Prognostic acceptance and the well-being of patients receiving palliative care for cancer
Abstract
Purpose: To identify the impact of prognostic acceptance/nonacceptance on the physical, psychological, and existential well-being of patients with advanced cancer. Patients and Methods: A Canadian multicenter prospective national survey was conducted of patients diagnosed with advanced cancer with an estimated survival duration of 6 months or less (n = 381) receiving palliative care services. Results: Of the total number of participants, 74% reported accepting their situation and 8.6% reported accepting with “moderate” to “extreme” difficulty. More participants with acceptance difficulties than without acceptance difficulties met diagnostic criteria for a depressive or anxiety disorder (χ 2 = 8.67; P < .01). Nonacceptors were younger (t = 4.13; P < .000), had more than high school education (χ 2 = 4.69; P < .05), and had smaller social networks (t = 2.53; P < .05) than Acceptors. Of the Nonacceptors, 42% described their experience as one of “moderate” to “extreme” suffering compared with 24.1% of Acceptors (χ 2 = 5.28; P < .05). More than one third (37.5%) of Nonacceptors reported feeling hopeless compared with 8.6% who had no difficulty accepting (χ 2 = 24.76; P < .000). Qualitatively, participants described active and passive coping strategies that helped them accept what was happening to them, as well as barriers that made it difficult to come to terms with their current situation. Conclusion: The challenge of coming to terms with a terminal prognosis is a complex interplay between one's basic personality, the availability of social support, and one's spiritual and existential views on life. Nonacceptance appears to be highly associated with feelings of hopelessness, a sense of suffering, depression, and anxiety, along with difficulties in terms of social–relational concerns.
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Cancer increases risk for psychological distress, which is linked with poorer quality of life, greater barriers to quality cancer care, and worse morbidity and mortality.
“These coping patterns are important because cancer elevates risk for psychological distress (25) which in turn has been linked with poorer QOL (26–28), greater barriers to quality cancer care (29–33) and worse morbidity and mortality (32–36).”
From Coping in Patients With Incurable Lung and Gastrointestinal Cancers: A Validation Study of the Brief COPE (2017) · cites this paper as [31]
Cites
Kübler-Ross, E. (1975) · PubMed · Cited by 4,937 · see citing works
Utility of a new procedure for diagnosing mental disorders in primary care. The PRIME-MD 1000 study
Spitzer, R. L. (1994) · JAMA · doi:10.1001/jama.272.22.1749 · Cited by 2,648 · see citing works
Utility of a New Procedure for Diagnosing Mental Disorders in Primary Care: The PRIME-MD 1000 Study
Spitzer, R. L. (1994) · JAMA · doi:10.1001/jama.1994.03520220043029 · Cited by 1,873 · see citing works
(1965) · Medical Entomology and Zoology · Cited by 1,510 · see citing works
Relationship between cancer patients' predictions of prognosis and their treatment preferences
Weeks, J. C. (1998) · JAMA · doi:10.1001/jama.279.21.1709 · Cited by 1,319 · see citing works
Palliative Performance Scale (PPS): A New Tool
Anderson, F., Downing, G. M., Hill, J., Casorso, L., & Lerch, N. (1996) · Journal of Palliative Care · doi:10.1177/082585979601200102 · Cited by 1,059 · see citing works
Dignity in the terminally ill: a developing empirical model
Chochinov, H. M., Hack, T., McClement, S., Kristjanson, L., & Harlos, M. (2002) · Social Science & Medicine · doi:10.1016/s0277-9536(01)00084-3 · Cited by 733 · see citing works
Self-citationCommunicating 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 · see citing works
Longitudinal study of social support and meaning in life
Krause, N. (2007) · Psychology and Aging · doi:10.1037/0882-7974.22.3.456 · Cited by 419 · see citing works
Depression and anxiety disorders in palliative cancer care
Wilson, K. G., Chochinov, H. M., Graham Skirko, M., Allard, P., Chary, S., Gagnon, P. R., Macmillan, K., De Luca, M., O'Shea, F., Kuhl, D., et al. (2007) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2006.07.016 · Cited by 398 · see citing works
Self-citationTracking Changes in Social Relations Throughout Late Life
Shaw, B. A., KRAUSE, N. M., Liang, J., & Bennett, J. (2007) · The Journals of Gerontology Series B · doi:10.1093/geronb/62.2.s90 · Cited by 308 · see citing works
Unger, J. B., McAvay, G., BRUCE, M. L., Berkman, L. F., & Seeman, T. E. (1999) · The Journals of Gerontology Series B · doi:10.1093/geronb/54b.5.s245 · Cited by 301 · see citing works
Dignity in the Terminally Ill: Revisited
Chochinov, H. M., Krisjanson, L. J., Hack, T. F., Hassard, T. H., McClement, S., & Harlos, M. (2006) · Journal of Palliative Medicine · doi:10.1089/jpm.2006.9.666 · Cited by 202 · see citing works
Self-citationA Burden to Others: A Common Source of Distress for the Terminally Ill
Wilson, K. G., Curran, D., & McPherson, C. J. (2005) · Cognitive Behaviour Therapy · doi:10.1080/16506070510008461 · Cited by 191 · see citing works
Self-citationSuffering With Advanced Cancer
Wilson, K. G., Chochinov, H. M., McPherson, C. J., LeMay, K., Allard, P., Chary, S., Gagnon, P. R., Macmillan, K., De Luca, M., O'Shea, F., et al. (2007) · Journal of Clinical Oncology · doi:10.1200/jco.2006.08.6801 · Cited by 189 · see citing works
Self-citationPrognostic Awareness and the Terminally Ill
Chochinov, H. M., Tataryn, D. J., Wilson, K. G., Enns, M., & Lander, S. (2000) · Psychosomatics · doi:10.1176/appi.psy.41.6.500 · Cited by 178 · see citing works
Self-citationDesire for euthanasia or physician-assisted suicide in palliative cancer care.
