The DOI matches its Crossref record; 126 of the 126 references it cites were found in a registry or an index; none of the 51 sources its claims cite is checked for support yet.
The relationship between acceptance of cancer and distress: A meta-analytic review
Open accessAbstract
Acceptance of cancer has long been recognized as playing a critical role in psychological adjustment to the illness, but its associations with distress outcomes have not been quantitatively reviewed. Informed by coping theory and third wave conceptualizations of acceptance, we first propose an integrated model of acceptance of cancer. Then we examine the strength of the relationships between acceptance of cancer and general and cancer-specific distress in cancer patients and potential moderators of these relationships. CINAHL, Embase, MEDLINE, PsycINFO, PsycARTICLES, and Web of Science databases were searched. Random-effects meta-analyses were conducted on 78 records (N=15,448). Small-to-moderate, negative, and significant relationships were found between acceptance of cancer and general distress (r=−.31; 95% CI:−.36 to −.26, k=75); cancer-specific distress (r=−.18; 95% CI:−.21 to −.14, k=13); depressive symptoms (r=−.25; 95% CI:−.31 to −.19, k=41); and anxiety symptoms (r=−.22; 95% CI:−.30 to −.15, k=29). Age, marital status, and stage of cancer were identified as significant moderators. Findings suggest that acceptance of cancer may be important to target in interventions to reduce general and cancer-specific distress in cancer patients. Future research should focus on developing multifaceted measures of acceptance and identifying theory-based psychological and social processes that lead to greater acceptance.
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“anxiety symptoms (r=−.22; 95% CI:−.30 to −.15, k=29)”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Abstract
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“Age, marital status, and stage of cancer were identified as significant moderators.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Abstract
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In the paper
“depressive symptoms (r=−.25; 95% CI:−.31 to −.19, k=41)”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Abstract
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In the paper
“depressive symptoms (r = −.25, p < .0001)”
- Also stated in: § Discussion · plain
“We found significant, small to moderate, negative relationships between acceptance of cancer and general distress, cancer-specific distress, depressive symptoms, and anxiety symptoms.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Results > Mean Effect Sizes
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In the paper
“cancer-specific distress (r=−.18; 95% CI:−.21 to −.14, k=13)”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Abstract
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In the paper
“Small-to-moderate, negative, and significant relationships were found between acceptance of cancer and general distress (r=−.31; 95% CI:−.36 to −.26, k=75)”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Abstract
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In the paper
“Heterogeneity analyses demonstrated significant between-study variance in the relationships between acceptance of cancer and general distress (Q = 873.24; I2 = .91; τ2 = .06)”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Results > Moderator Analyses
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“Based on stem-and-leaf plots, one study (Lyons et al., 2015) was identified as an outlier for the association between acceptance of cancer and depressive symptoms.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Results > Mean Effect Sizes
What the sources say
- Not checked yetcites Lyons et al., 2015 source
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In the paper
“Age, marital status, and stage of cancer were identified as significant moderators.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Abstract
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In the paper
“Age, marital status, and stage of cancer were identified as significant moderators.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Abstract
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- It may state two separate claims as one. 35
- Probably not a substantial claim. 26
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“First, most of the studies were conducted in the United States, and the majority of participants were married middle-aged Caucasian women.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Discussion > Limitations
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In the paper
“cancer-specific distress (ps = .279, .748, and .667, respectively)”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Results > Publication Bias
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In the paper
“or anxiety (ps = .335, .322, and .338, respectively).”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Results > Publication Bias
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
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In the paper
“as well as anxiety symptoms (b = .006, SE = .003, z = 2.08, 95% CI .000 to .011; k = 20)”
- Also stated in: § Moderator Analyses · plain
“and the relationship between acceptance of cancer and anxiety symptoms weakened by 0.006.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Results > Moderator Analyses
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
- Also stated in: § Moderator Analyses · plain
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In the paper
“Acceptance of cancer was more strongly correlated with depressive and anxiety symptoms among cancer patients with early-stage disease; however, this finding was not replicated when examining general distress.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Discussion > Moderators of the acceptance of cancer and distress relationship
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In the paper
“Cancer stage was a significant moderator of the relationships between acceptance of cancer and depressive symptoms (b = .004, SE = .002, z = 2.59, 95% CI .001 to .007; k = 18)”
- Also stated in: § Moderator Analyses · plain
“For each percent increase in advanced-stage cancer patients in the sample, associations between acceptance of cancer and both depressive and anxiety symptoms weakened by 0.004.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Results > Moderator Analyses
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
- Also stated in: § Moderator Analyses · plain
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In the paper
“However, there was minimal heterogeneity in the relationship between acceptance of cancer and cancer-specific distress (Q = 12.76; I2 = .00; τ2 = .00); therefore, we did not conduct moderation analyses for this association.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Results > Moderator Analyses
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A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“depressive symptoms (ps = .235, .773, and .342, respectively)”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Results > Publication Bias
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In the paper
“publication status (i.e., published vs. not published), year of data collection, and study reporting quality did not significantly moderate the associations between acceptance of cancer and general distress (ps = .429, .544, and .059, respectively)”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Results > Publication Bias
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In the paper
“a small minority of studies reported how sample size was determined (reported in 5.13%, 4/78)”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Results > Study Reporting Quality
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
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In the paper
“Marital status (i.e., percent of patients married/partnered) was a significant moderator of the relationships between acceptance of cancer and depressive symptoms (b = .007, SE = .003, z = 2.43, 95% CI .001 to .012; k = 26)”
- Also stated in: § Moderator Analyses · plain
“For each percent increase in married/partnered patients in the sample, the relationship between acceptance of cancer and depressive symptoms weakened by 0.007”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Results > Moderator Analyses
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
- Also stated in: § Moderator Analyses · plain
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“Additionally, few authors using the COPE or Brief COPE reported whether the instructions were revised to refer to acceptance of cancer-specific stressors.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Discussion > Limitations
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In the paper
“reasons for non-participation (23.08%, 18/78)”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Results > Study Reporting Quality
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
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In the paper
“Although all of our results were small to moderate effect sizes, acceptance of cancer had the smallest association with cancer-specific distress, the largest association with general distress, and similar small associations with anxiety and depressive symptoms.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Discussion
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In the paper
“When reliability coefficients were not reported in the study, the median reliability coefficients of the measures were imputed based on those reported in the sample. For single-item measures, a reliability coefficient of .60 was imputed (Hunter & Schimdt, 2004; Sharma & Yetton, 2007).”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Method > Meta-analytic Method
What the sources say
- Not checked yetcites Hunter & Schimdt, 2004
- Not checked yetcites Sharma & Yetton, 2007
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None of the sources cited for this claim have been checked yet.
