{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T20:28:19Z","timestamp":1783110499821,"version":"3.54.6"},"reference-count":51,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T00:00:00Z","timestamp":1781222400000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"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>Background<\/jats:title>\n                    <jats:p>Advanced ovarian cancer patients face profound psychosocial challenges in maintaining hope amidst terminal illness and treatment uncertainty. Understanding mechanisms supporting adaptive hope could inform psychosocial interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Phenomenological qualitative study of 16 women with advanced ovarian cancer receiving platinum\u2010based and\/or targeted therapies at a tertiary center in southern China. Semi\u2010structured interviews conducted across 11\u2010month observation period; thematic analysis guided by Leventhal\u2019s Common\u2010Sense Model (CSM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants demonstrated a triphasic psychosocial adjustment process organized around three interdependent themes: (1) Cognitive Reappraisal of Chronicity: Patients progressively reconceptualized ovarian cancer from acute crisis to manageable chronic condition, anchored in biomedical evidence (stable disease scans) and analogized to familiar chronic illnesses (diabetes). This cognitive restructuring enabled milestone\u2010based temporal orientation replacing survival countdown framing; (2) Therapeutic Alliance as Hope Anchor: Quality of patient\u2013clinician relationships functioned as relational scaffolding enabling cognitive reappraisal through shared decision\u2010making, emotional attunement, continuity of care, and hope\u2010framed honest prognostic communication. Family members facilitated this process through co\u2010construction of illness identity, milestone tracking, and selective information mediation (81.3% of participants); (3) Strategic Information Management: Patients actively regulated illness\u2010related information engagement, prioritizing actionable biomarkers over distressing epidemiological statistics, protecting the chronic illness cognitive framework while maintaining decision\u2010making capacity. The triphasic trajectory progressed from Phase 1 Crisis Cognition (0\u20133 months) through Phase 2 Cognitive Negotiation (4\u201310 months) to Phase 3 Adaptive Integration (11+ months). Platinum\u2010resistant cases reverted to Phase 1, indicating dynamic rather than stable cognitive achievement. All themes directly mapped onto CSM regulatory dimensions (identity, timeline, consequences, controllability, emotional representation), demonstrating empirical alignment between data\u2010derived constructs and established theoretical architecture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Hope maintenance in advanced ovarian cancer depends on integrated cognitive reappraisal, relational security, and behavioral information management\u2014mechanisms actionable through targeted psychosocial intervention. Family\u2010centered communication and milestone\u2010based temporal scaffolding warrant clinical implementation pending prospective validation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70506","type":"journal-article","created":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T06:45:37Z","timestamp":1781333137000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Navigating Hope and Illness Cognition in Advanced Ovarian Cancer Patients: A CSM\u2010Based Phenomenological Study"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9162-4713","authenticated-orcid":false,"given":"Yun","family":"Long","sequence":"first","affiliation":[{"name":"Department of Gynecology Shenzhen Maternity and Child Healthcare Hospital Women and Children's Medical Center Southern Medical University  Shenzhen 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