{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T13:46:43Z","timestamp":1775224003215,"version":"3.50.1"},"reference-count":70,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T00:00:00Z","timestamp":1772150400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T00:00:00Z","timestamp":1775174400000},"content-version":"vor","delay-in-days":35,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Med"],"DOI":"10.1186\/s12916-026-04722-1","type":"journal-article","created":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T06:18:24Z","timestamp":1772173104000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Feasibility and preliminary efficacy of an art-making program to manage fear of cancer recurrence (AM-I-FCR) in lung cancer patients: a randomized controlled pilot study"],"prefix":"10.1186","volume":"24","author":[{"given":"Jialing","family":"Lin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhixuan","family":"Kang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chenxing","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Arbing","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei-Ti","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0197-8687","authenticated-orcid":false,"given":"Feifei","family":"Huang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,2,27]]},"reference":[{"key":"4722_CR1","doi-asserted-by":"publisher","unstructured":"Han B, Zheng R, Zeng H, Wang S, Sun K, Chen R, et al. Cancer incidence and mortality in China, 2022. J Natl Cancer Cent. 2024;4:47\u201353. https:\/\/doi.org\/10.1016\/j.jncc.2024.01.006.","DOI":"10.1016\/j.jncc.2024.01.006"},{"key":"4722_CR2","doi-asserted-by":"publisher","unstructured":"Simard S, Thewes B, Humphris G, Dixon M, Hayden C, Mireskandari S, et al. Fear of cancer recurrence in adult cancer survivors: a systematic review of quantitative studies. J Cancer Surviv. 2013;7:300\u201322. https:\/\/doi.org\/10.1007\/s11764-013-0272-z.","DOI":"10.1007\/s11764-013-0272-z"},{"key":"4722_CR3","doi-asserted-by":"publisher","unstructured":"Nagarkar R, Wagh A, Kokane G, Roy S, Vanjari S. Cervical lymph nodes: a hotbed for metastasis in malignancy. Indian J Otolaryngol Head Neck Surg. 2019;71:976\u201380. https:\/\/doi.org\/10.1007\/s12070-019-01664-4.","DOI":"10.1007\/s12070-019-01664-4"},{"key":"4722_CR4","doi-asserted-by":"publisher","unstructured":"Park CK, Kim SJ. Trends and updated statistics of lung cancer in Korea. Tuberculosis Respir Dis. 2019;82:175\u20137. https:\/\/doi.org\/10.4046\/trd.2019.0015.","DOI":"10.4046\/trd.2019.0015"},{"key":"4722_CR5","doi-asserted-by":"publisher","unstructured":"Liu M, Liu L, Zhang S, Li T, Ma F, Liu Y. Fear of cancer recurrence and hope level in patients receiving surgery for non-small cell lung cancer: a study on the mediating role of social support. Support Care Cancer. 2022;30:9453\u201360. https:\/\/doi.org\/10.1007\/s00520-022-07318-6.","DOI":"10.1007\/s00520-022-07318-6"},{"key":"4722_CR6","doi-asserted-by":"publisher","unstructured":"Yang X, Li Y, Lin J, Zheng J, Xiao H, Chen W, et al. Fear of recurrence in postoperative lung cancer patients: trajectories, influencing factors and impacts on quality of life. J Clin Nurs. 2024;33:1409\u201320. https:\/\/doi.org\/10.1111\/jocn.16922.","DOI":"10.1111\/jocn.16922"},{"key":"4722_CR7","unstructured":"Zhao M, Li Q, Wu Q, Gao Y, Cui M. Correlation between fear of cancer recurrence and health behavior in lung cancer patients receiving ongoing chemotherapy. Mod Prev Med. 2017;44:4521\u20134."