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See Latest ArticlesPrognostic acceptance and the well-being of patients receiving palliative care for cancer
Journal of Clinical Oncology, 10/19/09
Thompson GN et al. – 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.
Methods- Canadian multicenter prospective national survey conducted of patients diagnosed with advanced cancer with estimated survival duration of 6 months or less (n = 381) receiving palliative care
- 74% of total participants 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 depressive or anxiety disorder
- Nonacceptors younger had more than high school education and had smaller social networks than Acceptors
- Of Nonacceptors, 42% described their experience as one of "moderate" to "extreme" suffering compared with 24.1% of Acceptors
- More than one third (37.5%) of Nonacceptors reported feeling hopeless compared with 8.6% who had no difficulty accepting
- 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
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Does frailty predict hospitalization, emergency department visits, and visits to the general practitioner in older newly-diagnosed cancer patients? Results of a prospective pilot study
Critical Reviews in Oncology/Hematology, 12/02/09
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Factors associated with psychological distress and grief resolution in surviving spouses of patients with advanced gastrointestinal cancer
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