Wilson, K. G., Chochinov, H. M., McPherson, C. J., Skirko, M. G., Allard, P., Chary, S., Gagnon, P. R., Macmillan, K., Luca, M. D., O’Shea, F., et al. (2007) · Health Psychology · doi:10.1037/0278-6133.26.3.314 · Cited by 169 · see citing works
Self-citationHealth Promoting Palliative Care
Kellehear, A. (1999) · Medical Entomology and Zoology · Cited by 162 · see citing works
Awareness of dying: Prevalence, causes and consequences
Seale, C. F., Addington-Hall, J. M., & McCarthy, M. (1997) · Social Science & Medicine · doi:10.1016/s0277-9536(96)00379-6 · Cited by 161 · see citing works
Peaceful Awareness in Patients with Advanced Cancer
Ray, A., Block, S. D., Friedlander, R. J., Zhang, B., Maciejewski, P. K., & Prigerson, H. G. (2006) · Journal of Palliative Medicine · doi:10.1089/jpm.2006.9.1359 · Cited by 159 · see citing works
Mack, J. W., Nilsson, M., Balboni, T., Friedlander, R. J., Block, S. D., Trice, E., & Prigerson, H. G. (2008) · Cancer · doi:10.1002/cncr.23476 · Cited by 155 · see citing works
On Dying and Denying — A psychiatric study of terminality
Fischer, H. (1973) · Psychosomatics · doi:10.1016/s0033-3182(73)71379-7 · Cited by 154 · see citing works
On Dying and Denying: A Psychiatric Study of Terminality
(1974) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1974.tb00539.x · Cited by 152 · see citing works
Burden to Others and the Terminally Ill
Chochinov, H. M., Kristjanson, L. J., Hack, T. F., Hassard, T. H., McClement, S., & Harlos, M. (2007) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2006.12.012 · Cited by 141 · see citing works
Self-citationHinton, J. (1999) · Palliative Medicine · doi:10.1191/026921699672169546 · Cited by 134 · see citing works
Denial of impending death: a discourse analysis of the palliative care literature
Zimmermann, C. (2004) · Social Science & Medicine · doi:10.1016/j.socscimed.2004.02.012 · Cited by 120 · see citing works
The problems experienced by patients with cancer and their needs for palliative care
Osse, B. H. P., Vernooij-Dassen, M. J. F. J., Schade, E., & Grol, R. P. T. M. (2005) · Supportive Care in Cancer · doi:10.1007/s00520-004-0771-6 · Cited by 118 · see citing works
Structured Interview Assessment of Symptoms and Concerns in Palliative Care
Wilson, K. G., Graham, I. D., Viola, R., Chater, S., de Faye, B. J., Weaver, L. A., & Lachance, J. (2004) · The Canadian Journal of Psychiatry · doi:10.1177/070674370404900603 · Cited by 115 · see citing works
Self-citationCommunication and awareness about dying in the 1990s
Field, D. J., & Copp, G. (1999) · Palliative Medicine · doi:10.1191/026921699668763479 · Cited by 114 · see citing works
Defining dignity in terminally ill cancer patients: A factor‐analytic approach
Hack, T. F., Chochinov, H. M., Hassard, T. H., Kristjanson, L. J., McClement, S., & Harlos, M. (2004) · Psycho-Oncology · doi:10.1002/pon.786 · Cited by 109 · see citing works
Self-citationDeath and dying from old people’s point of view. A literature review
Hallberg, I. R. (2004) · Aging Clinical and Experimental Research · doi:10.1007/bf03324537 · Cited by 103 · see citing works
Prigerson, H. G. (1992) · Journal of Health and Social Behavior · doi:10.2307/2137315 · Cited by 100 · see citing works
Promoting a Good Death: an agenda for outcomes research - a review of the literature
Mak, J. M. H., & Clinton, M. (1999) · Nursing Ethics · doi:10.1177/096973309900600202 · Cited by 80 · see citing works
Suffering at the End of Life in the Setting of Low Physical Symptom Distress
Abraham, A., Kutner, J. S., & Beaty, B. L. (2006) · Journal of Palliative Medicine · doi:10.1089/jpm.2006.9.658 · Cited by 65 · see citing works
Andruccioli, J., Montesi, A., Raffaeli, W., Monterubbianesi, M. C., Turci, P., Pittureri, C., Sarti, D., Vignali, A., & Rossi, A. P. (2007) · Journal of Palliative Medicine · doi:10.1089/jpm.2006.0200 · Cited by 32 · see citing works
Pollock, S. E., & Sands, D. (1997) · Clinical Nursing Research · doi:10.1177/105477389700600206 · Cited by 31 · see citing works
