{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T21:49:13Z","timestamp":1785880153907,"version":"3.56.0"},"reference-count":44,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/501100007129","name":"Shandong Province Natural Science Foundation","doi-asserted-by":"publisher","award":["ZR2025MS1454"],"award-info":[{"award-number":["ZR2025MS1454"]}],"id":[{"id":"10.13039\/501100007129","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","ejoncologynursing.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Oncology Nursing"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.ejon.2026.103246","type":"journal-article","created":{"date-parts":[[2026,6,14]],"date-time":"2026-06-14T17:52:57Z","timestamp":1781459577000},"page":"103246","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Coexistence of social isolation and loneliness and associated factors among colorectal cancer patients with permanent colostomy: A cross-sectional study"],"prefix":"10.1016","volume":"83","author":[{"given":"Xudong","family":"He","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lina","family":"Guo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guopeng","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaona","family":"Shen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Di","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7583-9650","authenticated-orcid":false,"given":"Ping","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ejon.2026.103246_bib1","doi-asserted-by":"crossref","first-page":"57","DOI":"10.4324\/9781351153683-3","article-title":"The need to belong: desire for interpersonal attachments as a fundamental human motivation","author":"Baumeister","year":"2017","journal-title":"Interpers. Dev."},{"key":"10.1016\/j.ejon.2026.103246_bib2","doi-asserted-by":"crossref","first-page":"808","DOI":"10.1037\/hea0000605","article-title":"Loneliness, social isolation, their synergistic interaction, and mortality","volume":"37","author":"Beller","year":"2018","journal-title":"Health Psychol."},{"key":"10.1016\/j.ejon.2026.103246_bib3","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1080\/00224545.2018.1558882","article-title":"Validating the state motivation to foster social connections scale","volume":"159","author":"Bernstein","year":"2019","journal-title":"J. Soc. Psychol."},{"key":"10.1016\/j.ejon.2026.103246_bib4","doi-asserted-by":"crossref","DOI":"10.1016\/j.paid.2020.110449","article-title":"Interpersonal motivations in social anxiety: weakened approach and intensified avoidance motivations for affiliation and social-rank","volume":"170","author":"Blay","year":"2021","journal-title":"Pers. Indiv. Differ."},{"key":"10.1016\/j.ejon.2026.103246_bib5","doi-asserted-by":"crossref","first-page":"2271","DOI":"10.2147\/RMHP.S479130","article-title":"Mitigating social isolation among peritoneal dialysis patients: the impact of educational level, physical activity, and familial support","author":"Cai","year":"2024","journal-title":"Risk Manag. Healthc. Policy"},{"key":"10.1016\/j.ejon.2026.103246_bib6","doi-asserted-by":"crossref","first-page":"1219","DOI":"10.1007\/s10964-020-01365-0","article-title":"Social withdrawal and aloneliness in adolescence: examining the implications of too much and not enough solitude","volume":"50","author":"Coplan","year":"2021","journal-title":"J. Youth Adolesc."},{"key":"10.1016\/j.ejon.2026.103246_bib7","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0205009","article-title":"Stigma predicts health-related quality of life impairment, psychological distress, and somatic symptoms in acne sufferers","author":"Davern","year":"2018","journal-title":"PLoS One"},{"key":"10.1016\/j.ejon.2026.103246_bib8","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1002\/bjs5.50218","article-title":"Nationwide cohort study of the impact of education, income and social isolation on survival after acute colorectal cancer surgery","volume":"4","author":"Degett","year":"2020","journal-title":"BJS Open"},{"key":"10.1016\/j.ejon.2026.103246_bib9","doi-asserted-by":"crossref","first-page":"1367","DOI":"10.1037\/a0012632","article-title":"Satiated with belongingness? Effects of acceptance, rejection, and task framing on self-regulatory performance","volume":"95","author":"Dewall","year":"2008","journal-title":"J. Personality Soc. Psychol."},{"key":"10.1016\/j.ejon.2026.103246_bib10","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1111\/j.1365-2702.2012.04209.x","article-title":"Emotional loneliness is associated with mortality among mentally intact nursing home residents with and without cancer: a five\u2010year follow\u2010up study","volume":"22","author":"Drageset","year":"2013","journal-title":"J. Clin. Nurs."},{"key":"10.1016\/j.ejon.2026.103246_bib11","doi-asserted-by":"crossref","first-page":"25","DOI":"10.2147\/PRBM.S494430","article-title":"The impact of stigma of loneliness on psychological distress in older adults: the chain mediating effect","author":"Fan","year":"2025","journal-title":"Psychol. Res. Behav. Manag."},{"key":"10.1016\/j.ejon.2026.103246_bib12","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1097\/NMD.0000000000001502","article-title":"Factors related to passive social withdrawal and active social avoidance in schizophrenia","volume":"210","author":"Farina","year":"2022","journal-title":"J. Nerv. Ment. Dis."