In the paper
“studies have shown that greater acceptance of cancer is related to reduced symptoms of cancer-specific distress, depression, and anxiety; however, effect sizes for these relationships vary from small to large”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Introduction > Present Study: Acceptance of Cancer and Distress
What the sources say
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
In the paper
“by accepting the illness to a greater degree, patients are empowered to engage in value-based actions, which might subsequently improve psychological well-being.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Introduction > Acceptance of Cancer
What the sources say
- Not checked yetcites Hayes et al., 2006 source
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In the paper
“The quality of study reporting was assessed using the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines (von Elm, Altman, & Egger, 2008).”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Method > Quality Assessment
What the sources say
- Not checked yetcites von Elm, Altman, & Egger, 2008 source
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In the paper
“Effect sizes were considered statistically significant for p-values < .05.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Method > Meta-analytic Method
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In the paper
“The first author (ES) screened all of the titles and abstracts and, when found eligible, the full-texts; the second author (DBT) screened 20% of the titles and abstracts and 20% of the full-texts. Any discrepancies were resolved through consensus meetings.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Method > Study Selection
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In the paper
“This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement (Moher, Liberati, Tetzlaff, & Altman, 2009).”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Method > Literature Search
What the sources say
- Not checked yetcites Moher, Liberati, Tetzlaff, & Altman, 2009 source
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In the paper
“Recent reviews suggest that among cancer patients, mindfulness and acceptance-based interventions lead to significant moderate to large improvement in emotional well-being and quality of life as well as moderate to large reductions in anxiety and depressive symptoms and traumatic stress responses”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Introduction > Present Study: Acceptance of Cancer and Distress
What the sources say
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In the paper
“In accordance with Hunter and Schmidt (2004), meta-analyses were conducted with raw correlations (r) and correlations corrected for measurement reliability (ρ).”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Method > Meta-analytic Method
What the sources say
- Not checked yetcites Hunter and Schmidt (2004)
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In the paper
“Sensitivity analyses conducted excluding this study did not yield statistically significant differences in the results; thus, the study was included in the final analyses (Lipsey & Wilson, 2001).”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Results > Mean Effect Sizes
What the sources say
- Not checked yetcites Lipsey & Wilson, 2001
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In the paper
“A total of 3,507 records were excluded with 95.3% agreement between raters (Cohen’s kappa = .72).”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Method > Study Selection
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What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“The interrater agreement for study reporting quality was 91.4% (Cohen’s kappa = .81).”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Method > Quality Assessment
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In the paper
“The first author (ES) conducted the initial coding, and the second author (DBT) coded the information reported in 20% of the selected full-texts. There was 94.8% interrater agreement for coding (Cohen’s kappa = .89).”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Method > Coding
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In the paper
“Similarly, validated self-report measures of distress were selected a priori, and additional measures found during the database search were included if they had acceptable psychometric properties.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Method > Inclusion and Exclusion Criteria
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None of the sources cited for this claim have been checked yet.
In the paper
“Recent reviews suggest that among cancer patients, mindfulness and acceptance-based interventions lead to significant moderate to large improvement in emotional well-being and quality of life as well as moderate to large reductions in anxiety and depressive symptoms and traumatic stress responses”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Introduction > Present Study: Acceptance of Cancer and Distress
What the sources say
Strength:hedged· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
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In the paper
“As part of the inclusion criteria, validated self-report measures of acceptance of cancer were selected a priori.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Method > Inclusion and Exclusion Criteria
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In the paper
“There was 92.6% interrater agreement for full-text screening (Cohen’s kappa = .79).”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Method > Study Selection
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
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In the paper
“additional measures were included if they assessed acceptance in line with our conceptual definition (i.e., recognizing and staying present with the reality of the diagnosis rather than engaging in resignation or fatalism), and if they had acceptable psychometric properties, including reliability (i.e., Cronbach’s alpha ≥ .70) and validity evidence”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Method > Inclusion and Exclusion Criteria
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In the paper
“For longitudinal and intervention studies, only the initial (or baseline) acceptance of cancer and general and/or cancer-specific distress correlation coefficients were extracted in order to include the largest possible sample and minimize the effects of extraneous factors (e.g., intervention, practice effects).”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Method > Coding
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim.
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In the paper
“As advanced-stage cancer patients were underrepresented in the analyses, the results should be interpreted with caution.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Discussion > Moderators of the acceptance of cancer and distress relationship
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Alternatively, our null moderation findings for gender may be due to the limited representation of male cancer patients in the analyses.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Discussion > Moderators of the acceptance of cancer and distress relationship
Strength:hedged· not yet calibratedCausal:conditional· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Finally, as in previous reviews, our meta-analytic results may be affected by publication bias (i.e., the file drawer problem). However, we attempted to minimize this limitation by including unpublished results (e.g., dissertations, conference abstracts), and analyses of publication bias suggested that this was not a significant concern.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Discussion > Limitations
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In the paper
“These findings should be cautiously interpreted, as both younger and older adults were underrepresented in the studies.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Discussion > Moderators of the acceptance of cancer and distress relationship
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In the paper
“Marital status can be considered a proxy variable for enhanced social support, which appears to influence patients’ choice of coping strategies (Holland & Holahan, 2003; Kim, Han, Shaw, McTavish, & Gustafson, 2010) and, in turn, influence distress.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Discussion > Moderators of the acceptance of cancer and distress relationship
What the sources say
- Not checked yetcites Holland & Holahan, 2003 source
- Not checked yetcites Kim, Han, Shaw, McTavish, & Gustafson, 2010
Strength:hedged· not yet calibratedCausal:conditional· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Additionally, as in prior reviews, our analysis of study reporting quality showed that many researchers did not report information such as the determination of sample size or reasons for non-participation, thereby lowering their reporting quality and limiting our ability to evaluate their research procedures.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Discussion > Limitations
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“For instance, current measures do not assess acceptance of cancer-specific stressors, such as the prospect of death, changes in physical appearance, and role changes, which may be more strongly associated with cancer-specific distress.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Discussion
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“However, it is likely that many patients considered their cancer experience when completing these measures, as the original instructions focus on coping with stressful life events.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Discussion > Limitations
Strength:hedged· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Time since diagnosis did not significantly moderate the relationships between acceptance of cancer and general distress, anxiety, or depressive symptoms, suggesting that acceptance may be equally important at different phases of the cancer trajectory.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Discussion > Moderators of the acceptance of cancer and distress relationship
Load-bearingStrength:hedged· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“When partner support is absent, coping strategies such as acceptance might be more important for reducing distress.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Discussion > Moderators of the acceptance of cancer and distress relationship
Strength:hedged· not yet calibratedCausal:conditional· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
None of the sources cited for this claim have been checked yet.
