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Managing Cancer And Living Meaningfully (CALM): Phase 2 trial of a brief individual psychotherapy for patients with advanced cancer
Open accessAbstract
Background: Advanced cancer brings substantial physical and psychosocial challenges that may contribute to emotional distress and diminish well-being. In this study, we present preliminary data concerning the effectiveness of a new brief individual psychotherapy, Managing Cancer And Living Meaningfully (CALM), designed to help individuals cope with this circumstance. Aim: To test the feasibility and preliminary effectiveness of CALM to reduce emotional distress and promote psychological well-being and growth. Design: CALM is a brief, manualized, semi-structured individual psychotherapy for patients with advanced cancer. This study employed a phase 2 intervention-only design. The primary outcome was depressive symptoms and the secondary outcomes were death anxiety, attachment security, spiritual well-being and psychological growth. These were assessed at 3 months (t1) and 6 months (t2). Multilevel regression was used to model change over time. Setting/participants: A total of 50 patients with advanced or metastatic cancer were recruited from the Princess Margaret Cancer Centre, Toronto, Canada. Results: A total of 39 patients (78%) were assessed at baseline, 24 (48%) at t1, and 16 (32%) at t2. Analyses revealed reductions over time in depressive symptoms: beta = −0.13, confidence interval (CI .95 ) = (−0.23, −0.022) and death anxiety: beta = −0.23, CI .95 (−0.40, −0.061); and an increase in spiritual well-being: beta = 0.14, CI .95 (0.026, 0.26). Conclusions: CALM may be a feasible intervention to benefit patients with advanced cancer. The results are encouraging, despite attrition and small effect sizes, and support further study.
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“Based on this evidence, reducing psychological distress and death anxiety is a fundamental element of end-of-life care and treatment (Lo, Hales, Jung, Chiu, Panday, Rydall, et al., 2014;Lo, Hales, Zimmermann, Gagliese, Rydall and Rodin, 2011;Sherman et al., 2010).”
From Death anxiety and its role in psychopathology: Reviewing the status of a transdiagnostic construct (2014) · cites this paper as Lo, Hales, Jung, Chiu, Panday, Rydall, et al., 2014
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“In an intervention-only phase 2a pilot trial of 50 patients with advanced cancer, CALM was associated with reductions in depressive symptoms and death anxiety and an increase in spiritual wellbeing. 21”
From Managing cancer and living meaningfully (CALM): Randomised feasibility trial in patients with advanced cancer (2019) · cites this paper as [21]
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“Non-compliance with intervention was comparable in both pilots, with 37% of participants receiving less than 3 sessions in this trial, compared to 42% in the earlier study. 21”
From Managing cancer and living meaningfully (CALM): Randomised feasibility trial in patients with advanced cancer (2019) · cites this paper as [21]
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“As a result of recruitment earlier in the course of disease and of more systematic follow-up, the attrition rate of 25%, was substantially less than the attrition rate of 68% observed in our previous intervention-only pilot trial. 21”
From Managing cancer and living meaningfully (CALM): Randomised feasibility trial in patients with advanced cancer (2019) · cites this paper as [21]
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“Palliative care research has developed personally tailored, individually delivered interventions requiring significant resources (e.g., [14, 23, 38])”
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Integration of oncology and palliative care: a Lancet Oncology Commission
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Self-citationSeiler, A., & Jenewein, J. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00208 · Cited by 558
“This period is characterized by existential distress, worries about health and safety, and fears about dependency, lost autonomy, and death (88).”
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Iverach, L., Menzies, R. G., & Menzies, R. E. (2014) · Clinical Psychology Review · doi:10.1016/j.cpr.2014.09.002 · Cited by 459
“In contrast, there is considerable evidence that end-of-life conditions may be associated with death anxiety, depression, and psychological distress (Barrera & Spiegel, 2014; Lagerdahl, Moynihan, & Stollery, 2014; Lo et al., 2014; Royal & Elahi, 2011; Spiegel, 1995).”
