{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T13:10:33Z","timestamp":1779887433491,"version":"3.53.1"},"reference-count":55,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T00:00:00Z","timestamp":1778457600000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"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":["Psycho-Oncology"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>A childhood cancer diagnosis creates a profound crisis for the entire family. While the psychological distress of this journey is well\u2010documented globally, the lived experiences of families within the specific socio\u2010political and economic context of Iran remain underexplored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to explore the lived experiences of Iranian families caring for a child with cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A hermeneutic phenomenological study was conducted in Urmia, Iran. Through purposive sampling, 19 family members (parents and siblings) of children with cancer were recruited. Data were collected over an 8\u2010month period (November 2023\u2013June 2024) via in\u2010depth, semi\u2010structured interviews. The data were analyzed using the Van Manen approach and managed using MAXQDA software. Trustworthiness was ensured through strategies such as peer debriefing with an external qualitative researcher and maintaining a detailed audit trail of all analytical decisions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The analysis yielded 2433 codes, categorized into 14 sub\u2010themes and 5 main themes: (1) psychological and emotional concerns, (2) physical and medical concerns, (3) family challenges, (4) support systems as an important asset, and (5) spiritual experiences. These findings were experienced under the pervasive shadow of sanctions and the threat of war.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The experience of caring for a child with cancer in Iran is deeply shaped by the interplay of intense emotional suffering and significant structural challenges, including economic pressure and limited support systems. The findings underscore the critical need for culturally sensitive psychosocial support and policy interventions that address the unique socio\u2010economic vulnerabilities of these families.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70447","type":"journal-article","created":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T12:45:07Z","timestamp":1778503507000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Lived Experience of Childhood Cancer: A Hermeneutic Phenomenological Study of Iranian Families Navigating Sanctions and the Threat of War"],"prefix":"10.1002","volume":"35","author":[{"given":"Fariba","family":"Hosseinzadegan","sequence":"first","affiliation":[{"name":"School of Nursing and Midwifery Tabriz University of Medical Sciences  Tabriz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5273-7264","authenticated-orcid":false,"given":"Fatemeh","family":"Moghaddam\u2010Tabrizi","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Urmia University of Medical Sciences  Urmia Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samira","family":"Orujlu","sequence":"additional","affiliation":[{"name":"Department of Medical Surgical Nursing, School of Nursing and Midwifery Urmia University of Medical Sciences  Urmia Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3072-1998","authenticated-orcid":false,"given":"Farzaneh","family":"Bagheriyeh","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Tabriz University of Medical Sciences  Tabriz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niloofar Najafali","family":"Dizaj","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Urmia University of Medical Sciences  Urmia Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,11]]},"reference":[{"key":"e_1_2_14_2_1","volume-title":"WHO Global Initiative for Childhood Cancer: Increasing Access, Advancing Quality, Saving Lives","author":"Framework W. C.","year":"2021"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/08880018.2024.2413643"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19010599"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/s1470\u20102045(23)00320\u20100"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010021\u201006500\u20106"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12904\u2010022\u201000986\u20105"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2021.102078"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.29470"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/children8121173"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.31674\/mjn.2025.v16i03.007"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2024.01.016"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1155\/2024\/6667978"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.37689\/acta\u2010ape\/2024ar000116066"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.18502\/ijpho.v9i1.296"},{"key":"e_1_2_14_16_1","doi-asserted-by":"crossref","unstructured":"R.TariqandA.Jamil