In the paper
“Recent reviews of studies with primarily healthy adults found promising evidence that changes in acceptance, mindfulness, rumination, worry, and self-compassion are potential mechanisms underlying the mental health benefits of mindfulness- and acceptance-based interventions (Alsubaie et al., 2017; Gu, Strauss, Bond, & Cavanagh, 2015).”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Discussion > Implications for Clinical Practice and Intervention Research
What the sources say
Strength:hedged· not yet calibratedCausal:conditional· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
None of the sources cited for this claim have been checked yet.
In the paper
“Our mixed findings might reflect the variable quality of marital relationships, as being in an unsatisfying marriage might undermine mental health to a greater extent than being single or divorced (Thomas, Liu, & Umberson, 2017; K. Williams, 2003).”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Discussion > Moderators of the acceptance of cancer and distress relationship
What the sources say
- Not checked yetcites Thomas, Liu, & Umberson, 2017
- Not checked yetcites K. Williams, 2003 source
Strength:hedged· not yet calibratedCausal:conditional· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“However, a number of our moderation findings were mixed and limited by the small sample sizes for certain subgroups. Thus, recommendations regarding the targeting or tailoring of acceptance-based interventions to cancer patient subgroups are premature.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Discussion > Implications for Clinical Practice and Intervention Research
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim.
In the paper
“Additionally, given that many cancer patients do not have an accurate perception of their disease stage (Applebaum et al., 2014), stage of cancer as identified from medical charts might not be an appropriate proxy variable for patients’ understanding of their prognosis.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Discussion > Moderators of the acceptance of cancer and distress relationship
What the sources say
- Not checked yetcites Applebaum et al., 2014 source
Load-bearingStrength:hedged· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Additionally, information regarding time since diagnosis was limited and long-term cancer survivors were underrepresented in our analyses.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Discussion > Moderators of the acceptance of cancer and distress relationship
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“We contend that acceptance of cancer may be a multifaceted construct (e.g., acceptance of death, changes in physical appearance, reduced self-sufficiency).”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Discussion > Limitations
Load-bearingStrength:hedged· not yet calibratedTests✓ Asserted: passes✗ Checkable: fails✓ Load-bearing: passes✗ Based: failsProbably not a substantial claim. It may be too vague to check against evidence. The paper may give no reason why it holds.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“First, in order to maximize the sample sizes and reduce the impact of third variables, all of our analyses were based on baseline correlational data. Thus, we cannot infer directionality and change over time in the acceptance of cancer-distress relationships.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Discussion > Limitations
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
In the paper
“First, most of the included measures of cancer-specific distress assessed cancer-related post-traumatic stress symptoms, which tend to be endorsed at low levels compared to fear of recurrence and general distress (Abbey et al., 2015).”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Discussion
What the sources say
- Not checked yetcites Abbey et al., 2015 source
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Additionally, pilot findings suggest that ACT leads to significant improvement in acceptance and reductions in distress outcomes in cancer patients (Fashler et al., 2018; Hulbert-Williams et al., 2015).”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Discussion > Implications for Clinical Practice and Intervention Research
What the sources say
Strength:hedged· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Overall, our findings in combination with these trial results suggest that acceptance of cancer-related experiences might be targeted in interventions aiming to improve mental health in cancer patients.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Discussion > Implications for Clinical Practice and Intervention Research
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“We also found preliminary evidence that acceptance of cancer might have a greater impact on the mental health of older age groups, singles, and those with early-stage disease.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Discussion > Conclusion
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Consistent with our integrated model of acceptance based on coping theory (Lazarus & Folkman, 1984) and third wave theories (Hayes et al., 1999; Kabat-Zinn, 1990; Linehan, 1993; Segal et al., 2002), we found that greater acceptance of cancer was related to reduced distress.”
§ The Relationship between Acceptance of Cancer and Distress: A Meta-Analytic Review > Discussion > Conclusion
What the sources say
- Not checked yetcites Lazarus & Folkman, 1984
- Not checked yetcites Hayes et al., 1999
- Not checked yetcites Kabat-Zinn, 1990
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
The paper relies on this without support.
Before this review, the link between acceptance of cancer and distress outcomes had not been quantitatively synthesized.
“its associations with distress outcomes have not been quantitatively reviewed”
The paper relies on this without support.
Acceptance of cancer has a critical role in psychological adjustment to cancer.
“Acceptance of cancer has long been recognized as playing a critical role in psychological adjustment to the illness”
The paper relies on this without support.
Variation in effect sizes may come from differences in sample characteristics and acceptance measures across studies.
“Differences in sample characteristics and measures of acceptance across studies may contribute to this variability in effect sizes.”
The paper relies on this without support.
Some demographic and medical subgroups of cancer patients may benefit more mentally from acceptance.
“Certain demographic and medical subgroups of cancer patients might experience greater mental health benefits from acceptance.”
The authors state this as an assumption.
Acceptance of cancer is an active process that changes how patients relate to internal experiences, involves a nonjudgmental and compassionate stance, and includes behavioral willingness in response to cancer-related stressors.
“As stated earlier, we conceptualize acceptance of cancer as an active process that changes how patients relate to their internal experiences of the illness such as appraisals, emotional responses, and bodily sensations.”
“Specifically, acceptance involves taking a nonjudgmental and compassionate stance toward internal experiences, thereby reducing the struggle with the realities of the illness.”
“In addition, we conceptualize acceptance as behavioral willingness in response to cancer-related stressors, resulting in action consistent with deeply held values.”
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?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“That neither sex, partnership, nor time since diagnosis affects acceptance was also shown in a meta-analytic review [8].”
From Peace, equanimity and acceptance in the cancer experience: validation of the German version (PEACE-G) and associations with mental health, health-related quality of life and psychological constructs (2024) · cites this paper as [8]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“The relationship between age and acceptance of cancer stands in line with findings of previous research [8, 17].”
From Peace, equanimity and acceptance in the cancer experience: validation of the German version (PEACE-G) and associations with mental health, health-related quality of life and psychological constructs (2024) · cites this paper as [8]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“In addition, recent research reveals that dispositional mindfulness and acceptance, a core construct of acceptance and commitment therapy, are beneficial psychological resources that could facilitate post-HSCT recovery [19, 20].”
From Retrospective and prospective measures of post-traumatic growth reflect different processes: longitudinal evidence of greater decline than growth following a hematopoietic stem-cell transplantation (2021) · cites this paper as [20]
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“While an accepting attitude towards cancer has been repeatedly associated with less distress [45], cognitive fusion has rarely been studied in cancer, with one survey linking it to greater distress in a heterogeneous sample of cancer survivors [27].”
From Symptom experiences in post-treatment cancer survivors: associations with acceptance and commitment therapy constructs. (2021) · cites this paper as [45]
The cited source says what the claim attributes to it.