BackgroundInfluentialBreitbart, W., Pessin, H., Rosenfeld, B., Applebaum, A. J., Lichtenthal, W. G., Li, Y., Saracino, R. M., Marziliano, A. M., Masterson, M., Tobias, K., et al. (2018) · Cancer · doi:10.1002/cncr.31539 · Cited by 396
“For example, Managing Cancer and Living Meaningfully (CALM) is a 3- to 8-session intervention grounded in “relational, attachment and existential theory” (p 236).(7) A pilot study of CALM provided some support for this intervention, but only 24 of 50 patients completed the treatment, and only 16 patients completed a f…”
BackgroundRodin, G., Lo, C., Rydall, A., Shnall, J., Malfitano, C., Chiu, A., Panday, T., Watt, S., An, E., Nissim, R., et al. (2018) · Journal of Clinical Oncology · doi:10.1200/jco.2017.77.1097 · Cited by 338
“provement in depression, death anxiety, spiritual well-being, and attachment security.(18,19) In qualitative interviews, participants reported that CALM provides a “safe place” that helped them to “be seen as a whole person by the medical system,” “grow as a person,” and “be able to handle death in a peaceful way.”
BackgroundSelf-citationBalboni, T. A., Fitchett, G. A., Handzo, G. F., Johnson, K. S., Koenig, H. G., Pargäment, K. I., Puchalski, C. M., Sinclair, S., Taylor, E. J., & Steinhauser, K. E. (2017) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2017.07.029 · Cited by 204
“sion, and anxiety at three and six months compared with baseline.(60) A pilot randomized trial of Koenig’s religious cognitive behavioral therapy versus cognitive behavioral therapy (CBT) was implemented in 132 patients with major depression and chronic medical illness and showed no difference between the two groups,…”
BackgroundBernard, M., Strasser, F., Gamondi, C., Braunschweig, G., Forster, M., Kaspers-Elekes, K., Veri, S., Borasio, G. D., Pralong, G., Pralong, J., et al. (2017) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2017.07.019 · Cited by 147
Death anxiety interventions in patients with advanced cancer: a systematic review
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“…original work on the ‘Death Anxiety Scale’ (DAS) in 1970,13 and the more recently clinically validated ‘Death and Dying Distress Scale’ (DADDS) from Lo et al.14 These scales have allowed for further research and evaluation of potential interventions targeted towards those with symptomatic…”
BackgroundLang‐Rollin, I., & Berberich, G. (2018) · Dialogues in Clinical Neuroscience · doi:10.31887/dcns.2018.20.1/ilangrollin · Cited by 134
Deshields, T. L., Gregorio, S. W., Flowers, S. R., Irwin, K. E., Nipp, R. D., Padgett, L. S., & Zebrack, B. (2021) · CA A Cancer Journal for Clinicians · doi:10.3322/caac.21672 · Cited by 125
Adapting Meaning-Centered Psychotherapy for the palliative care setting: Results of a pilot study
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Lo, C., Hales, S., Chiu, A., Panday, T., Malfitano, C., Jung, J., Rydall, A., Li, M., Nissim, R., Zimmermann, C., et al. (2019) · BMJ Supportive & Palliative Care · doi:10.1136/bmjspcare-2015-000866 · Cited by 87
Self-citation“Double awareness” in psychotherapy for patients living with advanced cancer.
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“Given the promising evidence emerging for these new intervention types in non-metastatic populations [60] and in metastatic/advanced disease populations that are not breast-cancer specific [61-63], this is a useful avenue for future research.”
BackgroundPsychotherapy at the End of Life
Saracino, R. M., Rosenfeld, B. D., BREITBART, W. S., & Chochinov, H. M. (2019) · The American Journal of Bioethics · doi:10.1080/15265161.2019.1674552 · Cited by 63
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“and colleagues developed a brief, manualized individual psychotherapy for patients with advanced cancer: Managing Cancer and Living Meaningfully (CALM) [20, 26].”