Commentary on the Article: End\u2010Of\u2010Life Decisions About Withholding or Withdrawing Therapy: Medical Ethical and Religio\u2010Cultural Considerations (2024).","DOI":"10.46431\/MEJAST.2024.7213"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.3390\/children8070592"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.16339"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.47176\/mjiri.35.180"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12992\u2010024\u201001084\u20102"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010025\u201012501\u20106"},{"key":"e_1_2_14_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12939\u2010024\u201002335\u20109"},{"key":"e_1_2_14_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/160940690300200303"},{"key":"e_1_2_14_24_1","doi-asserted-by":"crossref","unstructured":"N.Seyedfatemi M. M.Hamooleh L.Borimnejad andM.Tahmasebi Palliative Care as the Driving Force for Providing Psychological Comfort to Patients With Cancer: A Hermeneutic Study (2016).","DOI":"10.17795\/ijcp-4516"},{"key":"e_1_2_14_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2021.101978"},{"key":"e_1_2_14_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/14413582241264619"},{"key":"e_1_2_14_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/13814788.2017.1375091"},{"key":"e_1_2_14_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.275"},{"key":"e_1_2_14_29_1","volume-title":"Qualitative Research in Nursing: Advancing the Humanistic Imperative","author":"Speziale H. S.","year":"2011"},{"key":"e_1_2_14_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.6963"},{"key":"e_1_2_14_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.1359"},{"key":"e_1_2_14_32_1","doi-asserted-by":"publisher","DOI":"10.1177\/1054773819888099"},{"key":"e_1_2_14_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905\u2010024\u201003295\u20106"},{"key":"e_1_2_14_34_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41390\u2010025\u201004002\u20103"},{"issue":"1","key":"e_1_2_14_35_1","first-page":"65","article-title":"The Impact of Childhood Chronic Diseases on Child and the Family","volume":"10","author":"Ekim A.","year":"2025","journal-title":"Inst\u0131tute of Health Sciences Journal"},{"key":"e_1_2_14_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apjon.2024.100568"},{"key":"e_1_2_14_37_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13052\u2010022\u201001291\u2010w"},{"key":"e_1_2_14_38_1","doi-asserted-by":"publisher","DOI":"10.3332\/ecancer.2025.1872"},{"key":"e_1_2_14_39_1","doi-asserted-by":"publisher","DOI":"10.1177\/23779608231207233"},{"key":"e_1_2_14_40_1","doi-asserted-by":"publisher","DOI":"10.1177\/10748407221145062"},{"key":"e_1_2_14_41_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare\u20102021\u2010003019"},{"key":"e_1_2_14_42_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905\u2010024\u201003300\u2010y"},{"key":"e_1_2_14_43_1","doi-asserted-by":"publisher","DOI":"10.3390\/children9020144"},{"key":"e_1_2_14_44_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.16341"},{"key":"e_1_2_14_45_1","doi-asserted-by":"publisher","DOI":"10.18502\/tim.v10i1.18217"},{"key":"e_1_2_14_46_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010024\u201009093\u2010y"},{"key":"e_1_2_14_47_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers17030338"},{"key":"e_1_2_14_48_1","doi-asserted-by":"publisher","DOI":"10.1097\/pcc.0000000000002344"},{"key":"e_1_2_14_49_1","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2022.1087476"},{"key":"e_1_2_14_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2023.06.002"},{"key":"e_1_2_14_51_1","first-page":"267","volume-title":"The Family as a Relational Good: The Challenge of Love","author":"Falconier M.","year":"2022"},{"key":"e_1_2_14_52_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsab100"},{"key":"e_1_2_14_53_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.31564"},{"key":"e_1_2_14_54_1","doi-asserted-by":"publisher","DOI":"10.1145\/3449184"},{"key":"e_1_2_14_55_1","doi-asserted-by":"publisher","DOI":"10.31674\/mjn.2025.v16i03.007"},{"key":"e_1_2_14_56_1","doi-asserted-by":"publisher","DOI":"10.1037\/cpp0000520"}],"container-title":["Psycho-Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pon.70447","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pon.70447","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pon.70447","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T12:57:45Z","timestamp":1779886665000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pon.70447"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":55,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1002\/pon.70447"],"URL":"https:\/\/doi.org\/10.1002\/pon.70447","archive":["Portico"],"relation":{},"ISSN":["1057-9249","1099-1611"],"issn-type":[{"value":"1057-9249","type":"print"},{"value":"1099-1611","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"2025-09-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70447"}}