{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T14:04:29Z","timestamp":1790172269690,"version":"4.1.0"},"reference-count":72,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["British J Health Psychol"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This research aimed to explore whether Adverse Childhood Experiences (ACEs) shape adults' engagement with cancer services, including satisfaction with care and whether services reflect trauma\u2010informed principles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Mixed\u2010method sequential explanatory design. Stage one used a cross\u2010sectional online survey; stage two comprised semi\u2010structured interviews informed by the survey findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Survey responses (\n                      <jats:italic>N\u2009=<\/jats:italic>\n                      \u2009266) were analysed using descriptive statistics, correlations and mediation analysis. Qualitative data used inductive\u2010deductive reflexive thematic analysis, guided by the Substance Abuse and Mental Health Services Administration trauma\u2010informed care (TIC) framework.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Childhood trauma was moderately negatively correlated with patient satisfaction (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u2009\u2212.40), with illness perceptions mediating this relationship. Thematic analysis yielded four themes relating to experiences of cancer care: (1)\n                      <jats:italic>\u2018Connecting the dots\u2019<\/jats:italic>\n                      : Resonance of childhood memories and current experiences. (2) \u2018\n                      <jats:italic>Nobody ever told me\u2019<\/jats:italic>\n                      : Powerlessness &amp; cancer\u2010related losses. (3) \u2018\n                      <jats:italic>I just wanted everyone else around me to be okay\u2019<\/jats:italic>\n                      : Distributed effects of cancer through the social network. (4)\n                      <jats:italic>\u2018It's down to bedside manner\u2019<\/jats:italic>\n                      : Patient satisfaction is shaped by relational care. Patients only made connections back to their childhood trauma in Theme 1.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Findings suggest ACEs may influence cancer care satisfaction through illness perceptions, supporting the clinical relevance of trauma\u2010informed approaches to the cancer population. While the interview findings do not conclusively support this, it remains a significant clinical consideration that cancer services in the UK may benefit from adjustments to incorporate TIC for the UK cancer population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bjhp.70098","type":"journal-article","created":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T10:20:50Z","timestamp":1785579650000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Trauma\u2010informed care within oncology? Understanding the impact of childhood trauma on experiences of cancer and cancer services in adulthood"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1273-4370","authenticated-orcid":false,"given":"Brooke","family":"Kesic","sequence":"first","affiliation":[{"name":"Mental Health and Clinical Neurosciences, School of Medicine The University of Nottingham  Nottingham UK"},{"name":"Nottinghamshire Healthcare NHS Foundation Trust  Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0726-184X","authenticated-orcid":false,"given":"Anna","family":"Tickle","sequence":"additional","affiliation":[{"name":"Mental Health and Clinical Neurosciences, School of Medicine The University of Nottingham  Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8657-4341","authenticated-orcid":false,"given":"Nima","family":"Moghaddam","sequence":"additional","affiliation":[{"name":"School of Psychology The University of Lincoln  Lincoln UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7131-8740","authenticated-orcid":false,"given":"Michael","family":"Rennoldson","sequence":"additional","affiliation":[{"name":"Nottingham University Hospitals NHS Trust  Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna","family":"Levene","sequence":"additional","affiliation":[{"name":"Nottinghamshire Healthcare NHS Foundation Trust  Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Harris","sequence":"additional","affiliation":[{"name":"Mental Health and Clinical Neurosciences, School of Medicine The University of Nottingham  Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,1]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.3332\/ecancer.2021.1308"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.35776"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951523001244"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2024.108160"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2005.10.020"},{"key":"e_1_2_12_7_1","unstructured":"Cancer Research UK. 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