},{"key":"4722_CR8","doi-asserted-by":"publisher","unstructured":"Easterling DV, Leventhal H. Contribution of concrete cognition to emotion: neutral symptoms as elicitors of worry about cancer. J Appl Psychol. 1989;74:787\u201396. https:\/\/doi.org\/10.1037\/0021-9010.74.5.787.","DOI":"10.1037\/0021-9010.74.5.787"},{"key":"4722_CR9","unstructured":"Mahon SM. Managing the psychosocial consequences of cancer recurrence: implications for nurses. Oncol Nurs Forum. 1991;18:577\u201383."},{"key":"4722_CR10","doi-asserted-by":"crossref","unstructured":"Wyatt G, Kurtz ME, Liken M. Breast cancer survivors: an exploration of quality of life issues. Cancer Nurs. 1993;16:440\u20138.","DOI":"10.1097\/00002820-199312000-00003"},{"key":"4722_CR11","doi-asserted-by":"publisher","unstructured":"Lee-Jones C, Humphris G, Dixon R, Hatcher MB. Fear of cancer recurrence - a literature review and proposed cognitive formulation to explain exacerbation of recurrence fears. Psychooncology. 1997;6:95\u2013105. https:\/\/doi.org\/10.1002\/(SICI)1099-1611(199706)6:2<95::AID-PON250>3.0.CO;2-B.","DOI":"10.1002\/(SICI)1099-1611(199706)6:2<95::AID-PON250>3.0.CO;2-B"},{"key":"4722_CR12","doi-asserted-by":"publisher","unstructured":"Otto AK, Soriano EC, Siegel SD, LoSavio ST, Laurenceau JP. Assessing the relationship between fear of cancer recurrence and health care utilization in early-stage breast cancer survivors. J Cancer Surviv. 2018;12:775\u201385. https:\/\/doi.org\/10.1007\/s11764-018-0714-8.","DOI":"10.1007\/s11764-018-0714-8"},{"key":"4722_CR13","doi-asserted-by":"publisher","unstructured":"G\u00f6tze H, Taubenheim S, Dietz A, Lordick F, Mehnert-Theuerkauf A. Fear of cancer recurrence across the survivorship trajectory: results from a survey of adult long-term cancer survivors. Psychooncology. 2019;28:2033\u201341. https:\/\/doi.org\/10.1002\/pon.5188.","DOI":"10.1002\/pon.5188"},{"key":"4722_CR14","doi-asserted-by":"publisher","unstructured":"Lyu MM, Siah RC, Lam ASL, Cheng KKF. The effect of psychological interventions on fear of cancer recurrence in breast cancer survivors: a systematic review and meta-analysis. J Adv Nurs. 2022;78:3069\u201382. https:\/\/doi.org\/10.1111\/jan.15321.","DOI":"10.1111\/jan.15321"},{"key":"4722_CR15","doi-asserted-by":"publisher","unstructured":"Tauber NM, O\u2019Toole MS, Dinkel A, Galica J, Humphris G, Lebel S, et al. Effect of psychological intervention on fear of cancer recurrence: a systematic review and meta-analysis. J Clin Oncol. 2019;37:2899\u2013915. https:\/\/doi.org\/10.1200\/jco.19.00572.","DOI":"10.1200\/jco.19.00572"},{"key":"4722_CR16","doi-asserted-by":"publisher","unstructured":"Chen P, Liu Y, Wan T, Zhang G, Cai Y, Pan J. The effect of e-aid brief behavioral therapy for insomnia on insomnia disorders. Chin Gen Pract. 2024;27:4370\u20135. https:\/\/doi.org\/10.12114\/j.issn.1007-9572.2024.0052.","DOI":"10.12114\/j.issn.1007-9572.2024.0052"},{"key":"4722_CR17","doi-asserted-by":"publisher","unstructured":"Andersson G, Cuijpers P, Carlbring P, Riper H, Hedman E. Guided internet-based vs. face-to-face cognitive behavior therapy for psychiatric and somatic disorders: a systematic review and meta-analysis. World Psychiatry. 2014;13:288\u201395. https:\/\/doi.org\/10.1002\/wps.20151.","DOI":"10.1002\/wps.20151"},{"key":"4722_CR18","doi-asserted-by":"publisher","unstructured":"Yeoh SA, Webb S, Phillips A, Li LSK, Kumar S. Psychosocial interventions for ovarian cancer survivors: a systematic review. Psychooncology. 