{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T03:00:16Z","timestamp":1792465216924,"version":"4.5.0"},"reference-count":27,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,12,29]],"date-time":"2021-12-29T00:00:00Z","timestamp":1640736000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The prevalence of distress, problems and need for rehabilitation among women treated for gynecological cancer is largely unknown. The aims of this study were to examine the prevalence of distress, problems and unmet rehabilitation needs in the first years after treatment for gynecological cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>Women treated for gynecological cancer within the last 2\u00a0years were invited. Participants responded to the National Comprehensive Cancer Network Distress Thermometer and Problem List measuring distress and problems. They also answered a questionnaire regarding physical endurance, muscle strength, and need for rehabilitation services.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 114 eligible women, 92 (81%) agreed to participate. Mean time since last treatment was 7.6\u00a0months (range 0\u201324.5\u00a0months). A total of 57% of the participants reported distress. The four most common problems reported were fatigue (58%), tingling in hands\/feet (54%), worry (53%), and problems with memory\/concentration (50%). Problems associated with distress were: dealing with partner, all emotional problems (i.e. depression, fears, nervousness, sadness, worry, and loss of interest in usual activities), appearance, memory\/concentration, pain, sex, sleep, and problems with physical endurance and muscle strength. Fifty\u2010two percent reported unmet needs for rehabilitation services. Women with distress reported more unmet rehabilitation needs than those in the non\u2010distressed group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The prevalence of distress in this population of women treated for gynecological cancer was high. Having a high number of problems and having unmet needs for rehabilitation services were both associated with distress. Hence, measurement of distress seems to be helpful when assessing the need for rehabilitation services.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.14310","type":"journal-article","created":{"date-parts":[[2021,12,29]],"date-time":"2021-12-29T14:30:54Z","timestamp":1640788254000},"page":"313-322","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":47,"title":["Distress, problems and unmet rehabilitation needs after treatment for gynecological cancer"],"prefix":"10.1111","volume":"101","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9215-9008","authenticated-orcid":false,"given":"Mette","family":"Seland","sequence":"first","affiliation":[{"name":"Department of Clinical Service Division of Cancer Medicine Oslo University Hospital  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrine","family":"Skrede","sequence":"additional","affiliation":[{"name":"Department of Clinical Service Division of Cancer Medicine Oslo University Hospital  Oslo Norway"},{"name":"The Norwegian University of Life Sciences  \u00c5s Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristina","family":"Lindemann","sequence":"additional","affiliation":[{"name":"Department of Gynecologic Oncology Division of Cancer Medicine Oslo University Hospital  Oslo Norway"},{"name":"Institute of Clinical Medicine Faculty of Medicine University of Oslo  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tone","family":"Skaali","sequence":"additional","affiliation":[{"name":"Department of Clinical Service Division of Cancer Medicine Oslo University Hospital  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rune","family":"Blomhoff","sequence":"additional","affiliation":[{"name":"Department of Clinical Service Division of Cancer Medicine Oslo University Hospital  Oslo Norway"},{"name":"Department of Nutrition Institute of Basic Medical Sciences University of Oslo  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kjersti","family":"Bruheim","sequence":"additional","affiliation":[{"name":"Department of Cancer Treatment Division of Cancer Medicine Oslo University Hospital  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Torbj\u00f8rn","family":"Wisl\u00f8ff","sequence":"additional","affiliation":[{"name":"Department of Community Medicine UiT The Arctic University of Norway  Troms\u00f8 Norway"},{"name":"Health Services Research Unit Akershus University Hospital  L\u00f8renskog Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lene","family":"Thorsen","sequence":"additional","affiliation":[{"name":"Department of Clinical Service Division of Cancer Medicine Oslo University Hospital  Oslo Norway"},{"name":"National Advisory Unit on Late Effects after Cancer Treatment Department of Oncology Division of Cancer Medicine Oslo University Hospital  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,12,29]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001129"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCO.0b013e328363e11a"},{"key":"e_1_2_11_4_1","unstructured":"Cancer Registry of Norway Cancer in Norway 2019 \u2010 Cancer incidence mortality survival and prevalence in Norway. Accessed November 13 2020.https:\/\/www.kreftregisteret.no\/Generelt\/Rapporter\/Cancer\u2010in\u2010Norway\/cancer\u2010in\u2010norway\u20102019 2020."},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCO.0000000000000215"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1586\/14737140.8.2.227"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2009.08869.x"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdn305"},{"key":"e_1_2_11_9_1","unstructured":"National Comprehensive Cancer Network.NCCN Guidelines for supportive care: distress management. Accessed November 13 2020.https:\/\/www.nccn.org\/ 2020."},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-014-2143-1"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1188\/17.CJON.79-85"},{"key":"e_1_2_11_12_1","first-page":"370","article-title":"Learning about ovarian cancer at the time of diagnosis: video versus usual care","volume":"119","author":"Geller MA","year":"2010","journal-title":"Clin J Oncol Nurs"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-017-3935-x"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1589"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1200\/JOP.19.00471"},{"key":"e_1_2_11_16_1","unstructured":"Referenced with permission from the NCCN Guidelines\u00aefor Distress Management V.2.2017 \u00a9 National Comprehensive Cancer Network Inc. 2017. All rights reserved. Accessed [October 2nd 2017]. Available online atwww.NCCN.org. NCCN makes no warranties of any kind whatsoever regarding their content use or application and disclaims any responsibility for their application or use in any way"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lungcan.2006.10.001"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1275"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-011-1296-4"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-014-2471-1"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/08998280.2018.1440857"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1188\/17.CJON.353-361"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.4464"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-016-3294-z"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.3109\/0284186X.2010.531050"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.5737\/23688076273251258"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-016-0528-5"},{"key":"e_1_2_11_28_1","article-title":"Screening for distress in women with gynaecological cancer: adaptation of the distress thermometer for gynaecological oncology patients","volume":"13","author":"Harbeck E","year":"2021","journal-title":"Eur J Cancer Care"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.14310","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/aogs.14310","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.14310","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T16:12:17Z","timestamp":1741795937000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/aogs.14310"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,29]]},"references-count":27,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,3]]}},"alternative-id":["10.1111\/aogs.14310"],"URL":"https:\/\/doi.org\/10.1111\/aogs.14310","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12,29]]},"assertion":[{"value":"2021-07-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-12-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-12-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}