","award":["18042024"],"award-info":[{"award-number":["18042024"]}],"id":[{"id":"10.13039\/501100003975","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2025,5]]},"abstract":"ABSTRACT<\/jats:title>Study Objective<\/jats:title>The current war in Israel has affected quality of life (QoL)\u2010related concerns among patients with cancer. Integrative oncology (IO) provides complementary medicine within supportive and palliative care. The study examined an IO program in northern Israel for cancer and war\u2010related concerns.<\/jats:p><\/jats:sec>Methods<\/jats:title>This qualitative study, nested within a prospective randomized controlled trial, examined patients undergoing oncology and palliative care expressing cancer and war\u2010related QoL concerns referred by oncology healthcare providers to an IO program. Patients were randomized to manual\u2010relaxation with (Group A) or without (Group B) acupuncture. Narratives were recorded in MYCaW (Measure Yourself Concerns and Well\u2010being) questionnaires immediately and after 24\u00a0h. Narrative excerpts were qualitatively analyzed using ATLAS.Ti software for systematic coding.<\/jats:p><\/jats:sec>Results<\/jats:title>Patient narratives (Group A, 67; Group B, 58) focused primarily on themes which included a sense of calmness and reduced emotional distress (e.g., stress, anxiety, worries, nervousness), more prominently in Group B (manual\u2010relaxation only; 55\/56 immediately\/after 24\u00a0h); and reduced pain severity, more so in Group A (with acupuncture; 19\/24). Most excerpts described improved QoL in both groups (142\/147, 97%) immediately after IO treatments, less so at 24\u00a0h (103\/135).<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Narratives of patients facing cancer\u2010 and war\u2010related QoL challenges due to the ongoing war in Israel describe a beneficial impact of IO treatments, both immediately and after 24\u00a0h. Manual\u2010relaxation without acupuncture was more likely to improve emotional concerns, with pain relief more apparent with the addition of acupuncture. Further qualitative and quantitative research is needed to explore these findings.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.70172","type":"journal-article","created":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T07:53:23Z","timestamp":1746518003000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["War and Cancer<\/i>: Exploring Patient Narratives in a Randomized Integrative Oncology Study"],"prefix":"10.1002","volume":"34","author":[{"given":"Eran","family":"Ben\u2010Arye","sequence":"first","affiliation":[{"name":"Integrative Oncology Program The Oncology Service; Lin, Carmel, and Zebulun Medical Centers Clalit Health Services Haifa Israel"},{"name":"Ruth and Bruch Rappaport Faculty of Medicine Technion\u2010Israel Institute of Technology Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Orit","family":"Gressel","sequence":"additional","affiliation":[{"name":"Integrative Oncology Program The Oncology Service; Lin, Carmel, and Zebulun Medical Centers Clalit Health Services Haifa Israel"},{"name":"Ruth and Bruch Rappaport Faculty of Medicine Technion\u2010Israel Institute of Technology Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yael","family":"Keshet","sequence":"additional","affiliation":[{"name":"Department of Sociology Western Galilee Academic College Acre Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vika","family":"Zaritsky","sequence":"additional","affiliation":[{"name":"Ruth and Bruch Rappaport Faculty of Medicine Technion\u2010Israel Institute of Technology Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sameer","family":"Kassem","sequence":"additional","affiliation":[{"name":"Ruth and Bruch Rappaport Faculty of Medicine Technion\u2010Israel Institute of Technology Haifa Israel"},{"name":"Department of Internal Medicine Lady Davis Carmel Medical Center Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yakir","family":"Segev","sequence":"additional","affiliation":[{"name":"Unit of Gynecologic Oncology Department of Obstetrics and Gynecology Carmel Medical Center Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noah","family":"Samuels","sequence":"additional","affiliation":[{"name":"Center for Integrative Complementary Medicine Shaare Zedek Medical Center Hebrew University of Jerusalem Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,6]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.22.01357"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.23.00857"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.24.00541"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/curroncol29020053"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010021\u201006174\u20100"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1089\/acu.2023.0012"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2012.02.011"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctim.2006.03.006"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3621"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1200\/JGO.2016.008193"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pgph.0003243"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2024.117364"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12904\u2010020\u201000557\u20106"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/ijgc\u20102022\u2010004004"}],"container-title":["Psycho-Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pon.70172","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T14:43:16Z","timestamp":1748356996000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pon.70172"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5]]},"references-count":15,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1002\/pon.70172"],"URL":"https:\/\/doi.org\/10.1002\/pon.70172","archive":["Portico"],"relation":{},"ISSN":["1057-9249","1099-1611"],"issn-type":[{"value":"1057-9249","type":"print"},{"value":"1099-1611","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5]]},"assertion":[{"value":"2025-04-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-26","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70172"}}