{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T10:40:18Z","timestamp":1792665618444,"version":"4.5.0"},"reference-count":48,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T00:00:00Z","timestamp":1787875200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Acta Psychologica"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.actpsy.2026.107728","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T07:29:52Z","timestamp":1788161392000},"page":"107728","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Longitudinal network dynamics of nutrition-impact symptoms in nasopharyngeal carcinoma during concurrent chemoradiotherapy: A cross-lagged panel analysis"],"prefix":"10.1016","volume":"270","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-8505-0340","authenticated-orcid":false,"given":"Juanjuan","family":"Lei","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siyan","family":"Yu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ya","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Changping","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3513-8523","authenticated-orcid":false,"given":"Wenwen","family":"Cai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoshan","family":"Hu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7117-3483","authenticated-orcid":false,"given":"Yan","family":"Xia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.actpsy.2026.107728_bb0005","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1159\/000495045","article-title":"Introducing network intervention analysis to investigate sequential, symptom-specific treatment effects: A demonstration in co-occurring insomnia and depression","volume":"88","author":"Blanken","year":"2019","journal-title":"Psychotherapy and Psychosomatics"},{"issue":"16","key":"10.1016\/j.actpsy.2026.107728_bb0010","doi-asserted-by":"crossref","DOI":"10.3390\/cancers13163983","article-title":"Modelling radiation-induced salivary dysfunction during IMRT and chemotherapy for nasopharyngeal cancer patients","volume":"13","author":"Cavallo","year":"2021","journal-title":"Cancers (Basel)"},{"key":"10.1016\/j.actpsy.2026.107728_bb0015","doi-asserted-by":"crossref","DOI":"10.1016\/j.radonc.2024.110613","article-title":"Long-term trends in the burden of nasopharyngeal carcinoma in China: A comprehensive analysis from 1990 to 2021 and projections to 2030 based on the global burden of disease study 2021","volume":"202","author":"Chen","year":"2025","journal-title":"Radiotherapy and Oncology"},{"issue":"5","key":"10.1016\/j.actpsy.2026.107728_bb0020","first-page":"1232","article-title":"Formulation of the best practice evidence-based nutrition management protocol for nasopharyngeal carcinoma patients undergoing chemoradiotherapy","volume":"55","author":"Cheng","year":"2024","journal-title":"Sichuan Da Xue Xue Bao. Yi Xue Ban"},{"issue":"12","key":"10.1016\/j.actpsy.2026.107728_bb0025","doi-asserted-by":"crossref","first-page":"710","DOI":"10.1007\/s00520-023-08165-9","article-title":"The effect of two different types of music played to cancer patients during chemotherapy on anxiety, nausea, and satisfaction levels","volume":"31","author":"Dall\u0131","year":"2023","journal-title":"Supportive Care in Cancer"},{"issue":"4","key":"10.1016\/j.actpsy.2026.107728_bb0030","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1097\/NCC.0000000000001227","article-title":"Symptom patterning across the cancer care trajectory for patients receiving chemoradiation for head and neck cancer: A retrospective longitudinal study using latent transition analysis","volume":"47","author":"Dunnack","year":"2024","journal-title":"Cancer Nursing"},{"issue":"5","key":"10.1016\/j.actpsy.2026.107728_bb0035","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1016\/j.jtumed.2019.08.004","article-title":"Epidemiological assessment of distress during chemotherapy: Who is affected?","volume":"14","author":"El","year":"2019","journal-title":"Journal