In the citing paper
“Meta-analytic reviews underline the importance of cancer acceptance. It was inversely associated with general and cancer-related distress, depression, and anxiety, with small to moderate effect sizes [8].”
The cited source says what the claim attributes to it.
In the citing paper
“Further analyses showed that the association between acceptance and depressive symptoms was stronger in older patients”
The cited source says what the claim attributes to it.
In the citing paper
“and that the association of acceptance and depressive symptoms as well as anxiety symptoms was stronger in early-stage patients and patients without a partner or spouse.”
The cited source says what the claim attributes to it.
In the citing paper
“Acceptance of cancer showed small-to-moderate, negative correlations with distress outcomes in a meta-analysis.40”
From Symptom experiences in advanced cancer: Relationships to acceptance and commitment therapy constructs (2021) · cites this paper as [40]
Citations
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Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA statement
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Flagged first, then by citations
Cited by
Sorted by citations
Expression of resilience, coping and quality of life in people with cancer
Macía, P., Barranco, M., Gorbeña, S., & Castillo, I. I. (2020) · PLoS ONE · doi:10.1371/journal.pone.0236572 · Cited by 113
Health-related quality of life in adults with low-grade gliomas: a systematic review
Rimmer, B., Bolnykh, I., Dutton, L., Lewis, J., Burns, R., Gallagher, P., Williams, S., Araújo‐Soares, V., Menger, F., & Sharp, L. (2022) · Quality of Life Research · doi:10.1007/s11136-022-03207-x · Cited by 71
“Time for adjustment to the diagnosis is also important, and likely influences the temporal trends; acceptance has been associated with reduced general, and cancer-related, distress [60].”
BackgroundPsilocybin-assisted therapy improves psycho-social-spiritual well-being in cancer patients
Shnayder, S., Ameli, R., Sinaii, N., Berger, A. M., & Agrawal, M. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.11.046 · Cited by 73
Rutkowski, S., Czech, O., Wrzeciono, A., Kiper, P., Szczepańska-Gieracha, J., & Malicka, I. (2021) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2021.102767 · Cited by 66
Illness Perception and Quality of Life in Patients with Breast Cancer
Ośmiałowska, E., Staś, J., Chabowski, M., & Jankowska‐Polańska, B. (2022) · Cancers · doi:10.3390/cancers14051214 · Cited by 55
“Illness acceptance allows for a rational assessment of one’s situation and undertaking health maintenance activities, which may increase QoL [46,47].”
BackgroundMeaning in Life and the Acceptance of Cancer: A Systematic Review
Quinto, R. M., Vincenzo, F. D., Campitiello, L., Innamorati, M., Seçinti, E., & Iani, L. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19095547 · Cited by 42
“Previous meta-analytic studies found distress to be negatively associated with both meaning in life [27] and the acceptance of cancer [24] in cancer patients.”
BackgroundMethodInfluentialFawson, S., Moon, Z., Novogrudsky, K., Moxham, F., Forster, K., Tribe, I., Moss-Morris, R., Johnson, C., & Hughes, L. D. (2024) · Health Psychology Review · doi:10.1080/17437199.2023.2261518 · Cited by 40
“Exploratory post-hoc moderator analyses were conducted on age, gender and time since diagnosis where there were su ffi cient studies, as these factors have been found to be associated with distress and ACT processes in previous research (e.g., Carlson et al., 2019; Secinti et al., 2019).”
BackgroundMethodResultInfluentialMalveiro, C., Correia, I. R., Cargaleiro, C., Magalhães, J. P., de Matos, L. V., Hilário, S., Sardinha, L. B., & Cardoso, M. J. (2023) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2023.08.178 · Cited by 37
Cancer incidence and mortality in Poland
Religioni, U. (2019) · Clinical Epidemiology and Global Health · doi:10.1016/j.cegh.2019.12.014 · Cited by 34
Li, H., Jin, X., Ng, M. S. N., Mann, K. F., Wang, N., & Wong, C. L. (2022) · Asia-Pacific Journal of Oncology Nursing · doi:10.1016/j.apjon.2022.100102 · Cited by 29
Lewson, A. B., Johns, S. A., Krueger, E., Chinh, K., Kidwell, K. M., & Mosher, C. E. (2021) · Supportive Care in Cancer · doi:10.1007/s00520-020-05854-7 · Cited by 27
Self-citationKrok, D., Telka, E., & Kocur, D. J. (2023) · Annals of Behavioral Medicine · doi:10.1093/abm/kaad067 · Cited by 35
“On the other hand, a lack of illness acceptance or a low level of the latter is associated with distress, depressive symptoms, anxiety symptoms, greater pain, worse sleep, and social isolation [17, 18].”
BackgroundInfluentialQan’ir, Y., Guan, T., Idiagbonya, E., et al. (2022) · PLOS Global Public Health · doi:10.1371/journal.pgph.0000098 · Cited by 29
Lim, C. Y. S., Laidsaar‐Powell, R., Young, J. M., Solomon, M. J., Steffens, D., Blinman, P. L., O’Loughlin, S., Zhang, Y., Butow, P. N., & The advanced-CRC survivorship authorship group (2022) · OMEGA - Journal of Death and Dying · doi:10.1177/00302228221121493 · Cited by 28
“While this supports fi ndings that cancer and death acceptance reduce death anxiety and distress (Menzies & Menzies, 2018; Secinti et al., 2019), it may also be that those with low distress can more readily accept having CRC-A.”
Cherny, N. I., Nortjé, N., Kelly, R., Zimmermann, C., Jordan, K., Kreye, G., Le, N., & Adelson, K. B. (2025) · ESMO Open · doi:10.1016/j.esmoop.2024.104099 · Cited by 30
Ruiz‐Marín, C. M., Molina-Barea, R., Slim, M., & Calandre, E. P. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18137089 · Cited by 32
“Although substantial attention has been paid to the relationship between marital status and psychological functioning in patients with cancer [35], to our knowledge, this is the first study that evaluates the different symptoms of psychological distress, such as anxiety, depression, sleep problems, and suicidal ideati…”
BackgroundCzerw, A. I., Religioni, U., Szumilas, P., et al. (2021) · Annals of Agricultural and Environmental Medicine · doi:10.26444/aaem/144197 · Cited by 25
“also indicate that the level of acceptance of illness is affected by marital status and stage of the cancer, which is also confirmed by studies conducted by other authors [4, 7].”
BackgroundResultMosher, C. E., Krueger, E., Secinti, E., & Johns, S. A. (2021) · Psycho-Oncology · doi:10.1002/pon.5712 · Cited by 21
“Acceptance of cancer showed small‐to‐moderate, negative correlations with distress outcomes in a meta‐analysis.(40) However, cognitive fusion has rarely been examined in the cancer literature, with one study associating it with greater distress in survivors of various cancers.”