Unmet Needs at the End of Life
Arnold, E. M., Artin, K. A., Griffith, D., Person, J. L., & Graham, K. G. (2007) · Journal of Social Work in End-of-Life & Palliative Care · doi:10.1300/j457v02n04_04 · Cited by 27 · see citing works
Determinants of do-not-resuscitate orders in palliative home care
Brink, P., Smith, T. F., & Kitson, M. (2008) · Journal of Palliative Medicine · doi:10.1089/jpm.2007.0105 · Cited by 22 · see citing works
Psychological Responses to Terminal Illness and Eventual Death in Koreans With Cancer
Kang, K., Miller, J. R., & Lee, W. H. (2006) · Research and theory for nursing practice · doi:10.1891/rtnp.20.1.29 · Cited by 8 · see citing works
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Cited by
Sorted by citations
Temel, J. S., Greer, J. A., Admane, S., Gallagher, E. R., Jackson, V. A., Lynch, T. J., Lennes, I. T., Dahlin, C., & Pirl, W. F. (2011) · Journal of Clinical Oncology · doi:10.1200/jco.2010.32.4459 · Cited by 700 · see citing works
Greer, J. A., Jackson, V. A., Meier, D. E., & Temel, J. S. (2013) · CA A Cancer Journal for Clinicians · doi:10.3322/caac.21192 · Cited by 346 · see citing works
Phelps, A. C., Lauderdale, K., Alcorn, S. R., Dillinger, J., Balboni, M. J., Wert, M. J. V., VanderWeele, T. J., & Balboni, T. A. (2012) · Journal of Clinical Oncology · doi:10.1200/jco.2011.40.3766 · Cited by 272 · see citing works
Understanding and Addressing the Role of Coping in Palliative Care for Patients With Advanced Cancer
Greer, J. A., Applebaum, A. J., Jacobsen, J. C., Temel, J. S., & Jackson, V. A. (2020) · Journal of Clinical Oncology · doi:10.1200/jco.19.00013 · Cited by 259 · see citing works
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 · see citing works
Gao, W., Bennett, M., Stark, D., Murray, S. A., & Higginson, I. J. (2010) · European Journal of Cancer · doi:10.1016/j.ejca.2010.03.033 · Cited by 134 · see citing works
Suffering and distress at the end‐of‐life
Krikorian, A., Limonero, J. T., & Maté-Méndez, J. (2011) · Psycho-Oncology · doi:10.1002/pon.2087 · Cited by 132 · see citing works
Mental disorders and the desire for death in patients receiving palliative care for cancer
Wilson, K. G., Dalgleish, T. L., Chochinov, H. M., Chary, S., Gagnon, P. R., Macmillan, K., De Luca, M., O'Shea, F., Kuhl, D., & Fainsinger, R. L. (2016) · BMJ Supportive & Palliative Care · doi:10.1136/bmjspcare-2013-000604 · Cited by 123 · see citing works
Self-citationSep, M., van Osch, M., van Vliet, L. V., Smets, E., & Bensing, J. (2014) · Patient Education and Counseling · doi:10.1016/j.pec.2013.12.022 · Cited by 132 · see citing works
Maciejewski, P. K., Phelps, A. C., Kacel, E. L., Balboni, T. A., Balboni, M. J., Wright, A. A., Pirl, W. F., & Prigerson, H. G. (2011) · Psycho-Oncology · doi:10.1002/pon.1967 · Cited by 112 · see citing works
Greer, J. A., Traeger, L., Bemis, H., Solis, J., Hendriksen, E. S., Park, E. R., Pirl, W. F., Temel, J. S., Prigerson, H. G., & Safren, S. A. (2012) · The Oncologist · doi:10.1634/theoncologist.2012-0041 · Cited by 111 · see citing works
van Vliet, L. M., & Epstein, A. S. (2014) · Journal of Clinical Oncology · doi:10.1200/jco.2014.56.0425 · Cited by 104 · see citing works
Tang, S. T., Chang, W., Chen, J., Chou, W., Hsieh, C., & Chen, C. H. (2015) · Psycho-Oncology · doi:10.1002/pon.3943 · Cited by 99 · see citing works
Higginson, I. J., Gomes, B., Calanzani, N., Gao, W., Bausewein, C., Daveson, B. A., Deliëns, L., Ferreira, P. L., Toscani, F., Gysels, M., et al. (2013) · Palliative Medicine · doi:10.1177/0269216313488989 · Cited by 99 · see citing works
Hagan, T. L., Fishbein, J. N., Nipp, R. D., Jacobs, J. M., Traeger, L., Irwin, K. E., Pirl, W. F., Greer, J. A., Park, E. R., Jackson, V. A., et al. (2017) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2016.06.005 · Cited by 88 · see citing works