},{"key":"10.1016\/j.ejon.2026.103246_bib13","doi-asserted-by":"crossref","first-page":"919","DOI":"10.1093\/geronb\/gbab078","article-title":"Social isolation profiles and older adult substance use: a latent profile analysis","volume":"77","author":"Farmer","year":"2022","journal-title":"J. Gerontol.: Series B"},{"key":"10.1016\/j.ejon.2026.103246_bib14","doi-asserted-by":"crossref","DOI":"10.1186\/s12889-024-19157-7","article-title":"Relationship between social participation and depressive symptoms in patients with multimorbidity: the chained mediating role of cognitive function and activities of daily living","volume":"24","author":"Ge","year":"2024","journal-title":"BMC Public Health"},{"key":"10.1016\/j.ejon.2026.103246_bib15","series-title":"Stigma: Notes on the Management of Spoiled Identity","author":"Goffman","year":"2009"},{"key":"10.1016\/j.ejon.2026.103246_bib16","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1111\/j.1753-6405.2008.00312.x","article-title":"Transitions in work participation after a diagnosis of colorectal cancer","volume":"32","author":"Gordon","year":"2008","journal-title":"Aust. N. Z. J. Publ. Health"},{"key":"10.1016\/j.ejon.2026.103246_bib17","doi-asserted-by":"crossref","DOI":"10.1016\/j.archger.2021.104441","article-title":"Association between physical activity participation and perceived social isolation at older ages: do social participation, age and sex differences matter?","volume":"96","author":"Gyasi","year":"2021","journal-title":"Arch. Gerontol. Geriatr."},{"key":"10.1016\/j.ejon.2026.103246_bib18","first-page":"47","article-title":"Cancer incidence and mortality in China, 2022","volume":"4","author":"Han","year":"2024","journal-title":"J. Natl. Cancer Cent."},{"key":"10.1016\/j.ejon.2026.103246_bib19","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1016\/S0889-1591(02)00073-9","article-title":"Loneliness and pathways to disease","volume":"17","author":"Hawkley","year":"2003","journal-title":"Brain Behav. Immun."},{"key":"10.1016\/j.ejon.2026.103246_bib20","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1186\/s40359-025-02442-4","article-title":"Associations of temperament, family functioning with loneliness trajectories in patients with breast cancer: a longitudinal observational study","volume":"13","author":"He","year":"2025","journal-title":"BMC Psychol."},{"key":"10.1016\/j.ejon.2026.103246_bib21","doi-asserted-by":"crossref","first-page":"948","DOI":"10.1037\/a0034012","article-title":"Pain, depression, and fatigue: loneliness as a longitudinal risk factor","volume":"33","author":"Jaremka","year":"2014","journal-title":"Health Psychol."},{"key":"10.1016\/j.ejon.2026.103246_bib25","article-title":"Reliability and validity of the family APGAR index for assessing family functioning in patients with cerebrovascular disease","volume":"2","author":"L\u00fc","year":"1999","journal-title":"Chin. J. Public Health"},{"key":"10.1016\/j.ejon.2026.103246_bib22","doi-asserted-by":"crossref","first-page":"E1","DOI":"10.1097\/NCC.0000000000000495","article-title":"Family functioning predicts end-of-life care quality in patients with cancer: multicenter prospective cohort study","volume":"41","author":"Lee","year":"2018","journal-title":"Cancer Nurs."},{"key":"10.1016\/j.ejon.2026.103246_bib23","doi-asserted-by":"crossref","first-page":"375","DOI":"10.3390\/ijerph22030375","article-title":"Quality of life and its determinants in older adults with intestinal stomas: a cross-sectional study","volume":"22","author":"Leite Junior","year":"2025","journal-title":"Int. J. Environ. Res. Publ. Health"},{"key":"10.1016\/j.ejon.2026.103246_bib24","doi-asserted-by":"crossref","first-page":"2037","DOI":"10.1007\/s11764-024-01614-2","article-title":"Linking stigma to social isolation among colorectal cancer survivors with permanent stomas: the chain mediating roles of stoma acceptance and valuable actions","volume":"19","author":"Li","year":"2025","journal-title":"J. Cancer Surviv."},{"key":"10.1016\/j.ejon.2026.103246_bib26","doi-asserted-by":"crossref","first-page":"963","DOI":"10.1016\/j.amjsurg.2021.09.023","article-title":"Stoma location and ostomy-related quality of life among cancer survivors with ostomies: a pooled analysis","volume":"223","author":"Mo","year":"2022","journal-title":"Am. J. Surg."},{"key":"10.1016\/j.ejon.2026.103246_bib27","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1111\/ajco.13434","article-title":"Factors associated with fear of cancer recurrence in breast and colorectal cancer survivors: a cross\u2010sectional study of cancer survivors","volume":"17","author":"Nahm","year":"2021","journal-title":"Asia Pac. J. Clin. Oncol."},{"key":"10.1016\/j.ejon.2026.103246_bib28","doi-asserted-by":"crossref","first-page":"925","DOI":"10.1177\/0265407517749045","article-title":"Loneliness and social isolation of older adults: why it is important to examine these social aspects together","volume":"36","author":"Newall","year":"2019","journal-title":"J. Soc. Pers. Relat."},{"key":"10.1016\/j.ejon.2026.103246_bib29","doi-asserted-by":"crossref","first-page":"e491","DOI":"10.1093\/geront\/gnz083","article-title":"Psychometric evaluation of the social isolation scale in older adults","volume":"60","author":"Nicholson","year":"2020","journal-title":"Gerontol."