Cited by 132Cancer survivorship and careMindfulness and Compassion InterventionsPalliative and Oncologic Care

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 access

Secinti, Ekin, Tometich, Danielle B., Johns, Shelley A., Mosher, Catherine E.·2019·Clinical Psychology Review

DOI 10.1016/j.cpr.2019.05.001PMC PMC7010402

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Abstract

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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Crossref · 10.1016/j.cpr.2019.05.001

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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 (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
Load-bearingStrength:plain· not yet calibratedCausal:correlational· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
In the paper
“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
Strength:plain· not yet calibratedCausal:correlational· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes

Show all 57 claims

It may state two separate claims as one. 35
Probably not a substantial claim. 26

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
“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 calibrated
Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes
It may state two separate claims as one.
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
“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
Load-bearingStrength:plain· not yet calibratedCausal:correlational· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
It may state two separate claims as one.
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
“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
Load-bearingStrength:plain· not yet calibratedCausal:correlational· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
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
Strength:plain· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passes
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
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
- Not checked yetcites Dasch et al., 2010 source
- Not checked yetcites Mack et al., 2008 source
- Not checked yetcites Peters et al., 2014 source
Load-bearingStrength:plain· not yet calibratedCausal:correlational· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
It 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
Load-bearingStrength:hedged· not yet calibratedCausal:conditional· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
It may state two separate claims as one.
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
Strength:plain· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passes
Probably not a substantial claim. The paper’s conclusions may not depend on it.
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
Strength:plain· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passes
Probably 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 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
- Not checked yetcites Fashler et al., 2018 source
- Not checked yetcites Graham, Gouick, Krahé, & Gillanders, 2016 source
- Not checked yetcites Haller et al., 2017 source
Strength:hedged· not yet calibratedCausal:direct· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passes
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
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)
Strength:plain· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passes
Probably not a substantial claim. The paper’s conclusions may not depend on it.
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
Load-bearingStrength:plain· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
It may state two separate claims as one.
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
- Not checked yetcites Fashler et al., 2018 source
- Not checked yetcites Graham, Gouick, Krahé, & Gillanders, 2016 source
- Not checked yetcites Haller et al., 2017 source
Strength:hedged· not yet calibratedCausal:direct· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passes
Probably 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
“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 calibrated
Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes
It may state two separate claims as one.
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
- Not checked yetcites Alsubaie et al., 2017 source
- Not checked yetcites Gu, Strauss, Bond, & Cavanagh, 2015 source
Strength:hedged· not yet calibratedCausal:conditional· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passes
Probably 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 calibrated
Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes
It may state two separate claims as one.
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 calibrated
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
It 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 calibrated
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
It 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
- Not checked yetcites Fashler et al., 2018 source
- Not checked yetcites Hulbert-Williams et al., 2015 source
Strength:hedged· not yet calibratedCausal:direct· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes
It 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
Load-bearingStrength:plain· not yet calibratedCausal:correlational· not yet calibrated
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
It may state two separate claims as one.

55 of 55

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.”