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Self-citationMehnert, A., Koranyi, S., Philipp, R., Scheffold, K., Kriston, L., Lehmann‐Laue, A., Engelmann, D., Vehling, S., Eisenecker, C., Oechsle, K., et al. (2020) · Psycho-Oncology · doi:10.1002/pon.5521 · Cited by 47
Self-citationZhang, X., Yao, S., Wang, M., Yin, X., Bi, Z., Jing, Y., & Cheng, H. (2022) · Journal of Oncology · doi:10.1155/2022/1012813 · Cited by 49
Respecting the Spiritual Side of Advanced Cancer Care: a Systematic Review
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“For instance, the Cancer and Living Meaningfully (CALM) conceptual model in palliative care addresses both the psychological stress and the patient’s need for growth and wellbeing simultaneously [28].”
BackgroundLloyd‐Williams, M., Shiels, C., Ellis, J., Abba, K., Gaynor, E., Wilson, K., & Dowrick, C. F. (2017) · Palliative Medicine · doi:10.1177/0269216317711322 · Cited by 43
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Self-citationExperience of patients hospitalized with COVID‐19: A qualitative study of a pandemic disease in Iran
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“, 2011) and not including palliative symptom management that is woven into Rodin’s CALM therapy (Lo et al., 2014).”
Backgroundvon Heymann, A., Puggaard, L. B., Nissen, K. G., Benthien, K. S., Bidstrup, P. E., Coyne, J., Johansen, C., Kjellberg, J., Nordly, M., Sjøgren, P., et al. (2017) · Palliative & Supportive Care · doi:10.1017/s1478951517000141 · Cited by 37
“A phase II study of “managing cancer and living meaningfully” found significant but small effects on depressive symptoms, anxiety, and spiritual well-being but had a high attrition rate (Lo et al., 2014).”
BackgroundInviting end-of-life talk in initial CALM therapy sessions: A conversation analytic study
Shaw, C. B., Chrysikou, V., Davis, S., Gessler, S., Rodin, G., & Lanceley, A. (2016) · Patient Education and Counseling · doi:10.1016/j.pec.2016.08.024 · Cited by 35
“[3] In qualitative interviews, patients report that CALM provides “a safe place for them to explore their fears, to be seen in human terms, and to face the challenges and threats of advancing disease”, as well as giving them “the permission to talk about death and dying”.”
BackgroundSelf-citationSanderson, C. R., Cahill, P. J., Phillips, J. L., Johnson, A., & Lobb, E. A. (2017) · Annals of Palliative Medicine · doi:10.21037/apm.2017.08.11 · Cited by 35
Holtmaat, K., van der Spek, N., Lissenberg-Witte, B. I., BREITBART, W. S., Cuijpers, P. J., & Leeuw, I. M. V. (2019) · Psycho-Oncology · doi:10.1002/pon.5323 · Cited by 33
“However, while some other studies did not find significant differences between the long-term effects of an existential intervention and a non-meaningfocused intervention 16,17 or care as usual, 13,30 the present study did find stronger improvement on some outcomes at long-term follow-up.”
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Management of psychiatric disorders in patients with cancer
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“…of manualized targeted psychotherapies for those with advanced illness includes Meaning-Centered Group Therapy, [11] Dignity Therapy, [12] Mindfulness-Based Meditation Therapy, [13] and a brief supportive-expressive intervention referred to as CALM [14] (Managing Cancer and Living Meaningfully).”
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“Feasibility and Acceptability were operationalized based on published guidelines for Phase IIa proof-of-concept trials and previous peer-reviewed studies adhering to these recommendations, see Table 1 [19, 21, 22, 25, 27].”
