Predictors of Suffering in Advanced Cancer
ABSTRACT: 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 examini...
- Autores:
-
Krikorian, Alicia
Limonero T, Joaquín
Román Calderón, Juan Pablo
Vargas, John Jairo
Palacio, Carolina
- Tipo de recurso:
- Article of investigation
- Fecha de publicación:
- 2014
- Institución:
- Universidad de Antioquia
- Repositorio:
- Repositorio UdeA
- Idioma:
- spa
- OAI Identifier:
- oai:bibliotecadigital.udea.edu.co:10495/5688
- Acceso en línea:
- http://hdl.handle.net/10495/5688
- Palabra clave:
- Sufrimiento
Cáncer
Muerte
Angustia
- Rights
- openAccess
- License
- Atribución-NoComercial-SinDerivadas 2.5 Colombia
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Predictors of Suffering in Advanced Cancer |
| title |
Predictors of Suffering in Advanced Cancer |
| spellingShingle |
Predictors of Suffering in Advanced Cancer Sufrimiento Cáncer Muerte Angustia |
| title_short |
Predictors of Suffering in Advanced Cancer |
| title_full |
Predictors of Suffering in Advanced Cancer |
| title_fullStr |
Predictors of Suffering in Advanced Cancer |
| title_full_unstemmed |
Predictors of Suffering in Advanced Cancer |
| title_sort |
Predictors of Suffering in Advanced Cancer |
| dc.creator.fl_str_mv |
Krikorian, Alicia Limonero T, Joaquín Román Calderón, Juan Pablo Vargas, John Jairo Palacio, Carolina |
| dc.contributor.author.none.fl_str_mv |
Krikorian, Alicia Limonero T, Joaquín Román Calderón, Juan Pablo Vargas, John Jairo Palacio, Carolina |
| dc.subject.none.fl_str_mv |
Sufrimiento Cáncer Muerte Angustia |
| topic |
Sufrimiento Cáncer Muerte Angustia |
| description |
ABSTRACT: 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. |
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2014 |
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2014 |
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2016-12-22T17:48:43Z |
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2016-12-22T17:48:43Z |
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info:eu-repo/semantics/article |
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Krikorian, A., Limonero T, J., Román, J. P., Vargas, J. J., & Palacio, C. (2014). Predictors of Suffering in Advanced Cancer. The American Journal Of Hospice & Palliative Care, 31(5), 534–542. DOI: 10.1177/1049909113494092 |
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1049-9091 |
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http://hdl.handle.net/10495/5688 |
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10.1177/1049909113494092 |
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1938-2715 |
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Krikorian, A., Limonero T, J., Román, J. P., Vargas, J. J., & Palacio, C. (2014). Predictors of Suffering in Advanced Cancer. The American Journal Of Hospice & Palliative Care, 31(5), 534–542. DOI: 10.1177/1049909113494092 1049-9091 10.1177/1049909113494092 1938-2715 |
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http://hdl.handle.net/10495/5688 |
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spa |
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spa |
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Atribución-NoComercial-SinDerivadas 2.5 Colombia |
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info:eu-repo/semantics/openAccess |
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application/pdf |
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SAGE Publications |
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El Método Analítico y sus Aplicaciones en las Ciencias Sociales y Humanas |
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Estados Unidos |
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Universidad de Antioquia |
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Krikorian, AliciaLimonero T, JoaquínRomán Calderón, Juan PabloVargas, John JairoPalacio, Carolina2016-12-22T17:48:43Z2016-12-22T17:48:43Z2014Krikorian, A., Limonero T, J., Román, J. P., Vargas, J. J., & Palacio, C. (2014). Predictors of Suffering in Advanced Cancer. The American Journal Of Hospice & Palliative Care, 31(5), 534–542. DOI: 10.1177/10499091134940921049-9091http://hdl.handle.net/10495/568810.1177/10499091134940921938-2715ABSTRACT: 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.application/pdfspaSAGE PublicationsEl Método Analítico y sus Aplicaciones en las Ciencias Sociales y HumanasEstados Unidosinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_2df8fbb1https://purl.org/redcol/resource_type/ARTArtículo de investigaciónhttp://purl.org/coar/version/c_970fb48d4fbd8a85Atribución-NoComercial-SinDerivadas 2.5 Colombiainfo:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by-nc-nd/2.5/co/http://purl.org/coar/access_right/c_abf2https://creativecommons.org/licenses/by-nc-nd/4.0/SufrimientoCáncerMuerteAngustiaPredictors of Suffering in Advanced CancerThe American Journal Of Hospice & Palliative Care534542315CC-LICENSElicense_urllicense_urltext/plain; charset=utf-849http://bibliotecadigital.udea.edu.co/bitstream/10495/5688/2/license_url4afdbb8c545fd630ea7db775da747b2fMD52license_textlicense_texttext/html; charset=utf-80http://bibliotecadigital.udea.edu.co/bitstream/10495/5688/3/license_textd41d8cd98f00b204e9800998ecf8427eMD53license_rdflicense_rdfapplication/rdf+xml; charset=utf-80http://bibliotecadigital.udea.edu.co/bitstream/10495/5688/4/license_rdfd41d8cd98f00b204e9800998ecf8427eMD54LICENSElicense.txtlicense.txttext/plain; charset=utf-81748http://bibliotecadigital.udea.edu.co/bitstream/10495/5688/5/license.txt8a4605be74aa9ea9d79846c1fba20a33MD55ORIGINALKrikorianAlicia_2014_PredictorSufferingAdvanced.pdfKrikorianAlicia_2014_PredictorSufferingAdvanced.pdfArtículo de Revistaapplication/pdf308843http://bibliotecadigital.udea.edu.co/bitstream/10495/5688/1/KrikorianAlicia_2014_PredictorSufferingAdvanced.pdf08beb1cf8b2425a9557d196a3d59db15MD5110495/5688oai:bibliotecadigital.udea.edu.co:10495/56882021-05-21 14:34:55.443Repositorio Institucional Universidad de Antioquiaandres.perez@udea.edu.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 |