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Kashdan, T. B., Barrios, V., Forsyth, J. P., & Steger, M. F. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2005.10.003 · Cited by 994 · cited 1×
“Third wave theorists also contend that experiential acceptance is the opposite of experiential avoidance, defined as attempts or desires to avoid unwanted private events, such as thoughts, feelings, and symptoms (Hayes et al., 2004; Hulbert-Williams et al., 2015; Kashdan et al., 2006).”
Background
Physical disability--A psychological approach.
Wright, B. A. (1960) · doi:10.1037/10038-000 · Cited by 979
Depression as a predictor of disease progression and mortality in cancer patients: A Meta‐Analysis
Satin, J. R., Linden, W., & Phillips, M. J. (2009) · Cancer · doi:10.1002/cncr.24561 · Cited by 972
Mechanisms of mindfulness training: Monitor and Acceptance Theory (MAT
Lindsay, E. K., & Creswell, J. D. (2017) · Clinical Psychology Review · doi:10.1016/j.cpr.2016.10.011 · Cited by 919
Regression Methods to Detect Publication and Other Bias in Meta‐Analysis
Sterne, J. A. C., & Egger, M. (2005) · Publication Bias in Meta‐Analysis · doi:10.1002/0470870168.ch6 · Cited by 826
Mindfulness broadens awareness and builds eudaimonic meaning: A process model of mindful positive emotion regulation
Garland, E. L., Farb, N. A., R. Goldin, P., & Fredrickson, B. L. (2015) · Psychological Inquiry · doi:10.1080/1047840x.2015.1064294 · Cited by 810 · cited 6×
“, 1989; Lazarus & Folkman, 1984; Park, 2010) and third wave theories (Garland et al., 2015; Hayes et al., 1994; Kabat-Zinn, 1990; Linehan, 1993; Segal et al., 2002).”
BackgroundInfluential
The yellow brick road and the emerald city: Benefit finding, positive reappraisal coping and posttraumatic growth in women with early-stage breast cancer.
Sears, S. R., Stanton, A. L., & Danoff-Burg, S. (2003) · Health Psychology · doi:10.1037/0278-6133.22.5.487 · Cited by 803
Family Relationships and Well-Being
Thomas, P. A., Liu, H., & Umberson, D. (2017) · Innovation in Aging · doi:10.1093/geroni/igx025 · Cited by 768
Development of a questionnaire measure of adjustment to cancer: the MAC scale
Watson, M., Greer, S., Young, J., Inayat, Q., Burgess, C., & Robertson, B. (1988) · Psychological Medicine · doi:10.1017/s0033291700002026 · Cited by 666 · cited 1×
“In the context of cancer, having a fighting spirit involves viewing the illness as a challenge, maintaining an optimistic outlook, and working towards beating the disease (Livneh, 2000; Watson et al., 1988).”
Background
Publication Bias in Meta‐Analysis
Rothstein, H. R., Sutton, A. J., & Borenstein, M. (2005) · Publication Bias in Meta‐Analysis · doi:10.1002/0470870168.ch1 · Cited by 603
Coping or acceptance? What to do about chronic pain
McCracken, L. M., & Eccleston, C. (2003) · Pain · doi:10.1016/s0304-3959(03)00202-1 · Cited by 591
Has the Future of Marriage Arrived? A Contemporary Examination of Gender, Marriage, and Psychological Well-Being
Williams, K. (2003) · Journal of Health and Social Behavior · doi:10.2307/1519794 · Cited by 557 · cited 1×
“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).”
Result
Family Support in Advanced Cancer
Given, B. A., Given, C. W., & Kozachik, S. (2001) · CA A Cancer Journal for Clinicians · doi:10.3322/canjclin.51.4.213 · Cited by 527
Cognitive-behavioral treatment of borderline personality disorder
Brasfield, C. R. (1994) · Behaviour Research and Therapy · doi:10.1016/0005-7967(94)90183-x · Cited by 517
Communicating prognosis in cancer care: a systematic review of the literature
Hagerty, R. G., Butow, P. N., Ellis, P. M., Dimitry, S., & Tattersall, M. H. N. (2005) · Annals of Oncology · doi:10.1093/annonc/mdi211 · Cited by 504
A systematic review of the use of Acceptance and Commitment Therapy (ACT) in chronic disease and long-term conditions
Graham, C. D., Gouick, J., Krahé, C., & Gillanders, D. (2016) · Clinical Psychology Review · doi:10.1016/j.cpr.2016.04.009 · Cited by 476
Intimacy and relationship processes in couples' psychosocial adaptation to cancer
Manne, S. L., & Badr, H. (2008) · Cancer · doi:10.1002/cncr.23450 · Cited by 471