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“…to quantitatively measure PTG (Ochoa-Arnedo et al., 2020; Garlick et al., 2011; Ochoa et al., 2017; Chambers et al., 2014; Zernicke et al., 2016; Lo et al., 2014; Sta ff ord et al., 2013; Stanton et al., 2005; Zernicke et al., 2014; Lounsberry et al., 2010; Labelle et al., 2014; Lieberman et…”
BackgroundInfluentialCharacteristics and Outcomes of Psychology Referrals in a Palliative Care Department
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“Feasibility and effectiveness of CALM to reduce emotional distress and promote psychological well-being and growth have been tested in qualitative studies and in a Phase 2 trial in patients with advanced cancer (42, 43, 48).”
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“30 Existential needs may further be addressed by support services including pastoral counseling, organization of home or hospice care, pain management, and family support.”
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“To date, various meaning-based treatments—such as meaning-centered psychotherapy, dignity therapy, and managing cancer and living meaningfully (CALM) therapy—have been established and are recognized as effective interventions that address spiritual distress in advanced cancer patients and their families (Houmann et al…”
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“, 2011; Stewart, 2014) as their physical health decline or even to participant deaths during a study (Cook, 2012; Lo et al., 2014; Serfaty et al., 2019).”
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Self-citationVirtual Reality Therapy in Palliative Care: A Case Series
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“Previous studies indicated that it is expected to intensify death anxiety by worries about the possibility of suffering, and preparation of end of life at the time that disease progresses (14, 33, 40, 41).”
BackgroundImproving Spiritual Well-Being in Patients with Lung Cancers
Piderman, K. M., Sytsma, T. T., Frost, M. H., Novotny, P. J., Rausch, S. M., Nes, L. S., Patten, C. A., Sloan, J. A., Rummans, T. A., Bronars, C. A., et al. (2015) · Journal of Pastoral Care & Counseling Advancing theory and professional practice through scholarly and reflective publications · doi:10.1177/1542305015602711 · Cited by 15
“, 2014), or manualized programs with an emphasis on spirituality (Lo et al., 2014; McCauley, Haaz, Tarpley, Koenig, & Bartlett, 2011).”
BackgroundRoepke, A. M., Benson, L., Tsukayama, E., & Yaden, D. B. (2017) · The Journal of Positive Psychology · doi:10.1080/17439760.2017.1365161 · Cited by 20
“Retrospective self-perceived growth tends to increase over the course of these trials (with exceptions, e.g. Lo et al., 2014), however, most of these interventions were evaluated only in onegroup pretest-posttest designs.”
BackgroundTorres-Blasco, N., Castro-Figuero, E., Garduño-Ortega, O., & Costas-Muñiz, R. (2020) · Science Journal of Education · doi:10.11648/j.sjedu.20200804.12 · Cited by 14
“Further, per our recent systematic review, a lack of participation of Latinos, including Puerto Ricans, on the development of psychosocial intervention was found [4-22].”
BackgroundCai, Y., Zhang, Q., Chen, G., Xu, J., Yu, S., Tang, L., Yao, S., Li, W., Huang, R., & Cheng, H. (2023) · Integrative Cancer Therapies · doi:10.1177/15347354231172511 · Cited by 14
“949 Esophagus cancer 22 (37) 23 (35) Gastric cancer 23 (38) 23 (35) Colorectal cancer 16 (26) 19 (29) Cancer stage, n (%) .”
The relationship between praying and life expectancy in cancerous patients.