},{"key":"10.1016\/j.ejon.2026.103246_bib30","series-title":"International Classification of Functioning, Disability, and Health: Children & Youth Version: ICF-CY","year":"2007"},{"key":"10.1016\/j.ejon.2026.103246_bib31","article-title":"Translation, cultural adaptation and preliminary application of the social isolation scale (SIS) among older adults in China","author":"Pang","year":"2021","journal-title":"Master\u2019s thesis"},{"key":"10.1016\/j.ejon.2026.103246_bib32","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1207\/S15324834BASP2304_2","article-title":"Influences on loneliness in older adults: a meta-analysis","volume":"23","author":"Pinquart","year":"2001","journal-title":"Basic Appl. Soc. Psychol."},{"key":"10.1016\/j.ejon.2026.103246_bib33","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1097\/WON.0000000000000645","article-title":"Stigma and its influence on patients with temporary ostomy: a cross-sectional survey","volume":"47","author":"Qin","year":"2020","journal-title":"J. Wound, Ostomy Cont. Nurs."},{"key":"10.1016\/j.ejon.2026.103246_bib34","first-page":"900","article-title":"Reliability and validity of the 6-item UCLA loneliness scale (ULS-6) for application in adults","volume":"43","author":"Rong","year":"2023","journal-title":"J. South. Med. Univ."},{"key":"10.1016\/j.ejon.2026.103246_bib35","doi-asserted-by":"crossref","first-page":"833","DOI":"10.1002\/cncr.31117","article-title":"Social integration and survival after diagnosis of colorectal cancer","volume":"124","author":"Sarma","year":"2018","journal-title":"Cancer"},{"key":"10.1016\/j.ejon.2026.103246_bib36","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1080\/07347332.2018.1520778","article-title":"A dyadic analysis of loneliness and health-related quality of life in latinas with breast cancer and their informal caregivers","volume":"37","author":"Segrin","year":"2019","journal-title":"J. Psychosoc. Oncol."},{"key":"10.1016\/j.ejon.2026.103246_bib37","first-page":"303","article-title":"Validity and reliability of the family APGAR as a test of family function","volume":"15","author":"Smilkstein","year":"1982","journal-title":"J. Fam. Pract."},{"key":"10.1016\/j.ejon.2026.103246_bib38","doi-asserted-by":"crossref","first-page":"1709","DOI":"10.1017\/S0144686X18000132","article-title":"Typologies of loneliness, living alone and social isolation, and their associations with physical and mental health","volume":"39","author":"Smith","year":"2019","journal-title":"Ageing Soc."},{"key":"10.1016\/j.ejon.2026.103246_bib39","first-page":"5797","article-title":"Social isolation, loneliness, and all-cause mortality in older men and women","volume":"110","author":"Steptoe","year":"2013"},{"key":"10.1016\/j.ejon.2026.103246_bib40","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/29949769.2024.2420896","article-title":"Social participation and loneliness in older adults: the moderating role of views of social change","author":"Xu","year":"2024","journal-title":"Asia Pacific J. Soc. Work Dev."},{"key":"10.1016\/j.ejon.2026.103246_bib41","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1007\/s11205-016-1252-2","article-title":"Measures of social isolation","volume":"131","author":"Zavaleta","year":"2017","journal-title":"Soc. Indic. Res."},{"key":"10.1016\/j.ejon.2026.103246_bib42","doi-asserted-by":"crossref","first-page":"3205","DOI":"10.1111\/jocn.14500","article-title":"Family functioning in the context of an adult family member with illness: a concept analysis","volume":"27","author":"Zhang","year":"2018","journal-title":"J. Clin. Nurs."},{"key":"10.1016\/j.ejon.2026.103246_bib43","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1177\/08901171241258808","article-title":"Development and psychometric evaluation of the social participation questionnaire: a methodological and cross-sectional study","volume":"39","author":"Zhao","year":"2025","journal-title":"Am. J. Health Promot."},{"key":"10.1016\/j.ejon.2026.103246_bib44","doi-asserted-by":"crossref","first-page":"6758","DOI":"10.62347\/ZHCO4693","article-title":"Study of the correlations between loneliness, disease uncertainty, and perceived social support among elderly patients with digestive tract tumors during treatment","volume":"16","author":"Zheng","year":"2024","journal-title":"Am. J. Transl. Res."}],"container-title":["European Journal of Oncology Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1462388926001511?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1462388926001511?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T21:18:55Z","timestamp":1785878335000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1462388926001511"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":44,"alternative-id":["S1462388926001511"],"URL":"https:\/\/doi.org\/10.1016\/j.ejon.2026.103246","relation":{},"ISSN":["1462-3889"],"issn-type":[{"value":"1462-3889","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Coexistence of social isolation and loneliness and associated factors among colorectal cancer patients with permanent colostomy: A cross-sectional study","name":"articletitle","label":"Article Title"},{"value":"European Journal of Oncology Nursing","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ejon.2026.103246","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"103246"}}