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        <identifier>oai:figshare.com:article/33979474</identifier>
        <datestamp>2026-09-24T04:33:33Z</datestamp>
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          <dc:title>Supplementary file 1_Parenting concerns among patients with advanced early-onset lung cancer: a qualitative study based on the ABC-X model.doc</dc:title>
          <dc:creator>Xiaoqian Zhou (11156865)</dc:creator>
          <dc:creator>Dan Yang (65758)</dc:creator>
          <dc:creator>Liping Wang (33601)</dc:creator>
          <dc:creator>Fen Wang (285388)</dc:creator>
          <dc:subject>Applied Psychology</dc:subject>
          <dc:subject>ABC-X model</dc:subject>
          <dc:subject>early-onset lung cancer</dc:subject>
          <dc:subject>parenting concerns</dc:subject>
          <dc:subject>patients</dc:subject>
          <dc:subject>qualitative research</dc:subject>
          <dc:description>Introduction&lt;p&gt;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.&lt;/p&gt;Methods&lt;p&gt;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’s 7-step method, and core themes were identified based on the ABC-X model.&lt;/p&gt;Results&lt;p&gt;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.&lt;/p&gt;Discussion&lt;p&gt;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.&lt;/p&gt;</dc:description>
          <dc:date>2026-09-24T04:33:33Z</dc:date>
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          <dc:identifier>10.3389/fpsyg.2026.1930777.s001</dc:identifier>
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