Pour, N. H., & Hojjati, H. (2015) · Europe PMC (PubMed Central) · Cited by 14
Perceptions of the meaning of life among Korean patients with advanced cancer: A mixed-methods study
Koh, S., Kang, K., Kim, H., Cheon, J., Im, H.-S., Lee, J.-H., Ock, M., Cho, J., & Lee, E.-H. (2022) · Palliative & Supportive Care · doi:10.1017/s1478951522000979 · Cited by 14
Ansiedade relacionada à morte em cuidados paliativos: validação do diagnóstico de enfermagem
Abreu-Figueiredo, R. M. S., de Sá, L. O., Lourenço, T. M. G., & de Almeida, S. S. B. P. (2019) · Acta Paulista de Enfermagem · doi:10.1590/1982-0194201900025 · Cited by 14
Managing cancer and living meaningfully (CALM): Implementation in Dutch cancer care
Kool, M. B., Hafkamp, E., Gol, J. M., Aukema, E. J., Malfitano, C., Reyners, A. K. L., Hales, S., van de Poll, L., Rodin, G., & de Vries, F. (2023) · Psycho-Oncology · doi:10.1002/pon.6281 · Cited by 10
“Fa-cilitators were: patients were specifically referred for CALM, therapists used CALM to treat regularly referred patients, and the opportunity to attend supervision.”
BackgroundMethodInfluentialSelf-citationPsychotherapeutic Work in Palliative Care
Gramm, J., Trachsel, M., & Berthold, D. (2020) · Verhaltenstherapie · doi:10.1159/000505120 · Cited by 10
A systematic review of interventions to promote growth following adversity
Howells, K., Wadey, R., Roy-Davis, K., & Evans, L. (2020) · Psychology of sport and exercise · doi:10.1016/j.psychsport.2020.101671 · Cited by 13
Kukla, H., Herrler, A., Strupp, J., & Voltz, R. (2021) · Palliative Medicine · doi:10.1177/02692163211042528 · Cited by 12
Agha, A. A., Onalu, C. E., & Chidebe, R. C. W. (2021) · Social Work in Public Health · doi:10.1080/19371918.2021.1999878 · Cited by 10
“The experience brings substantial physical, and psychosocial challenges that may contribute to emotional distress and diminish well-being (Lo et al., 2014).”
BackgroundMeasuring double awareness in patients with advanced cancer: A preliminary scale development study
McConnell, M. H., Miljanovski, M., Rodin, G., & O'Connor, M. (2023) · Palliative & Supportive Care · doi:10.1017/s1478951523001669 · Cited by 10
“At present, CALM has demonstrated effectiveness in two randomized controlled trials (Lo et al. 2014; Rodin et al. 2018).”
Self-citationSpirituality and spiritual distress in neurologic illness
Arshinoff, R., Roldan, C. S., & Balboni, T. A. (2023) · Handbook of clinical neurology · doi:10.1016/b978-0-12-824535-4.00004-5 · Cited by 9
Rettger, J. P., Wall, K. E., Corwin, D., Davidson, A., Lukoff, D. G., & Koopman, C. (2015) · Healthcare · doi:10.3390/healthcare3020263 · Cited by 11
“Individuals with a cancer diagnosis may experience heightened vulnerability to stress, anxiety, and depression as they grapple with the possibility of dying from their illness [4,5].”
BackgroundAttachment and the End of Life Experience
Hales, S. (2015) · Springer eBooks · doi:10.1007/978-3-319-23300-0_7 · Cited by 10
Self-citationLehto, R. H., Miller, S. E., Flanigan, M., & Wyatt, G. K. (2018) · Expert Review of Quality of Life in Cancer Care · doi:10.1080/23809000.2018.1483192 · Cited by 9
“Other more common measures include the Patient Health Questionnaire-9 (PHQ-9) that has been used to evaluate depressive symptoms in clinical care [12,21,32, 33,39,54,85,89] and the Distress Thermometer (a 0–10 rating scale) [35,60,68,74,80].”
