Spirituality and meaning in supportive care: spirituality- and meaning-centered group psychotherapy interventions in advanced cancer
Abstract
Existential and spiritual issues are at the frontier of new clinical and research focus in palliative and supportive care of cancer patients. As concepts of adequate supportive care expand beyond a focus on pain and physical symptom control, existential and spiritual issues such as meaning, hope and spirituality in general have received increased attention from supportive care clinicians and clinical researchers. This paper reviews the topics of spirituality and end-of-life care, defines spirituality, and suggests measures of spirituality that deal with two of its main components: faith/religious beliefs and meaning/spiritual well-being. These two constructs of spirituality are reviewed in terms of their role in supportive care. Finally, a review of existing psychotherapeutic interventions for spiritual suffering are reviewed and a novel meaning-centered group psychotherapy for advanced cancer patients is described.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
This process is related to improving patients' outcomes, managing chronic pain, or dealing with a diagnosis such as cancer.
“This process is related to improving patients’ outcomes, manages chronic pain, or deals with a diagnostic as cancer (Breitbart, 2002; Vachon, 2008; Dedeli and Kaptan, 2013; Weber and Pargament, 2014; Bernard et al., 2017).”
From Defining spirituality in healthcare: a systematic review and conceptual framework. (2021) · cites this paper as Breitbart, 2002
Spirituality can be considered a source of coping to handle crisis and stressful moments, and related to positive meanings in face of challenges, such as in health problems.
“Spirituality can be considered a source of coping to handle crisis and stressful moments, and related to positive meanings in face of challenges, such as in health problems.”
From Defining spirituality in healthcare: a systematic review and conceptual framework. (2021) · cites this paper as Breitbart, 2002
Cites
“Stress: appraisal and coping,”
Folkman, S. (2013) · Encyclopedia of Behavioral Medicine · doi:10.1007/978-1-4419-1005-9_215 · Cited by 27,833 · see citing works
FRANKL, V. E. (1946) · Cited by 3,910 · see citing works
Adjustment to threatening events: A theory of cognitive adaptation.
Taylor, S. E. (1983) · American Psychologist · doi:10.1037/0003-066x.38.11.1161 · Cited by 3,065 · see citing works
The Belief in a Just World: A Fundamental Delusion.
Hamilton, V. L., & Lerner, M. J. (1982) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2067083 · Cited by 2,544 · see citing works
EFFECT OF PSYCHOSOCIAL TREATMENT ON SURVIVAL OF PATIENTS WITH METASTATIC BREAST CANCER
Spiegel, D., Kraemer, H., Bloom, J., & Gottheil, E. (1989) · The Lancet · doi:10.1016/s0140-6736(89)91551-1 · Cited by 2,353 · see citing works
Oxford Textbook of Palliative Medicine
(2009) · Oxford University Press eBooks · doi:10.1093/med/9780198570295.001.0001 · Cited by 1,921 · see citing works
Positive psychological states and coping with severe stress
Folkman, S. (1997) · Social Science & Medicine · doi:10.1016/s0277-9536(97)00040-3 · Cited by 1,848 · see citing works
Meaning in the context of stress and coping
Park, C. L., & Folkman, S. (1997) · Review of General Psychology · doi:10.1037/1089-2680.1.2.115 · Cited by 1,821 · see citing works
Portenoy, R. K., Thaler, H. T., Kornblith, A. B., Lepore, J. M., Friedlander-Klar, H., Kiyasu, E., Sobel, K., Coyle, N., Kemeny, N. E., Norton, L., et al. (1994) · European Journal of Cancer · doi:10.1016/0959-8049(94)90182-1 · Cited by 1,580 · see citing works
Quality End-of-Life Care: Patients' Perspectives
Singer, P. A., Martin, D. K., & Kelner, M. (1999) · JAMA · doi:10.1001/jama.281.2.163 · Cited by 1,287 · see citing works
Making sense of loss and benefiting from the experience: Two construals of meaning.