2024;33:e6280. https:\/\/doi.org\/10.1002\/pon.6280.","DOI":"10.1002\/pon.6280"},{"key":"4722_CR19","doi-asserted-by":"publisher","unstructured":"Simard S, Savard J. Fear of cancer recurrence inventory: development and initial validation of a multidimensional measure of fear of cancer recurrence. Support Care Cancer. 2009;17:241\u201351. https:\/\/doi.org\/10.1007\/s00520-008-0444-y.","DOI":"10.1007\/s00520-008-0444-y"},{"key":"4722_CR20","doi-asserted-by":"publisher","unstructured":"Simard S, Savard J. Screening and comorbidity of clinical levels of fear of cancer recurrence. J Cancer Surviv. 2015;9:481\u201391. https:\/\/doi.org\/10.1007\/s11764-015-0424-4.","DOI":"10.1007\/s11764-015-0424-4"},{"key":"4722_CR21","doi-asserted-by":"publisher","unstructured":"Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19:349\u201357. https:\/\/doi.org\/10.1093\/intqhc\/mzm042.","DOI":"10.1093\/intqhc\/mzm042"},{"key":"4722_CR22","doi-asserted-by":"publisher","unstructured":"Du YJ, Guan YH, Thome KT, Dong JC. Music therapy and music intervention for NSCLC patients undergoing PET with fear of cancer recurrence. Integr Cancer Ther. 2024;23:15347354241269898. https:\/\/doi.org\/10.1177\/15347354241269898.","DOI":"10.1177\/15347354241269898"},{"key":"4722_CR23","doi-asserted-by":"publisher","unstructured":"Hwang K. Face and favor: the Chinese power game. Am J Sociol. 1987;92:944\u201374. https:\/\/doi.org\/10.1086\/228588.","DOI":"10.1086\/228588"},{"key":"4722_CR24","doi-asserted-by":"publisher","unstructured":"Kim KS, Lor M. Art making as a health intervention: concept analysis and implications for nursing interventions. ANS Adv Nurs Sci. 2022;45:155\u201369. https:\/\/doi.org\/10.1097\/ans.0000000000000412.","DOI":"10.1097\/ans.0000000000000412"},{"key":"4722_CR25","doi-asserted-by":"publisher","unstructured":"Czamanski-Cohen J, Weihs KL. The bodymind model: a platform for studying the mechanisms of change induced by art therapy. Arts Psychother. 2016;51:63\u201371. https:\/\/doi.org\/10.1016\/j.aip.2016.08.006.","DOI":"10.1016\/j.aip.2016.08.006"},{"key":"4722_CR26","doi-asserted-by":"publisher","unstructured":"Remotigue-Ano N. The hidden agenda of story-making therapy. Am J Psychother. 1980;34:261\u20138. https:\/\/doi.org\/10.1176\/appi.psychotherapy.1980.34.2.261.","DOI":"10.1176\/appi.psychotherapy.1980.34.2.261"},{"key":"4722_CR27","doi-asserted-by":"publisher","unstructured":"Nolen-Hoeksema S, Wisco BE, Lyubomirsky S. Rethinking rumination. Perspect Psychol Sci. 2008;3:400\u201324. https:\/\/doi.org\/10.1111\/j.1745-6924.2008.00088.x.","DOI":"10.1111\/j.1745-6924.2008.00088.x"},{"key":"4722_CR28","doi-asserted-by":"publisher","unstructured":"Joly F, Pasquier D, Levy C, Mousseau M, D\u2019Almeida MC, Noal S, et al. Impact of creative art therapy on fatigue and quality of life in patients treated for localized breast cancer: a randomized study. Psychooncology. 2022;31:1412\u20139. https:\/\/doi.org\/10.1002\/pon.5940.","DOI":"10.1002\/pon.5940"},{"key":"4722_CR29","doi-asserted-by":"publisher","unstructured":"Shen L, Zhu H, Sun M, Jin A. Application of virtual interaction painting therapy on emotional disorder of post operative oral cancer patients. J Nurs Rehabil. 