Relational frame theory, acceptance and commitment therapy, and a functional analytic definition of mindfulness
Fletcher, L. B., & Hayes, S. C. (2005) · Journal of Rational-Emotive & Cognitive-Behavior Therapy · doi:10.1007/s10942-005-0017-7 · Cited by 431
Mechanisms of action in mindfulness-based cognitive therapy (MBCT) and mindfulness-based stress reduction (MBSR) in people with physical and/or psychological conditions: A systematic review
Alsubaie, M., Abbott, R., Dunn, B., Dickens, C., Keil, T. F., Henley, W., & Kuyken, W. (2017) · Clinical Psychology Review · doi:10.1016/j.cpr.2017.04.008 · Cited by 383 · cited 1×
“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, &…”
Background
The symptom burden of cancer: Evidence for a core set of cancer‐related and treatment‐related symptoms from the Eastern Cooperative Oncology Group Symptom Outcomes and Practice Patterns study
Cleeland, C. S., Zhao, F., Chang, V. T., Sloan, J. A., O'Mara, A. M., Gilman, P. B., Weiss, M., Mendoza, T. R., Lee, J., & Fisch, M. J. (2013) · Cancer · doi:10.1002/cncr.28376 · Cited by 316 · cited 1×
“Many cancer patients endure aggressive treatments that result in high symptom burden and functional limitations as well as financial difficulties (Cleeland et al., 2013; Peppercorn, 2014).”
Background
Self-compassion, stress, and coping in the context of chronic illness
Sirois, F. M., Molnar, D. S., & Hirsch, J. K. (2015) · Self and Identity · doi:10.1080/15298868.2014.996249 · Cited by 312
The association of depression and anxiety with health-related quality of life in cancer patients with depression and/or pain
Brown, L. F., Kroenke, K., Theobald, D. E., Wu, J., & Tu, W. (2010) · Psycho-Oncology · doi:10.1002/pon.1627 · Cited by 295
The Contingent Effects of Training, Technical Complexity, and Task Interdependence on Successful Information Systems Implementation1
Sharma, R., & Yetton, P. (2007) · MIS Quarterly · doi:10.2307/25148789 · Cited by 285
Processes of change in psychological flexibility in an interdisciplinary group-based treatment for chronic pain based on Acceptance and Commitment Therapy
McCracken, L. M., & Gutiérrez-Martínez, O. (2011) · Behaviour Research and Therapy · doi:10.1016/j.brat.2011.02.004 · Cited by 283
A meta-analysis of prevalence rates and moderating factors for cancer-related post-traumatic stress disorder
Abbey, G., Thompson, S. B. N., Hickish, T., & Heathcote, D. (2015) · Psycho-Oncology · doi:10.1002/pon.3654 · Cited by 280
Mindfulness-based interventions for women with breast cancer: an updated systematic review and meta-analysis.
Haller, H., Winkler, M. M., Klose, P., Dobos, G., Kümmel, S., & Cramer, H. (2017) · Acta Oncologica · doi:10.1080/0284186x.2017.1342862 · Cited by 277 · cited 1×
“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 (Fashler et al., 2018…”
Background
What is the evidence for the use of mindfulness‐based interventions in cancer care? A review
Shennan, C., Payne, S., & Fenlon, D. (2011) · Psycho-Oncology · doi:10.1002/pon.1819 · Cited by 271
Fear of recurrence in long-term breast cancer survivors-still an issue. Results on prevalence, determinants, and the association with quality of life and depression from the Cancer Survivorship-a multi-regional population-based study
Koch, L., Bertram, H., Eberle, A., Holleczek, B., Schmid-Höpfner, S., Waldmann, A., Zeissig, S. R., Brenner, H., & Arndt, V. (2014) · Psycho-Oncology · doi:10.1002/pon.3452 · Cited by 253
The burden of psychosocial morbidity related to cancer: patient and family issues
Caruso, R., Nanni, M. G., Riba, M. B., Sabato, S., & Grassi, L. (2017) · International Review of Psychiatry · doi:10.1080/09540261.2017.1288090 · Cited by 244 · cited 1×
“, cancer-related post-traumatic stress disorder [PTSD] or fear of recurrence) (Abbey, Thompson, Hickish, & Heathcote, 2015; Caruso et al., 2017; Dinkel et al., 2014; van den Beuken-van Everdingen et al., 2008).”
Background
The Relation of Social Support and Coping to Positive Adaptation to Breast Cancer
Dukes Holland, K., & Holahan, C. K. (2003) · Psychology & Health · doi:10.1080/0887044031000080656 · Cited by 236