of Taibah University Medical Sciences"},{"issue":"1","key":"10.1016\/j.actpsy.2026.107728_bb0040","doi-asserted-by":"crossref","first-page":"195","DOI":"10.3758\/s13428-017-0862-1","article-title":"Estimating psychological networks and their accuracy: A tutorial paper","volume":"50","author":"Epskamp","year":"2018","journal-title":"Behavior Research Methods"},{"issue":"2","key":"10.1016\/j.actpsy.2026.107728_bb0045","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1111\/jcpp.13256","article-title":"Unique longitudinal relationships between symptoms of psychopathology in youth: A cross-lagged panel network analysis in the ABCD study","volume":"62","author":"Funkhouser","year":"2021","journal-title":"Journal of Child Psychology and Psychiatry"},{"key":"10.1016\/j.actpsy.2026.107728_bb0050","doi-asserted-by":"crossref","DOI":"10.1186\/s12885-026-15694-z","article-title":"Malnutrition-related symptom clusters and quality of life in nasopharyngeal carcinoma patients during radiotherapy: A network analysis","author":"Hao","year":"2026","journal-title":"BMC Cancer"},{"issue":"6","key":"10.1016\/j.actpsy.2026.107728_bb0055","doi-asserted-by":"crossref","first-page":"3261","DOI":"10.1002\/nop2.1039","article-title":"Continuous quality improvement of nutrition management during radiotherapy in patients with nasopharyngeal carcinoma","volume":"8","author":"Ji","year":"2021","journal-title":"Nursing Open"},{"issue":"12","key":"10.1016\/j.actpsy.2026.107728_bb0060","doi-asserted-by":"crossref","first-page":"4705","DOI":"10.1007\/s00520-019-04784-3","article-title":"Validation of the Chinese version of the head and neck patient symptom checklist for measuring nutrition impact symptoms during radiotherapy in patients with head and neck cancer","volume":"27","author":"Jin","year":"2019","journal-title":"Supportive Care in Cancer"},{"issue":"1","key":"10.1016\/j.actpsy.2026.107728_bb0065","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1136\/bmjspcare-2019-002077","article-title":"Nutrition impact symptoms and weight loss in head and neck cancer during radiotherapy: A longitudinal study","volume":"11","author":"Jin","year":"2021","journal-title":"BMJ Supportive & Palliative Care"},{"key":"10.1016\/j.actpsy.2026.107728_bb0070","article-title":"Exploring the dynamics of perioperative quality of life in patients with pancreatic cancer: A cross-lagged panel network analysis","author":"Jin","year":"2026","journal-title":"Annals of Surgical Oncology"},{"issue":"2","key":"10.1016\/j.actpsy.2026.107728_bb0075","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1111\/1747-0080.12861","article-title":"Mental health and diet quality after primary treatment for ovarian cancer","volume":"81","author":"Johnston","year":"2024","journal-title":"Nutrition & Dietetics"},{"issue":"7","key":"10.1016\/j.actpsy.2026.107728_bb0080","doi-asserted-by":"crossref","DOI":"10.1016\/j.apjon.2023.100251","article-title":"The quality of life in nasopharyngeal carcinoma radiotherapy: A longitudinal study","volume":"10","author":"Kan","year":"2023","journal-title":"Asia-Pacific Journal of Oncology Nursing"},{"issue":"4","key":"10.1016\/j.actpsy.2026.107728_bb0085","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1097\/00002820-200507000-00005","article-title":"Symptom clusters: Concept analysis and clinical implications for cancer nursing","volume":"28","author":"Kim","year":"2005","journal-title":"Cancer Nursing"},{"issue":"11","key":"10.1016\/j.actpsy.2026.107728_bb0090","doi-asserted-by":"crossref","first-page":"3127","DOI":"10.1007\/s00520-013-1870-z","article-title":"The head and neck symptom checklist\u00a9: An instrument to evaluate nutrition impact symptoms effect on energy intake and weight loss","volume":"21","author":"Kubrak","year":"2013","journal-title":"Supportive Care in Cancer"},{"key":"10.1016\/j.actpsy.2026.107728_bb0095","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyt.2022.960756","article-title":"A