Rayner, L., Lee, W. E., Price, A. C., Monroe, B., Sykes, N. P., Hansford, P., Higginson, I. J., & Hotopf, M. H. (2011) · Palliative Medicine · doi:10.1177/0269216310387458 · Cited by 87 · see citing works
Hui, D., Mo, L., & Paiva, C. E. (2021) · Current Treatment Options in Oncology · doi:10.1007/s11864-020-00810-3 · Cited by 76 · see citing works
Krattenmacher, T., Kühne, F., Führer, D., Beierlein, V., Brähler, E., Resch, F., von Klitzing, K., Flechtner, H., Bergelt, C., Romer, G., et al. (2012) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2012.10.003 · Cited by 71 · see citing works
Bandeali, S., Ordons, A. R. D., & Sinnarajah, A. (2019) · Palliative & Supportive Care · doi:10.1017/s1478951519001020 · Cited by 72 · see citing works
The elderly patient on dialysis: geriatric considerations
Singh, P., Germain, M. J., Cohen, L. M., & Unruh, M. L. (2013) · Nephrology Dialysis Transplantation · doi:10.1093/ndt/gft246 · Cited by 65 · see citing works
Tang, S. T., Liu, T., Chow, J., Chiu, C., Hsieh, R., Chen, C. H., Liu, L. N., & Feng, W. (2014) · Psycho-Oncology · doi:10.1002/pon.3482 · Cited by 63 · see citing works
People With Advanced Cancer: The Process of Living Well With Awareness of Dying
Arantzamendi, M., García-Rueda, N., Carvajal, A., & Robinson, C. A. (2018) · Qualitative Health Research · doi:10.1177/1049732318816298 · Cited by 52 · see citing works
Decisions at the end of life: have we come of age?
Emanuel, L. L., & Scandrett, K. G. (2010) · BMC Medicine · doi:10.1186/1741-7015-8-57 · Cited by 51 · see citing works
Palliative care specialists’ beliefs about spiritual care
Best, M., Butow, P., & Olver, I. (2016) · Supportive Care in Cancer · doi:10.1007/s00520-016-3135-0 · Cited by 46 · see citing works
Predictors of Suffering in Advanced Cancer
Krikorian, A., Limonero, J. T., Román-Calderón, J. P., Vargas, J. J., & Palacio, C. (2013) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/1049909113494092 · Cited by 48 · see citing works
Illness Perceptions, Adjustment to Illness, and Depression in a Palliative Care Population
Price, A. C., Goodwin, L., Rayner, L., Shaw, E., Hansford, P., Sykes, N. P., Monroe, B., Higginson, I. J., Hotopf, M. H., & Lee, W. E. (2012) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2011.05.013 · Cited by 42 · see citing works
McPherson, C. J., Hadjistavropoulos, T., Devereaux, A., & Lobchuk, M. (2014) · BMC Palliative Care · doi:10.1186/1472-684x-13-39 · Cited by 40 · see citing works
Self-citationKaufmann, T. L., & Kamal, A. H. (2017) · Journal of Oncology Practice · doi:10.1200/jop.2017.023762 · Cited by 38 · see citing works
Liao, Y., Liao, W., Sun, J., Ko, J., & Yu, C. (2017) · Supportive Care in Cancer · doi:10.1007/s00520-017-3919-x · Cited by 38 · see citing works
Psychological Symptoms in Advanced Cancer
Bail, J. R., Traeger, L., Pirl, W. F., & Bakitas, M. A. (2018) · Seminars in Oncology Nursing · doi:10.1016/j.soncn.2018.06.005 · Cited by 34 · see citing works
Fisher, K., Seow, H. Y., Cohen, J., Declercq, A., Freeman, S., & Guthrie, D. M. (2014) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2014.08.008 · Cited by 36 · see citing works
Lobb, E. A., Lacey, J., Kearsley, J. H., Liauw, W., White, L., & Hosie, A. (2013) · BMJ Supportive & Palliative Care · doi:10.1136/bmjspcare-2012-000381 · Cited by 35 · see citing works
Fisher, K., Seow, H. Y., Brazil, K., Freeman, S., Smith, T. F., & Guthrie, D. M. (2014) · BMC Palliative Care · doi:10.1186/1472-684x-13-10 · Cited by 34 · see citing works
Davis, E. L., Deane, F. P., & Lyons, G. C. B. (2015) · Palliative and Supportive Care · doi:10.1017/s1478951514000431 · Cited by 33 · see citing works
Tang, S. T., Chou, W., Chang, W., Chen, J., Hsieh, C., Wen, F., & Chung, S. (2019) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2019.06.022 · Cited by 33 · see citing works
Tang, S. T., Lin, K., Chen, J., Chang, W., Hsieh, C., & Chou, W. (2014) · Psycho-Oncology · doi:10.1002/pon.3616 · Cited by 33 · see citing works
