TY - JOUR
T1 - Predictors of Suffering in Advanced Cancer
AU - Krikorian, Alicia
AU - Limonero, Joaquín T.
AU - Román, Juan Pablo
AU - Vargas, John Jairo
AU - Palacio, Carolina
PY - 2014/8
Y1 - 2014/8
N2 - 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.
AB - 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.
KW - associated factors
KW - cancer
KW - distress
KW - end of life
KW - predictors
KW - suffering
UR - http://www.scopus.com/inward/record.url?scp=84904187761&partnerID=8YFLogxK
U2 - 10.1177/1049909113494092
DO - 10.1177/1049909113494092
M3 - Artículo
C2 - 23869029
AN - SCOPUS:84904187761
VL - 31
SP - 534
EP - 542
JO - American Journal of Hospice and Palliative Medicine
JF - American Journal of Hospice and Palliative Medicine
SN - 1049-9091
IS - 5
ER -