2022;21:10\u20134+9. https:\/\/doi.org\/10.3969\/j.issn.1671-9875.2022.04.003.","DOI":"10.3969\/j.issn.1671-9875.2022.04.003"},{"key":"4722_CR30","doi-asserted-by":"publisher","unstructured":"Song W. Construction and application of group painting therapy in perioperative neuropsychological symptom group with primary liver cancer [Master]: Xinxiang Medical University; 2021. https:\/\/doi.org\/10.27434\/d.cnki.gxxyc.2021.000054.","DOI":"10.27434\/d.cnki.gxxyc.2021.000054"},{"key":"4722_CR31","unstructured":"Zhang Y. Effects of art therapy group assisted hospice care on cancer-related fatigue and stress reaction in patients with advanced esophageal cancer. Nurs Pract Res. 2021;18:271\u20134."},{"key":"4722_CR32","doi-asserted-by":"publisher","unstructured":"Lin J, Lin X, Chen Q, Li Y, Chen WT, Huang F. The effects of art-making intervention on mind-body and quality of life in adults with cancer: a systematic review and meta-analysis. Support Care Cancer. 2024;32:186. https:\/\/doi.org\/10.1007\/s00520-024-08364-y.","DOI":"10.1007\/s00520-024-08364-y"},{"key":"4722_CR33","doi-asserted-by":"publisher","unstructured":"Dong S. Application of collage psychotherapy in the intervention of fear of cancer recurrence in young breast cancer patients [Master]: Shanxi Medical University; 2021. https:\/\/doi.org\/10.27288\/d.cnki.gsxyu.2021.000674.","DOI":"10.27288\/d.cnki.gsxyu.2021.000674"},{"key":"4722_CR34","doi-asserted-by":"publisher","unstructured":"Bartholomew LK, Parcel GS, Kok G. Intervention mapping: a process for developing theory- and evidence-based health education programs. Health Educ Behav. 1998;25:545\u201363. https:\/\/doi.org\/10.1177\/109019819802500502.","DOI":"10.1177\/109019819802500502"},{"key":"4722_CR35","doi-asserted-by":"publisher","unstructured":"Hoffmann TC, Glasziou PP, Boutron I, Milne R, Perera R, Moher D, et al. Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. BMJ. 2014;348:g1687. https:\/\/doi.org\/10.1136\/bmj.g1687.","DOI":"10.1136\/bmj.g1687"},{"key":"4722_CR36","doi-asserted-by":"publisher","unstructured":"Duncan E, O\u2019Cathain A, Rousseau N, Croot L, Sworn K, Turner KM, et al. Guidance for reporting intervention development studies in health research (GUIDED): an evidence-based consensus study. BMJ Open. 2020;10:e033516. https:\/\/doi.org\/10.1136\/bmjopen-2019-033516.","DOI":"10.1136\/bmjopen-2019-033516"},{"key":"4722_CR37","doi-asserted-by":"publisher","unstructured":"Eldridge SM, Chan CL, Campbell MJ, Bond CM, Hopewell S, Thabane L, et al. CONSORT 2010 statement: extension to randomised pilot and feasibility trials. BMJ. 2016;355:i5239. https:\/\/doi.org\/10.1136\/bmj.i5239.","DOI":"10.1136\/bmj.i5239"},{"key":"4722_CR38","unstructured":"Bartholomew Eldredge LK, Markham CM, Ruiter RAC, Fern\u00e1ndez ME, Kok G, Parcel GS. Planning health promotion programs: an intervention mapping approach. Wiley; 2016."},{"key":"4722_CR39","doi-asserted-by":"publisher","unstructured":"Chen Q, Weng Y, Wang F, Yang X, Chen WT, Huang F. Fear of recurrence among lung cancer survivors: a theoretical model validation. Cancer Nurs. 2024. https:\/\/doi.org\/10.1097\/ncc.0000000000001339.","DOI":"10.1097\/ncc.0000000000001339"},{"key":"4722_CR40","doi-asserted-by":"publisher","unstructured":"Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15:1277\u201388. https:\/\/doi.org\/10.1177\/1049732305276687.","DOI":"10.1177\/1049732305276687"},{"key":"4722_CR41","doi-asserted-by":"publisher","unstructured":"Hennink MM, Kaiser BN, Marconi VC. Code saturation versus meaning saturation: how many interviews are enough? Qual Health Res. 