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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Psychiatry. Apr 19, 2026; 16(4): 116158
Published online Apr 19, 2026. doi: 10.5498/wjp.v16.i4.116158
Anxiety, depression, and quality of life in hepatocellular carcinoma treated with drug-eluting microspheres plus lenvatinib: A prospective study
Jian-Yu Liu, Zhi-Hui Liang, Jing-Lei Liu, Liang Li, Bao Cui, Tie-Gang Li
Jian-Yu Liu, Zhi-Hui Liang, Jing-Lei Liu, Liang Li, Bao Cui, Department of Interventional Treatment, The 980th (Bethune International Peace) Hospital of the Joint Support Force of the Chinese People’s Liberation Army, Shijiazhuang 050082, Hebei Province, China
Tie-Gang Li, Department of Oncology, The 980th (Bethune International Peace) Hospital of the Joint Support Force of the Chinese People’s Liberation Army, Shijiazhuang 050082, Hebei Province, China
Author contributions: Liu JY and Liang ZH were the guarantors and designed the study; Liu JY, Liang ZH, and Liu JL participated in the acquisition, analysis, and interpretation of the data and drafted the initial manuscript; Li L, Cui B, and Li TG revised the article critically for important intellectual content; all the authors participated in this study and jointly reviewed and edited the manuscript.
Supported by 2023 Hebei Provincial Medical Scientific Research Project Plan, No. 20231304.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of the 980th (Bethune International Peace) Hospital of the Joint Support Force of the Chinese People’s Liberation Army (Approval No. BIPH-2022-KY-011).
Clinical trial registration statement: This study involved no randomization or investigational intervention; therefore, clinical trial registration was not required.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare no conflicts of interest.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Data sharing statement: There are no additional data available.
Corresponding author: Jian-Yu Liu, MD, Associate Chief Physician, Department of Interventional Treatment, The 980th (Bethune International Peace) Hospital of the Joint Support Force of the Chinese People’s Liberation Army, No. 398 Zhongshan West Road, Qiaoxi District, Shijiazhuang 050082, Hebei Province, China. ljiany109527@163.com
Received: November 21, 2025
Revised: December 20, 2025
Accepted: January 12, 2026
Published online: April 19, 2026
Processing time: 128 Days and 23 Hours
Core Tip

Core Tip: This study investigated the impact of drug-eluting microsphere - transcatheter arterial chemoembolization (DEM-TACE) combined with lenvatinib on anxiety, depression, and quality of life (QoL) in patients with hepatocellular carcinoma (HCC). Among 126 enrolled patients, the prevalence of anxiety and depression significantly decreased over 12 months, accompanied by marked improvements in global health and functional scores on European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 and Quality of Life Questionnaire-Hepatocellular Carcinoma 18. The combination therapy showed favorable tumor response and manageable toxicity. These findings highlight the dual benefits of DEM-TACE plus lenvatinib in improving both psychological well-being and overall QoL in HCC management.