{"id":"https://openalex.org/W7164308306","doi":"https://doi.org/10.1002/pon.70522","title":"Demoralization and Associated Factors in Palliative Oncology Outpatients: A Cross\u2010Sectional Study","display_name":"Demoralization and Associated Factors in Palliative Oncology Outpatients: A Cross\u2010Sectional Study","publication_year":2026,"publication_date":"2026-06-01","ids":{"openalex":"https://openalex.org/W7164308306","doi":"https://doi.org/10.1002/pon.70522","pmid":"https://pubmed.ncbi.nlm.nih.gov/42271659","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13254010"},"language":"en","primary_location":{"id":"doi:10.1002/pon.70522","doi":"https://doi.org/10.1002/pon.70522","is_oa":true,"landing_page_url":"https://doi.org/10.1002/pon.70522","pdf_url":null,"source":{"id":"https://openalex.org/S13506822","display_name":"Psycho-Oncology","issn_l":"1057-9249","issn":["1057-9249","1099-1611"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","erih-plus","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Psycho-Oncology","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1002/pon.70522","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5071091088","display_name":"Michael Ljuslin","orcid":"https://orcid.org/0000-0002-2386-1749","observed_orcids":["https://orcid.org/0000-0002-2386-1749"]},"institutions":[{"id":"https://openalex.org/I114457229","display_name":"University of Geneva","ror":"https://ror.org/01swzsf04","country_code":"CH","type":"education","lineage":["https://openalex.org/I114457229"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210106256","display_name":"University Hospital of Geneva","ror":"https://ror.org/01m1pv723","country_code":"CH","type":"healthcare","lineage":["https://openalex.org/I4210106256"]},{"id":"https://openalex.org/I4210117453","display_name":"Dana-Farber Cancer Institute","ror":"https://ror.org/02jzgtq86","country_code":"US","type":"facility","lineage":["https://openalex.org/I4210117453"]}],"countries":["CH","US"],"is_corresponding":true,"raw_author_name":"Michael Ljuslin","raw_affiliation_strings":["Department of Supportive Oncology Dana\u2010Farber Cancer Institute  Boston Massachusetts USA","Division of Palliative Medicine, Department of Rehabilitation and Geriatrics Geneva University Hospitals  Geneva Switzerland","Faculty of Medicine University of Geneva  Geneva Switzerland","Harvard Medical School  Boston Massachusetts USA"],"raw_orcid":"https://orcid.org/0000-0002-2386-1749","affiliations":[{"raw_affiliation_string":"Department of Supportive Oncology Dana\u2010Farber Cancer Institute  Boston Massachusetts USA","institution_ids":["https://openalex.org/I4210117453"]},{"raw_affiliation_string":"Division of Palliative Medicine, Department of Rehabilitation and Geriatrics Geneva University Hospitals  Geneva Switzerland","institution_ids":["https://openalex.org/I4210106256"]},{"raw_affiliation_string":"Faculty of Medicine University of Geneva  Geneva Switzerland","institution_ids":["https://openalex.org/I114457229"]},{"raw_affiliation_string":"Harvard Medical School  Boston Massachusetts USA","institution_ids":["https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5065669141","display_name":"Vasileios Chytas","orcid":"https://orcid.org/0000-0002-1897-3578","observed_orcids":["https://orcid.org/0000-0002-1897-3578"]},"institutions":[{"id":"https://openalex.org/I114457229","display_name":"University of Geneva","ror":"https://ror.org/01swzsf04","country_code":"CH","type":"education","lineage":["https://openalex.org/I114457229"]},{"id":"https://openalex.org/I4210106256","display_name":"University Hospital of Geneva","ror":"https://ror.org/01m1pv723","country_code":"CH","type":"healthcare","lineage":["https://openalex.org/I4210106256"]}],"countries":["CH"],"is_corresponding":false,"raw_author_name":"Vasileios Chytas","raw_affiliation_strings":["Department of Psychiatry Service of Liaison Psychiatry and Crisis Intervention Geneva University Hospitals  Geneva Switzerland","Faculty of Medicine University of Geneva  Geneva Switzerland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry Service of Liaison Psychiatry and Crisis Intervention Geneva University Hospitals  Geneva Switzerland","institution_ids":["https://openalex.org/I4210106256"]},{"raw_affiliation_string":"Faculty of Medicine University of Geneva  Geneva Switzerland","institution_ids":["https://openalex.org/I114457229"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078860161","display_name":"Marie\u2010Estelle Gaignard","orcid":"https://orcid.org/0000-0001-8473-448X","observed_orcids":["https://orcid.org/0000-0001-8473-448X"]},"institutions":[{"id":"https://openalex.org/I114457229","display_name":"University of Geneva","ror":"https://ror.org/01swzsf04","country_code":"CH","type":"education","lineage":["https://openalex.org/I114457229"]},{"id":"https://openalex.org/I4210149244","display_name":"Swiss Cancer Center L\u00e9man","ror":"https://ror.org/03kwyfa97","country_code":"CH","type":"facility","lineage":["https://openalex.org/I114457229","https://openalex.org/I2802229882","https://openalex.org/I4210106256","https://openalex.org/I4210149244","https://openalex.org/I97565354"]}],"countries":["CH"],"is_corresponding":false,"raw_author_name":"Marie\u2010Estelle Gaignard","raw_affiliation_strings":["Department of Oncology Swiss Cancer Center Leman Geneva University Hospitals  Geneva Switzerland","Faculty of Medicine