Psychological interventions for patients with cancer: psychological flexibility and the potential utility of Acceptance and Commitment Therapy: Acceptance and Commitment Therapy in cancer
Hulbert-Williams, N. J., Storey, L., & Wilson, K. G. (2015) · European Journal of Cancer Care · doi:10.1111/ecc.12223 · Cited by 228 · cited 3×
“Third wave theorists also contend that experiential acceptance is the opposite of experiential avoidance, defined as attempts or desires to avoid unwanted private events, such as thoughts, feelings, and symptoms (Hayes et al., 2004; Hulbert-Williams et al., 2015; Kashdan et al., 2006).”
Background
Acceptance lowers stress reactivity: Dismantling mindfulness training in a randomized controlled trial
Lindsay, E. K., Young, S., Smyth, J. M., Brown, K. W., & Creswell, J. D. (2018) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2017.09.015 · Cited by 226
Acceptance lowers stress reactivity: Dismantling mindfulness training in a randomized controlled trial
Lindsay, E. K., Young, S., Smyth, J. M., Brown, K. W., & Creswell, J. D. (2017) · doi:10.31219/osf.io/4se5m · Cited by 226
How mindfulness training promotes positive emotions: Dismantling acceptance skills training in two randomized controlled trials.
Lindsay, E. K., Chin, B., Greco, C. M., Young, S., Brown, K. W., Wright, A. G. C., Smyth, J. M., Burkett, D., & Creswell, J. D. (2018) · Journal of Personality and Social Psychology · doi:10.1037/pspa0000134 · Cited by 218
Untitled work
(2004) · Cited by 214
The Roles of Social Support and Coping Strategies in Predicting Breast Cancer Patients’ Emotional Well-being
Kim, J.-H., Han, J. Y., Shaw, B. R., Mctavish, F. M., & Gustafson, D. H. (2010) · Journal of Health Psychology · doi:10.1177/1359105309355338 · Cited by 203
Coping and experiential avoidance: Unique or overlapping constructs?
Karekla, M., & Panayiotou, G. (2011) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2010.10.002 · Cited by 196
The combined contribution of social support and coping strategies in predicting post-traumatic growth: a longitudinal study on cancer patients
Scrignaro, M., Barni, S., & Magrin, M. E. (2011) · Psycho-Oncology · doi:10.1002/pon.1782 · Cited by 196
Concerns of former breast cancer patients about disease recurrence: a validation and prevalence study
van den Beuken‐van Everdingen, M. H. J., Peters, M. L., de Rijke, J. M., Schouten, H. C., van Kleef, M., & Patijn, J. (2008) · Psycho-Oncology · doi:10.1002/pon.1340 · Cited by 194
Effectiveness of Mindfulness-based Therapy for Reducing Anxiety and Depression in Patients With Cancer: A Meta-analysis
Zhang, M.-F., Wen, Y.-S., Liu, W.-Y., Peng, L.-F., Wu, X.-D., & Liu, Q.-W. (2015) · Medicine · doi:10.1097/md.0000000000000897 · Cited by 172
Depression as a predictor of adherence to adjuvant endocrine therapy (AET) in women with breast cancer: a systematic review and meta-analysis
Mausbach, B. T., Schwab, R. B., & Irwin, S. A. (2015) · Breast Cancer Research and Treatment · doi:10.1007/s10549-015-3471-7 · Cited by 171
Meta-Analysis: A Comparison of Approaches
Tomasic, D. M. (2005) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200503000-00032 · Cited by 166
Breast cancer oral anti-cancer medication adherence: a systematic review of psychosocial motivators and barriers
Lin, C., Clark, R., Tu, P., Bosworth, H. B., & Zullig, L. L. (2017) · Breast Cancer Research and Treatment · doi:10.1007/s10549-017-4317-2 · Cited by 160 · cited 1×
“and associations with important health outcomes (L. F. Brown et al., 2010; Lin et al., 2017; Pinquart & Duberstein, 2010).”
Background
Peace, Equanimity, and Acceptance in the cancer experience (PEACE): Validation of a scale to assess acceptance and struggle with terminal illness
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
Acceptance: An Historical and Conceptual Review
Williams, J. C., & Lynn, S. J. (2010) · Imagination, Cognition and Personality · doi:10.2190/ic.30.1.c · Cited by 155
A Longitudinal Investigation of Coping and Posttraumatic Growth in Breast Cancer Survivors
Bussell, V. A., & Naus, M. J. (2010) · Journal of Psychosocial Oncology · doi:10.1080/07347330903438958 · Cited by 152