BackgroundMethodKoranyi, S., Philipp, R., Garzón, L. Q., Scheffold, K., Schulz‐Kindermann, F., Härter, M. C., Rodin, G., & Mehnert, A. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.561997 · Cited by 9
Self-citationMiyamoto, S., Yamazaki, T., Shimizu, K., Matsubara, T., Kage, H., Watanabe, K., Kobo, H., Matsuyama, Y., Rodin, G., & Yoshiuchi, K. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-056136 · Cited by 13
Self-citationde Vries, F. E., Mah, K., Malfitano, C., Shapiro, G. K., Zimmermann, C., Hales, S., & Rodin, G. (2022) · BMJ Supportive & Palliative Care · doi:10.1136/bmjspcare-2021-003408 · Cited by 9
Self-citationArch, J. J., Mitchell, J. L., Schmiege, S. J., Levin, M. E., Genung, S. R., Nealis, M. S., Fink, R. M., Bright, E. E., Andorsky, D. J., & Kutner, J. S. (2022) · BMC Palliative Care · doi:10.1186/s12904-022-01087-z · Cited by 8
“, [14, 23, 38]) or group programs that are more efficient but require standard, less personalized intervention content across diverse participants [39].”
BackgroundAryafard, H., Dehvan, F., Albatineh, A. N., Dalvand, S., & Gheshlagh, R. G. (2023) · OMEGA - Journal of Death and Dying · doi:10.1177/00302228231187107 · Cited by 8
“Lo et al. (2014) found a signi fi cant relationship between spirituality and death anxiety, which was in line with the above studies.”
Bennett, A., Sharpe, L., & Boyse, J. B. (2025) · Journal of Cancer Survivorship · doi:10.1007/s11764-025-01856-8 · Cited by 15
“However, the efficacy of these interventions for death anxiety could not be confirmed due to the lack of rigorous analysis and only one study [14] using a validated measure of death anxiety.”
Devuyst, P., Leiter, R. E., Milliken, A. B., Jenewein, J., Blum, D., & Seiler, A. (2025) · BMC Palliative Care · doi:10.1186/s12904-025-01876-2 · Cited by 8
“…deteriorating physical abilities; reduced health; the loss of one’s future, autonomy and independence; pain; and disruption in social roles, relationships, and personal engagement, all of which can contribute to increasing feelings of distress, depressive symptoms, and death anxiety [3, 4].”
Jing, Y., Zhao, J., Yang, Z., Yao, S., Tang, L., Li, W., Yu, S., & Cheng, H. (2022) · PubMed Central · Cited by 8
Wang, M., Chen, G., Zhao, J., Li, W., Yu, S., Yao, S., Tang, L., Xu, J., & Cheng, H. (2023) · PubMed Central · Cited by 8
Psychotherapie in der palliativen Versorgung
Mehnert-Theuerkauf, A. (2015) · PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie · doi:10.1055/s-0035-1552758 · Cited by 8
Lived Experiences of COVID-19 Patients With Pulmonary Involvement: A Hermeneutic Phenomenology
Firouzkouhi, M., Kako, M., Alimohammadi, N., Arbabi-Sarjou, A., Nouraei, T., & Abdollahimohammad, A. (2022) · Clinical Nursing Research · doi:10.1177/10547738221078898 · Cited by 8
“Based on the evidence, reducing psychological distress and death anxiety is one of the essential components of care and treatment in patients with risky diseases (Lo et al., 2014).”
BackgroundThe Use of Palliative Sedation to Treat Existential Suffering: A Reconsideration
Portnoy, A., Rana, P., Zimmermann, C., & Rodin, G. (2014) · Philosophy and medicine · doi:10.1007/978-94-017-9106-9_4 · Cited by 8
Self-citationAustin, P., Siddall, P. J., & Lovell, M. R. (2024) · Palliative Medicine · doi:10.1177/02692163231222773 · Cited by 12
„Managing Cancer and Living Meaningfully“
Scheffold, K., Engelmann, D., Schulz‐Kindermann, F., Rosenberger, C., Krüger, A., Rodin, G., Härter, M. C., & Mehnert, A. (2017) · Psychotherapeut · doi:10.1007/s00278-017-0179-7 · Cited by 7
“„Managing Cancer and Living Meaningfully“ ist eine manualisierte individuelle psychoonkologische Kurzzeittherapie, die von Rodin und Kollegen (Hales et al. 2010; Nissim et al. 2012; Lo et al. 2014, 2016) entwickelt wurde.”