Rodenbach, R. A., Althouse, A. D., Schenker, Y., Smith, T. J., Chu, E., White, D. B., Bakitas, M. A., & Arnold, R. M. (2020) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2020.09.004 · Cited by 31 · see citing works
Peters, M. E. W. J., Goedendorp, M. M., Verhagen, C. A. H. H. V. M., Bleijenberg, G., & van der Graaf, W. T. A. (2015) · Supportive Care in Cancer · doi:10.1007/s00520-015-2909-0 · Cited by 29 · see citing works
Tang, S. T., Chen, J., Chou, W., Chang, W., Wu, C., Hsieh, C., Chiang, M.-C., & Kuo, M. (2016) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2016.0074 · Cited by 29 · see citing works
Standing, H. C., Jarvis, H., Orr, J. G., Exley, C., Hudson, M., Kaner, E., & Hanratty, B. (2017) · BMJ Open · doi:10.1136/bmjopen-2017-017106 · Cited by 29 · see citing works
The Impacts of Prognostic Awareness on Mood and Quality of Life Among Patients With Advanced Cancer
Kang, E., Kang, J. H., Koh, S.-J., Song, E., Shim, H.-J., Keam, B., Maeng, C. H., Kim, Y. J., Yun, H., Jung, K. H., et al. (2020) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/1049909120905789 · Cited by 27 · see citing works
Development of a Prognostic Awareness Impact Scale for Patients with Advanced Cancer
Brenner, K. O., Greer, J. A., Jackson, V. A., Park, E. R., Wright, E. M., Jacobsen, J. C., Topping, C. E. W., Jagielo, A. D., Elyze, M., Sereno, I., et al. (2021) · Journal of Palliative Medicine · doi:10.1089/jpm.2021.0238 · Cited by 27 · see citing works
Tang, S. T., Chen, J., Chou, W., Lin, K., Chang, W.-C., Hsieh, C., & Wu, C. (2015) · Supportive Care in Cancer · doi:10.1007/s00520-015-2747-0 · Cited by 27 · see citing works
Severe Fatigue During the Palliative Treatment Phase of Cancer
Peters, M. E. W. J., Goedendorp, M. M., Verhagen, C. A. H. H. V. M., van der Graaf, W. T. A., & Bleijenberg, G. (2013) · Cancer Nursing · doi:10.1097/ncc.0b013e318291bd2d · Cited by 27 · see citing works
Loss of Dignity in Severe Chronic Obstructive Pulmonary Disease
Solomon, B. K., Wilson, K. G., Henderson, P. R., Poulin, P. A., Kowal, J., & Mckim, D. A. (2015) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2015.11.007 · Cited by 26 · see citing works
Self-citationCancer patient perspectives regarding preparedness for end-of-life care: A qualitative study
Sherman, A. C., Simonton-Atchley, S., Mikeal, C. W., Anderson, K. M., Arnaoutakis, K., Hutchins, L. F., Makhoul, I., Mahmoud, F. A., Milojkovic, N., Harrington, S. E., et al. (2018) · Journal of Psychosocial Oncology · doi:10.1080/07347332.2018.1466845 · Cited by 26 · see citing works
Quality of life of Moroccan patients on the palliative phase of advanced cancer
Ahlam, A., Hind, M., Rahou, B. H., Razıne, R., & Errihani, H. H. (2019) · BMC Research Notes · doi:10.1186/s13104-019-4390-1 · Cited by 25 · see citing works
Koçak, N., Şenel, G., Oguz, G. T., Karaca, Ş., & Gökse, F. (2022) · Indian Journal of Cancer · doi:10.4103/ijc.ijc_671_19 · Cited by 24 · see citing works
Krikorian, A., Limonero, J. T., Vargas, J. J., & Palacio, C. (2013) · Supportive Care in Cancer · doi:10.1007/s00520-013-1913-5 · Cited by 22 · see citing works
Health Information Preferences and Curability Beliefs Among Patients With Advanced Cancer
Saracino, R. M., Polacek, L. C., Applebaum, A. J., Rosenfeld, B., Pessin, H., & Breitbart, W. (2021) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2020.07.023 · Cited by 20 · see citing works
Kang, E., Keam, B., Lee, N.-R., Kang, J. H., Kim, Y. J., Shim, H.-J., Jung, K. H., Koh, S.-J., Ryu, H., Lee, J., et al. (2020) · Supportive Care in Cancer · doi:10.1007/s00520-020-05489-8 · Cited by 21 · see citing works
Chinh, K., Secinti, E., Johns, S., Hirsh, A., Miller, K., Schneider, B., Storniolo, A. M., Mina, L., Newton, E., Champion, V., et al. (2020) · Oncology Nursing Forum · doi:10.1188/20.onf.739-752 · Cited by 17 · see citing works
“Lower levels of mindfulness and illness acceptance have been associated with worse mental health outcomes in patients with advanced cancer (Chambers et al., 2016; Thompson et al., 2009; Xu et al., 2017).”
