Peaceful Awareness in Patients with Advanced Cancer

Ray, Avik; Block, Susan D.; Friedlander, Robert J.; Zhang, Baohui; Maciejewski, Paul K.; Prigerson, Holly G.

doi:10.1089/jpm.2006.9.1359

Cited by 132 publications

(187 citation statements)

References 22 publications

(16 reference statements)

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“…Research has shown that advance care planning for end of life decisions can have a marked effect on lowering distress in palliative populations (42). Professional psychosocial support may facilitate family communication with healthcare teams and promote psychological adaptation (43).…”

Section: Discussionmentioning

confidence: 99%

Initial Validation of the Death and Dying Distress Scale for the Assessment of Death Anxiety in Patients With Advanced Cancer

Krause

Rydall

Hales

et al. 2015

Journal of Pain and Symptom Management

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How to cite TSpace itemsAlways cite the published version, so the author(s) will receive recognition through services that track citation counts, e.g. Scopus. If you need to cite the page number of the author manuscript from TSpace because you cannot access the published version, then cite the TSpace version in addition to the published version using the permanent URI (handle) found on the record page.This article was made openly accessible by U of T Faculty. Please tell us how this access benefits you. Your story matters. 1 Full citation and link to published version:Krause S, Rydall A, Hales S, Rodin G, Lo C. Abstract ContextThe experience of death anxiety in patients with advanced cancer has been understudied partly due to the lack of a tailored measure for this population. The Death and Dying Distress Scale (DADDS) was constructed to address this gap. Although an initial version of this instrument has shown promising psychometric properties, validation of the finalized version is needed. ObjectivesThis study aims to validate the recent 15-item DADDS by examining its factor structure and construct validity. MethodsSixty participants with advanced or metastatic cancer were recruited from the Princess Margaret Cancer Centre, Toronto, Canada, into a pilot trial of a psychological intervention. This paper analyzes the baseline measures on death anxiety, depressive symptoms (PHQ-9, SCID), generalized anxiety (GAD-7), and preparation for end of life (QUAL-EC). Exploratory factor analysis was conducted. Construct validity was assessed by correlations between measures. ResultsFactor analysis revealed a dominant single factor explaining over 75% of the shared variation between items. Factor loadings were high, ranging from 0.57 to 0.86. Item communalities were evenly ranged from 0.33 to 0.75 and with the 15:1 variable to factor ratio, suggest the viability of parameter estimates despite the small sample size. Cronbach's alpha was 0.95. Death anxiety was associated with less preparation for end of life, r = -0.68, p < 0.0001, and more generalized anxiety, r = 0.63, p < 0.0001, and depressive symptom severity, r = 0.50, p < 0.0001. Individuals with major depression had greater death anxiety than the non-depressed, mean difference = 17, CI .95 = (1.5, 33), as did individuals with minor depression, mean difference = 25, CI .95 = (10, 41). ConclusionThe DADDS is a valid measure of death anxiety in patients with advanced cancer. It may provide useful information in the assessment and treatment of distress in patients near the end of life.4

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Section: Discussionmentioning

confidence: 99%

Initial Validation of the Death and Dying Distress Scale for the Assessment of Death Anxiety in Patients With Advanced Cancer

Krause

Rydall

Hales

et al. 2015

Journal of Pain and Symptom Management

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“…108 Recent data show that patients who are aware of their terminal prognosis and are at peace with it have higher rates of advance care planning, better quality of death, and better mental health outcomes. 109 Finally, as patients approach the end of life, the focus of care shifts increasingly to include the caregiver. Caregivers have similar rates of psychiatric disorders as patients with advanced disease (Table 1).…”

Section: End-of-life Issuesmentioning

confidence: 99%

Psychiatric disorders in advanced cancer

Miovic

Block

2007

Cancer

315

228

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Label‐free microcolony identification via elastic light scattering was investigated for three different genera: Salmonella enterica serovar Montevideo, Listeria monocytogenes F4244, and Escherichia coli DH5α. Microcolonies were defined as bacterial colonies in their late‐lag phase to early‐exponential phase with the diameter range of 100–200 µm. To link biophysical characteristics with corresponding scattering patterns, a phase contrast microscope and a confocal displacement meter were used to measure the colony diameter and its 3D height profile. The results indicated that the growth characteristics of microcolonies were encoded in their morphologies which correlated to the characteristic diffraction patterns. Proposed methodology was able to classify three genera based on comprehensive phenotypic map which incorporated growth speed, ring count, and colony diameter. While the proposed method illustrated the possibility of discriminating microcolonies in their early growth stage, more thorough biophysical understanding is needed to expand the technology to other species. Biotechnol. Bioeng. 2011; 108:637–644. © 2010 Wiley Periodicals, Inc.

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“…[16] For example, patients with cancer who are able to develop a sense of peace and equanimity in their cancer experience tend to have better quality of life [13,27] and better psychological health. [13,26,27,28,29] In children, spirituality has been defined as the ability to derive personal value and transcend beyond the self through relationships with others. [30,15] As a result, Kamper R et al [15] searchers elucidates that children's view their parents as a "guardians" of sorts by downplaying symptoms, "acting" like they felt better, and having a cheerful demeanor as they protected their parents/family members.…”

Section: Spirituality In Patients' Cancer Journeymentioning

confidence: 99%

The influence of spirituality in pediatric cancer management: a systematic review

Meireles¹,

Maia²,

Miná³

et al. 2015

Int Arch Med

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Context: Pediatric cancer is a wide challenge for the patients, family and health care team. They must deal with anxiety, distress, and pain. Thereby, to find meaning for this journey, they use different coping strategies, among which, spirituality appears to be a way, providing well-being and hope.Objective: The purpose of this review was to analyze the influence of spirituality in childhood cancer care, involving biopsychosocial aspects of child, family, and health professionals facing cancer.Data Sources: To achieve this goal, a systematic review of literature was conducted via electronic databases Scopus, MEDLINE and PubMed using Medical Subject Headings (MeSH) terms: "spirituality", "neoplasm" and "pediatric".Study Selection: Through this search it was found 65 articles.After analyzing them by abstract 13 met the eligibility criteria and were entirely read before included in the final sample.Data Extractions: Sys Most of the studies stated that spirituality helps pediatric patients and their families to find a positive meaning from cancer experience, turning better the management of child. Besides, health practitioners may be able to facilitate this process working as a multidisciplinary team, providing to patient an unabridged care.

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Peaceful Awareness in Patients with Advanced Cancer

Cited by 132 publications

References 22 publications

Initial Validation of the Death and Dying Distress Scale for the Assessment of Death Anxiety in Patients With Advanced Cancer

Initial Validation of the Death and Dying Distress Scale for the Assessment of Death Anxiety in Patients With Advanced Cancer

Psychiatric disorders in advanced cancer

The influence of spirituality in pediatric cancer management: a systematic review

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