{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T11:21:30Z","timestamp":1783164090353,"version":"3.54.6"},"reference-count":53,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T00:00:00Z","timestamp":1755475200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T00:00:00Z","timestamp":1755475200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100019418","name":"NIHR Maudsley Biomedical Research Centre","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100019418","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009360","name":"King's College London","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009360","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["British J Health Psychol"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Distress and physical symptoms are ongoing for early\u2010stage breast cancer survivors on adjuvant hormone therapy. While previous qualitative research has focused on reporting the outcomes of distress and symptoms, as well as medication adherence, this study aimed to understand the link between symptoms and distress, exploring specifically how symptoms are distressing to inform interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design and Methods<\/jats:title>\n                    <jats:p>A qualitative design was used with online semi\u2010structured interviews conducted with 23 women with Stage I\u2013III hormone receptor positive breast cancer, living in the United Kingdom and prescribed hormone therapy in the previous 2\u2009years, about their experience of hormone therapy. Interviews were transcribed verbatim and analysed using inductive reflexive thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The emotional burden of side\u2010effects was an overarching theme. Other themes depicting why symptoms are distressing included the sense of helplessness around symptoms, living with and managing difficult feelings around loss and change, living with fear, worry and uncertainty around treatment side\u2010effects and the internal conflict when making treatment decisions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings indicate specific areas of emotional need in women prescribed hormone therapy related to living with and managing physical symptoms. This provides insight into how symptoms can contribute to distress, which goes beyond previous research that reports the perceived consequences of symptoms and distress. The results, therefore, can inform healthcare professional communication to support and validate ongoing experiences and the underlying decision conflict, which may be distressing for some women. Furthermore, psychological interventions could address the sense of loss and acceptance of limitations and change.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bjhp.70012","type":"journal-article","created":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T08:15:52Z","timestamp":1755504952000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring physical symptoms and distress in early\u2010stage breast cancer survivors on hormone therapy: A qualitative study"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5907-0562","authenticated-orcid":false,"given":"Sophie","family":"Fawson","sequence":"first","affiliation":[{"name":"Health Psychology Section King's College London  London UK"},{"name":"National Institute for Health and Care Research, Maudsley Biomedical Research Centre  London 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