3,345 results match your criteria Psycho-oncology[Journal]
Psychooncology 2018 Dec 4. Epub 2018 Dec 4.
Department of Psycho-Oncology, University Cancer Center (UCT), Johann Wolfgang Goethe University, Frankfurt/Main, Germany.
Objective: Clinical experience reveals a gap between recommended psychosocial care and actual support for psycho-oncology. Physicians' are essential for managing psychosocial distress and for the successful implementation of psycho-oncology. The aim was to explore physician's attitudes towards psycho-oncology, their self-perceived barriers towards referral to psycho-oncology, and their personal psychosocial competencies in a maximum-care hospital. Read More
Psychooncology 2018 Dec 4. Epub 2018 Dec 4.
Department of Public Health, Section for Epidemiology, Aarhus University, Aarhus C, Denmark.
Objective: Maternal cancer may be associated with offspring mental and behavioural disorders through various biological pathways. When postnatally diagnosed, it may cause stress and changes in care, potentially influencing mental health. Prenatally diagnosed cancer could lead to maternal stress and treatment, or influence fetal neural development. Read More
Psychooncology 2018 Dec 4. Epub 2018 Dec 4.
Hartford HealthCare Cancer Institute, Hartford Hospital, Hartford, CT, USA.
Objective: Adjuvant Endocrine Therapy (AET) significantly reduces risk of breast cancer recurrence in those patients whose tumor tests hormone (estrogen and/or progesterone) receptor positive. Many who are prescribed AET do not adhere adequately. Studies have sought to examine the effects of interventions to enhance patients' AET adherence, with strikingly mixed results. Read More
Psychooncology 2018 Dec 4. Epub 2018 Dec 4.
Marie Curie Palliative Care Research Department, Division of Psychiatry, University College London, London.
Objective: To understand the feasibility of recruiting people with advanced cancer into a randomised controlled trial of Acceptance and Commitment therapy (ACT) vs a standardised Talking Control (TC) and delivering ACT to this population; to explore the acceptability of outcome measures and generate normative data.
Methods: This was a feasibility two-arm randomised controlled trial. Participants were attendees with advanced cancer at one of three hospice-based day- therapy units in London, UK, who demonstrated low scores on the Functional Assessment of Cancer Therapies - General (FACT-G). Read More
Psychooncology 2018 Dec 4. Epub 2018 Dec 4.
Division of Clinical Psychology, Psychotherapy, and Health Psychology, Department of Psychology, University of Salzburg, Austria.
Objective: Medical cancer treatment is often accompanied by appearance-related side effects such as hair loss, skin irritation, and paleness, which can subsequently lead to psychosocial distress. Initial evidence suggests that beauty care interventions may reduce distress and improve quality of life (QoL), body image, and self-esteem immediately.
Methods: We investigated the effects of a brief beauty care intervention on self-reported symptoms of depression, quality of life, body image, and self-esteem in 39 female primary breast cancer patients with appearance-related treatment side effects. Read More
Psychooncology 2018 Dec 3. Epub 2018 Dec 3.
Department of Cancer Experiences Research, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Psychooncology 2018 Nov 30. Epub 2018 Nov 30.
Department of Psychology, University of Miami, Coral Gables, FL, USA.
Background: Social comparisons are common among cancer patients, but their prospective associations are not well understood. This study examined concurrent and prospective relationships of SCs with health-related quality of life (HRQOL) and depressive symptoms during the first year of breast cancer treatment.
Methods: Non-metastatic breast cancer patients (N=240) enrolled in a larger intervention trial reported on the frequencies of SCs post-surgery (T1) and 6 months later (T2). Read More
Psychooncology 2018 Nov 30. Epub 2018 Nov 30.
Department of Surgery, Duke University Medical Center, Durham, NC, USA.
Objective: Women with unilateral, early-stage breast cancer and low genetic risk are increasingly opting for contralateral prophylactic mastectomy (CPM), a concerning trend because CPM offers few clinical benefits while increasing risks of surgical complications. Few qualitative studies have analyzed factors motivating this irreversible decision. Using qualitative methods this study sought to understand women's decision-making and the impact of CPM on self-confidence, sense of femininity, sexual intimacy and peace of mind. Read More
Psychooncology 2018 Nov 29. Epub 2018 Nov 29.