BackgroundSelf-citationSoto-Rubio, A. L., Valero‐Moreno, S., Díaz, J. L., Andreu, Y., & Pérez‐Marín, M. (2020) · PLoS ONE · doi:10.1371/journal.pone.0240821 · Cited by 25
“Also, the family caregiver’s depression level is particularly affected by how long the caregiving tasks have been performed and the severity of the d [31, 32].”
BackgroundPiotrkowska, R., Kruk, A., Krzemińska, A., Mędrzycka-Dąbrowska, W. A., & Kwiecień-Jaguś, K. (2023) · Healthcare · doi:10.3390/healthcare11081168 · Cited by 19
Guo, S., Cui, P., Wang, P., et al. (2025) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2025.102800 · Cited by 18
Poręba-Chabros, A., Kolańska-Stronka, M., Mamcarz, P., & Mamcarz, I. (2022) · Supportive Care in Cancer · doi:10.1007/s00520-022-06880-3 · Cited by 17
Is rumination associated with psychological distress after a cancer diagnosis? A systematic review
Beck, S., Whitaker, K. L., & Cropley, M. (2023) · Journal of Psychosocial Oncology · doi:10.1080/07347332.2022.2145925 · Cited by 16
Perry, L. M., Mossman, B., Lewson, A. B., Gerhart, J. I., Freestone, L., & Hoerger, M. P. (2022) · OMEGA - Journal of Death and Dying · doi:10.1177/00302228221107723 · Cited by 15
“Conversely, meta-analytic evidence shows that accepting the experience of symptoms and the reality of one ’ s diagnosis is associated with less emotional distress (Secinti et al., 2019).”
Bruno, F., Lau, C., Tagliaferro, C., Marunic, G., Quilty, L. C., Liuzza, M. T., & Chiesi, F. (2024) · Supportive Care in Cancer · doi:10.1007/s00520-024-08346-0 · Cited by 14
“Psychological distress, encompassing symptoms like depression, anxiety, and stress, is a well-documented issue among cancer patients, impacting survival, as reviewed elsewhere [8, 9] and in the Italian context [10, 11].”
BackgroundThe Role of Islamic Beliefs in Facilitating Acceptance of Cancer Diagnosis
Benidir, A., Levert, M., & Bilodeau, K. (2023) · Current Oncology · doi:10.3390/curroncol30090565 · Cited by 13
“Religious and spiritual values encourage behaviors that facilitate compliance with cancer treatments [13].”
BackgroundIdentifying and understanding how people living with a lower-grade glioma engage in self-management
Rimmer, B., Balla, M., Dutton, L., Lewis, J., Brown, M. C., Burns, R., Gallagher, P., Williams, S., Araújo‐Soares, V., Finch, T. L., et al. (2023) · Journal of Cancer Survivorship · doi:10.1007/s11764-023-01425-x · Cited by 15
“These approaches appear to form a substantial part of self-management in LGG patients; if maintained, acceptance in particular, has been associated with reduced levels of distress [26].”
BackgroundÖzdemir, S., Lee, J. J., Malhotra, C., Teo, I., Yeo, K. K., THAN, A., Sim, K. L. D., & Finkelstein, E. A. (2021) · Journal of Cardiac Failure · doi:10.1016/j.cardfail.2021.08.026 · Cited by 12
Awamlh, B. A. H. A., Wallis, C. J. D., Diehl, C., et al. (2023) · Journal of Cancer Survivorship · doi:10.1007/s11764-023-01381-6 · Cited by 12
“In addition, men accepted the mortality risk and cancer itself— where the latter has been shown to play an essential role in reducing general and cancer-specific distress [22].”
Pichler, T., Marten‐Mittag, B., Hermelink, K., Telzerow, E., Frank, T., Ackermann, U., Belka, C., Combs, S. E., Gratzke, C., Gschwend, J. E., et al. (2021) · Psycho-Oncology · doi:10.1002/pon.5861 · Cited by 13
Guo, Y.-Q., Ju, Q.-M., You, M., Yusuf, A., Wu, Y. X., & Soon, L. K. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.841963 · Cited by 12
Secinti, E., Wu, W., Krueger, E. F., Hirsh, A. T., Torke, A. M., Hanna, N. H., Adra, N., Durm, G. A., Einhorn, L., Pili, R., et al. (2022) · Psycho-Oncology · doi:10.1002/pon.6065 · Cited by 11
“Results are consistent with conceptualizing acceptance as a coping strategy by which patients come to terms with their illness and its perceived unfairness, resulting in worse psycho‐spiritual outcomes.(22) Conversely, patients with elevated perceived injustice”
BackgroundSelf-citationCorman, M., Rubio, M.-T., Cabrespine, A., Brindel, I., Bay, J.-O., De La Tour, R. P., & Dambrun, M. (2021) · BMC Psychiatry · doi:10.1186/s12888-020-03007-y · Cited by 11
Factors Associated With Resilience During Long-Term Hemodialysis
García-Martínez, P., Ballester‐Arnal, R., Gandhi-Morar, K., Temprado-Albalat, M. D., Collado‐Boira, E., Saus‐Ortega, C., & Castro‐Calvo, J. (2022) · Nursing Research · doi:10.1097/nnr.0000000000000627 · Cited by 13
“Secinti et al. (2019) remark that coping strategies such as acceptance, positive reevaluation, and search for social support are related to better adaptation and QOL in the face of chronic disease, in line with the resilient beliefs described in the SSR model (Crane et al., 2019).”
ResultDistinct Psychological Characteristics Predict Resilience and Recovery Throughout Widowhood
Rackoff, G. N., & Newman, M. G. (2021) · Behavior Therapy · doi:10.1016/j.beth.2021.11.002 · Cited by 14
Krok, D., Telka, E., & Zarzycka, B. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19159631 · Cited by 10
“Second, we used a longitudinal design to look at the directionality between variables within our moderated mediation model [25].”
BackgroundMethodInfluentialEsquives, B. S. N., Walsh, E. A., Penedo, F. J., Thomas, J. L., Horner, F. S., Torzewski, J. B., Gradishar, W. J., Victorson, D. E., & Moreno, P. I. (2023) · Journal of Psychosocial Oncology · doi:10.1080/07347332.2023.2254754 · Cited by 12
“31,32 Studies have also found a buffering effect of engagement coping on the relationship between symptom-related stress and mental HRQOL among women with advanced breast cancer.”