genetic association study reveals the relationship between the oral microbiome and anxiety and depression symptoms","volume":"13","author":"Li","year":"2022","journal-title":"Frontiers in Psychiatry"},{"key":"10.1016\/j.actpsy.2026.107728_bb0100","article-title":"Network analysis of symptom clusters and core symptom changes in nasopharyngeal cancer survivors: A longitudinal study","author":"Li","year":"2026","journal-title":"Journal of Cancer Survivorship"},{"key":"10.1016\/j.actpsy.2026.107728_bb0105","doi-asserted-by":"crossref","DOI":"10.1016\/j.radonc.2025.110993","article-title":"Dynamic joint prediction model of severe radiation-induced oral mucositis among nasopharyngeal carcinoma: A prospective longitudinal study","volume":"209","author":"Li","year":"2025","journal-title":"Radiotherapy and Oncology"},{"issue":"1","key":"10.1016\/j.actpsy.2026.107728_bb0110","doi-asserted-by":"crossref","DOI":"10.1016\/j.soncn.2024.151805","article-title":"Cross-lagged panel network analysis of symptoms in patients with gastric cancer undergoing postoperative chemotherapy","volume":"41","author":"Li","year":"2025","journal-title":"Seminars in Oncology Nursing"},{"key":"10.1016\/j.actpsy.2026.107728_bb0115","doi-asserted-by":"crossref","DOI":"10.1016\/j.oraloncology.2025.107269","article-title":"Effect of enhanced recovery after radiotherapy (ERAR) on the quality of life in patients with nasopharyngeal carcinoma after radiotherapy: A randomized controlled trial","volume":"164","author":"Lin","year":"2025","journal-title":"Oral Oncology"},{"issue":"2","key":"10.1016\/j.actpsy.2026.107728_bb0120","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1038\/mi.2017.116","article-title":"Oral-gut connection: One step closer to an integrated view of the gastrointestinal tract?","volume":"11","author":"Lira-Junior","year":"2018","journal-title":"Mucosal Immunology"},{"key":"10.1016\/j.actpsy.2026.107728_bb0125","doi-asserted-by":"crossref","first-page":"1925","DOI":"10.2147\/CMAR.S521105","article-title":"The communication-based intervention program based on narrative medicine theory effectively improves the quality of nursing care for nasopharyngeal cancer patients undergoing radiotherapy and chemotherapy","volume":"17","author":"Liu","year":"2025","journal-title":"Cancer Management and Research"},{"issue":"9","key":"10.1016\/j.actpsy.2026.107728_bb0130","doi-asserted-by":"crossref","first-page":"3489","DOI":"10.1007\/s12325-024-02945-3","article-title":"Psychological factors related to treatment outcomes in head and neck cancer","volume":"41","author":"M\u00e4kitie","year":"2024","journal-title":"Advances in Therapy"},{"issue":"14","key":"10.1016\/j.actpsy.2026.107728_bb0135","doi-asserted-by":"crossref","DOI":"10.3390\/nu17142316","article-title":"Gut microbiota in women with eating disorders: A new frontier in pathophysiology and treatment","volume":"17","author":"Marano","year":"2025","journal-title":"Nutrients"},{"issue":"5","key":"10.1016\/j.actpsy.2026.107728_bb0140","doi-asserted-by":"crossref","first-page":"3105","DOI":"10.1007\/s00784-020-03634-5","article-title":"Saliva substitute mouthwash in nasopharyngeal cancer survivors with xerostomia: A randomized controlled trial","volume":"25","author":"Marimuthu","year":"2021","journal-title":"Clinical Oral Investigations"},{"issue":"5","key":"10.1016\/j.actpsy.2026.107728_bb0145","doi-asserted-by":"crossref","first-page":"1110","DOI":"10.1016\/j.ijrobp.2023.02.041","article-title":"Patient-reported symptom severity, health-related quality of life, and emotional distress trajectories during and after radiation therapy for human papillomavirus-associated oropharyngeal cancer: A TROG 12.01 secondary analysis","volume":"116","author":"Mcdowell","year":"2023","journal-title":"International Journal of Radiation Oncology, Biology, Physics"},{"issue":"1","key":"10.1016\/j.actpsy.2026.107728_bb0150","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1007\/s40520-025-03071-y","article-title":"The