ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2014
Trajectory and predictors of quality of life during the dying process: roles of perceived sense of burden to others and posttraumatic growth.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 21 citations in OpenAlex.
- Health-related quality of life of people with obesity who have and have not received metabolic bariatric surgery: a qualitative study in Singapore.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Article
- Article
- Post-Traumatic Growth and Quality of Life Among World Trade Center Health Registry Enrollees 16 Years After 9/11.International journal of environmental research and public health · 2026Article
- Self-perceived burden predicts lower quality of life in advanced cancer patients: the mediating role of existential distress and anxiety.BMC geriatrics · 2022Article
- Assessment of quality of life, information, and supportive care needs in patients with muscle and non-muscle invasive bladder cancer across the illness trajectory.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019Article
- Social consequences of advanced cancer in patients and their informal caregivers: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019Article
- Cancer patient age and family caregiver bereavement outcomes.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016Article
- Prevalence of severe depressive symptoms increases as death approaches and is associated with disease burden, tangible social support, and high self-perceived burden to others.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeQuality of life (QOL) at end of life (EOL) is related to important themes, e.g., "sense of burden to others" and "perceived posttraumatic growth," which have never been investigated concurrently. The purposes of this study were: (1) to describe the trajectory of QOL during the dying process and (2) to identify determinants of QOL, including the roles of perceived sense of burden to others and posttraumatic growth.
methodsA convenience sample of 313 terminally ill cancer patients was surveyed and longitudinally followed until death. QOL was measured by a modified McGill quality of life scale, and determinants were evaluated by a multiple linear regression model with the generalized estimating equation.
resultsTerminally ill Taiwanese cancer patients' QOL decreased substantially as their death approached. However, after controlling for confounders, patients' QOL did not change significantly in the last months of their life. QOL was significantly better for female and non-middle-aged patients with a religious affiliation of Buddhism/Taoism. Poorer QOL tended to be experienced by patients with greater physical symptom distress, anxiety, and depression. Patient QOL increased with greater tangible support, but decreased with greater emotional and affectionate social support. QOL was diminished by a greater degree of perceived burden to others but improved with greater perceived posttraumatic growth.
conclusionsDeteriorating QOL as death approaches may not be inevitable. Optimal QOL at EOL may be achieved by interventions designed to adequately manage physical and psychological symptoms, enhance social support, lighten perceived sense of burden to others, and facilitate experiences of posttraumatic growth.
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