{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T19:03:45Z","timestamp":1770836625916,"version":"3.50.1"},"reference-count":37,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,7,14]],"date-time":"2025-07-14T00:00:00Z","timestamp":1752451200000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Cancer diagnosis, particularly at advanced stages, affects both patients and their primary caregivers, often resulting in emotional distress.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To assess and compare distress levels in patients newly diagnosed with stage IV cancer and their partners and identify psychosocial support needs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this prospective study, patients and their partners from a public hospital in Brazil completed the SupportScreen\u2010Couples Distress questionnaire, assessing emotional and physical symptoms, relationship issues, and concerns about diagnosis, treatment, prognosis, and end\u2010of\u2010life. Paired <jats:italic>t<\/jats:italic>\u2010tests compared distress levels between patients and partners.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 128 participants were included, consisting of 64 patients with stage IV cancer and their partners. The findings revealed significant differences in distress levels between patients and partners. Patients reported higher distress in areas such as fatigue (42.1% vs. 29.7%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.02), worries about the future (28.1% vs. 20.3%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.08), sleep problems (28.1% vs. 20.3%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.07), and feelings of depression (26.6% vs. 15.6%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.03). In contrast, partners experienced higher distress related to anxiety (37.5% vs. 28.1%, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.01) and financial concerns (25.1% vs. 17.2%, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The study highlights the distinct emotional burdens faced by both patients and their partners. While patients are primarily distressed by physical symptoms and future uncertainties, partners are more concerned with caregiving demands and financial strain. These findings emphasize the need for integrated psychosocial support that addresses both patient and partner needs to improve emotional well\u2010being and care outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.70232","type":"journal-article","created":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T04:38:38Z","timestamp":1752554318000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Distress and Emotional Support Needs of Patients With Stage IV Cancer and Their Partners: A Biopsychosocial Assessment"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0037-0303","authenticated-orcid":false,"given":"Cristiane Decat","family":"Bergerot","sequence":"first","affiliation":[{"name":"Oncoclinicas&amp;Co \u2010 Medica Scientia Innovation Research (MEDSIR)  Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paulo Gustavo","family":"Bergerot","sequence":"additional","affiliation":[{"name":"Oncoclinicas&amp;Co \u2010 Medica Scientia Innovation Research (MEDSIR)  Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Errol J.","family":"Philip","sequence":"additional","affiliation":[{"name":"University of California Los Angeles  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7491-8143","authenticated-orcid":false,"given":"Courtney","family":"Bitz","sequence":"additional","affiliation":[{"name":"Division of Social Work Department of Psychosocial Oncology and Palliative Care Dana\u2010Farber Cancer Institute  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7947-6246","authenticated-orcid":false,"given":"Sebastian","family":"Hadaegh","sequence":"additional","affiliation":[{"name":"University of California Los Angeles  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Clark","sequence":"additional","affiliation":[{"name":"Department of Supportive Care Medicine City of Hope National Medical Center  Duarte California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Loscalzo","sequence":"additional","affiliation":[{"name":"Department of Supportive Care Medicine City of Hope National Medical Center  Duarte California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sumanta","family":"Pal","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology &amp; 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