BackgroundPsychological well-being in palliative care: A systematic review
Elvira, T. R., del Prado, C. I., & Cruzado, J. A. (2021) · OMEGA - Journal of Death and Dying · doi:10.1177/00302228211019203 · Cited by 23 · see citing works
Palliative communications: addressing chemotherapy in patients with advanced cancer
Kadakia, K. C., Moynihan, T. J., Smith, T. J., & Loprinzi, C. L. (2012) · Annals of Oncology · doi:10.1093/annonc/mds085 · Cited by 20 · see citing works
Mah, K., Hales, S., Weerakkody, I., Liu, L., Fernandes, S., Rydall, A. C., Vehling, S., Zimmermann, C., & Rodin, G. (2018) · Palliative Medicine · doi:10.1177/0269216318819607 · Cited by 19 · see citing works
Plys, E., Smith, R. W., & Jacobs, M. L. (2019) · Journal of Palliative Care · doi:10.1177/0825859719851483 · Cited by 19 · see citing works
Tang, S. T., Chou, W., Hsieh, C., Chang, W., Chen, J., & Wen, F. (2020) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2020.04.021 · Cited by 19 · see citing works
van der Velden, N. C. A., Smets, E. M. A., van Vliet, L. M., Brom, L., van Laarhoven, H. W. M., & Henselmans, I. (2024) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2024.02.563 · Cited by 18 · see citing works
Boezeman, E. J., Hofhuis, J. G. M., Hovingh, A., Cox, C. E., de Vries, R. E., & Spronk, P. E. (2016) · Critical Care Medicine · doi:10.1097/ccm.0000000000001743 · Cited by 15 · see citing works
Hayden, L., Byrne, E., Deegan, A., Dunne, S. K., & Gallagher, P. (2022) · Health Psychology Open · doi:10.1177/20551029221121526 · Cited by 14 · see citing works
Wen, F., Chou, W., Hsieh, C., Chen, J., Chang, W., & Tang, S. T. (2020) · Psycho-Oncology · doi:10.1002/pon.5614 · Cited by 13 · see citing works
Patients in palliative care—Development of a predictive model for anxiety using routine data
Hofmann, S., Hess, S., Klein, C., Lindena, G., Radbruch, L., & Ostgathe, C. (2017) · PLoS ONE · doi:10.1371/journal.pone.0179415 · Cited by 11 · see citing works
Spooner, C., Vivat, B., White, N., Bruun, A., Rohde, G. E., Kwek, P. X., & Stone, P. C. (2023) · Palliative Medicine · doi:10.1177/02692163231191148 · Cited by 10 · see citing works
Luciani, F., Veneziani, G., Giraldi, E., Campedelli, V., Galli, F., & Lai, C. (2025) · Clinical Psychology Review · doi:10.1016/j.cpr.2025.102544 · Cited by 10 · see citing works
Sedhom, R., Bates-Pappas, G. E., Feldman, J., Elk, R. A., Gupta, A., Fisch, M. J., & Soto‐Pérez‐de‐Celis, E. (2024) · American Society of Clinical Oncology Educational Book · doi:10.1200/edbk_434026 · Cited by 8 · see citing works
A Model of Death Preparedness in Patients With Advanced Cancer: A Grounded Theory Study
Zhang, X., Zeng, T., Zhao, M., Su, Y., Liu, X., & Chen, Y. (2024) · Journal of Advanced Nursing · doi:10.1111/jan.16669 · Cited by 8 · see citing works
Yang, C., Chiu, Y., Huang, C., Haung, Y., & Chuang, H. (2013) · The Kaohsiung Journal of Medical Sciences · doi:10.1016/j.kjms.2012.12.005 · Cited by 8 · see citing works
Chung, I., Khoo, S.-Y., & Low, L. L. (2024) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/10499091241233599 · Cited by 7 · see citing works
Factors associated with cancer patients' distinct death‐preparedness states
Wen, F., Hsieh, C., Chou, W., Su, P., Hou, M., Shen, W., Chen, J., Chang, W., & Tang, S. T. (2023) · Psycho-Oncology · doi:10.1002/pon.6146 · Cited by 7 · see citing works
Hemşirelerin Kanser Hastalarına Yönelik Manevi Bakım Uygulamaları ve Karşılaştıkları Engeller
Uslu-Şahan, F., & Terzioğlu, F. (2021) · Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi · doi:10.37989/gumussagbil.753529 · Cited by 7 · see citing works
Hasegawa, T., Okuyama, T., & Akechi, T. (2024) · Japanese Journal of Clinical Oncology · doi:10.1093/jjco/hyae006 · Cited by 6 · see citing works
