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Psychological Aspects of Care in Cancer Patients in the Last Weeks/Days of Life
Sujin Ann-Yi, Eduardo Bruera
Cancer Res Treat. 2022;54(3):651-660.   Published online June 28, 2022
DOI: https://doi.org/10.4143/crt.2022.116
AbstractAbstract PDFPubReaderePub
Palliative care is comprised of an interdisciplinary team (IDT) approach with members from different disciplines who collaboratively work together to reduce multidimensional components of pain and suffering and improve quality of life for patients coping with a terminal illness. Psychosocial team members are integral to the palliative care IDT and provide expertise in assessment and empirically validated interventions to address psychological distress. The following paper will provide a review of different facets of psychological distress experienced by advanced cancer patients such as psychological disorders, existential distress, spiritual distress, caregiver distress, parental distress, and grief. Finally, an overview of commonly used screening and assessment tools as well as psychological interventions relevant for the palliative care population is presented.

Citations

Citations to this article as recorded by  
  • Psilocybin-assisted therapy for individuals with palliative care needs: A systematic review of safety and efficacy
    Ana Rita Sousa Matos, Ana Catarina Silva, Licínio Rego, Rui Fernandes, Sara Gonçalves
    Palliative Medicine.2026; 40(1): 7.     CrossRef
  • Implementation of psycho-existential symptom distress screening among Italian healthcare providers
    Andrea Bovero, Giorgia Feni, Laura Valenti, Alessandro Valle, Massimo Di Maio, Ernesta Audisio, Silvia Varani, Irene Di Girolamo, David Kissane, Luca Ostacoli, Francesca Cotardo
    Palliative and Supportive Care.2026;[Epub]     CrossRef
  • Fonctions et missions du psychologue dans la clinique palliative lors de la décision partagée
    Catherine Fache, Axelle Maneval
    Médecine Palliative.2026;[Epub]     CrossRef
  • Orthopaedic-related complications, financial toxicity, and psychosocial burden in hospitalized cancer patients: A three-year retrospective analysis
    Feng Guo
    Psycho-Oncologie.2026; 20(1): 5630.     CrossRef
  • The Relationship Between Death Anxiety, Hope, and Psychological Well-Being in Individuals Diagnosed With Cancer
    Elif Mirac Korkmaz, Neslihan Lok
    OMEGA - Journal of Death and Dying.2026;[Epub]     CrossRef
  • Use and evaluation of psychological interventions in specialist palliative care settings: results of a national online survey with psychologists and psycho-oncologists
    Ricarda Scheiner, Isabel Sophie Burner-Fritsch, Martin Fegg, Berend Feddersen, Claudia Bausewein
    BMC Palliative Care.2026;[Epub]     CrossRef
  • Integrating Islamic Bioethics Into Palliative Care: A Narrative Review and Framework for Practice in the Middle East
    Rawan A. Nassif
    American Journal of Hospice and Palliative Medicine®.2026;[Epub]     CrossRef
  • The Experience of Reflexive Hospice Care for Patients With Advanced Cancer: A Qualitative Study
    Xi Zhang, Tieying Zeng, Ye Chen
    Journal of Clinical Nursing.2025; 34(1): 247.     CrossRef
  • Enfoque global en la atención al final de vida. Aspectos médico-legales, éticos, sociales, psicológicos y de cuidados
    Josep Arimany-Manso, Francesc Torralba, Ana Isabel Lima, María Die Trill
    Medicina Clínica.2025; 164(3): e8.     CrossRef
  • A comprehensive approach to end-of-life care. Medical-legal, ethical, social, psychological and care aspects
    Josep Arimany-Manso, Francesc Torralba, Ana Isabel Lima, María Die Trill
    Medicina Clínica (English Edition).2025; 164(3): e8.     CrossRef
  • Transforming End-of-Life Care: Impact of the “Melhor em Casa” Home-Based Palliative Care Program in Brazil
    Mônica Isaura Corrêa, Eduardo Bruera, Júnia de Oliveira Alves, Sonia Souza, Marília Ávila de Freitas Aguiar, Ana Paula Drummond-Lage
    Journal of Palliative Medicine.2025; 28(7): 917.     CrossRef
  • Social Issues and Emotional Distress amongst Patients with Cancer Receiving Palliative Care in a Tertiary Cancer Centre
