Cited by 108Palliative Care and End-of-Life IssuesPalliative and Oncologic CareCancer survivorship and care

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Prognostic Acceptance and the Well-Being of Patients Receiving Palliative Care for Cancer

Thompson, Genevieve N., Chochinov, Harvey M., Wilson, Keith G., McPherson, Christine J., Chary, Srini, O'Shea, Fiona M., Kuhl, David R., Fainsinger, Robin L., Gagnon, Pierre R., Macmillan, Karen A.·2009·Journal of Clinical Oncology

DOI 10.1200/jco.2009.22.9799

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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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Combrink, M. J. W. (2016)

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: Thompson, Genevieve N.
Chochinov, Harvey M.
Wilson, Keith G.
McPherson, Christine J.
Kuhl, David R.
Gagnon, Pierre R.
Venue: Journal of Clinical Oncology
Publisher: American Society of Clinical Oncology (ASCO)
Published: 2009-12-01
Volume: 27
Issue: 34
Pages: 5757-5762
ISSN: 0732-183X (ISSN-L)
1527-7755
DOI: 10.1200/jco.2009.22.9799
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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Prognostic Acceptance and the Well-Being of Patients Receiving Palliative Care for Cancer

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