Professor and In-charge, Division of Pediatric Hematology-Oncology, Department of Pediatrics, King George's Medical University, Chowk, Lucknow, India.
Objectives: Efforts are being made worldwide to prevent abandonment in children with leukaemia. The study aimed to determine changes in treatment refusal, treatment abandonment rates and its reasons in response to financial support and focussed group counselling.
Methods: A retrospective cohort study conducted at paediatric haematology-oncology unit, King George's Medical University, Lucknow among children <18 years admitted with acute lymphoblastic leukaemia from 1995 to 2017. Read More
Psychooncology 2018 Nov 28. Epub 2018 Nov 28.
Department of Psychology, University of Miami.
Background: Cancer affects both men and women, yet systematic understanding of the role of gender in caregiving and dyadic caregiver-patient interactions is lacking. Thus, it may be useful to review how gender theories apply to cancer caregiving, and to evaluate the adequacy of current cancer caregiving studies to the gender theories.
Methods: Several databases, including MEDLINE (Ovid), PsychINFO, PubMed, and CINAHL, were used for searching articles published in English between 2000 and 2016. Read More
Psychooncology 2018 Nov 29. Epub 2018 Nov 29.
School of Education, University of Technology Sydney, Ultimo, Australia.
Psychooncology 2018 Nov 28. Epub 2018 Nov 28.
Szalmuk Family Psycho-Oncology Research Unit, Cabrini Health, Melbourne, Australia.
Objective: An ovarian cancer diagnosis presents physical and psychological challenges. Usually identified at an advanced stage, the disease involves invasive treatment and has a high mortality rate. The diagnosis phase is generally a time of heightened distress. Read More
Psychooncology 2018 Nov 24. Epub 2018 Nov 24.
Saint Louis University, Cancer Center, Department of Surgery, Breast Surgical Oncology, St. Louis, MO.
Objective: More than 3.5 million female breast cancer (BrCa) survivors live in the United States, and the number continues to grow. Health status and quality of life amongst survivors is variable, and African American (AA) survivors suffer disproportionately from BrCa morbidity and mortality. Read More
Psychooncology 2018 Nov 24. Epub 2018 Nov 24.
Department of Communication Studies, California State University, Los Angeles.
Objective: The aim of this study is to illustrate an evidence-based and theoretically informed mhealth resource (smartphone app) designed to provide communication support for informal cancer caregivers (friends or family members).
Methods: An eight-step process was conducted: (a) review of existing print resources; (b) selection of theoretical framework for content development; (c) integration of stakeholder feedback and literacy assessment into an alpha print model; (d) review of existing mhealth resources; (e) development of prototype; (f) assessment of caregiver acceptability (n=5); (g) assessment of quality and perceived impact by cancer providers (n=26); and (h) acceptability testing with caregivers (n=6).
Results: Key stakeholders were integrated throughout development and user testing of this iOS smartphone app. Read More
Psychooncology 2018 Nov 22. Epub 2018 Nov 22.
Medical Oncology Department, University Hospital Basel, Switzerland.
Objective: Highly distressed cancer patients often do not use psycho-oncological services (POS). Research on predictors of POS uptake has mainly focused on patient-related variables and less on communication variables, so we examined the link between patient-oncologist communication (i.e. Read More
Psychooncology 2018 Nov 20. Epub 2018 Nov 20.
School of Women and Children's Health, Faculty of Medicine, UNSW Sydney, Sydney, Australia.
Objective: Cancer patients experience reproductive concerns from diagnosis through to survivorship. However, research has yet to investigate the degree of fertility-related psychological distress at different treatment time points: diagnosis, treatment, and survivorship. Currently, cancer patients are offered fertility counselling at the time of diagnosis, to assist fertility preservation decision making. Read More
Psychooncology 2018 Nov 17. Epub 2018 Nov 17.
Department of Nursing Science, University of Vienna, AT, Vienna, Austria.
Objective: The purpose of this meta-synthesis was to explore the experience of living with symptoms caused by colorectal cancer (CRC) and its treatment from the perspectives of those affected.