bidirectional association of malnutrition with depression and anxiety in patients with cancer: A systematic review and meta-analysis of evidence","volume":"37","author":"Micek","year":"2025","journal-title":"Aging Clinical and Experimental Research"},{"issue":"1","key":"10.1016\/j.actpsy.2026.107728_bb0155","doi-asserted-by":"crossref","DOI":"10.1038\/s41597-025-04671-z","article-title":"Oral microbiome and mycobiome dynamics in cancer therapy-induced oral mucositis","volume":"12","author":"Nodit","year":"2025","journal-title":"Scientific Data"},{"issue":"7","key":"10.1016\/j.actpsy.2026.107728_bb0160","doi-asserted-by":"crossref","DOI":"10.1016\/j.apjon.2023.100237","article-title":"The impact of multidisciplinary team nutrition management on nutritional and toxicity status in patients with nasopharyngeal carcinoma","volume":"10","author":"Ou","year":"2023","journal-title":"Asia-Pacific Journal of Oncology Nursing"},{"issue":"5_suppl","key":"10.1016\/j.actpsy.2026.107728_bb0165","doi-asserted-by":"crossref","first-page":"449S","DOI":"10.1177\/0145561319879245","article-title":"Frequency and evolution of acute oral complications in patients undergoing radiochemotherapy treatment for head and neck squamous cell carcinoma","volume":"100","author":"Palmieri","year":"2021","journal-title":"Ear, Nose, & Throat Journal"},{"issue":"1","key":"10.1016\/j.actpsy.2026.107728_bb0170","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1055\/s-0040-1705073","article-title":"Anorexia nervosa with vomiting episodes: Dermatological and oral complications","volume":"14","author":"Paszynska","year":"2020","journal-title":"Eur J Dent."},{"issue":"10","key":"10.1016\/j.actpsy.2026.107728_bb0175","doi-asserted-by":"crossref","first-page":"7109","DOI":"10.3390\/curroncol29100559","article-title":"Psychoneurological symptoms and biomarkers of stress and inflammation in newly diagnosed head and neck cancer patients: A network analysis","volume":"29","author":"Santoso","year":"2022","journal-title":"Current Oncology"},{"issue":"1","key":"10.1016\/j.actpsy.2026.107728_bb0180","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1007\/s00520-023-08288-z","article-title":"Exploring the dynamics of perioperative symptom networks in colorectal cancer patients: A cross-lagged panel network analysis","volume":"32","author":"Shang","year":"2023","journal-title":"Supportive Care in Cancer"},{"issue":"3","key":"10.1016\/j.actpsy.2026.107728_bb0185","doi-asserted-by":"crossref","first-page":"425","DOI":"10.4103\/jcrt.JCRT_880_18","article-title":"Intensity-modulated radiation therapy in head-and-neck carcinomas: Potential beyond sparing the parotid glands","volume":"16","author":"Sharma","year":"2020","journal-title":"Journal of Cancer Research and Therapeutics"},{"issue":"3","key":"10.1016\/j.actpsy.2026.107728_bb0190","doi-asserted-by":"crossref","first-page":"919","DOI":"10.1007\/s10555-024-10176-9","article-title":"Epidemiology of nasopharyngeal carcinoma: Current insights and future outlook","volume":"43","author":"Su","year":"2024","journal-title":"Cancer Metastasis Reviews"},{"key":"10.1016\/j.actpsy.2026.107728_bb0195","doi-asserted-by":"crossref","DOI":"10.1016\/j.ejon.2026.103138","article-title":"Exploring the dynamics of symptom networks in esophageal cancer patients during chemotherapy: A cross-lagged panel network analysis","volume":"81","author":"Sun","year":"2026","journal-title":"European Journal of Oncology Nursing"},{"issue":"7","key":"10.1016\/j.actpsy.2026.107728_bb0200","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1007\/s00520-025-09604-5","article-title":"Psychological distress of patients with head and neck cancer following various oncologic treatments-a longitudinal study","volume":"33","author":"Thirupathi","year":"2025","journal-title":"Supportive Care in