2017;27:591\u2013608. https:\/\/doi.org\/10.1177\/1049732316665344.","DOI":"10.1177\/1049732316665344"},{"key":"4722_CR42","doi-asserted-by":"publisher","unstructured":"Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67:361\u201370. https:\/\/doi.org\/10.1111\/j.1600-0447.1983.tb09716.x.","DOI":"10.1111\/j.1600-0447.1983.tb09716.x"},{"key":"4722_CR43","doi-asserted-by":"publisher","unstructured":"Broadbent E, Petrie KJ, Main J, Weinman J. The brief illness perception questionnaire. J Psychosom Res. 2006;60:631\u20137. https:\/\/doi.org\/10.1016\/j.jpsychores.2005.10.020.","DOI":"10.1016\/j.jpsychores.2005.10.020"},{"key":"4722_CR44","doi-asserted-by":"publisher","unstructured":"Feifel H, Strack S, Nagy VT. Degree of life-threat and differential use of coping modes. J Psychosom Res. 1987;31:91\u20139. https:\/\/doi.org\/10.1016\/0022-3999(87)90103-6.","DOI":"10.1016\/0022-3999(87)90103-6"},{"key":"4722_CR45","doi-asserted-by":"publisher","unstructured":"Cella DF, Tulsky DS, Gray G, Sarafian B, Linn E, Bonomi A, et al. The functional assessment of cancer therapy scale: development and validation of the general measure. J Clin Oncol. 1993;11:570\u20139. https:\/\/doi.org\/10.1200\/jco.1993.11.3.570.","DOI":"10.1200\/jco.1993.11.3.570"},{"key":"4722_CR46","unstructured":"Hayes AF. Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Guilford publications; 2013."},{"key":"4722_CR47","doi-asserted-by":"publisher","unstructured":"Tripepi G, Chesnaye NC, Dekker FW, Zoccali C, Jager KJ. Intention to treat and per protocol analysis in clinical trials. Nephrology. 2020;25:513\u20137. https:\/\/doi.org\/10.1111\/nep.13709.","DOI":"10.1111\/nep.13709"},{"key":"4722_CR48","doi-asserted-by":"publisher","unstructured":"Flyer P, Hirman J. Missing data in confirmatory clinical trials. J Biopharm Stat. 2009;19:969\u201379. https:\/\/doi.org\/10.1080\/10543400903242746","DOI":"10.1080\/10543400903242746"},{"key":"4722_CR49","doi-asserted-by":"publisher","unstructured":"Wang C, Wang R, Zhang S. The application and comparion of mixed effects linear model with single effdcts of variance in repeated measures data. J Math Med. 2006:355\u20137. https:\/\/doi.org\/10.3969\/j.issn.1004-4337.2006.04.007.","DOI":"10.3969\/j.issn.1004-4337.2006.04.007"},{"key":"4722_CR50","doi-asserted-by":"publisher","unstructured":"Wolfinger RD. An example of using mixed models and PROC MIXED for longitudinal data. J Biopharm Stat. 1997;7:481\u2013500. https:\/\/doi.org\/10.1080\/10543409708835203.","DOI":"10.1080\/10543409708835203"},{"key":"4722_CR51","unstructured":"Liu X. Generalized linear mixed model in longitudinal data with binary response: Fudan University; 2014."},{"key":"4722_CR52","doi-asserted-by":"publisher","unstructured":"Rubio-Aparicio M, Mar\u00edn-Mart\u00ednez F, S\u00e1nchez-Meca J, L\u00f3pez-L\u00f3pez JA. A methodological review of meta-analyses of the effectiveness of clinical psychology treatments. Behav Res Methods. 2018;50:2057\u201373. https:\/\/doi.org\/10.3758\/s13428-017-0973-8.","DOI":"10.3758\/s13428-017-0973-8"},{"key":"4722_CR53","doi-asserted-by":"publisher","unstructured":"De Feudis RL, Graziano G, Lanciano T, Garofoli M, Lisi A, Marzano N. An art therapy group intervention for cancer patients to counter distress before chemotherapy. Arts Health. 2021;13:35\u201348. https:\/\/doi.org\/10.1080\/17533015.2019.1608566.","DOI":"10.1080\/17533015.2019.1608566"},{"key":"4722_CR54","doi-asserted-by":"publisher","unstructured":"Collie K, Bottorff JL, Long BC. A narrative view of art therapy and art making by women with breast cancer. J Health Psychol. 