Patient‐Reported Worst‐Case Scenarios in Advanced Cancer: Presence, Contents, and Predictors.
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| Title: | Patient‐Reported Worst‐Case Scenarios in Advanced Cancer: Presence, Contents, and Predictors. |
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| Authors: | Arch, Joanna J. (AUTHOR), Kirk, Mackenzie H. (AUTHOR), Finkelstein, Lauren B. (AUTHOR) |
| Source: | Psycho-Oncology. Dec2024, Vol. 33 Issue 12, p1-12. 12p. |
| Subjects: | Symptom burden, Cancer survivors, Cancer patients, Cancer invasiveness, Adults |
| Abstract: | Background: Advancements in precision oncology have led to a growing community of adults with advanced cancer who live longer but face prognostic uncertainty, with corresponding fears of the future. Their worst future fears related to cancer remain understudied, hindering support efforts. Aims: This study aimed to characterize the presence, content, and predictors of imagined future worst‐case scenarios related to cancer (WCS) among distressed adults with advanced cancer. Methods: Two hundred fifteen distressed adults with advanced solid tumor cancer (mixed type) responded to survey questions regarding the presence (Yes/No) of a WCS related to cancer and if yes, to briefly describe it. Mixed methods were used to assess WCS prevalence, thematic content, and sociodemographic, psychological, and medical predictors. Results: Two thirds (66.5%) of advanced cancer survivors endorsed having a WCS. Content reflected four major themes of Death (52.2%), Suffering and Deterioration (47.1%), Cancer Progression and Future Uncertainty (28.7%), and Concern about Family (18.4%). WCS often contained more than one major theme, further distinguished by additional themes and sub‐themes that revealed distinct fears. Higher anxiety and lower life meaning/peace predicted the presence of a WCS whereas sociodemographic characteristics, depression, time since diagnosis, and physical symptom burden did not. Younger age and living with children predicted a WCS focused on loved ones. Conclusions: WCS are prevalent and diverse in content among distressed adults with advanced cancer. Assessing WCS offers a quick and straightforward way to solicit advanced cancer survivors' most intense fears about the future with cancer, thereby facilitating patient‐provider communication and support efforts. [ABSTRACT FROM AUTHOR] |
| Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 181889525 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Patient‐Reported Worst‐Case Scenarios in Advanced Cancer: Presence, Contents, and Predictors. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Arch%2C+Joanna+J%2E%22">Arch, Joanna J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kirk%2C+Mackenzie+H%2E%22">Kirk, Mackenzie H.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Finkelstein%2C+Lauren+B%2E%22">Finkelstein, Lauren B.</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Psycho-Oncology%22">Psycho-Oncology</searchLink>. Dec2024, Vol. 33 Issue 12, p1-12. 12p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Symptom+burden%22">Symptom burden</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+survivors%22">Cancer survivors</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+patients%22">Cancer patients</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+invasiveness%22">Cancer invasiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Adults%22">Adults</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background: Advancements in precision oncology have led to a growing community of adults with advanced cancer who live longer but face prognostic uncertainty, with corresponding fears of the future. Their worst future fears related to cancer remain understudied, hindering support efforts. Aims: This study aimed to characterize the presence, content, and predictors of imagined future worst‐case scenarios related to cancer (WCS) among distressed adults with advanced cancer. Methods: Two hundred fifteen distressed adults with advanced solid tumor cancer (mixed type) responded to survey questions regarding the presence (Yes/No) of a WCS related to cancer and if yes, to briefly describe it. Mixed methods were used to assess WCS prevalence, thematic content, and sociodemographic, psychological, and medical predictors. Results: Two thirds (66.5%) of advanced cancer survivors endorsed having a WCS. Content reflected four major themes of Death (52.2%), Suffering and Deterioration (47.1%), Cancer Progression and Future Uncertainty (28.7%), and Concern about Family (18.4%). WCS often contained more than one major theme, further distinguished by additional themes and sub‐themes that revealed distinct fears. Higher anxiety and lower life meaning/peace predicted the presence of a WCS whereas sociodemographic characteristics, depression, time since diagnosis, and physical symptom burden did not. Younger age and living with children predicted a WCS focused on loved ones. Conclusions: WCS are prevalent and diverse in content among distressed adults with advanced cancer. Assessing WCS offers a quick and straightforward way to solicit advanced cancer survivors' most intense fears about the future with cancer, thereby facilitating patient‐provider communication and support efforts. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=181889525 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1002/pon.70039 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 12 StartPage: 1 Subjects: – SubjectFull: Symptom burden Type: general – SubjectFull: Cancer survivors Type: general – SubjectFull: Cancer patients Type: general – SubjectFull: Cancer invasiveness Type: general – SubjectFull: Adults Type: general Titles: – TitleFull: Patient‐Reported Worst‐Case Scenarios in Advanced Cancer: Presence, Contents, and Predictors. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Arch, Joanna J. – PersonEntity: Name: NameFull: Kirk, Mackenzie H. – PersonEntity: Name: NameFull: Finkelstein, Lauren B. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 12 Text: Dec2024 Type: published Y: 2024 Identifiers: – Type: issn-print Value: 10579249 Numbering: – Type: volume Value: 33 – Type: issue Value: 12 Titles: – TitleFull: Psycho-Oncology Type: main |
| ResultId | 1 |
