{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T20:27:39Z","timestamp":1783110459320,"version":"3.54.6"},"reference-count":40,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T00:00:00Z","timestamp":1780444800000},"content-version":"vor","delay-in-days":2,"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"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["R21 CA270208\u201001"],"award-info":[{"award-number":["R21 CA270208\u201001"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["P30 CA008748"],"award-info":[{"award-number":["P30 CA008748"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["T32 AG049666"],"award-info":[{"award-number":["T32 AG049666"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"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>Older adults with cancer (OACs) are a large and vulnerable population, with approximately 15% reporting clinically significant depressive symptoms. Yet, OACs are more likely than younger patients to decline a mental health referral. Understanding OACs' experience of depression and view of mental health resources is vital to inform improvements to care for this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To describe OACs' perspectives on (1) depression during cancer and (2) strategies for coping with depression, including mental health services using a qualitative descriptive study approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>OACs (\u2265 65\u00a0years old) with depressive symptoms were recruited to participate in focus groups, which were informed by a semi\u2010structured facilitation guide. Qualitative data were analyzed using reflexive thematic analysis. Descriptive statistics were used to analyze participant characteristics (e.g.,\u00a0demographics, cancer history).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      OACs (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a013,\n                      <jats:italic>M<\/jats:italic>\n                      <jats:sub>age<\/jats:sub>\n                      \u00a0=\u00a075.0) participated. Five key themes emerged: (1) Depressive symptoms as inherently tied to the cancer experience; (2) Distress symptoms disrupt daily life; (3) Cancer\u2010related depressive symptoms as unique and not warranting support; (4) Preference for personal coping strategies to manage depressive symptoms; and (5) Logistical and access barriers impact mental health care initiation and engagement.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Study findings highlight OACs' unique perspectives on depression and suggest that these views and their preference for personal coping strategies may further hinder mental health service engagement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70512","type":"journal-article","created":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T04:38:54Z","timestamp":1780547934000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Experience of Depression in Older Adults With Cancer: A Qualitative Descriptive Analysis"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7815-0787","authenticated-orcid":false,"given":"Madeleine M.","family":"Hardt","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Health, Division of Consultation Liaison Psychiatry Stony Brook Medicine  Stony Brook New York USA"},{"name":"Department of Medicine, Division of Geriatrics and Palliative Medicine Weill Cornell Medicine  New York New York USA"},{"name":"Department of Radiology Cornell Center for Research on End\u2010of\u2010Life Care Weill Cornell Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaime","family":"Gilliland","sequence":"additional","affiliation":[{"name":"Psychiatry and Behavioral Sciences Department Memorial Sloan Kettering Cancer Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisbeth","family":"Rubi","sequence":"additional","affiliation":[{"name":"Psychiatry and Behavioral Sciences Department Memorial Sloan Kettering Cancer Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rinchen","family":"Dolma","sequence":"additional","affiliation":[{"name":"Psychiatry and Behavioral Sciences Department Memorial Sloan Kettering Cancer Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1093-7676","authenticated-orcid":false,"given":"Rebecca M.","family":"Saracino","sequence":"additional","affiliation":[{"name":"Psychiatry and Behavioral Sciences Department Memorial Sloan Kettering Cancer Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo Anne","family":"Sirey","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Weill Cornell Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2018-1860","authenticated-orcid":false,"given":"Kelly M.","family":"McConnell","sequence":"additional","affiliation":[{"name":"Psychiatry and Behavioral Sciences Department Memorial Sloan Kettering Cancer Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,3]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Service USDoHaH.2023 Profile of Older Americans (2024)."},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21820"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1200\/jco.2008.20.8983"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41571\u2010020\u20100421\u2010z"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jgo.2020.12.009"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16468"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12062196"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.23059"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suronc.2021.101533"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2020.110218"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jgo.2023.101700"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/0091217420982387"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jgo.2019.11.006"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2019.11.070"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.2174\/1745017902117010295"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.2019\u20100709"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21672"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2023.2187758"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.3390\/curroncol30020140"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/10428194.2021.1872071"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.3390\/curroncol30110707"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/1744987119880234"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.21768"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.MLR.0000093487.78664.3C"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.4160"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jgo.2024.101764"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732318821692"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2021.114523"},{"key":"e_1_2_10_31_1","volume-title":"Focus Groups: A Practial Guide for Applied Research","author":"Kruegar R.","year":"2000"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1080\/14780887.2023.2238625"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1080\/26895269.2022.2129597"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1177\/1744987107081254"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764\u2010024\u201001549\u20108"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.33687"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jgo.2024.101719"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnad046"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.2497"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1097\/pra.0000000000000491"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1080\/07317115.2024.2375321"}],"container-title":["Psycho-Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pon.70512","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pon.70512","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pon.70512","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T20:10:59Z","timestamp":1783109459000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pon.70512"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":40,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1002\/pon.70512"],"URL":"https:\/\/doi.org\/10.1002\/pon.70512","archive":["Portico"],"relation":{},"ISSN":["1057-9249","1099-1611"],"issn-type":[{"value":"1057-9249","type":"print"},{"value":"1099-1611","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"2025-08-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70512"}}