2006;11:761\u201375. https:\/\/doi.org\/10.1177\/1359105306066632.","DOI":"10.1177\/1359105306066632"},{"key":"4722_CR55","doi-asserted-by":"publisher","unstructured":"Gross JJ, John OP. Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. J Pers Soc Psychol. 2003;85:348\u201362. https:\/\/doi.org\/10.1037\/0022-3514.85.2.348.","DOI":"10.1037\/0022-3514.85.2.348"},{"key":"4722_CR56","doi-asserted-by":"publisher","unstructured":"He J, Zhao X, Xu J. Effect of collage psychotherapy on the intervention of cancer recurrence fear in young breast cancer patients. Journal of Clinical and Pathological Research. 2022;43:1004\u201310. https:\/\/doi.org\/10.11817\/j.issn.2095-6959.2023.222501.","DOI":"10.11817\/j.issn.2095-6959.2023.222501"},{"key":"4722_CR57","doi-asserted-by":"publisher","unstructured":"Wang H, Zhang L. Effects of collage psychotherapy on fear of cancer recurrence in patients undergoing radical resection of liver cancer. Mod Nurse. 2023;30:87\u201391. https:\/\/doi.org\/10.19792\/j.cnki.1006-6411.2023.29.021.","DOI":"10.19792\/j.cnki.1006-6411.2023.29.021"},{"key":"4722_CR58","doi-asserted-by":"publisher","unstructured":"Biswas-Diener R, Linley PA, Dovey H, Maltby J, Hurling R, Wilkinson J, et al. Pleasure: an initial exploration. J Happiness Stud. 2015;16:313\u201332. https:\/\/doi.org\/10.1007\/s10902-014-9511-x.","DOI":"10.1007\/s10902-014-9511-x"},{"key":"4722_CR59","doi-asserted-by":"publisher","unstructured":"Su T, Liu H, Tian J, Deng Z, Wang Z. To revise and test the reliability and validity of the Chinese version of fear of cancer recurrence scale. Chin J Pract Nurs. 2018;34:1571\u20136. https:\/\/doi.org\/10.3760\/cma.j.issn.1672-7088.2018.20.012.","DOI":"10.3760\/cma.j.issn.1672-7088.2018.20.012"},{"key":"4722_CR60","doi-asserted-by":"publisher","unstructured":"Xu J, Zhang X, Sun Z. Study for the worry about cancer recurrence and its influencing factors among cancer survivors. J Nurses Train. 2018;33:638\u201343. https:\/\/doi.org\/10.16821\/j.cnki.hsjx.2018.07.021.","DOI":"10.16821\/j.cnki.hsjx.2018.07.021"},{"key":"4722_CR61","doi-asserted-by":"publisher","unstructured":"Peng L, Yin L, Liu N, Li Y, Lu N. Mediating effect of rumination on relationship between resilience and anxiety of patients with papillary thyroid carcinoma. Chin Nurs Res. 2022;36:2461\u20135. https:\/\/doi.org\/10.12102\/j.issn.1009-6493.2022.14.003.","DOI":"10.12102\/j.issn.1009-6493.2022.14.003"},{"key":"4722_CR62","doi-asserted-by":"publisher","unstructured":"Kashdan TB, Rottenberg J. Psychological flexibility as a fundamental aspect of health. Clin Psychol Rev. 2010;30:865\u201378. https:\/\/doi.org\/10.1016\/j.cpr.2010.03.001.","DOI":"10.1016\/j.cpr.2010.03.001"},{"key":"4722_CR63","doi-asserted-by":"publisher","unstructured":"Hill EM, Hamm A. Intolerance of uncertainty, social support, and loneliness in relation to anxiety and depressive symptoms among women diagnosed with ovarian cancer. Psychooncology. 2019;28:553\u201360. https:\/\/doi.org\/10.1002\/pon.4975.","DOI":"10.1002\/pon.4975"},{"key":"4722_CR64","doi-asserted-by":"publisher","unstructured":"Hung R, Krebs P, Coups EJ, Feinstein MB, Park BJ, Burkhalter J, et al. Fatigue and functional impairment in early-stage non-small cell lung cancer survivors. J Pain Symptom Manage. 