{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T05:01:54Z","timestamp":1790226114073,"version":"4.1.0"},"reference-count":33,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>To analyze parenting concerns of patients with advanced early-onset lung cancer based on the ABC-X model, thereby providing a reference for the development of targeted nursing intervention strategies in clinical practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using purposive sampling, 16 patients with advanced early-onset lung cancer who were raising minor children and were receiving treatment at a Grade A Level 3 hospital in Hubei, China, between August and October 2025, were selected for semi-structured interviews. Data analysis was conducted using Colaizzi\u2019s 7-step method, and core themes were identified based on the ABC-X model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three main themes and seven subthemes were identified. Theme 1 was multiple parenting stresses and role conflicts (covering the stressor, Factor A), including dual physical and psychological constraints, learned helplessness amid parenting responsibilities, and economic conflict and role-adaptation imbalances. Theme 2 was insufficient family and social support resources (covering coping resources, Factor B), including weak social support and inadequate formal medical and welfare support. Theme 3 was negative cognitions and ineffective coping strategies (covering cognitive factors, Factor C), including catastrophic cognition and self-denial, as well as insufficient coping efficacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Parenting concerns among patients with advanced early-onset lung cancer were influenced by a combination of multiple stressors, insufficient support resources, and negative cognitive patterns. Nurses should implement targeted parenting support interventions based on the ABC-X model to strengthen family and social support, guide patients in positive cognitive reappraisal, alleviate parenting concerns, and improve their psychological adjustment and the quality of family care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2026.1930777","type":"journal-article","created":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T04:36:57Z","timestamp":1790224617000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Parenting concerns among patients with advanced early-onset lung cancer: a qualitative study based on the ABC-X model"],"prefix":"10.3389","volume":"17","author":[{"given":"Xiaoqian","family":"Zhou","sequence":"first","affiliation":[{"name":"Department of Respiratory and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liping","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fen","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,24]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"100051","DOI":"10.1016\/j.glmedi.2024.100051","article-title":"The pillars of trustworthiness in qualitative research","volume":"2","author":"Ahmed","year":"2024","journal-title":"J. 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