BackgroundPatient-Reported Outcomes, Tumor Markers, and Survival Outcomes in Advanced GI Cancer
Jarnagin, J. X., Saraf, A., Baiev, I., Chi, G., Seventer, E. E. V., Mojtahed, A., Allen, J. N., Clark, J. W., Blaszkowsky, L. S., Giantonio, B. J., et al. (2023) · JAMA Network Open · doi:10.1001/jamanetworkopen.2023.43512 · Cited by 10
Schellekens, M. P. J., Bootsma, T. I., Van Woezik, R. A. M., & Van der Lee, M. L. (2021) · Journal for Person-Oriented Research · doi:10.17505/jpor.2021.23447 · Cited by 9
“Moreover, a recent meta-analysis of 78 studies demonstrated how acceptance of cancer is related to lower distress, anxiety and depression (Secinti et al., 2019).”
BackgroundCorrelates of Psychological Distress in Patients With Cancer at a Psycho-oncology Clinic
Kim, H., Park, C. H. K., Kim, Y., & Joo, Y. (2021) · Journal of the Academy of Consultation-Liaison Psychiatry · doi:10.1016/j.jaclp.2021.05.007 · Cited by 13
Osowiecka, K., Kieszkowska-Grudny, A., Środa, R., Olejniczak, D., & Rucińska, M. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19159243 · Cited by 8
“The meta-analysis review [5] showed that acceptance seems to have a crucial importance in psychological adjustment to the illness and in reducing patients’ distress.”
BackgroundLi, H., Wong, C. L., Jin, X., Chong, Y. Y., & Ng, M. S. N. (2024) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2024.100758 · Cited by 12
Liu, Z., Li, M., Jia, Y., Zheng, L., & Chen, L. (2025) · BMC Cancer · doi:10.1186/s12885-025-13679-y · Cited by 7
Pathways to Acceptance in Participants of Advanced Cancer Online Support Groups
Pereira, C. F., Cheung, K., Alie, E., Wong, J., Esplen, M. J., & Leung, Y. W. (2021) · Medicina · doi:10.3390/medicina57111168 · Cited by 7
He, Y., Zhao, W., Duan, A., Xiao, H., Zhou, X., & Zhuo, Q. (2024) · Health Expectations · doi:10.1111/hex.14048 · Cited by 11
“22,23 Different from younger adults who have more negative beliefs about cancer, middle ‐ aged and older adults have an awareness that cancer is an ongoing chronic condition.”
BackgroundGibson, C., O’Connor, M., White, R., Jackson, M., Baxi, S., Sheppard, D. M., & Halkett, G. K. B. (2022) · Psycho-Oncology · doi:10.1002/pon.6086 · Cited by 7
Sauer, C., Hansen, T., Prigerson, H. G., Mack, J. W., Bugaj, T. J., & Weißflog, G. (2024) · BMC Psychology · doi:10.1186/s40359-024-02018-8 · Cited by 6
“The relationship between age and acceptance of cancer stands in line with findings of previous research [8, 17].”
BackgroundResultInfluentialKonieczny, M., Sawicka, J., Gąska, I., Kaczmar, E., Babuśka–Roczniak, M., & Bądziul, D. (2025) · Cancers · doi:10.3390/cancers17030497 · Cited by 6
“Acceptance can also serve as a motivator for pursuing treatment and improving overall quality of life [14,15].”
The impact of treatment for muscle‐invasive bladder cancer on health‐related quality of life
Nuijens, S. T., van Hoogstraten, L. M. C., Terpstra, N. B., et al. (2025) · British Journal of Urology · doi:10.1111/bju.16736 · Cited by 6
Li, H., Ng, M. S. N., Jin, X., & Wong, C. L. (2023) · Asia-Pacific Journal of Oncology Nursing · doi:10.1016/j.apjon.2023.100262 · Cited by 6
Okamura, M., Fujimori, M., Hata, K., Mori, M., Mack, J. W., Prigerson, H. G., & Uchitomi, Y. (2022) · Palliative and Supportive Care · doi:10.1017/s1478951521000924 · Cited by 5
“A meta-analytic review showed that the acceptance of cancer was more strongly correlated with depressive and anxiety symptoms among cancer patients without a spouse or partner (Secinti et al., 2019).”
BackgroundWalsh, L. E., Rosenfeld, B. D., Feuerstahler, L. M., Pessin, H., & BREITBART, W. S. (2021) · Psychology and Health · doi:10.1080/08870446.2021.1989430 · Cited by 5
Uslu-Şahan, F., & Gulcan, N. (2023) · Supportive Care in Cancer · doi:10.1007/s00520-023-08270-9 · Cited by 5
“Acceptance of disease, which may be defined as recognizing the need to adjust to the condition, tolerating its unexpected and uncontrollable manifestations, and deciding to cope with 61 Page 2 of 10 the harmful effects, is a crucial aspect of the adaptation process [10, 11].”
InfluentialCorman, M., Rubio, M., Cabrespine, A., Brindel, I., Bay, J., de Latour, R. P., & Dambrun, M. (2021) · Health Psychology and Behavioral Medicine · doi:10.1080/21642850.2021.1873140 · Cited by 5
“…close to acceptance and that we can oppose to experiential avoidance, on anxiety and depression symptomatology following HSCT. Acceptance is often studied as a coping strategy and barely as a psychological disposition despite its role in reducing cancer-specific distress (Secinti et al., 2019).”
BackgroundInfluentialSauer, C., & Weißflog, G. (2022) · Der Onkologe · doi:10.1007/s00761-022-01127-6 · Cited by 4
Hassan, F., & Doğan, N. (2025) · Journal of Religion and Health · doi:10.1007/s10943-025-02315-5 · Cited by 5
“Accepting the diagnosis of cancer is reported to be important in psychological adaptation to the disease and in reducing cancer-specific distress (Secinti et al., 2019).”
Maingi, L., & Arch, J. J. (2025) · Journal of Psychosocial Oncology Research and Practice · doi:10.1097/or9.0000000000000172 · Cited by 4
“25,26 In the contexts of previous studies on cancer and acceptance in high-income nations, accepting cancer as a treatable medical diagnosis was assumed.”
Zwanenburg, L. C., van Roekel, E., Suijkerbuijk, K. P. M., Koldenhof, J. J., Schuurbiers-Siebers, O. C. J., van der Stap, J., van der Lee, M. L., & Schellekens, M. P. J. (2025) · Annals of Behavioral Medicine · doi:10.1093/abm/kaaf042 · Cited by 5
The integration of the cancer experience into identity: Perspectives from young adults
Marín‐Chollom, A. M., Beaucant, P., King, C., Pervil, I. Z., Rubin, L. R., & Revenson, T. A. (2024) · Journal of Health Psychology · doi:10.1177/13591053241240932 · Cited by 4
“Both types of identity have been associated with better psychological adjustment among adults with other chronic illnesses (Oris et al., 2016, 2018; Secinti et al., 2019).”