Methods: In a systematic search of qualitative studies published up to September 2017, seventeen relevant papers were identified. The meta-ethnography followed the approach developed by Noblit and Hare. Read More
Psychooncology 2018 Nov 16. Epub 2018 Nov 16.
School of Nursing & Midwifery, Centre for Quality and Patient Safety Research, Deakin University, Melbourne, Australia.
Background: Healthcare professionals are encouraged to promote concordance, a shared agreement about prescription and administration of medications, in their communication with patients. However, there is a paucity of research regarding the impact of communication about self-administered oral chemotherapy. The aim of this study was to examine the changing dynamics of communication through the patient journey from diagnosis of colorectal cancer to posttreatment of chemotherapy. Read More
Psychooncology 2018 Nov 16. Epub 2018 Nov 16.
Faculty of Health and Life Sciences, Oxford Brookes University, Oxford, UK.
Objective: The number of younger men being diagnosed with prostate cancer (PCa; aged ≤65) is increasing. It is recognised that PCa and treatment side effects can have a significant impact on quality of life. This study explores the challenges faced by younger couples affected by PCa with dependent children (under 18 years) or young adults (18-29 years) in their families. Read More
Psychooncology 2018 Nov 16. Epub 2018 Nov 16.
The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
Background: Previous research has documented the negative impact of cancer treatment on body image and health-related quality of life among survivors, and the positive relationship between those factors. However, existing evidence is mainly based on Western studies of female survivors, and there is thus a huge knowledge gap in research on non-Western cancer survivors.
Objectives: The aim of the study was to assess body image and health-related quality of life, and explore their relationship, among Chinese cancer survivors during transitional survivorship. Read More
Psychooncology 2018 Nov 15. Epub 2018 Nov 15.
Griffith University Menzies Health Institute Queensland, Nathan, Queensland, Australia.
Psychooncology 2018 Nov 13. Epub 2018 Nov 13.
Department of Psychological & Brain Sciences, University of Delaware, Newark, Delaware, USA.
Objective: Patient and spouse/partner mutual self-disclosure is central for maintaining intimacy and cognitive processing when transitioning to life after cancer. Protective buffering inhibits self-disclosure and is defined as efforts to protect one's partner from upset and burden by hiding or denying cancer-related concerns. Intimacy and fear of cancer recurrence (FCR) are important determinants of individual and couple adaptation following cancer. Read More
Psychooncology 2018 Nov 13. Epub 2018 Nov 13.
Department of Health Sciences and Health Policy, University of Lucerne, Lucerne, Switzerland.
Objective: The intensive and long-lasting experience of childhood cancer is a tremendous stressor for the parental relationship. We aimed to (1) compare civil status and partner relationship of parents of long-term childhood cancer survivors with population-based comparisons, (2) identify cancer-related characteristics associated with not being married, and (3) evaluate the quality of the partner relationship.
Methods: We sent questionnaires to parents of survivors aged ≤16 years at diagnosis and ≥20 years at study. Read More
Psychooncology 2018 Nov 9. Epub 2018 Nov 9.
School of Women's and Children's Health, UNSW Sydney, Sydney, Australia.
Objective: Online psychological therapies provide a way to connect adolescent and young adult (AYA) cancer survivors to evidence-based support. We aimed to establish the feasibility, acceptability, and safety of Recapture life, a six-session group-based online cognitive-behavioural intervention, led by a facilitator, for AYAs in the early post-treatment period.
Methods: A randomised-controlled trial compared Recapture Life to an online peer-support group control and a waitlist control. Read More
Psychooncology 2018 Nov 8. Epub 2018 Nov 8.
Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Objective: To evaluate the effects of an individual stepped-care stress-management intervention for cancer patients on cancer-related stress reactions (intrusion/avoidance), and secondarily on psychological distress (anxiety/depression) and emotional reactivity (impatience/hostility).
Methods: Consecutively 291 cancer patients were included in a randomized controlled intervention study. Patients randomized to the intervention who did not report clinically significant stress levels (n = 72) after the first counseling session participated in only one counseling session and a follow-up (Step 1). Read More
Psychooncology 2018 Nov 8. Epub 2018 Nov 8.