Illness cognitions, cognitive fusion, avoidance and self-compassion as predictors of distress and quality of life in a heterogeneous sample of adults, after cancer
Gillanders, D. T., Sinclair, A. K., MacLean, M., & Jardine, K. (2015) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2015.07.003 · Cited by 149 · cited 1×
“, degree of cognitive fusion) can also lead to distress (Garland et al., 2015; Gillanders et al., 2015; Hayes et al., 2006).”
Background
Current status of accurate prognostic awareness in advanced/terminally ill cancer patients: Systematic review and meta-regression analysis
Chen, C. H., Kuo, S. C., & Tang, S. T. (2017) · Palliative Medicine · doi:10.1177/0269216316663976 · Cited by 146
Conceptualizing prognostic awareness in advanced cancer: A systematic review
Applebaum, A. J., Kolva, E. A., Kulikowski, J. R., Jacobs, J. D., DeRosa, A., Lichtenthal, W. G., Olden, M. E., Rosenfeld, B., & Breitbart, W. (2014) · Journal of Health Psychology · doi:10.1177/1359105313484782 · Cited by 145 · cited 2×
“However, up to 75% of cancer patients do not have an accurate understanding of their disease stage or prognosis (Applebaum et al., 2014), which may, in part, reflect a lack of acceptance.”
Background
Effects of a multiple health behavior change intervention for colorectal cancer survivors on psychosocial outcomes and quality of life: a randomized controlled trial
Hawkes, A. L., Pakenham, K. I., Chambers, S. K., Patrao, T. A., & Courneya, K. S. (2014) · Annals of Behavioral Medicine · doi:10.1007/s12160-014-9610-2 · Cited by 132
A longitudinal study of psychosocial distress in breast cancer: Prevalence and risk factors
Andreu, Y., Galdón, M. J., Durá, E., Martínez, P., Pérez, S., & Murgui, S. (2012) · Psychology & Health · doi:10.1080/08870446.2010.542814 · Cited by 129 · cited 1×
“, Bussell & Naus, 2010; Peters, Goedendorp, Verhagen, van der Graaf, & Bleijenberg, 2014), whereas resignation is associated with higher anxiety and depressive symptoms (Andreu et al., 2012; Hong, Wei, & Wang, 2015).”
Background
The acceptability and potential benefits of mindfulness-based interventions in improving psychological well-being for adults with advanced cancer: A systematic review.
Zimmermann, F. F., Burrell, B., & Jordan, J. (2018) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2017.12.014 · Cited by 108
Screening for distress, the 6th vital sign: common problems in cancer outpatients over one year in usual care: associations with marital status, sex, and age
Giese‐Davis, J., Waller, A. E., Carlson, L. E., Groff, S. L., Zhong, L., Neri, E., Bachor, S. M., Adamyk-Simpson, J., Rancourt, K. M., Dunlop, B., et al. (2012) · BMC Cancer · doi:10.1186/1471-2407-12-441 · Cited by 94 · cited 1×
“Introduction When diagnosed with a life-threatening disease such as cancer, patients are confronted with a range of distressing circumstances (Giese-Davis et al., 2012).”
Background
Mental Adjustment to Cancer Scale©: psychometric properties in a large cancer cohort
Watson, M., & Homewood, J. (2008) · Psycho-Oncology · doi:10.1002/pon.1345 · Cited by 90
Patient-Reported Comorbidity and Survival in Older Adults with Cancer
Williams, G. R., Deal, A. M., Lund, J. L., Chang, Y., Muss, H. B., Pergolotti, M., Guerard, E. J., Shachar, S. S., Wang, Y., Kenzik, K. M., et al. (2017) · The Oncologist · doi:10.1634/theoncologist.2017-0404 · Cited by 88
Psychosocial Adaptation to Cancer: The Role of Coping Strategies
Livneh, H. (2000) · Journal of rehabilitation · Cited by 81
The Use of Acceptance and Commitment Therapy in Oncology Settings: A Narrative Review
Fashler, S. R., Weinrib, A. Z., Azam, M. A., & Katz, J. (2018) · Psychological Reports · doi:10.1177/0033294117726061 · Cited by 80 · cited 2×
“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 (Fashler et al., 2018…”
Background
Cancer-related trauma, stigma and growth: the ‘lived’ experience of head and neck cancer
Threader, J., & McCormack, L. (2015) · European Journal of Cancer Care · doi:10.1111/ecc.12320 · Cited by 73
Linking dispositional mindfulness and positive psychological processes in cancer survivorship: a multivariate path analytic test of the mindfulness-to-meaning theory