    T. Rohini, Simi Mohan, Josna Jesmon, P. Sreetha, M.S. Biji
    Indian Journal of Palliative Care.2025; 31: 235.     CrossRef
  • Expanding Psycho‐Oncology Services in India: Perspectives From Physicians in Cancer Care Centres
    Bincy Mathew, Wendy W. T. Lam, Saipriya Tiwari, Melissa Henry
    Psycho-Oncology.2025;[Epub]     CrossRef
  • Family Caregivers’ Perspectives on the Potential of Drone-Based Medication Delivery in Palliative Home Care: Qualitative Focus Group Study
    Franziska Fink, Sabrina Claudia Otto, Martin Grünthal, Anne Lehmann, Patrick Jahn
    JMIR Human Factors.2025; 12: e80320.     CrossRef
  • Providing psychological support to people impacted by terminal illness: A mixed methods study of hospice staff perceived competence, confidence and training needs
    Fatema Zavery, Sulafa Fakhreddin, Sarah Huibregtse Van Loon, Mhairi McDougall, Anne Finucane, Antony Bayer,
    PLOS One.2025; 20(9): e0331680.     CrossRef
  • A qualitative exploratory description of the psychosocial challenges of cancer patients receiving palliative care at a major teaching hospital in Ghana
    Yvonne Owusu, Merri Iddrisu, Tabitha Gyanewaa Quaidoo, Frema Osei-Tutu, Hadiru Iddris Mumuni, Ayisha Adwoa Boateng
    Discover Psychology.2025;[Epub]     CrossRef
  • Intervention effect of virtual reality (VR) marathon simulation training on psychological disinhibition in bedridden cancer patients
    Xinkai Zhang, Ziyu Wang, Zifu Xu, Li Wang, Qi Liu, Gang Qin
    Psycho-Oncologie.2025; 19(4): 4691.     CrossRef
  • The CAnadian Network for Psychedelic-Assisted Cancer Therapy (CAN-PACT): A Multi-Phase Program Overview
    Linda E. Carlson, Harriet Richardson, Ron Shore, Christopher P. Albertyn, Lynda G. Balneaves, Alan Bates, Margot Burnell, Harvey Max Chochinov, David Clements, Julie Deleemans, Hilary Horlock, Jean Mathews, Michael McKenzie, Chantal Savard, Claudio N. Soa
    Current Oncology.2025; 33(1): 7.     CrossRef
  • Psychosocial Distress Screening Among Interprofessional Palliative Care Teams: A Narrative Review
    Chelsea K. Brown, Cara L. Wallace
    Journal of Social Work in End-of-Life & Palliative Care.2024; 20(2): 161.     CrossRef
  • Diagnostic and therapeutic strategies in pancreatic adenosquamous carcinoma: Molecular and clinical insights in managing metastatic disease
    Nathaniel Grabill, Mena Louis, Mariah Cawthon, Claudia Gherasim, James Chambers
    Radiology Case Reports.2024; 19(12): 6016.     CrossRef
  • Perceived Shame and Stigma, and Other Psychosocial Predictors of Psychological Distress Among Cancer Patients in Malaysia
    Hui Ting Eyu, Nik Ruzyanei Nik Jaafar, Mohammad Farris Iman Leong Abdullah, Hajar Mohd Salleh Salimi, Mohd Razif Mohamad Yunus, Fuad Ismail, Nur Fa'izah Ab Muin, Noor Syazwani Abdul Aziz
    Psycho-Oncology.2024;[Epub]     CrossRef
  • Acceptance and Commitment Therapy (ACT) for people with advanced progressive illness, their caregivers and staff involved in their care: A scoping review
    Tilly Gibson Watt, David Gillanders, Juliet A Spiller, Anne M Finucane
    Palliative Medicine.2023; 37(8): 1100.     CrossRef
  • Palliative care competence among medical students
    Úrsula Bueno do Prado Guirro, Carla Corradi Perini, Luís Otávio Zatorre Fileno, Gustavo Belam Fioravanti, José Eduardo de Siqueira
    Revista Bioética.2023;[Epub]     CrossRef
  • Competencias en cuidados paliativos entre los estudiantes de medicina
    Úrsula Bueno do Prado Guirro, Carla Corradi Perini, Luís Otávio Zatorre Fileno, Gustavo Belam Fioravanti, José Eduardo de Siqueira
    Revista Bioética.2023;[Epub]     CrossRef
  • Competências em cuidados paliativos entre estudantes do curso de medicina
    Úrsula Bueno do Prado Guirro, Carla Corradi Perini, Luís Otávio Zatorre Fileno, Gustavo Belam Fioravanti, José Eduardo de Siqueira
    Revista Bioética.2023;[Epub]     CrossRef
  • La espiritualidad desde la mirada de Terapia Ocupacional en el contexto de los Cuidados Paliativos
    Carla Mondelo
    Revista Terapéutica.2023; 17(1): 9.     CrossRef
  • 14,929 View
  • 363 Download
  • 18 Web of Science
  • 26 Crossref