Davis, C. G., Nolen–Hoeksema, S., & Larson, J. M. (1998) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.75.2.561 · Cited by 1,174 · see citing works
Institute of Medicine (1997) · National Academies Press eBooks · doi:10.17226/5801 · Cited by 1,058 · see citing works
The will to meaning : foundations and applications of logotherapy
FRANKL, V. E. (1988) · New American Library eBooks · Cited by 1,036 · see citing works
Group Support for Patients With Metastatic Cancer: A Randomized Prospective Outcome Study
Spiegel, D. (1981) · Archives of General Psychiatry · doi:10.1001/archpsyc.1980.01780300039004 · Cited by 862 · see citing works
Religion, spirituality, and medicine
Sloan, R., Bagiella, E., & Powell, T. P. (1999) · The Lancet · doi:10.1016/s0140-6736(98)07376-0 · Cited by 851 · see citing works
Taking a Spiritual History Allows Clinicians to Understand Patients More Fully
Puchalski, C. M., & Romer, A. L. (2000) · Journal of Palliative Medicine · doi:10.1089/jpm.2000.3.129 · Cited by 746 · see citing works
Desire for death in the terminally ill
Chochinov, H. M., Wilson, K. G., Enns, M. W., Mowchun, N., Lander, S., Levitt, M., & Clinch, J. (1995) · American Journal of Psychiatry · doi:10.1176/ajp.152.8.1185 · Cited by 742 · see citing works
Influence of psychological response on survival in breast cancer: a population-based cohort study
Watson, M., Haviland, J., Greer, S., Davidson, J., & Bliss, J. (1999) · The Lancet · doi:10.1016/s0140-6736(98)11392-2 · Cited by 705 · see citing works
Religiosity and remission of depression in medically ill older patients
Koenig, H. G., George, L. K., & Peterson, B. L. (1998) · American Journal of Psychiatry · doi:10.1176/ajp.155.4.536 · Cited by 658 · see citing works
A Structured Psychiatric Intervention for Cancer Patients
Fawzy, F. I. (1990) · Archives of General Psychiatry · doi:10.1001/archpsyc.1990.01810200028004 · Cited by 637 · see citing works
Cross-validation of Purpose-in-Life test based on Frankl's concepts.
Crumbaugh, J. C. (1968) · PubMed · Cited by 549 · see citing works
Religious coping and depression among elderly, hospitalized medically ill men
(1992) · American Journal of Psychiatry · doi:10.1176/ajp.149.12.1693 · Cited by 544 · see citing works
A National Survey of Physician-Assisted Suicide and Euthanasia in the United States
Meier, D. E., Emmons, C., Wallenstein, S. R., Quill, T. E., Morrison, R. S., & Cassel, C. K. (1998) · New England Journal of Medicine · doi:10.1056/nejm199804233381706 · Cited by 491 · see citing works
Spirituality, Religion, and Depression in the Terminally Ill
Nelson, C. J., Rosenfeld, B., Breitbart, W., & Galietta, M. (2002) · Psychosomatics · doi:10.1176/appi.psy.43.3.213 · Cited by 399 · see citing works
Self-citationFRANKL, V. E. (1946) · Cited by 385 · see citing works
Depression, Hopelessness, and Suicidal Ideation in the Terminally Ill
Chochinov, H. M., Wilson, K. G., Enns, M., & Lander, S. (1998) · Psychosomatics · doi:10.1016/s0033-3182(98)71325-8 · Cited by 363 · see citing works
Self-Transcendence and Mental Health in Oldest-Old Adults
Reed, P. G. (1991) · Nursing Research · doi:10.1097/00006199-199101000-00002 · Cited by 327 · see citing works
Chochinov, H. M., Wilson, K. G., Enns, M. W., & Lander, S. (1994) · American Journal of Psychiatry · doi:10.1176/ajp.151.4.537 · Cited by 305 · see citing works
Religion and depression: a review of the literature
McCullough, M. E., & Larson, D. B. (1999) · Twin Research · doi:10.1375/136905299320565997 · Cited by 297 · see citing works
Telch, C. F., & Telch, M. J. (1986) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.54.6.802 · Cited by 290 · see citing works
Interest in physician-assisted suicide among ambulatory HIV-infected patients
BREITBART, W. S., Rosenfeld, B. D., & Passik, S. D. (1996) · American Journal of Psychiatry · doi:10.1176/ajp.153.2.238 · Cited by 282 · see citing works
Self-citationToward a nursing theory of selftranscendence: Deductive reformulation using developmental theories
Reed, P. G. (1991) · Advances in Nursing Science · doi:10.1097/00012272-199106000-00008 · Cited by 270 · see citing works
Neuropsychiatric syndromes and psychological symptoms in patients with advanced cancer
BREITBART, W. S., Bruera, E. D., Chochinov, H. M., & Lynch, M. E. (1995) · Journal of Pain and Symptom Management · doi:10.1016/0885-3924(94)00075-v · Cited by 243 · see citing works
Self-citationAndrykowski, M. A., & Hunt, J. (1993) · Psycho-Oncology · doi:10.1002/pon.2960020406 · Cited by 230 · see citing works
Fromm, K., Andrykowski, M. A., & Hunt, J. (1996) · Journal of Behavioral Medicine · doi:10.1007/bf01857767 · Cited by 225 · see citing works
Reed, P. G., Boyd, M., & Buckwalter, K. C. (1989) · Western Journal of Nursing Research · doi:10.1177/019394598901100202 · Cited by 194 · see citing works
Handbook of psychiatry in palliative medicine.