Garland, E. L., Thielking, P., Thomas, E. A., Coombs, M., White, S., Lombardi, J., & Beck, A. (2017) · Psycho-Oncology · doi:10.1002/pon.4065 · Cited by 72
Comorbidity of fear of progression and anxiety disorders in cancer patients
Dinkel, A., Kremsreiter, K., Marten‐Mittag, B., & Lahmann, C. (2014) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2014.08.006 · Cited by 69 · cited 1×
“, cancer-related post-traumatic stress disorder [PTSD] or fear of recurrence) (Abbey, Thompson, Hickish, & Heathcote, 2015; Caruso et al., 2017; Dinkel et al., 2014; van den Beuken-van Everdingen et al., 2008).”
Background
Mindful Compassion: How the Science of Compassion Can Help You Understand Your Emotions, Live in the Present, and Connect Deeply with Others
Gilbert, P., & Choden, C. (2014) · Cited by 63
Do Coping and Social Support Predict Depression and Anxiety in Patients Undergoing Hematopoietic Stem Cell Transplantation?
Wells, K. J., Booth‐Jones, M., & Jacobsen, P. B. (2009) · Journal of Psychosocial Oncology · doi:10.1080/07347330902978947 · Cited by 59
Acceptance, social support, benefit-finding, and depression in women with gynecological cancer
Manne, S. L., Kashy, D. A., Virtue, S. M., Criswell, K. R., Kissane, D. W., Ozga, M., Heckman, C. J., Stapleton, J. L., & Rodriguez, L. (2018) · Quality of Life Research · doi:10.1007/s11136-018-1953-x · Cited by 55
Pain Catastrophizing, Mindfulness, and Pain Acceptance
Elvery, N., Jensen, M. P., Ehde, D. M., & Day, M. A. (2017) · The Clinical Journal of Pain · doi:10.1097/ajp.0000000000000430 · Cited by 54
A comprehensive review of palliative care in patients with cancer
Jaiswal, R., Alici, Y., & BREITBART, W. S. (2014) · International Review of Psychiatry · doi:10.3109/09540261.2013.868788 · Cited by 53
Preoperative psychological distress, coping and quality of life in Chinese patients with newly diagnosed gastric cancer
Hong, J., Wei, Z., & Wang, W. (2015) · Journal of Clinical Nursing · doi:10.1111/jocn.12816 · Cited by 50
Development and initial evaluation of a telephone-delivered, behavioral activation, and problem-solving treatment program to address functional goals of breast cancer survivors
Lyons, K. D., Hull, J. G., Kaufman, P. A., Li, Z., Seville, J. L., Ahles, T. A., Kornblith, A. B., & Hegel, M. T. (2015) · Journal of Psychosocial Oncology · doi:10.1080/07347332.2014.1002659 · Cited by 42 · cited 1×
“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.”
Background
Trajectories of the Multidimensional Dying Experience for Terminally Ill Cancer Patients
Tang, S. T., Liu, L. N., Lin, K., Chung, J.-H., Hsieh, C., Chou, W.-C., & Su, P. (2014) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2014.01.011 · Cited by 42
Prospective investigation of social support, coping, and depressive symptoms: A model of adherence to endocrine therapy among women with breast cancer.
Bright, E. E., & Stanton, A. L. (2017) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000272 · Cited by 42
Life and treatment goals of patients with advanced, incurable cancer
Rand, K. L., Banno, D. A., Shea, A. M., & Cripe, L. D. (2016) · Supportive Care in Cancer · doi:10.1007/s00520-016-3113-6 · Cited by 39 · cited 1×
“Among advanced cancer patients in particular, endorsing a fighting spirit has been associated with greater psychological distress (Rand et al., 2016).”
Background
Acceptance and commitment therapy for adults with advanced cancer (CanACT): study protocol for a feasibility randomised controlled trial
Low, J., Serfaty, M., Davis, S., Vickerstaff, V., Gola, A., Omar, R. Z., King, M., Tookman, A., Austen, J. S. J., Turner, K., et al. (2016) · Trials · doi:10.1186/s13063-016-1169-8 · Cited by 37
Exploring the contribution of psychosocial factors to fatigue in patients with advanced incurable cancer.
Peters, M. E. W. J., Goedendorp, M. M., Verhagen, S. A. H. H. V. M., van der Graaf, W. T. A., & Bleijenberg, G. (2014) · Psycho-Oncology · doi:10.1002/pon.3481 · Cited by 33 · cited 1×
“Present Study: Acceptance of Cancer and Distress Consistent with our integrated model of acceptance, 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 (e.g., Da…”
Result
Coping strategies modify risk of depression associated with hematopoietic cell transplant symptomatology