BackgroundSelf-citationTroncoso-Escudero, P., Rydall, A. C., Hales, S., & Rodin, G. (2019) · American Journal of Psychiatry and Neuroscience · doi:10.11648/j.ajpn.20190704.15 · Cited by 7
Self-citationBusch, H. (2023) · Journal of Adult Development · doi:10.1007/s10804-023-09450-x · Cited by 12
“It is thus a worthwhile endeavor studying how attitudes towards death develop (Surall & Steppacher, 2020), for example, to inform clinical interventions that aim to reduce psychological distress in people actually facing death (e.g., Chochinov et al., 2005; Lo et al., 2014).”
Rodrigues, M. G. D. R., Pautex, S., & Shaha, M. (2016) · Pilot and Feasibility Studies · doi:10.1186/s40814-016-0101-z · Cited by 7
“The main positive outcomes of PTG are decreased psychological distress [32] and depression [33, 34], as well as enhanced levels of general [31, 35] and spiritual well-being [33].”
Kumar, B., Htaa, M. T., Kerin‐Ayres, K., Smith, A. L., Lacey, J., Browne, S. B., & Grant, S. (2024) · Journal of Cancer Survivorship · doi:10.1007/s11764-024-01714-z · Cited by 7
“Spiritual-wellbeing was assessed with the Functional Assessment of Chronic Illness Therapy-Spiritual well-being scale (FACIT-Sp) [49, 70, 76, 84], Patient Health Questionnaire (PHQ-9) [55] and the Spiritual Well-being Scale (SWB) [58, 83].”
An Investigation into the Dimensions of Prayer in Cancer Patients
Hojjati, H., Pour, N. H., Khandousti, S., Mirzaali, J., Akhondzadeh, G., Kolangi, F., & nia, N. M. (2015) · Journal of Religion and Health · Cited by 6
Person-Centered Palliative Care
Grassi, L. G., Riba, M., Braš, M., & Glare, P. A. (2016) · Springer eBooks · doi:10.1007/978-3-319-39724-5_35 · Cited by 7
Metadata
- Authors
- Lo, C., Hales, S., Jung, J., Chiu, A., Panday, T., Rydall, A., Nissim, R., Malfitano, C., Petricone-Westwood, D., Zimmermann, C., & Rodin, G.
- Affiliations
- Department of Psychosocial Oncology and Palliative Care, Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada
- University Health Network (CA)
- Venue
- Palliative Medicine
- Publisher
- SAGE Publications
- Published
- 2013-10-29
- Volume
- 28
- Issue
- 3
- Pages
- 234-242
- ISSN
- 0269-2163 (ISSN-L)
- 1477-030X
- OpenAlex
- W2159372318
- Cited by
- 166
- References
- 56
- Citations by year
- 2026: 11 · 2025: 12 · 2024: 5 · 2023: 14 · 2022: 18 · 2021: 12 · 2020: 14 · 2019: 13 · 2018: 18 · 2017: 20 · 2016: 11 · 2015: 14 · 2014: 4
- FWCI
- 5.17
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- Locations
- Palliative Medicine (publishedVersion)
- PubMed (publishedVersion)
- TSpace (University of Toronto) (submittedVersion, public-domain)
- Funders
- Cancer Research Institute
- Princess Margaret Cancer Foundation
- University of Toronto
- Canadian Institutes of Health Research (MOP106473)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Keywords
- advanced cancer, metastatic cancer, depressive symptoms, fear of death, spiritual well-being, psychological growth, attachment security, emotional distress, psychological well-being, feasibility
- MeSH terms
- Attitude to Death, Depressive Disorder, Feasibility Studies, Female, Humans, Interpersonal Relations, Male, Middle Aged, Neoplasms, Palliative Care, Pilot Projects, Psychotherapy, Brief, Regression Analysis, Stress, Psychological, Qualitative Research
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