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Palliative Sedation in End-of-Life Patients in Eastern Asia: A Narrative Review
Seung Hun Lee, Jung Hye Kwon, Young-Woong Won, Jung Hun Kang
Cancer Res Treat. 2022;54(3):644-650.   Published online April 19, 2022
DOI: https://doi.org/10.4143/crt.2022.187
AbstractAbstract PDFPubReaderePub
Although palliative sedation (PS) is a common practice in the palliative care of cancer patients in Western countries, there is little related research on the practice in Korea. PS can be classified into several categories according to sedation level and continuity. PS is clearly distinct from euthanasia. While euthanasia is illegal and regarded as unethical in Korea, there is little ethical and legal controversy about PS in terms of the doctrine of double effect. Most studies have asserted that PS does not shorten the survival of terminal cancer patients. Since preference for PS heavily depends on stakeholder value, it should be preceded by shared decision-making through full communication among the patient, family members, and medical team. This is a narrative review article analyzing previous studies, especially from the three Eastern Asian countries, Korea, Japan and Taiwan, which share similar cultures compared with Western countries. Practical issues concerning PS—for example, prevalence, type and dosage of medications, salvage medication, timing of its initiation, and assessment—are described in detail.

Citations

Citations to this article as recorded by  
  • Current Practice of Palliative Sedation in Dutch Nursing Homes
    Jacqueline Wallage, Miriam L. Haaksma, Teun van Gelder, Wilco P. Achterberg, Maartje S. Klapwijk
    Journal of the American Medical Directors Association.2026; 27(5): 106137.     CrossRef
  • Continuous Sedation in Palliative Care in Portugal: A Prospective Multicentric Study
    José António Ferraz-Gonçalves, Alice Flores, Ana Abreu Silva, Ana Simões, Carmen Pais, Clarisse Melo, Diana Pirra, Dora Coelho, Lília Conde, Lorena Real, Madalena Feio, Manuel Barbosa, Maria de Lurdes Martins, Marlene Areias, Rafael Muñoz-Romero, Rita Cun
    Journal of Palliative Care.2025; 40(1): 72.     CrossRef
  • Attitudes and practices of hospice physicians regarding palliative sedation: a cross-sectional descriptive study
    Mengmeng Chen, Zhigang Li, Jiejie Niu, Zhen Zhang, Jiachen Qi, Guijun Lu, Yi Feng
    BMJ Open.2025; 15(9): e090907.     CrossRef
  • Healthcare Providers’ Perspectives on the Communication Challenges When Discussing Palliative Sedation: A Qualitative Study Across Eight European Countries
    Éva Pozsgai, Csilla Busa, Holger Brunsch, Michael Van der Elst, Sheila Payne, Nancy Preston, Ian Koper, Jeroen Hasselaar, Rocio Roji, Claudio Adile, Daniela Mosoiu, Camelia Ancuta, Ágnes Csikós
    Journal of Clinical Medicine.2025; 14(18): 6653.     CrossRef
  • Analyzing ethical dimensions of mental disorders: trends and key research areas through bibliometric methods
    Bo Wang, Oyyappan Duraipandi
    Journal of Yeungnam Medical Science.2025; 42: 54.     CrossRef
  • Ethical and moral principles for oncology healthcare workers: A brief report from a Bioethics consortium emphasizing on need for education
    Manjeshwar S. Baliga, Vijaya Marakala, Lal P. Madathil, Thomas George, Russell F. D’souza, Princy L. Palatty
    Journal of Education and Health Promotion.2024;[Epub]     CrossRef
  • Survival Outcomes in Palliative Sedation Based on Referring Versus On-Call Physician Prescription
    Cristina Lojo-Cruz, Juan Mora-Delgado, Víctor Rivas Jiménez, Fernando Carmona Espinazo, Juan-Bosco López-Sáez
    Journal of Clinical Medicine.2023; 12(16): 5187.     CrossRef
  • Current Status and Future Directions of Research on Palliative Sedation
    In Cheol Hwang
    The Korean Journal of Hospice and Palliative Care.2022; 25(4): 193.     CrossRef
  • Legislation concerning Physician-assisted Suicide in Korea
    Younsuck KOH
    Korean Journal of Medical Ethics.2022; 25(4): 313.     CrossRef
  • 10,128 View
  • 216 Download
  • 8 Web of Science
  • 9 Crossref
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