Chochinov, H. M., & BREITBART, W. S. (2000) · Cited by 193 · see citing works
Self-citationSystemic mast cell disease: A clinical and hematopathologic study of 26 cases
Webb, T. A., Li, C., & Yam, L. T. (1982) · Cancer · doi:10.1002/1097-0142(19820301)49:5 · Cited by 193 · see citing works
Cancer and the Experience of Meaning
Greenstein, M., & BREITBART, W. S. (2000) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.2000.54.4.486 · Cited by 191 · see citing works
Self-citationPsychotherapy during radiotherapy: effects on emotional and physical distress
Forester, B., Kornfeld, D. S., & Fleiss, J. L. (1985) · American Journal of Psychiatry · doi:10.1176/ajp.142.1.22 · Cited by 185 · see citing works
Religion and family medicine: a survey of physicians and patients.
Maugans, T., & Wadland, W. (1991) · PubMed · Cited by 181 · see citing works
Group therapy with the terminally ill
Yalom, I. D., & Greaves, C. (1977) · American Journal of Psychiatry · doi:10.1176/ajp.134.4.396 · Cited by 173 · see citing works
Pain in metastatic breast cancer
Spiegel, D., & Bloom, J. R. (1983) · Cancer · doi:10.1002/1097-0142(19830715)52:2 · Cited by 166 · see citing works
Self-Transcendence: A Resource for Healing at the End of Life
Coward, D. D., & Reed, P. G. (1996) · Issues in Mental Health Nursing · doi:10.3109/01612849609049920 · Cited by 163 · see citing works
Re-creating your life: a spiritual/psychotherapeutic intervention for people diagnosed with cancer
Cole, B. S., & Pargäment, K. I. (1999) · Psycho-Oncology · doi:10.1002/(sici)1099-1611(199909/10)8:5 · Cited by 160 · see citing works
Facilitation of Self-Transcendence in a Breast Cancer Support Group: II
Coward, D. D. (2003) · Oncology nursing forum · doi:10.1188/03.onf.291-300 · Cited by 142 · see citing works
Spirituality, Medicine, and Healing
Hiatt, J. (1986) · Southern Medical Journal · doi:10.1097/00007611-198606000-00022 · Cited by 124 · see citing works
Self-transcendence and emotional well-being in women with advanced breast cancer.
Dd, C. (1991) · PubMed · Cited by 124 · see citing works
A Support Group for Dying Patients
Spiegel, D., & Yalom, I. D. (1978) · International Journal of Group Psychotherapy · doi:10.1080/00207284.1978.11491609 · Cited by 121 · see citing works
Oster, M. W., Gray, R. J., Panasci, L., Perry, M. C., & FOR CANCER AND LEUKEMIA GROUP B (1986) · Cancer · doi:10.1002/1097-0142(19860101)57:1 · Cited by 121 · see citing works
Preventive psychosocial intervention with newly diagnosed cancer patients
Worden, J. W., & Weisman, A. D. (1984) · General Hospital Psychiatry · doi:10.1016/0163-8343(84)90016-1 · Cited by 114 · see citing works
Family Environment as a Predictor of Adjustment to Metastatic Breast Carcinoma
Spiegel, D., Bloom, J. R., & Gottheil, E. (1983) · Journal of Psychosocial Oncology · doi:10.1300/j077v01n01_04 · Cited by 111 · see citing works
Spirituality and the Dying Patient
Rousseau, P. C. (2003) · Journal of Clinical Oncology · doi:10.1200/jco.2003.01.171 · Cited by 96 · see citing works
Cancer support groups: the state of the art.
