{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T05:50:21Z","timestamp":1791352221273,"version":"4.3.1"},"reference-count":35,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Japan Journal Nursing Sci"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to investigate these aspects in female community\u2010dwelling cancer survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This secondary analysis of a community\u2010based cancer survey was conducted in Tokyo, Japan. Emotional well\u2010being (EWB) and functional well\u2010being (FWB) were measured using two subdomains of the Functional Assessment of Cancer Therapy\u2010General. The sample comprised 163 survivors of breast and gynecological cancers. We used descriptive statistics and multivariate regression analyses to explore the association between the challenges and EWB and FWB.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      All participants were women, of whom 118 and 45 were breast and gynecological cancer survivors, respectively. The most frequent challenges experienced but not addressed (referred to as \u201cunaddressed challenges\u201d) were \u201canxieties about progression and prognosis\u201d, followed by \u201cbalancing hobbies and treatments\u201d, and \u201cdepressed mood\u201d. Although initial analyses suggested that the presence of challenges related to \u201cdepressed mood\u201d and \u201cbalancing hobbies and treatments\u201d was associated with lower EWB, these associations did not maintain statistical significance after adjusting for multiple testing. Conversely, excluding challenges related to \u201cfertility preservation,\u201d all unaddressed challenges related to\n                      <jats:italic>diagnosis and medical treatment<\/jats:italic>\n                      and\n                      <jats:italic>finances<\/jats:italic>\n                      remained robustly associated with lower scores in EWB and FWB. Among unaddressed challenges related to\n                      <jats:italic>balancing daily life and treatment<\/jats:italic>\n                      , \u201cbalancing housework and treatment\u201d and \u201cbalancing hobbies and treatments\u201d remained associated with lower scores in EWB and FWB.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Female community\u2010dwelling survivors of breast and gynecological cancers face various unaddressed challenges that diminish EWB and FWB. Early identification and targeted public health interventions are required to address survivors' daily life challenges and improve well\u2010being.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jjns.70070","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T02:19:36Z","timestamp":1786587576000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of Daily Life Challenges on Emotional and Functional Well\u2010Being Among Community\u2010Dwelling Female Survivors of Breast and Gynecological Cancers in Japan"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-2027-3693","authenticated-orcid":false,"given":"Sarina","family":"Enami","sequence":"first","affiliation":[{"name":"Division of Health Sciences and Nursing, Department of Gerontological Home Care and Long\u2010Term Care Nursing, Graduate School of Medicine The University of Tokyo  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Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8451-9990","authenticated-orcid":false,"given":"Chikako","family":"Honda","sequence":"additional","affiliation":[{"name":"Division of Health Sciences and Nursing, Department of Community Health Nursing\/Public Health Nursing, Graduate School of Medicine The University of Tokyo  Bunky\u014d Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4905-3551","authenticated-orcid":false,"given":"Akari","family":"Maeda\u2010Suzuki","sequence":"additional","affiliation":[{"name":"Division of Health Sciences and Nursing, Department of Community Health Nursing\/Public Health Nursing, Graduate School of Medicine The University of Tokyo  Bunky\u014d 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