{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T05:50:41Z","timestamp":1791352241937,"version":"4.3.1"},"reference-count":28,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,8,16]],"date-time":"2025-08-16T00:00:00Z","timestamp":1755302400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Tianjin Key Medical Discipline (Specialty) Construction Project","award":["TJYXZDXK-011A"],"award-info":[{"award-number":["TJYXZDXK-011A"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Psychiatry Med"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This qualitative study examined the psychosocial support needs of small cell lung cancer (SCLC) patients within China\u2019s family-oriented cultural context. Guided by cultural adaptation theory, the study explored how cultural values shape patients\u2019 psychological experiences and treatment decision-making.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using a phenomenological purposive sampling strategy, 32 SCLC patients from a tertiary oncology hospital in Tianjin, China (May 2024\u2013March 2025) participated in semi-structured, in-depth interviews. Transcripts were managed with NVivo 12, and themes were identified using Colaizzi\u2019s phenomenological analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Distinct cultural factors influenced patient needs. Six major themes emerged: (1) dual psychological crises stemming from disease stigma and prognostic dread; (2) pervasive insecurity due to recurrence uncertainty; (3) heightened decision-making stress and information asymmetry; (4) ethical and familial complexities in treatment choices\u2014patients struggled to balance personal survival with family responsibilities and financial constraints; (5) an imbalance between the desire for professional psychological support and reliance on informal peer networks; and (6) deliberate suppression of negative emotions to maintain family stability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings revealed a conflict between medical imperatives and entrenched family-oriented cultural values, underscoring the complexity of providing psychosocial support as part of SCLC care to Chinese patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00912174251368077","type":"journal-article","created":{"date-parts":[[2025,8,16]],"date-time":"2025-08-16T07:22:43Z","timestamp":1755328963000},"page":"785-798","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Psychosocial Support Needs of Small Cell Lung Cancer Patients in China: A Qualitative Study From a Cultural Adaptation Perspective"],"prefix":"10.1177","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-8303-8731","authenticated-orcid":false,"given":"Li-li","family":"Zhang","sequence":"first","affiliation":[{"name":"Tianjin Medical University Cancer Institute & Hospital"},{"name":"National Clinical Research Center for Cancer"},{"name":"Tianjin\u2019s Clinical Research Center for Cancer"},{"name":"Key Laboratory of Cancer Prevention and Therapy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8756-4962","authenticated-orcid":false,"given":"Lu","family":"Tian","sequence":"additional","affiliation":[{"name":"Tianjin Medical University Cancer Institute & Hospital"},{"name":"National Clinical Research Center for Cancer"},{"name":"Tianjin\u2019s Clinical Research Center for Cancer"},{"name":"Key Laboratory of Cancer Prevention and Therapy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7851-3076","authenticated-orcid":false,"given":"Yan-hua","family":"Teng","sequence":"additional","affiliation":[{"name":"Tianjin Medical University Cancer Institute & Hospital"},{"name":"National Clinical Research Center for Cancer"},{"name":"Tianjin\u2019s Clinical Research Center for Cancer"},{"name":"Key Laboratory of Cancer Prevention and Therapy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5771-5400","authenticated-orcid":false,"given":"Ning","family":"Ma","sequence":"additional","affiliation":[{"name":"Tianjin Medical University Cancer Institute & Hospital"},{"name":"National Clinical Research Center for Cancer"},{"name":"Tianjin\u2019s Clinical Research Center for Cancer"},{"name":"Key Laboratory of Cancer Prevention and Therapy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-3360-4868","authenticated-orcid":false,"given":"Ya-jing","family":"Yang","sequence":"additional","affiliation":[{"name":"Tianjin Medical University Cancer Institute & Hospital"},{"name":"National Clinical Research Center for Cancer"},{"name":"Tianjin\u2019s Clinical Research Center for Cancer"},{"name":"Key Laboratory of Cancer Prevention and Therapy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,8,16]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21785"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.3389\/fphar.2017.00339"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apjon.2022.100078"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/jmp\/jhv013"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-012-2077-6"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0285562"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1628806"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.7748\/nr.2018.e1516"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00012272-199712000-00003"},{"issue":"2","key":"e_1_3_6_11_2","first-page":"127","article-title":"Cognitive dysfunction in patients with small-cell lung cancer: incidence, causes, and suggestions on management","volume":"2","author":"Kanard A","year":"2004","unstructured":"Kanard A, Frytak S, Jatoi A. 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