Cella, D. F., & Yellen, S. B. (1993) · PubMed · Cited by 93 · see citing works
Psychosocial Intervention in Cancer
Spiegel, D. (1993) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/85.15.1198 · Cited by 92 · see citing works
Group therapy in the cancer setting
Fawzy, F. I., & Fawzy, N. W. (1998) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(98)00015-4 · Cited by 91 · see citing works
Factors associated with meaning in life among people with recurrent cancer.
Taylor, E. J. (1993) · PubMed · Cited by 86 · see citing works
The Lived Experience of Self-Transcendence in Women With AIDS
Coward, D. D. (1995) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1111/j.1552-6909.1995.tb02482.x · Cited by 73 · see citing works
The lived experience of self-transcendence in gay men with AIDS.
Dd, C., & Fm, L. (1993) · PubMed · Cited by 73 · see citing works
Effect of psychoeducational intervention on anxiety among Egyptian bladder cancer patients
Ali, N. S., & Khalil, H. Z. (1989) · Cancer Nursing · doi:10.1097/00002820-198908000-00006 · Cited by 72 · see citing works
Validity of WISC-R short forms
Silverstein, A. B. (1975) · Journal of Clinical Psychology · doi:10.1002/1097-4679(197510)31:4 · Cited by 70 · see citing works
Myxoid variant of malignant fibrous histiocytoma.Ultrastructural observations
Lagacé, R., Delage, C., & Seemayer, T. A. (1979) · Cancer · doi:10.1002/1097-0142(197902)43:2 · Cited by 70 · see citing works
Physician-Assisted Suicide: The Influence of Psychosocial Issues
BREITBART, W. S., & Rosenfeld, B. D. (1999) · Cancer Control · doi:10.1177/107327489900600203 · Cited by 66 · see citing works
Self-citationCunningham, A. J., & Edmonds, C. V. I. (1996) · The International Journal of Psychiatry in Medicine · doi:10.2190/6pg2-gun8-gk2w-cxap · Cited by 66 · see citing works
Effects of Group Confrontation with Death and Dying
Spiegel, D., & Glafkides, M. C. (1983) · International Journal of Group Psychotherapy · doi:10.1080/00207284.1983.11491344 · Cited by 58 · see citing works
Implications of the life-span developmental framework for well-being in adulthood and aging
Reed, P. G. (1983) · Advances in Nursing Science · doi:10.1097/00012272-198310000-00006 · Cited by 53 · see citing works
The psychodynamic life narrative: a psychotherapeutic intervention useful in crisis situations.
Viederman, M. (1983) · PubMed · Cited by 48 · see citing works
Self-transcendence in older men attending a prostate cancer support group
Chin-A-Loy, S. S., & Fernsler, J. I. (1998) · Cancer Nursing · doi:10.1097/00002820-199810000-00007 · Cited by 45 · see citing works
Randomized trial of group psychosocial support in metastatic breast cancer: the BEST study
Goodwin, P. J., Leszcz, M., Koopmans, J., Arnold, A., Doll, R., Chochinov, H. M., Navarro, M., Butler, K. A., & Pritchard, K. I. (1996) · Cancer Treatment Reviews · doi:10.1016/s0305-7372(96)90068-7 · Cited by 42 · see citing works
A National Survey of Physician-Assisted Suicide and Euthanasia in the United States
Meier, D. E., Emmons, C., Wallenstein, S. R., et al. (1999) · Survey of Anesthesiology · doi:10.1097/00132586-199904000-00012 · Cited by 37 · see citing works
Group psychotherapy and the terminally ill
Spiegel, D. (2000) · Medical Entomology and Zoology · Cited by 8 · see citing works
Holland (1999) · doi:10.1002/(sici)1099-1611(199901/02)8:1
Flagged first, then by citations
Cited by
Sorted by citations
Breitbart, W., Rosenfeld, B., Gibson, C., Pessin, H., Poppito, S., Nelson, C., Tomarken, A., Timm, A. K., Berg, A., Jacobson, C., et al. (2010) · Psycho-Oncology · doi:10.1002/pon.1556 · Cited by 704 · see citing works
Self-citationBreitbart, W., Rosenfeld, B., Pessin, H., Applebaum, A., Kulikowski, J., & Lichtenthal, W. G. (2015) · Journal of Clinical Oncology · doi:10.1200/jco.2014.57.2198 · Cited by 563 · see citing works