Department of Nursing, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Objective: The purpose of this study of survivors of head and neck cancer was to evaluate the effects of a behavior change program and health education on depression, fear of social interactions, avoidance of social interactions, physical function, and social-emotional function.
Methods: This was a randomized controlled trial of 100 subjects, in which changes in the scores of several psychometric scales were recorded for an experimental group (behavior change program and health education) and a control group (routine care only). Assessments were performed at baseline (T0), and at 1 month (T1), 2 months (T2), and 3 months (T3) after completing the intervention. Read More
Psychooncology 2018 Nov 6. Epub 2018 Nov 6.
Center for Biobehavioral Health, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio.
Objective: The majority of childhood cancer survivors develop at least one late effect subsequent to treatment (eg, cardiovascular disease and obesity). Consistent engagement in recommended health behaviors may mitigate some of these conditions. Researchers have identified early survivorship as a teachable moment, yet few studies have examined positive health behaviors during this period. Read More
Psychooncology 2018 Nov 5. Epub 2018 Nov 5.
University of Florida, Gainesville, FL, USA.
Objectives: Associations between the varying levels of emotional intelligence in newly hired oncology nurses and their responses to stress and coping were examined. The secondary aim was to analyze whether emotional intelligence could moderate their choice of problem-focused or emotion-focused coping strategies.
Methods: Newly hired nurses (n = 114) were recruited from a national cancer institute. Read More
Psychooncology 2018 Oct 31. Epub 2018 Oct 31.
Exercise Medicine Research Institute, Edith Cowan University, Joondalup, Australia.
Objective: To examine the association between scores on the Protective Factors for Resilience Scale (PFRS) (as a measure of a person's psycho-social resources for resilience) and quality of life as well as symptoms of psychological distress for adult cancer survivors.
Methods: In this cross-sectional study, 295 cancer survivors (59% female) provided background demographic information and completed the PFRS as well as measures of quality of life and psychological distress previously validated with cancer survivors. Most of the survivors were diagnosed with breast or prostate cancer. Read More
Psychooncology 2018 Oct 30. Epub 2018 Oct 30.
Department of Medical Psychology, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Psychooncology 2018 Oct 23. Epub 2018 Oct 23.
Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Objective: To describe associations of functional, psychosocial, medical, and socio-demographic factors with performance on a cognitive screening test in chemotherapy naïve patients with breast cancer.
Methods: Women with breast cancer were recruited between 2009 and 2018. The Blessed Orientation Memory Concentration Test (BOMC) was administered prior to chemotherapy. Read More
Psychooncology 2018 Oct 23. Epub 2018 Oct 23.
Department of Health Behavior and Policy, Virginia Commonwealth University, Richmond, Virginia, USA.
Objective: Adherence to adjuvant endocrine therapy (AET) in breast cancer survivors is suboptimal. Using the theory of planned behavior (TPB), this study aimed to identify the strongest predictors from the TPB of AET intentions and past behavior and assessed whether ambivalence and anticipatory emotions increased the predictive capacity of TPB.
Methods: Two hundred eighty women diagnosed with hormone positive (HR+) breast cancer who filled at least one prescription of AET responded to a survey measuring TPB constructs, attitudinal ambivalence, and anticipatory emotions. Read More
Psychooncology 2018 Oct 23. Epub 2018 Oct 23.
William James College, Newton, Massachusetts.
Objective: Given the potential benefits of self-disclosure, the goal of this study was to learn more about how young adult cancer survivors navigate the process of disclosing their cancer history to peers.
Methods: A sample of 122 young adult cancer survivors completed a brief, online survey. Data were collected to assess how and why survivors self-disclose to peers and how peers react. Read More
Psychooncology 2018 Oct 23. Epub 2018 Oct 23.
Department of Psychiatry, Seoul National University Bundang Hospital, Seongnam, South Korea.
Objectives: Delirium is highly prevalent in patients with advanced cancer. This study aimed to investigate delirium rates and potential associated factors such as mortality in patients admitted to an acute palliative care unit (APCU). Our second aim was to validate the Korean version of the Memorial Delirium Assessment Scale (K-MDAS). Read More
Psychooncology 2018 Oct 23. Epub 2018 Oct 23.
