{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T20:27:05Z","timestamp":1783110425790,"version":"3.54.6"},"reference-count":36,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T00:00:00Z","timestamp":1781049600000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"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":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore eating difficulties, psychological distress and self\u2010management strategies among colorectal cancer (CRC) patients receiving chemotherapy, and to examine how diet\u2010related symptom burden shapes emotional responses, perceived control and coping, guided by Symptom Management Theory (SMT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A qualitative study was conducted with 22 CRC patients receiving chemotherapy at two tertiary hospitals in Chengdu. Purposive sampling ensured variation in demographic and clinical characteristics. Semi\u2010structured interviews were audio\u2010recorded, transcribed verbatim, and analyzed using reflexive thematic analysis informed by SMT. The study was reported in line with the Consolidated criteria for reporting qualitative research (COREQ).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three main themes were identified: (1) Diet\u2010related symptom distress and disrupted eating: patients described complex, fluctuating multisystem symptom clusters that reduced appetite, altered taste, and eroded a sense of control over eating. (2) Dietary self\u2010management as coping and regaining control: patients engaged in flexible dietary adjustments, trial\u2010and\u2010error experimentation, timing and portion modifications, and emotional regulation to alleviate discomfort, preserve daily functioning, and maintain social roles. (3) Uncertainty and unmet psychosocial\u2010nutritional support needs: patients reported confusion about \u201cright\u201d foods and quantities, fear that diet might compromise treatment, exposure to conflicting information, and a desire for structured, accessible, and personalised guidance that addresses both nutritional and emotional concerns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Eating during chemotherapy is both psychosocial and nutritional, intertwining symptom burden, emotional responses, perceived control, and coping efforts. Integrating patient\u2010centered nutritional care with psycho\u2010oncological support, through multidisciplinary collaboration, may improve symptom control, treatment adherence, and quality of life in CRC patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70497","type":"journal-article","created":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T05:31:28Z","timestamp":1781155888000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Eating Difficulties, Psychological Distress, and Self\u2010Management in Colorectal Cancer Patients Undergoing Chemotherapy: A Qualitative Study"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5780-2157","authenticated-orcid":false,"given":"Wei","family":"Peng","sequence":"first","affiliation":[{"name":"West China School of Nursing Sichuan University  Chengdu Sichuan China"},{"name":"Department of Oncology West China School of Public Health and West China Fourth Hospital Sichuan University  Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoyu","family":"Wang","sequence":"additional","affiliation":[{"name":"Laboratory of Molecular Translational Medicine Center for Translational Medicine Key Laboratory of Birth Defects and Related Diseases of Women and Children Sichuan University  Chengdu Sichuan China"},{"name":"Ministry of Education Maternal &amp; Child Nutrition Center West China Second University Hospital Sichuan University  Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8723-6723","authenticated-orcid":false,"given":"Mengxue","family":"Chen","sequence":"additional","affiliation":[{"name":"Laboratory of Molecular Translational Medicine Center for Translational Medicine Key Laboratory of Birth Defects and Related Diseases of Women and Children Sichuan University  Chengdu Sichuan China"},{"name":"Ministry of Education Maternal &amp; Child Nutrition Center West China Second University Hospital Sichuan University  Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinxin","family":"Fan","sequence":"additional","affiliation":[{"name":"West China School of Nursing Sichuan University  Chengdu Sichuan China"},{"name":"Department of Oncology West China School of Public Health and West China Fourth Hospital Sichuan University  Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liang","family":"Fan","sequence":"additional","affiliation":[{"name":"West China School of Nursing Sichuan University  Chengdu Sichuan China"},{"name":"Department of Oncology West China School of Public Health and West China Fourth Hospital Sichuan University  Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Zou","sequence":"additional","affiliation":[{"name":"West China School of Nursing Sichuan University  Chengdu Sichuan China"},{"name":"Department of Oncology West China School of Public Health and West China Fourth Hospital Sichuan University  Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8941-2479","authenticated-orcid":false,"given":"Yujie","family":"Xu","sequence":"additional","affiliation":[{"name":"Laboratory of Molecular Translational Medicine Center for Translational Medicine Key Laboratory of Birth Defects and Related Diseases of Women and Children Sichuan University  Chengdu Sichuan China"},{"name":"Ministry of Education Maternal &amp; 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