Self-citationBreitbart, W., Poppito, S., Rosenfeld, B., Vickers, A. J., Li, Y., Abbey, J., Olden, M., Pessin, H., Lichtenthal, W., Sjoberg, D., et al. (2012) · Journal of Clinical Oncology · doi:10.1200/jco.2011.36.2517 · Cited by 426 · see citing works
Self-citationBreitbart, W., Pessin, H., Rosenfeld, B., Applebaum, A. J., Lichtenthal, W. G., Li, Y., Saracino, R. M., Marziliano, A. M., Masterson, M., Tobias, K., et al. (2018) · Cancer · doi:10.1002/cncr.31539 · Cited by 396 · see citing works
Self-citationRummans, T. A., Clark, M. M., Sloan, J. A., Frost, M. H., Bostwick, J. M., Atherton, P. J., Johnson, M. E., Gamble, G., Richardson, J., Brown, P., et al. (2006) · Journal of Clinical Oncology · doi:10.1200/jco.2006.06.209 · Cited by 353 · see citing works
Rodin, G., Lo, C., Mikulincer, M., Donner, A., Gagliese, L., & Zimmermann, C. (2009) · Social Science & Medicine · doi:10.1016/j.socscimed.2008.10.037 · Cited by 323 · see citing works
Bekelman, D. B., Rumsfeld, J. S., Havranek, E. P., Yamashita, T. E., Hutt, E., Gottlieb, S. H., Dy, S. M., & Kutner, J. S. (2009) · Journal of General Internal Medicine · doi:10.1007/s11606-009-0931-y · Cited by 306 · see citing works
Vallurupalli, M., Lauderdale, K., Balboni, M. J., Phelps, A. C., Block, S. D., Ng, A. K., Kachnic, L. A., VanderWeele, T. J., & Balboni, T. A. (2012) · The Journal of Supportive Oncology · doi:10.1016/j.suponc.2011.09.003 · Cited by 257 · see citing works
Defining spirituality in healthcare: a systematic review and conceptual framework.
de Brito Sena, M. A., Damiano, R. F., Lucchetti, G., & Peres, M. F. P. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.756080 · Cited by 238 · see citing works
Mack, J. W., Nilsson, M., Balboni, T., Friedlander, R. J., Block, S. D., Trice, E., & Prigerson, H. G. (2008) · Cancer · doi:10.1002/cncr.23476 · Cited by 155 · see citing works
Fear of cancer recurrence and death anxiety
Sharpe, L., Curran, L., Butow, P., & Thewes, B. (2018) · Psycho-Oncology · doi:10.1002/pon.4783 · Cited by 149 · see citing works
Bauereiß, N., Obermaier, S., Özünal, S. E., & Baumeister, H. (2018) · Psycho-Oncology · doi:10.1002/pon.4829 · Cited by 149 · see citing works
Efficacy of meaning-centered group psychotherapy for cancer survivors: a randomized controlled trial
van der Spek, N., Vos, J., van Uden-Kraan, C. F., Breitbart, W., Cuijpers, P., Holtmaat, K., Witte, B. I., Tollenaar, R. A. E. M., & Verdonck-de Leeuw, I. M. (2017) · Psychological Medicine · doi:10.1017/s0033291717000447 · Cited by 135 · see citing works
Meaning, spirituality, and wellness in cancer survivors
Vachon, M. L. S. (2008) · Seminars in Oncology Nursing · doi:10.1016/j.soncn.2008.05.010 · Cited by 119 · see citing works
Solano, J. P. C., da Silva, A. G., Soares, I. A., Ashmawi, H. A., & Vieira, J. E. (2016) · BMC Palliative Care · doi:10.1186/s12904-016-0139-y · Cited by 92 · see citing works
Peterman, A. H., Reeve, C. L., Winford, E. C., Cotton, S., Salsman, J. M., McQuellon, R., Tsevat, J., & Campbell, C. (2014) · Psychological Assessment · doi:10.1037/a0034805 · Cited by 90 · see citing works
Almeida, M., Ramos, C., Maciel, L., Basto-Pereira, M., & Leal, I. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.995981 · Cited by 81 · see citing works
Feinstein, M., Liu, K., Ning, H., Fitchett, G., & Lloyd-Jones, D. M. (2010) · Circulation · doi:10.1161/circulationaha.109.879973 · Cited by 79 · see citing works
Boscaglia, N., & M. Clarke, D. (2007) · Psycho-Oncology · doi:10.1002/pon.1044 · Cited by 77 · see citing works
Psycho-Spiritual Integrative Therapy for Women with Primary Breast Cancer
Garlick, M., Wall, K., Corwin, D., & Koopman, C. (2011) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-011-9224-9 · Cited by 69 · see citing works
Psychosocial and Integrative Oncology: Interventions Across the Disease Trajectory.
