The DOI matches its Crossref record; 39 of the 39 references it cites were found in a registry or an index.
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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“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]
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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
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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
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 271
Conceptualizing prognostic awareness in advanced cancer: A systematic review
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Metadata
- 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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