Abstract
Context: Suffering is a complex experience. Identifying its predictors is useful to signal at-risk patients. Objective: To identify suffering predictors in patients with advanced cancer in palliative care. Methods: A total of 98 patients participated in the study. A semistructured interview examining suffering levels and physical, psychological, social, and spiritual aspects was used. Instruments included Pictorial Representation of Illness and Self Measure (PRISM), Edmonton Symptom Assessment System (ESAS), Detection ofemotional distress (DED), and Structured Interviewof Symptoms andConcern (SISC). Variance-based structural equationmodel was used for the data analysis. Results: All measures were valid and reliable. The structural model explained 64% of the variance. Suffering levels were directly determined by psychological and adjustment problems and indirectly determined by physical, psychological, and spiritual aspects and coping strategies. Conclusion: Our study supports the proposed theoretical model and signals the important mediating effect of psychological and spiritual variables between physical symptoms and suffering.
| Original language | English |
|---|---|
| Pages (from-to) | 534-542 |
| Number of pages | 9 |
| Journal | American Journal of Hospice and Palliative Medicine |
| Volume | 31 |
| Issue number | 5 |
| DOIs | |
| State | Published - Aug 2014 |
UN SDGs
This output contributes to the following UN Sustainable Development Goals (SDGs)
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SDG 3 Good Health and Well-being
Keywords
- associated factors
- cancer
- distress
- end of life
- predictors
- suffering
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