Awareness of Disease Status Among Patients With Cancer
Finlayson, C. S., Rosa, W. E., Mathew, S., Applebaum, A. J., Squires, A. P., & Fu, M. R. (2023) · Cancer Nursing · doi:10.1097/ncc.0000000000001170 · Cited by 6 · see citing works
Contraste empírico del modelo de cinco fases de duelo de Kübler-Ross en mujeres con cáncer
de la Rubia, J. M., & Ávila, M. M. (2015) · Pensamiento Psicológico · doi:10.11144/950 · Cited by 5 · see citing works
A retrospective audit of spirituality assessment in palliative care patients in Singapore
Lee, C. E., Tai, I. S., Yang, G. M., Ramaswamy, A., Dignadice, D., Lim, A., Ng, W. R., Suppiah, S., & Neo, P. S. H. (2014) · Progress in Palliative Care · doi:10.1179/1743291x14y.0000000116 · Cited by 5 · see citing works
Ke, X., Luo, H., He, X., Wu, M., Wu, G., Fang, Z. T., Fengping, G., & Guihua, Z. (2018) · Cluster Computing · doi:10.1007/s10586-018-2391-9 · Cited by 5 · see citing works
Predictores de respuestas psicológicas de duelo ante la pérdida de la salud
Ávila, M. M., & de la Rubia, J. M. (2015) · Revista Internacional de Psicología · doi:10.33670/18181023.v14i02.128 · Cited by 5 · see citing works
Understanding Hospice Patients’ Beliefs About Their Life Expectancy: A Qualitative Interview Study
Taber, J. M., Stacey, C. L., & Sheehan, D. K. (2020) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/1049909120948486 · Cited by 5 · see citing works
Cancer patients’ awareness of extent of disease: anxiety, depression, quality of life
Manalo, M. F., Yang, G. M., Reandelar, M., Özdemir, S., Malhotra, C., & Finkelstein, E. A. (2023) · BMJ Supportive & Palliative Care · doi:10.1136/spcare-2022-004112 · Cited by 4 · see citing works
Psychological aspects of medical assistance in dying: A personal reflection.
Wilson, K. G. (2018) · Canadian Psychology/Psychologie canadienne · doi:10.1037/cap0000146 · Cited by 4 · see citing works
Self-citationMissing in Action: Reports of Interdisciplinary Integration in Canadian Palliative Care
Robinson, M. C., Qureshi, M., Sinnarajah, A., Chary, S., de Groot, J., & Feldstain, A. (2021) · Current Oncology · doi:10.3390/curroncol28040235 · Cited by 4 · see citing works
Self-citationFactores asociados a la experiencia de sufrimiento en pacientes con cáncer avanzado
Krikorian, A., & Limonero, J. T. (2015) · Avances en Psicología Latinoamericana · doi:10.12804/apl33.03.2015.05 · Cited by 4 · see citing works
Stipčić, A., Dolić, M., & Kalcina, L. L. (2026) · Nursing Reports · doi:10.3390/nursrep16010029 · Cited by 3 · see citing works
Mohanraj, L., Elswick, R. K., Buch, M., Knight, J. M., & Guidry, J. P. D. (2022) · Seminars in Oncology Nursing · doi:10.1016/j.soncn.2022.151257 · Cited by 3 · see citing works
Holistic Needs Assessment and Care Planning
Piil, K., & Rosenlund, L. (2019) · Springer eBooks · doi:10.1007/978-3-319-76747-5_11 · Cited by 3 · see citing works
BREITBART, W. S., Chochinov, H. M., & Alici, Y. (2012) · doi:10.1002/9781119941101.ch19 · Cited by 3 · see citing works
Self-citationAcceptance in Patients With Cancer: A Scoping Review
Dekker, J., Welling, C., & Labots, M. (2025) · Cancer Reports · doi:10.1002/cnr2.70324 · Cited by 2 · see citing works
A qualitative study with Italian patients exploring the spiritual dimension during a chronic disease
Tanzi, S., Artioli, G., Panfilis, L. D., Ghirotto, L., Rabitti, E., & Sacchi, S. (2023) · Chronic Illness · doi:10.1177/17423953231178236 · Cited by 2 · see citing works
Bruzos, E. R., Fraguell, C., Rodríguez, M. N., Fustero, A. E., Abelló, H. V., Roca, S. D. Q., Huguet, M. A., & Cosp, M. N. (2019) · Medicina Paliativa · doi:10.20986/medpal.2019.1062/2019 · Cited by 2 · see citing works
