Evidence map›Paper›PMID 26906127›Full record

ArticleOncology nursing forum2016

Cognitive and Situational Precipitants of Loneliness Among Patients With Cancer: A Qualitative Analysis.

Rebecca N Adams, Catherine E Mosher, Rafat Abonour, Michael J Robertson, Victoria L Champion, Kurt Kroenke

Abstract read
In one paragraph

Article in Oncology nursing forum, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
9.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Unpacking the layers: a meta-ethnography of cancer survivors' loneliness.Journal of cancer survivorship : research and practice · 2019
    Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. The psychological effects of protective isolation on haematological stem cell transplant patients: an integrative, descriptive review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Review
  8. Article
  9. Experiences and perceived benefits of remotely delivered dance/movement therapy for adult cancer patients: a multi-method program evaluation.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  10. Article
  11. Factors associated with self-reported social isolation among patients with cancer during the COVID-19 pandemic.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2022
    Article
  12. Loneliness among adolescents and young adults with cancer during the COVID-19 pandemic: a cross-sectional survey.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  13. Article
  14. A Conceptual Review of Loneliness in Adults: Qualitative Evidence Synthesis.International journal of environmental research and public health · 2021
    Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. The Cancer Loneliness Scale and Cancer-related Negative Social Expectations Scale: development and validation.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Rebecca N AdamsIndiana University-Purdue University in Indianapolis.
Catherine E MosherDepartment of Psychology, Indiana University-Purdue University in Indianapolis.
Rafat AbonourIndiana University in Indianapolis.
Michael J RobertsonIndiana University in Indianapolis.
Victoria L ChampionIndiana University in Indianapolis.
Kurt KroenkeIndiana University in Indianapolis.
Regenstrief Institute · USIndiana University – Purdue University Indianapolis · USIndiana University School of Medicine

Funding

Training in Research for Behavioral Oncology and Cancer Control ProgramR25CA117865 · NCI · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI CHAMPION, VICTORIA LEE · 2006 to 2015
$4.1M
Interdisciplinary Training in Cancer Prevention and ControlT32CA117865 · NCI · INDIANA UNIVERSITY INDIANAPOLIS · PI Victoria Lee Champion, Catherine E Mosher · 2016 to 2026
$2.4M
Telephone Symptom Management for Advanced Lung Cancer Patients and CaregiversK07CA168883 · NCI · INDIANA UNIVERSITY INDIANAPOLIS · PI MOSHER, CATHERINE E · 2013 to 2017
$682k
Research and Training for Behavioral Oncology InterventionsK05CA175048 · NCI · INDIANA UNIVERSITY INDIANAPOLIS · PI CHAMPION, VICTORIA LEE · 2014 to 2018
$484k
NCI NIH HHS K05 CA175048NCI NIH HHS K05CA175048NCI NIH HHS K07 CA168883NCI NIH HHS K07CA168883NCI NIH HHS R25 CA117865NCI NIH HHS R25CA117865NCI NIH HHS T32 CA117865
6 · The paper itself

Abstract

PURPOSE/

objectivesTo identify situations and thoughts that may precipitate or protect against loneliness experienced by patients with cancer. RESEARCH APPROACH: Qualitative.

settingThe hematology/oncology clinic at the Indiana University Melvin and Bren Simon Cancer Center, an outpatient oncology center in Indianapolis.

participantsPurposive sample of 15 patients undergoing treatment for multiple myeloma or non-Hodgkin lymphoma. METHODOLOGIC APPROACH: Individual, semistructured qualitative interviews were conducted. Theoretical thematic analysis was used to analyze interview data.

findingsFactors that appeared to precipitate loneliness included several situations (e.g., physical isolation, social constraints such as criticism) and thoughts (e.g., unmet expectations for visits or questions about health, belief that others do not understand their cancer experience). Several situations (e.g., social support, normal routine) and thoughts (e.g., beliefs that time alone is desirable and that others' discomfort with cancer-related discussions is normative) appeared to protect against loneliness. Certain social situations were loneliness-inducing for some patients and not for others, suggesting that patients' thoughts about their situations, rather than the situations themselves, have the greatest impact on their loneliness.

conclusionsThe current study fills gaps in loneliness theory by identifying cancer-related situations and thoughts that patients associate with their loneliness. Consistent with theory, patients reported feeling lonely when they had negative thoughts about their social situations.

interpretationFindings inform nursing assessment and intervention strategies to incorporate into care plans. For instance, when conducting assessments, nurses should be more attentive to patients' satisfaction with their social environment than actual characteristics of the environment. Normalizing patients' experiences and encouraging positive thoughts about others' behavior may reduce patients' loneliness.

Indexed as

CognitionAdultAgedFemaleHumansIndianaLonelinessLymphoma, Non-HodgkinMaleMiddle AgedMultiple MyelomaPatientsQualitative ResearchSocial Supportcancercognitionslonelinessqualitativesocial constraintssocial support

Identifiers

PMID26906127
PMCPMC4899046
OpenAlexW2283029968

What OpenQuestion holds

Textmetadata
LicenceTDM
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.