Barata, A., Gonzalez, B. D., Sutton, S. K., Small, B. J., Jacobsen, P. B., Field, T. L., Fernandez, H. F., & Jim, H. (2016) · Journal of Health Psychology · doi:10.1177/1359105316642004 · Cited by 25
Older age is associated with less cancer treatment: a longitudinal study of English cancer patients
Craigs, C., Bennett, M., Hurlow, A., et al. (2018) · Age and Ageing · doi:10.1093/ageing/afy094 · Cited by 24
The financial burden of cancer care: do patients in the US know what to expect?
Peppercorn, J. M. (2014) · Expert Review of Pharmacoeconomics & Outcomes Research · doi:10.1586/14737167.2014.963558 · Cited by 23 · cited 1×
“Many cancer patients endure aggressive treatments that result in high symptom burden and functional limitations as well as financial difficulties (Cleeland et al., 2013; Peppercorn, 2014).”
Background
Adjustment to Life with Lung Cancer
Czerw, A. I., Religioni, U., & Deptała, A. (2016) · Advances in Clinical and Experimental Medicine · doi:10.17219/acem/61014 · Cited by 19
Perceptions of Hematopoietic Stem Cell Transplantation and Coping Predict Emotional Distress During the Acute Phase After Transplantation
Baliousis, M., Rennoldson, M., Dawson, D. L., Mills, J., & das Nair, R. (2017) · Oncology nursing forum · doi:10.1188/17.onf.96-107 · Cited by 17
The assessment of the impact of socio-economic factors in accepting cancer using the Acceptance of Illness Scale (AIS)
Czerw, A. I., Bilińska, M., & Deptała, A. (2015) · Współczesna Onkologia · doi:10.5114/wo.2015.54901 · Cited by 16
The Advance Care Planning Readiness Scale
Brown, A. J., Shen, M. J., Urbauer, D. L., Taylor, J. S., Parker, P. A., Carmack, C. L., Prescott, L. S., Rosemore, C., Kolawole, E. M., Sun, C. C., et al. (2017) · International Journal of Gynecological Cancer · doi:10.1097/igc.0000000000000953 · Cited by 16
Affective differentiation in breast cancer patients
Dasch, K. B., Cohen, L. H., Belcher, A., Laurenceau, J.-P., Kendall, J., Siegel, S., Parrish, B., & Graber, E. (2010) · Journal of Behavioral Medicine · doi:10.1007/s10865-010-9274-8 · Cited by 13
Quality of partner support moderates positive affect in patients with cancer
Kaliampos, A., & Roussi, P. (2018) · Psycho-Oncology · doi:10.1002/pon.4672 · Cited by 13
Satisfaction with life and disease acceptance by patients with a stomy related to surgical treatment of the rectal cancer – determinants of quality of life?
Nowicki, A., Marciniak, J., Farbicka, P., & Banaszkiewicz, Z. (2015) · Polish Journal of Surgery · doi:10.1515/pjs-2015-0085 · Cited by 10 · cited 1×
“Gender differences in acceptance coping have not been consistent across studies (Czerw, Religioni, & Deptala, 2016; Nowicki et al., 2015).”
Result
Using Acceptance and Commitment Therapy to (Re)conceptualize Stress Appraisal
Butts, C. M., & Gutiérrez, D. (2018) · Journal of Mental Health Counseling · doi:10.17744/mehc.40.2.01 · Cited by 7

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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].”
Background
Psilocybin-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
Virtual reality as a chemotherapy support in treatment of anxiety and fatigue in patients with cancer: A systematic review and meta-analysis and future research directions
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].”
Background

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Authors: Secinti, E., Tometich, D. B., Johns, S. A., & Mosher, C. E.
Affiliations: Indiana University – Purdue University Indianapolis (US)
Regenstrief Institute (US)
ORCID: Secinti, Ekin
Tometich, Danielle B.
Johns, Shelley A.
Mosher, Catherine E.
Venue: Clinical Psychology Review
Publisher: Elsevier BV
Published: 2019-07
Volume: 71
Pages: 27-38
ISSN: 0272-7358 (ISSN-L)
DOI: 10.1016/j.cpr.2019.05.001
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
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
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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The relationship between acceptance of cancer and distress: A meta-analytic review

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