School of Nursing, The University of Hong Kong, Hong Kong.
Background: Evidence has shown that survivors of pediatric brain tumors have more negative psychological sequela, particularly depression, than do survivors of other childhood cancers. This study examined the efficacy of a musical training program in reducing depressive symptoms and enhancing self-esteem and quality of life in Hong Kong Chinese pediatric brain tumor survivors.
Methods: A prospective randomized controlled trial, two-group pretest and repeated posttest, between-subjects design was conducted to 60 pediatric brain tumor survivors (8-5 years old). Read More
Psychooncology 2018 Oct 23. Epub 2018 Oct 23.
Research Unit for General Practice, Aarhus University, Aarhus, Denmark.
Objective: Specialized palliative care (SPC) interventions increasingly include patient-caregiver dyads, but their effects on dyadic coping are unknown. We investigated whether an SPC and dyadic psychological intervention increased aspects of dyadic coping in patients with advanced cancer and their caregivers, whether dyad characteristics moderated effects and whether aspects of dyadic coping mediated significant intervention effects on caregivers' anxiety and depression.
Methods: We randomized 258 patients with incurable cancer and their caregivers to care as usual or accelerated transition from oncological treatment to home-based SPC and dyadic psychological support. Read More
Psychooncology 2018 Oct;27 Suppl 3:3-231
Psychooncology 2018 Oct 22. Epub 2018 Oct 22.
Medical Decision Making, Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, The Netherlands.
Objective: To construct a model of shared decision making (SDM) about cancer treatment by conducting an extensive consultation of stakeholders, informed by the literature.
Methods: We interviewed 76 stakeholders: cancer patients, potential future patients, oncologists, nurses, and SDM-researchers. We asked, "If I say 'Doctors and patients making decisions together about cancer treatment,' what does this make you think about?" Ideas were further solicited by presenting 19 cards each describing a possible SDM element. Read More
Psychooncology 2018 Oct 22. Epub 2018 Oct 22.
Department of Surgery, Subang Jaya Medical Centre, Subang Jaya, Malaysia.
Objectives: Patient-reported outcomes (PROs) in high-income countries (HICs) suggest that physical, emotional, and psychological needs are important in cancer care. To date, there have been few inconsistent descriptions of PROs in low-income and middle-income Asian countries. Using a standard questionnaire developed by the International Consortium for Health Outcomes Measurement (ICHOM), we compared the perceived importance of PROs between patients in Malaysia and those in HICs and between clusters of Malaysian women. Read More
Psychooncology 2018 Oct 22. Epub 2018 Oct 22.
Department of Social Work, Umeå University, Umeå, Sweden.
Objective: Although oncology social workers (OSWs) have emerged as a core profession in the provision of psychosocial services, there is a lack of empirical studies that describe their daily clinical work with next of kin (NOK). The overall aim of this study was to explore NOK's motives for consulting an OSW. This can provide us with insights into what types of skills OSWs need to have in order to fulfil their duties. Read More
Psychooncology 2018 Oct 22. Epub 2018 Oct 22.
Dana-Farber Cancer Institute and Harvard Medical School, Boston, Massachusetts, USA.
Psychooncology 2018 Oct 18. Epub 2018 Oct 18.
Department of Internal Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Objective: This study evaluated a three-session acceptance-based cognitive behavioral -acceptance and commitment therapy (CBT-ACT) intervention targeting a common symptom cluster in advanced cancer-worry-insomnia-depression-fatigue.
Methods: Twenty-eight patients with advanced cancer were randomly assigned to the CBT-ACT intervention or waitlist. At preintervention, participants completed a psychodiagnostic interview, standardized questionnaires, and a sleep diary. Read More
Psychooncology 2018 Oct 13. Epub 2018 Oct 13.
Section of Neuropsychology, Department of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Objective: Impaired neurocognitive function (NCF) is a well-established consequence of pediatric medulloblastoma (MB) and its treatments. However, the frequency and features of neurocognitive dysfunction in adult-onset MB patients are largely unknown.