Cancer"},{"issue":"1","key":"10.1016\/j.actpsy.2026.107728_bb0205","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-024-53212-y","article-title":"Prospective study of predictors for anxiety, depression, and somatization in a sample of 1807 cancer patients","volume":"14","author":"Velasco-Durantez","year":"2024","journal-title":"Scientific Reports"},{"issue":"2","key":"10.1016\/j.actpsy.2026.107728_bb0210","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1016\/j.jpainsymman.2020.12.013","article-title":"Nutrition impact symptom clusters in patients with head and neck cancer receiving concurrent chemoradiotherapy","volume":"62","author":"Wang","year":"2021","journal-title":"Journal of Pain and Symptom Management"},{"issue":"1","key":"10.1016\/j.actpsy.2026.107728_bb0215","doi-asserted-by":"crossref","DOI":"10.1186\/s12955-025-02459-8","article-title":"Network analysis of multidimensional symptom experience among postoperative esophageal cancer survivors","volume":"24","author":"Wang","year":"2025","journal-title":"Health and Quality of Life Outcomes"},{"key":"10.1016\/j.actpsy.2026.107728_bb0220","doi-asserted-by":"crossref","DOI":"10.3389\/fimmu.2021.618150","article-title":"A phase II randomized clinical trial and mechanistic studies using improved probiotics to prevent oral mucositis induced by concurrent radiotherapy and chemotherapy in nasopharyngeal carcinoma","volume":"12","author":"Xia","year":"2021","journal-title":"Frontiers in Immunology"},{"key":"10.1016\/j.actpsy.2026.107728_bb0225","doi-asserted-by":"crossref","DOI":"10.1016\/j.radonc.2023.109743","article-title":"Multi-trajectories of health-related quality of life and their associated factors in patients with nasopharyngeal carcinoma: A longitudinal study","volume":"186","author":"Yang","year":"2023","journal-title":"Radiotherapy and Oncology"},{"key":"10.1016\/j.actpsy.2026.107728_bb0230","doi-asserted-by":"crossref","DOI":"10.1016\/j.radonc.2024.110324","article-title":"Anxiety and depression in nasopharyngeal carcinoma patients and network analysis to identify central symptoms: A cross-sectional study from a high-incidence area","volume":"197","author":"Zhan","year":"2024","journal-title":"Radiotherapy and Oncology"},{"key":"10.1016\/j.actpsy.2026.107728_bb0235","doi-asserted-by":"crossref","DOI":"10.1016\/j.ejon.2025.102917","article-title":"Time-specific exploration of core symptoms in breast cancer: A cross-lagged panel network analysis","volume":"77","author":"Zhang","year":"2025","journal-title":"European Journal of Oncology Nursing"},{"key":"10.1016\/j.actpsy.2026.107728_bb0240","doi-asserted-by":"crossref","DOI":"10.2196\/49968","article-title":"Nasopharyngeal Cancer incidence and mortality in 185 countries in 2020 and the projected burden in 2040: Population-based global epidemiological profiling","volume":"9","author":"Zhang","year":"2023","journal-title":"JMIR Public Health and Surveillance"}],"container-title":["Acta Psychologica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0001691826015295?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0001691826015295?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T10:06:38Z","timestamp":1792663598000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0001691826015295"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":48,"alternative-id":["S0001691826015295"],"URL":"https:\/\/doi.org\/10.1016\/j.actpsy.2026.107728","relation":{},"ISSN":["0001-6918"],"issn-type":[{"value":"0001-6918","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Longitudinal network dynamics of nutrition-impact symptoms in nasopharyngeal carcinoma during concurrent chemoradiotherapy: A cross-lagged panel analysis","name":"articletitle","label":"Article Title"},{"value":"Acta Psychologica","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.actpsy.2026.107728","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier B.V.","name":"copyright","label":"Copyright"}],"article-number":"107728"}}