Nishiyama, M., Koreki, A., Isose, S., Takeda, T., Ishikawa, A., Kokubun, S., Saito, Y., Ito, K., Arai, K., Takahashi, N., et al. (2024) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2024.111915 · Cited by 4
Cognitive coping strategies of South African women in breast cancer care
Gallagher-Squires, C., Roomaney, R., & Kagee, A. (2020) · South African Journal of Psychology · doi:10.1177/0081246320961761 · Cited by 4
“Acceptance following diagnosis has been associated with improved long-term psychological adjustment to cancer survivorship (Secinti et al., 2019).”
BackgroundEstigma y salud mental en pacientes con diagnóstico de cáncer
Castillo, S. R. P. M., & Santa-Cruz-Espinoza, H. (2024) · Enfermería Global · doi:10.6018/eglobal.563831 · Cited by 4
Psychosocial Distress Among Cancer Patients: A Concept Analysis
Xie, J., Cui, L., Du, Q., Zhang, N., Wang, X., Yuan, C., Wu, X., & Zhang, M. (2025) · Seminars in Oncology Nursing · doi:10.1016/j.soncn.2025.152014 · Cited by 3
Özcan, G., Özkaraman, A., & ÖZGENEL, F. İ. (2025) · BMC Nursing · doi:10.1186/s12912-025-03772-9 · Cited by 3
“Individuals who face cancer, which is associated with death, pain and suffering [1], experience many psychological problems, including anxiety, depression and fear of recurrence [2, 3].”
Song, L., Zhou, X., Luan, J., et al. (2022) · Frontiers in Oncology · doi:10.3389/fonc.2022.973579 · Cited by 3
Cassidy, K., & Ronis, S. T. (2023) · Sexual Abuse · doi:10.1177/10790632231213832 · Cited by 4
“…sample to be negatively related to individual adjustment, likely because it can be a complex and painful process that involves acknowledging responsibility for current and past events, recognizing emotional distress (e.g., Secinti et al., 2019), and initiating future change (Stockton et al., 2019).”
Hematolojik Kanserli Hastaların Destekleyici Bakım Gereksinimleri ve Hastalığı Kabul Düzeyi
Şipal, G., & Arslan, S. (2023) · Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi · doi:10.31125/hunhemsire.1334056 · Cited by 3
Escala de Estratégias de Enfrentamento para Pacientes Oncológicos: Desenvolvimento de uma Medida
Pereira, F. R. S., de Sá, L. G. C., Silva, M. D. N., & Santos, A. P. D. S. (2023) · Psico-USF · doi:10.1590/1413-82712023280410 · Cited by 3
Ehwarieme, T. A., Josiah, U., & Emina, A. (2024) · Journal of Integrative Nursing · doi:10.4103/jin.jin_28_24 · Cited by 1
Sim, J.-A., Huang, X., Webster, R. T., Srivastava, K., Ness, K. K., Hudson, M. M., Baker, J. N., & Huang, I. (2025) · JAMIA Open · doi:10.1093/jamiaopen/ooaf018 · Cited by 2
“24,25 These findings highlight the importance of assessing both psychological stress and meaning/purpose for survivorship care, as they provide complementary insights to traditional clinical outcomes, potentially improving follow-up care for survivors.”
Cancer Prognostic Awareness: Relations to Patient and Caregiver Quality of Life and Care Preferences
Krueger, E., Mosher, C. E., Lewson, A. B., Hickman, S. E., Wu, W., & Prigerson, H. G. (2025) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2025.06.002 · Cited by 2
Self-citationThe Degree of Acceptance of the Disease by Patients After a Diagnosis of Lung Cancer and Their Hope
Waleczko, A., Baczewska, B., Barańska, B., Mielnik−Błaszczak, M., & Leśniewski, K. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14124356 · Cited by 2
“The researchers emphasize that studies on patients’ attitudes toward cancer should incorporate the development of multifaceted measures of acceptance and identification that are grounded in theories of psychological and social processes that foster greater disease acceptance [24].”
Li, L., Chen, X., Yang, C., Hui, Z., & Fan, T. (2025) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2025.106304 · Cited by 2
Acceptance in Patients With Cancer: A Scoping Review
Dekker, J., Welling, C., & Labots, M. (2025) · Cancer Reports · doi:10.1002/cnr2.70324 · Cited by 2
Wang, S., Xiang, L., Zhang, Y., Xu, W., Zhang, Z., Sun, A., Zhu, Y., & Wan, H. (2025) · Psycho-Oncology · doi:10.1002/pon.70326 · Cited by 2
“Acceptance does not mean giving up in the face of illness; rather, it involves approaching one's inner experiences with a nonjudgmental and compassionate stance, reducing struggles against the reality of the disease [32].”
Eşer, A. K., Işık, S. A., & Ercivan, S. (2026) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2026.103151 · Cited by 2
Chow, K. M., Chan, C. W. H., McCarthy, A. L., Zhu, J., Choi, K. C., Siu, K. Y., Leung, A. W. Y., & Nguyen, K. T. (2024) · Journal of Cancer Survivorship · doi:10.1007/s11764-024-01630-2 · Cited by 2
“Acceptance in the context of cancer involves patients acknowledging and embracing their life with the illness without avoidance, denial, or judgment, accepting the losses caused by the illness, finding meaning in the experience, and endeavouring to control it [45, 46].”
Experience of uncertainty in prostate cancer: A qualitative study
Li, Y., Gillanders, D. T., & Finucane, A. (2025) · PLoS ONE · doi:10.1371/journal.pone.0334180 · Cited by 3
“This acceptance allowed for positivity and progress, consistent with psycho-oncology research linking acceptance-based coping with greater emotional wellbeing [57,58].”
ACT for Chronic Health Conditions
Dindo, L. N., Liew, J. R., & Arch, J. J. (2022) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780197550076.013.21 · Cited by 2
kazemipour, A., Faculty of literature and humanistic sciences, L. U., mirderikvand, F., Faculty of literature and humanistic sciences, L. U., amraei, K., & Faculty of literature and humanistic sciences, L. U. (2020) · Health Monitor Journal of the Iranian Institute for Health Sciences Research · doi:10.29252/payesh.19.5.569 · Cited by 1
Park, K. A., Lee, M., Kim, S., et al. (2025) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2025.102893 · Cited by 1
Psychological Capital and Flourishing in Women with Breast Cancer: Acceptance as a Mediator
Tavoosi, A., Rezapour-Mirsaleh, Y., Ahmadi, Z., & Choobforoushzadeh, A. (2025) · International Journal of Cancer Management · doi:10.5812/ijcm-162497 · Cited by 1
Winger, J. G., Kelleher, S. A., Yu, J. A., Ma, J. E., Majestic, C. M., Martinson, E. B., Olsen, M. K., Lerebours, R. C., Sutton, L., & Somers, T. J. (2025) · Contemporary Clinical Trials · doi:10.1016/j.cct.2025.108053 · Cited by 1
Cancer patients’ perceptions of the meaning in life: a qualitative meta-synthesis
Wang, S., Xu, W., Zhang, Z., Sun, A., Zhang, W., Zhang, Y., Zhang, Y., Zhu, Y., & Wan, H. (2025) · Supportive Care in Cancer · doi:10.1007/s00520-025-09948-y · Cited by 2
“For example, cancer patients who are more accepting are more likely to embrace thoughts related to their illness, take meaningful actions, and reduce suffering [54].”