2011;41:426\u201335. https:\/\/doi.org\/10.1016\/j.jpainsymman.2010.05.017.","DOI":"10.1016\/j.jpainsymman.2010.05.017"},{"key":"4722_CR65","doi-asserted-by":"publisher","unstructured":"Park S, Kang CH, Hwang Y, Seong YW, Lee HJ, Park IK, et al. Risk factors for postoperative anxiety and depression after surgical treatment for lung cancer. Eur J Cardiothorac Surg. 2016;49:e16-21. https:\/\/doi.org\/10.1093\/ejcts\/ezv336.","DOI":"10.1093\/ejcts\/ezv336"},{"key":"4722_CR66","doi-asserted-by":"publisher","unstructured":"Springham N, Findlay D, Woods A, Harris J. How can art therapy contribute to mentalization in borderline personality disorder? Int J Art Ther. 2012;17:115\u201329. https:\/\/doi.org\/10.1080\/17454832.2012.734835.","DOI":"10.1080\/17454832.2012.734835"},{"key":"4722_CR67","doi-asserted-by":"publisher","unstructured":"Bottaro R, Faraci P. The influence of socio-demographics and clinical characteristics on coping strategies in cancer patients: a systematic review. Support Care Cancer. 2022;30:8785\u2013803. https:\/\/doi.org\/10.1007\/s00520-022-07267-0.","DOI":"10.1007\/s00520-022-07267-0"},{"key":"4722_CR68","doi-asserted-by":"publisher","unstructured":"Sun Y, Du K, Li Q, Zhang X. Application of painting art therapy in postoperative rehabilitation of patients with breast cancer. Hebei Med J. 2017;39:1743\u20135. https:\/\/doi.org\/10.3969\/j.issn.1002-7386.2017.11.042.","DOI":"10.3969\/j.issn.1002-7386.2017.11.042"},{"key":"4722_CR69","doi-asserted-by":"publisher","unstructured":"Sung MR, Patel MV, Djalalov S, Le LW, Shepherd FA, Burkes RL, et al. Evolution of symptom burden of advanced lung cancer over a decade. Clin Lung Cancer. 2017;18:274-80.e6. https:\/\/doi.org\/10.1016\/j.cllc.2016.12.010.","DOI":"10.1016\/j.cllc.2016.12.010"},{"key":"4722_CR70","doi-asserted-by":"publisher","unstructured":"Boland V, Brady AM, Drury A. The physical, psychological and social experiences of alopecia among women receiving chemotherapy: an integrative literature review. Eur J Oncol Nurs. 2020;49:101840. https:\/\/doi.org\/10.1016\/j.ejon.2020.101840.","DOI":"10.1016\/j.ejon.2020.101840"}],"container-title":["BMC Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12916-026-04722-1","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12916-026-04722-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12916-026-04722-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T12:53:50Z","timestamp":1775220830000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s12916-026-04722-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,27]]},"references-count":70,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["4722"],"URL":"https:\/\/doi.org\/10.1186\/s12916-026-04722-1","relation":{},"ISSN":["1741-7015"],"issn-type":[{"value":"1741-7015","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,27]]},"assertion":[{"value":"11 June 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 February 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 February 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors assert that all procedures contributing to this work comply with the ethical standards of the relevant national and institutional committees and with the Helsinki Declaration of 1975, as revised in 2008. The study design was approved by the ethics committee of the relevant hospital (LSK No. 2023\u2013027).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"All study participants provided written informed consent.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"198"}}