Carlson, L. E. (2023) · Annual Review of Psychology · doi:10.1146/annurev-psych-032620-031757 · Cited by 56 · see citing works
“SUMMARY OF FINDINGS In general, all of the interventions reviewed herein can be useful for treating a wide range of symptoms in PLWC.”
Backgroundvan der Spek, N., Vos, J., van Uden-Kraan, C. F., Breitbart, W., Cuijpers, P., Knipscheer-Kuipers, K., Willemsen, V., Tollenaar, R. A., van Asperen, C. J., & Verdonck-de Leeuw, I. M. (2014) · BMC Psychiatry · doi:10.1186/1471-244x-14-22 · Cited by 52 · see citing works
Self-citationPark, C. L., Sherman, A. C., Jim, H. S. L., & Salsman, J. M. (2015) · Cancer · doi:10.1002/cncr.29351 · Cited by 49 · see citing works
Relationship among workplace spirituality, meaning in life, and psychological well-being of teachers
Liang, J.-L., Peng, L.-X., Zhao, S.-J., & Wu, H.-T. (2017) · Universal Journal of Educational Research · doi:10.13189/ujer.2017.050613 · Cited by 38 · see citing works
Psychological Symptoms in Advanced Cancer
Bail, J. R., Traeger, L., Pirl, W. F., & Bakitas, M. A. (2018) · Seminars in Oncology Nursing · doi:10.1016/j.soncn.2018.06.005 · Cited by 34 · see citing works
Gagnon, P., Fillion, L., Robitaille, M.-A., Girard, M., Tardif, F., Cochrane, J.-P., Le Moignan Moreau, J., & Breitbart, W. (2015) · Palliative and Supportive Care · doi:10.1017/s147895151400073x · Cited by 29 · see citing works
Self-citationCottingham, A. H., Beck-Coon, K., Bernat, J. K., Helft, P. R., Schmidt, K., Shields, C. G., Torke, A. M., & Johns, S. A. (2019) · Palliative and Supportive Care · doi:10.1017/s1478951518000354 · Cited by 24 · see citing works
Ando, M., Morita, T., Lee, V., & Okamoto, T. (2008) · Palliative and Supportive Care · doi:10.1017/s1478951508000539 · Cited by 23 · see citing works
Holland, J., Poppito, S., Nelson, C., Weiss, T., Greenstein, M., Martin, A., Thirakul, P., & Roth, A. (2009) · Palliative and Supportive Care · doi:10.1017/s1478951509990198 · Cited by 17 · see citing works
- Authors
- Breitbart, W.
- Affiliations
- Memorial Sloan Kettering Cancer Center (US)
- Corresponding author
- Breitbart, William
- ORCID
- Breitbart, William
- Venue
- Supportive Care in Cancer
- Published
- 2001-08-28
- Volume
- 10
- Issue
- 4
- Pages
- 272-280
- ISSN
- 0941-4355 (ISSN-L)
- 1433-7339
- OpenAlex
- W2126226529
- Cited by
- 466
- References
- 74
- Citations by year
- 2026: 9 · 2025: 10 · 2024: 14 · 2023: 12 · 2022: 16 · 2021: 18 · 2020: 17 · 2019: 21 · 2018: 27 · 2017: 28 · 2016: 15 · 2015: 21 · 2014: 29 · 2013: 16 · 2012: 23
- FWCI
- 7.19
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Supportive Care in Cancer (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- spirituality, meaning in life, spiritual well-being, advanced cancer, end-of-life care, supportive care, group therapy, meaning-centered therapy, spiritual distress, hope, palliative care
- MeSH terms
- Attitude to Health, Humans, Neoplasms, Palliative Care, Psychotherapy, Psychotherapy, Group, Quality of Life, Religion and Medicine, Self Concept, Terminal Care
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review