Approaching the Treatment of Depression in Elderly Cancer Patients
Traeger, L. N., & Pirl, W. F. (2010) · Aging Health · doi:10.2217/ahe.10.24 · Cited by 2 · see citing works
van Vliet, L. M. (2013) · Utrecht University Repository (Utrecht University) · Cited by 2 · see citing works
Development of a Japanese Version of the Quality of Life at the End of Life-Cancer Scale
Yamazaki, T., Miyamoto, S., Matsubara, T., Yamagata, H., Kobo, H., Otani, M., Abe, H., Sumitani, M., Shimizu, K., Rodin, G., et al. (2023) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2023.04.023 · Cited by 1 · see citing works
de la Rubia, J. M. (2015) · psicología desde el caribe · doi:10.14482/psdc.32.1.6503 · Cited by 1 · see citing works
Alon, S., Sela, Y., & Carmel, S. (2017) · Palliative Medicine and Hospice Care - Open Journal · doi:10.17140/pmhcoj-se-1-113 · Cited by 1 · see citing works
Lee, J. J., Malhotra, C., Sim, K. L. D., Yeo, K. K., Finkelstein, E. A., & Özdemir, S. (2024) · Medical Decision Making · doi:10.1177/0272989x241297694 · Cited by 1 · see citing works
Factores que influyen en el sufrimiento de pacientes con enfermedad avanzada y/o terminal
Pollo, D. R. (2014) · doi:10.14201/gredos.128260 · Cited by 1 · see citing works
Understanding Quality of Life in Adolescents Living with Advanced Cancer
Bell, C. J. (2011) · IUScholarWorks (Indiana University) · doi:10.7912/c2/1251 · Cited by 1 · see citing works
Systematic review on coping strategies used by palliative care patients in South AsiaPreprint
Ali, H., Fearon, D., & Jabeen, I. (2024) · Research Square · doi:10.21203/rs.3.rs-4480982/v1 · Cited by 1 · see citing works
Avaliação do sofrimento emocional em idosos institucionalizados em lares
Gouveia, P. I. D. A. (2014) · Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) · doi:10.34626/0qn7-dc49 · Cited by 1 · see citing works
The Existential Dimension of Cancer
Cordella, M., & Poiani, A. (2014) · Springer eBooks · doi:10.1007/978-1-4614-9605-2_4
- Authors
- Thompson, G. N., Chochinov, H. M., Wilson, K. G., McPherson, C. J., Chary, S., O'Shea, F. M., Kuhl, D. R., Fainsinger, R. L., Gagnon, P. R., & Macmillan, K. A.
- Affiliations
- University of Ottawa (CA)
- From the Department of Psychiatry; Manitoba Palliative Care Research Unit, CancerCare Manitoba and Faculty of Nursing, University of Manitoba, Winnipeg, MB; Department of Medicine (Division of Physical Medicine and Rehabilitation) and School of Psychology; Faculty of Health Sciences, University of Ottawa, Ottawa, ON; Department of Oncology, University of Calgary, Calgary; Palliative Care Medicine, Department of Oncology, University of Alberta; Grey Nuns Community Hospital, Covenant Health, Edmonton, AB;...
- ORCID
- Venue
- Journal of Clinical Oncology
- Published
- 2009-12-01
- Volume
- 27
- Issue
- 34
- Pages
- 5757-5762
- ISSN
- 0732-183X (ISSN-L)
- 1527-7755
- OpenAlex
- W2146924352
- Cited by
- 108
- References
- 39
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 7 · 2023: 6 · 2022: 4 · 2021: 5 · 2020: 9 · 2019: 6 · 2018: 6 · 2017: 5 · 2016: 6 · 2015: 10 · 2014: 12 · 2013: 11 · 2012: 6
- FWCI
- 5.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Oncology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- advanced cancer, palliative care, psychological well-being, existential well-being, hopelessness, depression, anxiety, suffering, coping strategies, social support, social networks, spiritual well-being
- MeSH terms
- Adaptation, Psychological, Aged, Attitude to Death, Data Collection, Female, Humans, Male, Middle Aged, Neoplasms, Palliative Care, Prognosis
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