Methods: Adult patients (≥ 18 years) with MB who had received formal neurocognitive evaluation (N = 27) were identified. Read More
Psychooncology 2018 Oct 13. Epub 2018 Oct 13.
Department of Nursing, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Objective: The aim of this study was to investigate the needs and associating factors, psychological distress of parents, when taking care of children with cancer in Indonesia.
Methods: A cross-sectional study was conducted among 100 parents of children with cancer from the pediatric ward of two hospitals in Indonesia. The parents were assessed using the Indonesian version of the Supportive Care Needs Survey for Partner and Caregiver (unmet needs) and the Hospital Anxiety Depression Scale (psychological distress). Read More
Psychooncology 2018 Oct 12. Epub 2018 Oct 12.
Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Background: Health care providers' (HCPs) communication with cancer patients provides both information and support. Younger patient age and greater difficulty accepting support (attachment security) have been linked to poorer communication experiences with HCPs. The present secondary data analysis examined the impact of age group and attachment security on perceived communication problems with HCPs in adults with acute leukemia (AL). Read More
Psychooncology 2018 Oct 12. Epub 2018 Oct 12.
Department of Otolaryngology - Head and Neck Surgery, McGill University, Montreal, Canada.
Objective: The aim of this study was to develop and validate a patient-reported outcome measure to evaluate body image concerns in head and neck cancer (HNC) patients.
Methods: Items were created using a combination of deductive (eg, US Food and Drug Administration Qualification of Clinical Outcome Assessments, literature review) and inductive approaches (eg, subject matter experts, HNC patients). Items were translated for use in both Canadian English and Canadian French using back-translation. Read More
Psychooncology 2018 Oct 12. Epub 2018 Oct 12.
Hematology Oncology, University of Michigan, Ann Arbor, MI, United States.
Objective: This manuscript assesses association between depressive symptoms and symptoms from cancer and its treatment during the first 12 weeks of a new oral oncolytic treatment.
Methods: This secondary analysis used data from a recently completed trial of an intervention to improve adherence to oral oncolytic treatment and manage symptoms. Following the initiation of the new oral oncolytic medication, 272 patients were interviewed at intake and weeks 4, 8, and 12 to assess depressive symptoms, and symptoms from cancer and its treatment. Read More
Psychooncology 2018 Oct 11. Epub 2018 Oct 11.
McGill University, Montreal, Canada.
Purpose: The purpose of this study was to determine, within the first-year post-head and neck cancer (HNC) diagnosis, the contribution of past and upon HNC psychiatric diagnoses (ie, substance use disorder, major depressive disorder, and anxiety disorder) to the extent (ie, cumulated dose) of opioid prescription.
Methods: Prospective longitudinal study of 223 consecutive adults (on 313 approached; 72% participation) newly diagnosed (<2 weeks) with a first occurrence of primary HNC, including Structured Clinical Interviews for DSM-IV disorders, validated psychometric measures, and medical chart reviews. Opioid doses were translated into standardized morphine milligram equivalents (MME) using CDC guidelines. Read More
Psychooncology 2018 Nov 11;27(11):2525-2530. Epub 2018 Oct 11.
University of Notre Dame, Sydney, Australia.
A severe life threatening illness can challenge fundamental expectations about security, interrelatedness with others, justness, controllability, certainty, and hope for a long and fruitful life. That distress and suffering but also growth and mastery may arise from confrontation with an existentially threatening stressor is a long-standing idea. But only recently have researchers studied existential distress more rigorously and begun to identify its distinct impact on health care outcomes. Read More
Psychooncology 2018 Oct 10. Epub 2018 Oct 10.
Veneto Institute of Oncology IOV-IRCCS, Padua, Italy.
Objective: Social relationship coping efficacy (SRCE) is the confidence to engage in behaviors that can maintain or enhance close social relationships in the context of illness. This study focused on psychometric analyses of the SRCE scale and its role in maintaining or enhancing personal relationships, social support, and quality of life (QOL).
Method: A mixed diagnosis sample (N = 151) of cancer patients completed a variety of measures: physical debilitation, received emotional and instrumental support, SRCE, and QOL. Read More