Peaceful Acceptance of Illness Among Older Adults With Advanced Cancer: A Randomized Clinical Trial
Yilmaz, S., Gilbride, E., Hryniv, S., Consagra, W., Mohile, S. G., Culakova, E., Canin, B. E., Malhotra, A., Tylock, R. G., Hopkins, J. O., et al. (2025) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2025.10.007 · Cited by 1
Demirdağ, H., Akgün, M., Ceyhan, N., et al. (2025) · Journal of Perioperative Practice · doi:10.1177/17504589251388001 · Cited by 1
“…of acceptance of illness is decisive in terms of the individual’s compliance with treatment, quality of life, psychological wellbeing, and participation in the rehabilitation process (Iwanowicz-Palus et al 2019, Pasek et al 2017, Secinti et al 2019, Szcześniak et al 2020, Vitorino et al 2018).”
Hyland, K. A., Neacsiu, A. D., Fisher, H. M., Cowperthwait, C. M., Chou, N., Stinchcombe, T. E., Oeffinger, K. C., Porter, L. S., Dorfman, C. S., Keefe, F. J., et al. (2025) · Psycho-Oncology · doi:10.1002/pon.70357 · Cited by 1
“…and behavioral coping strategies to better tolerate distressing emotions and symptoms and to accept reality as it is right now (e.g., presence of illness, symptoms), which may reduce psychological distress and symptom burden and increase illness acceptance and quality of life [12, 18, 19].”
Desarrollo y validación de una escala breve de aceptación del cáncer en pacientes con sarcoma
Cruzado, J. A., del Prado, C. I., Paucar, E. D. Y., Aránguiz, M. F. L., & Ospina, G. M. (2026) · Psicooncología · doi:10.5209/psic.108424 · Cited by 1
Shin, Y. W., Jin, M. J., & Hyun, M. (2022) · Korean Journal of Stress Research · doi:10.17547/kjsr.2022.30.4.244 · Cited by 1
Distress and its Correlation with Potential Factors among Patients with Cancer in Vietnam
Le, D. D., & Phan, H. (2023) · Journal for Social Action in Counseling & Psychology · doi:10.33043/jsacp.15.1.70-80 · Cited by 1
Meme kanseri tanısı alan hastalarda hastalık kabulü ve yaşam kalitesinin incelenmesi
Özçınr, Z., Yılmaz, E. B., Yenıay, L., & Baydur, H. (2023) · Anadolu Kliniği Tıp Bilimleri Dergisi · doi:10.21673/anadoluklin.1339663 · Cited by 1
Drouin, K., Purol, N., Tarquini, S. J., Burgers, D. E., & Uhl, K. (2023) · Springer eBooks · doi:10.1007/978-3-031-38058-7_16 · Cited by 1
Park, J. (2023) · Research in Community and Public Health Nursing · doi:10.12799/rcphn.2023.00157 · Cited by 1
“Acceptance of illness means accepting disease as well as the reality related to disease, including negative thoughts, emotions, and changes caused by disease [10].”
BackgroundInfluentialLi, Y., Lai, X., Yang, D., et al. (2022) · Journal of Gastrointestinal Oncology · doi:10.21037/jgo-22-878 · Cited by 1
“Our results showed that marital status affected CC prognosis, which could be attributed to the following plausible explanations: (I) married people are more likely to develop healthier lifestyles with the supervision and help of their spouses (13); (II) patients with bad marriages or single patients are more vulnerabl…”
Kapfhammer, H. (2023) · Springer eBooks · doi:10.1007/978-3-662-68309-5_5 · Cited by 1
الصبوة, أ. م. ج. م. ن. (2022) · المجلة المصرية لعلم النفس الإکلينيکي والإرشادي · doi:10.21608/pshj.2022.250034
الصبوة, أ. م. ج. م. ن. (2022) · المجلة المصرية لعلم النفس الإکلينيکي والإرشادي · doi:10.21608/pshj.2022.274292
Kapfhammer, H. (2022) · Springer eBooks · doi:10.1007/978-3-662-65873-4_12
Development and preliminary validation of the Brief Self-Compassion Inventory
Chinh, K., Wu, W., Johns, S. A., Stutz, P. V., McGrew, J. H., & Mosher, C. E. (2023) · PLoS ONE · doi:10.1371/journal.pone.0285658 · Cited by 1
“Findings are consistent with theory suggesting that acceptance of cancer requires one to turn towards this difficult experience with kindness rather than attempting to avoid it [69].”
BackgroundSelf-citationAoki, M., Yamamoto, S., Tatsumi, Y., et al. (2023) · Cancer Care Research Online · doi:10.1097/cr9.0000000000000042
Metadata
- Authors
- Secinti, E., Tometich, D. B., Johns, S. A., & Mosher, C. E.
- Affiliations
- Indiana University – Purdue University Indianapolis (US)
- Regenstrief Institute (US)
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2019-07
- Volume
- 71
- Pages
- 27-38
- ISSN
- 0272-7358 (ISSN-L)
- PMC
- PMC7010402
- OpenAlex
- W2942810090
- Semantic Scholar
- 3d5a1f48681be8854d19a72a4c1bce41703f5716
- Cited by
- 132
- References
- 125
- Citations by year
- 2026: 16 · 2025: 32 · 2024: 15 · 2023: 24 · 2022: 23 · 2021: 15 · 2020: 6 · 2019: 1
- FWCI
- 1.07
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Clinical Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- IUScholarWorks (Indiana University) (submittedVersion)
- Author eBooks
- Funders
- National Cancer Institute (T32CA117865, F31CA220964, K05CA175048, K07CA168883)
- Walther Cancer Foundation (0175.01)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Keywords
- psychological distress, cancer-specific distress, depressive symptoms, anxiety symptoms, psychological adjustment to cancer, coping, marital status, tumor stage, moderators
- MeSH terms
- Psychological Distress, Anxiety, Depression, Humans, Neoplasms, Stress, Psychological
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