{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T08:36:43Z","timestamp":1792831003814,"version":"4.5.0"},"reference-count":40,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T00:00:00Z","timestamp":1792800000000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100010052","name":"Northumbria University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010052","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Thyroid cancer has a favourable prognosis, yet many survivors experience ongoing psychological and social challenges. Although support is available, it is often underused. This study explored barriers to support\u2010seeking in the UK.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An inductive, qualitative approach was taken. Twenty\u2010five adults with papillary or follicular thyroid cancer were recruited through an NHS Trust and a national charity. Semi\u2010structured interviews were conducted and thematically analysed, with the findings compared to existing bodies of theory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Barriers clustered into two domains. Domain A focused on personal illness representations: (1) self\u2010sufficiency and low perceived need (\u2018I thought I could cope alone\u2019), (2) altruistic reluctance (\u2018others need it more than me\u2019), and (3) limited sense of belonging due to age or cancer type (\u2018not for people like me\u2019). Domain B captured structural influences: (4) absence of proactive follow\u2010up (\u2018care ends at discharge\u2019) and (5) support options that did not meet individual preferences (\u2018one\u2010size doesn't fit all\u2019). An approach that combined the Common\u2010Sense Model of Illness Representations and Andersen's Behavioural Model of Health Services Use was most helpful in contextualising these findings. This approach showed how beliefs about coping, emotional regulation, and moral comparisons intersect with service design, information quality, and enabling resources to limit engagement with psychosocial support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Barriers arise through the interaction of belief\u2010based and system\u2010level factors. Clinically, routine assessment of illness perceptions, normalisation of help\u2010seeking, proactive survivorship follow\u2010up, and flexible, tailored support options may improve engagement. Embedding psychosocial care within standard follow\u2010up could help position emotional well\u2010being at the centre of thyroid cancer recovery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70627","type":"journal-article","created":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T07:40:53Z","timestamp":1792827653000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u2018I Thought I Could Cope Alone\u2019: Understanding Barriers to Support\u2010Seeking Among Thyroid Cancer Survivors Through an Integrated Theoretical Lens"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7118-0665","authenticated-orcid":false,"given":"Alicja","family":"Rogusz","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences and Wellbeing, University of Sunderland  Sunderland UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamie","family":"Harding","sequence":"additional","affiliation":[{"name":"Faculty of Society and Culture Northumbria University  Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,24]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/cen.12515"},{"key":"e_1_2_11_3_1","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1007\/978-3-319-91725-2_5","volume-title":"Practical Management of Thyroid Cancer: A Multidisciplinary Approach","author":"Poller D. N.","year":"2018"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1515\/med\u20102025\u20101322"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.2147\/CMAR.S198514"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/8765369"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.15386\/cjmed\u2010703"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12020\u2010021\u201002786\u2010y"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beem.2023.101732"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010015\u20103300\u20105"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/08858190802247762"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03401308"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2023.1108425"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1188\/13.ONF.596\u2010600"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102025\u2010099254"},{"key":"e_1_2_11_16_1","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1007\/978-1-137-15997-7","volume-title":"Ways of Knowing: Competing Methodologies in Social and Political Research","author":"Moses J. W.","year":"2007"},{"key":"e_1_2_11_17_1","first-page":"119","volume-title":"Introduction to Research Methods: A Practical Guide for Anyone Undertaking a Research Project","author":"Dawson C.","year":"2009"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdq413"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2024.102942"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.34934"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.6325"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102021\u2010055460"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.2011.419"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764\u2010014\u20100384\u20100"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1080\/10875549.2021.1910892"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606\u2010025\u201010004\u2010y"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.29063\/ajrh2026\/v30i2.13"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2005.10.020"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1080\/17437199.2019.1618725"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5049"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40359\u2010024\u201001647\u20103"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010025\u201086245\u2010y"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.2307\/2137284"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.18502\/ijph.v52i7.13236"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12939\u2010021\u201001416\u20103"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1186\/1475\u20109276\u201012\u201018"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1037\/bul0000118"},{"key":"e_1_2_11_39_1","volume-title":"From Cancer Patient to Cancer Survivor: Lost in Transition","author":"Institute of Medicine, National Research Council","year":"2006"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djz089"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2009.27.3698"}],"container-title":["Psycho-Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pon.70627","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pon.70627","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pon.70627","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T07:40:56Z","timestamp":1792827656000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pon.70627"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":40,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1002\/pon.70627"],"URL":"https:\/\/doi.org\/10.1002\/pon.70627","archive":["Portico"],"relation":{},"ISSN":["1057-9249","1099-1611"],"issn-type":[{"value":"1057-9249","type":"print"},{"value":"1099-1611","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"2026-02-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70627"}}