Evidence map›Paper›PMID 40671217›Full record

ArticlePsycho-oncology2025

Unveiling the Unspoken: Exploring Taboo Thoughts and Difficult Experiences Among Carers of People With Brain Cancer.

Emma McDougall, Sara Nordentoft, Sine Kjærgaard, Georgia K B Halkett, Anna K Nowak, Haryana M Dhillon, Lauren J Breen, Karin Piil

Abstract read
In one paragraph

Article in Psycho-oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Coordination of care in the context of primary brain tumors: Australian healthcare professionals' exploration of the unspoken impact and clinical implications.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  2. Article
  3. Defining the symptoms of personality and behaviour changes in brain tumour patients and their impact on caregivers.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Emma McDougallFaculty of Health Sciences, Curtin School of Nursing, Curtin University, Perth, Australia.ORCID 0000-0001-5085-001X
Sara NordentoftDepartment of Neurosurgery, Copenhagen University Hospital, Copenhagen, Denmark.ORCID 0000-0001-5600-2644
Sine KjærgaardDepartment of Oncology, Centre for Cancer and Organ Diseases, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.ORCID 0009-0005-8617-737X
Georgia K B HalkettFaculty of Health Sciences, Curtin School of Nursing, Curtin University, Perth, Australia.ORCID 0000-0003-4065-4044
Anna K NowakMedical School, University of Western Australia, Perth, Australia.ORCID 0000-0002-9317-9526
Haryana M DhillonSchool of Psychology Faculty of Science, Psycho-Oncology Cooperative Research Group, The University of Sydney, Camperdown, Australia.ORCID 0000-0003-4039-5169
Lauren J BreenCurtin School of Population Health, Curtin University, Perth, Australia.ORCID 0000-0002-0463-0363
Karin PiilFaculty of Health Sciences, Curtin School of Nursing, Curtin University, Perth, Australia.ORCID 0000-0001-7972-4674

Funding

Australian Government Research Training Programme ScholarshipCancer Council of Western Australia Research Fellowship
6 · The paper itself

Abstract

objectiveThe primary objective of this research was to explore the rarely discussed, often unspoken, taboo thoughts and difficult emotions experienced by carers who support individuals with brain tumour related personality and behaviour changes. A secondary aim of this study was to examine coping strategies used by these carers.

methodsA qualitative interview study was conducted with participants from Australia (n = 7) and Denmark (n = 6) (92% female, aged 42-68 years) who had been or were current carers for someone with a primary malignant brain tumour who was displaying personality changes. Semi-structured interviews were conducted. Using thematic analysis, key themes were identified.

resultsFour key themes related to carers' unspoken thoughts were identified: (1) Staying safe: "His aggression was just out of this world"; (2) Conflicting and complex emotions: "I love him for who he was"; (3) Wishing for the end with grief and relief and (4) Experiences of patient death and end of life treatment decisions. Carers described five coping strategies: (1) Commitment to care; (2) Life alongside carer role; (3) Acceptance of circumstances; (4) Self-silencing; and (5) Information seeking and safety planning.

conclusionsThe relentless nature of this disease and potential treatment side effects places an immense burden on carers that often is unspoken. The findings highlight the importance of healthcare professionals providing support for carers, in asking about their experience, and appropriate assessment and management of brain tumour related aggression. The results hold the potential to inform targeted interventions for the unique challenges faced by carers supporting someone with brain tumour related personality and behaviour changes.

Indexed as

Adaptation, PsychologicalBrain NeoplasmsCaregiversTabooAdultAgedAustraliaDenmarkEmotionsFemaleGriefHumansInterviews as TopicMaleMiddle AgedQualitative Researchbehavioural changebrain tumourcancercarercarer coping strategyneuro oncologyoncologypersonality changetaboo thoughts

Identifiers

PMID40671217
PMCPMC12267670

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.