ArticleJournal of cancer survivorship : research and practice2025
Why do children with cancer withdraw from social interactions? A qualitative study using the COM-B model.
Article in Journal of cancer survivorship : research and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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.
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.
Who cites it
3 citing papers in PubMed.
- Listening to children's voices: Psychosocial and behavioral experiences and identity-related changes during the cancer trajectory.Asia-Pacific journal of oncology nursing · 2026Article
- From Mechanisms to Manifestations: A Scoping Review Exploring Cancer-Related Discrimination.Psycho-oncology · 2026Article
- Symptom network in patients with colorectal cancer during the perioperative period.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
purposeGuided by the COM-B model ("capability," "opportunity," "motivation," and "behavior"), this study explores the factors and potential mechanisms of social withdrawal in children with cancer.
methodsThe illness experiences shared by families of children with cancer on the internet provided a unique opportunity for this study. An interdisciplinary research team was formed, and a hybrid thematic analysis was conducted to examine 41 online illness narratives describing the experiences of children (≤ 18 years old) diagnosed with cancer.
resultsThis study identified seven themes: (1) Capability: physical problem and self-acceptance; (2) Motivation: stigma and self-esteem; (3) Opportunity: interpersonal interaction, parental parenting style, and social support. Analysis revealed that stigma indirectly influences social withdrawal through self-esteem; physical problem indirectly influences social withdrawal by affecting interpersonal interaction; and parental parenting style and social support further influence children's social withdrawal behaviors by affecting self-acceptance.
conclusionsThis study applied the COM-B model to pediatric oncology, revealing the multifaceted causes of social withdrawal in children with cancer. It highlights the need, beyond physical recovery, to foster psychological acceptance, build motivation, and expand social opportunities. Examples include integrated physical-social interventions, positive parenting, enhanced self-worth, and strengthened disease awareness and support networks to encourage active social engagement. IMPLICATIONS FOR CANCER SURVIVORS: The findings are derived from authentic interview texts of children with cancer or their caregivers, providing practical reference value. This deepens understanding of the causes of social withdrawal in cancer survivors and informs more effective strategies to support their social reintegration.
Indexed as
Identifiers
40908466What OpenQuestion holds
Registered trials
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.