University of Geneva  Geneva Switzerland"],"raw_orcid":"https://orcid.org/0000-0001-8473-448X","affiliations":[{"raw_affiliation_string":"Department of Oncology Swiss Cancer Center Leman Geneva University Hospitals  Geneva Switzerland","institution_ids":["https://openalex.org/I4210149244"]},{"raw_affiliation_string":"Faculty of Medicine University of Geneva  Geneva Switzerland","institution_ids":["https://openalex.org/I114457229"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113786332","display_name":"Daniel P. Gorman","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210117453","display_name":"Dana-Farber Cancer Institute","ror":"https://ror.org/02jzgtq86","country_code":"US","type":"facility","lineage":["https://openalex.org/I4210117453"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Daniel Gorman","raw_affiliation_strings":["Department of Supportive Oncology Dana\u2010Farber Cancer Institute  Boston Massachusetts USA","Harvard Medical School  Boston Massachusetts USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Supportive Oncology Dana\u2010Farber Cancer Institute  Boston Massachusetts USA","institution_ids":["https://openalex.org/I4210117453"]},{"raw_affiliation_string":"Harvard Medical School  Boston Massachusetts USA","institution_ids":["https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5033071542","display_name":"Kate M. Lally","orcid":"https://orcid.org/0000-0001-9891-5927","observed_orcids":["https://orcid.org/0000-0001-9891-5927"]},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I121934306","https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210117453","display_name":"Dana-Farber Cancer Institute","ror":"https://ror.org/02jzgtq86","country_code":"US","type":"facility","lineage":["https://openalex.org/I4210117453"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kate Lally","raw_affiliation_strings":["Department of Medicine, Division of Palliative Medicine Brigham and Women's Hospital  Boston Massachusetts USA","Department of Supportive Oncology Dana\u2010Farber Cancer Institute  Boston Massachusetts USA","Harvard Medical School  Boston Massachusetts USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Division of Palliative Medicine Brigham and Women's Hospital  Boston Massachusetts USA","institution_ids":["https://openalex.org/I1283280774"]},{"raw_affiliation_string":"Department of Supportive Oncology Dana\u2010Farber Cancer Institute  Boston Massachusetts USA","institution_ids":["https://openalex.org/I4210117453"]},{"raw_affiliation_string":"Harvard Medical School  Boston Massachusetts USA","institution_ids":["https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5010782903","display_name":"Emanuele Mazzola","orcid":"https://orcid.org/0000-0003-0561-7336","observed_orcids":["https://orcid.org/0000-0003-0561-7336"]},"institutions":[{"id":"https://openalex.org/I4210117453","display_name":"Dana-Farber Cancer Institute","ror":"https://ror.org/02jzgtq86","country_code":"US","type":"facility","lineage":["https://openalex.org/I4210117453"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Emanuele Mazzola","raw_affiliation_strings":["Department of Data Science Dana\u2010Farber Cancer Institute  Boston Massachusetts USA","Department of Supportive Oncology Dana\u2010Farber Cancer Institute  Boston Massachusetts USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Data Science Dana\u2010Farber Cancer Institute  Boston Massachusetts USA","institution_ids":["https://openalex.org/I4210117453"]},{"raw_affiliation_string":"Department of Supportive Oncology Dana\u2010Farber Cancer Institute  Boston Massachusetts USA","institution_ids":["https://openalex.org/I4210117453"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5053570913","display_name":"Kabir B. Nigam","orcid":"https://orcid.org/0000-0002-1880-0079","observed_orcids":["https://orcid.org/0000-0002-1880-0079"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I2801148111","display_name":"McLean Hospital","ror":"https://ror.org/01kta7d96","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2801148111"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kabir Nigam","raw_affiliation_strings":["Department of Psychiatry Mclean Hospital  Belmont Massachusetts USA","Harvard Medical School  Boston Massachusetts USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry Mclean Hospital  Belmont Massachusetts USA","institution_ids":["https://openalex.org/I2801148111"]},{"raw_affiliation_string":"Harvard Medical School  Boston Massachusetts USA","institution_ids":["https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020110017","display_name":"Roxanne Sholevar","orcid":"https://orcid.org/0009-0008-1775-3101","observed_orcids":["https://orcid.org/0009-0008-1775-3101"]},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I121934306","https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210117453","display_name":"Dana-Farber Cancer Institute","ror":"https://ror.org/02jzgtq86","country_code":"US","type":"facility","lineage":["https://openalex.org/I4210117453"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sholevar Roxanne","raw_affiliation_strings":["Department of Medicine, Division of Palliative Medicine Brigham and Women's Hospital  Boston Massachusetts USA","Department of Supportive Oncology Dana\u2010Farber Cancer Institute  Boston Massachusetts USA","Harvard Medical School  Boston Massachusetts USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Division of Palliative Medicine Brigham and Women's Hospital  Boston Massachusetts USA","institution_ids":["https://openalex.org/I1283280774"]},{"raw_affiliation_string":"Department of Supportive Oncology Dana\u2010Farber Cancer Institute  Boston Massachusetts USA","institution_ids":["https://openalex.org/I4210117453"]},{"raw_affiliation_string":"Harvard Medical School  Boston Massachusetts USA","institution_ids":["https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064982845","display_name":"Zachary S. Sager","orcid":"https://orcid.org/0000-0001-8209-9582","observed_orcids":["https://orcid.org/0000-0001-8209-9582"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210117453","display_name":"Dana-Farber Cancer Institute","ror":"https://ror.org/02jzgtq86","country_code":"US","type":"facility","lineage":["https://openalex.org/I4210117453"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Zachary Sager","raw_affiliation_strings":["Department of Supportive Oncology Dana\u2010Farber Cancer Institute  Boston Massachusetts USA","Harvard Medical School  Boston Massachusetts USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Supportive Oncology Dana\u2010Farber Cancer Institute  Boston Massachusetts USA","institution_ids":["https://openalex.org/I4210117453"]},{"raw_affiliation_string":"Harvard Medical School  Boston Massachusetts USA","institution_ids":["https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029849408","display_name":"Miryam Yusufov","orcid":"https://orcid.org/0000-0002-0254-3864","observed_orcids":["https://orcid.org/0000-0002-0254-3864"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210117453","display_name":"Dana-Farber Cancer Institute","ror":"https://ror.org/02jzgtq86","country_code":"US","type":"facility","lineage":["https://openalex.org/I4210117453"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Miryam Yusufov","raw_affiliation_strings":["Department of Supportive Oncology Dana\u2010Farber Cancer Institute  Boston Massachusetts USA","Harvard Medical School  Boston Massachusetts USA"],"raw_orcid":"https://orcid.org/0000-0002-0254-3864","affiliations":[{"raw_affiliation_string":"Department of Supportive Oncology Dana\u2010Farber Cancer Institute  Boston Massachusetts USA","institution_ids":["https://openalex.org/I4210117453"]},{"raw_affiliation_string":"Harvard Medical School  Boston Massachusetts USA","institution_ids":["https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5062375832","display_name":"Sophie Pautex","orcid":"https://orcid.org/0000-0001-7248-3513","observed_orcids":["https://orcid.org/0000-0001-7248-3513"]},"institutions":[{"id":"https://openalex.org/I114457229","display_name":"University of Geneva","ror":"https://ror.org/01swzsf04","country_code":"CH","type":"education","lineage":["https://openalex.org/I114457229"]},{"id":"https://openalex.org/I4210106256","display_name":"University Hospital of Geneva","ror":"https://ror.org/01m1pv723","country_code":"CH","type":"healthcare","lineage":["https://openalex.org/I4210106256"]}],"countries":["CH"],"is_corresponding":false,"raw_author_name":"Sophie Pautex","raw_affiliation_strings":["Division of Palliative Medicine, Department of Rehabilitation and Geriatrics Geneva University Hospitals  Geneva Switzerland","Faculty of Medicine University of Geneva  Geneva Switzerland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Palliative Medicine, Department of Rehabilitation and Geriatrics Geneva University Hospitals  Geneva Switzerland","institution_ids":["https://openalex.org/I4210106256"]},{"raw_affiliation_string":"Faculty of Medicine University of Geneva  Geneva Switzerland","institution_ids":["https://openalex.org/I114457229"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5014360467","display_name":"James A. Tulsky","orcid":"https://orcid.org/0000-0002-7458-0453","observed_orcids":["https://orcid.org/0000-0002-7458-0453"]},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I121934306","https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210117453","display_name":"Dana-Farber Cancer Institute","ror":"https://ror.org/02jzgtq86","country_code":"US","type":"facility","lineage":["https://openalex.org/I4210117453"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"James Aaron Tulsky","raw_affiliation_strings":["Department of Medicine, Division of Palliative Medicine Brigham and Women's Hospital  Boston Massachusetts USA","Department of Supportive Oncology Dana\u2010Farber Cancer Institute  Boston Massachusetts USA","Harvard Medical School  Boston Massachusetts USA"],"raw_orcid":"https://orcid.org/0000-0002-7458-0453","affiliations":[{"raw_affiliation_string":"Department of Medicine, Division of Palliative Medicine Brigham and Women's Hospital  Boston Massachusetts USA","institution_ids":["https://openalex.org/I1283280774"]},{"raw_affiliation_string":"Department of Supportive Oncology Dana\u2010Farber Cancer Institute  Boston Massachusetts USA","institution_ids":["https://openalex.org/I4210117453"]},{"raw_affiliation_string":"Harvard Medical School  Boston Massachusetts USA","institution_ids":["https://openalex.org/I136199984"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5063328366","display_name":"Yvan Beaussant","orcid":"https://orcid.org/0000-0003-3716-6736","observed_orcids":["https://orcid.org/0000-0003-3716-6736"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210117453","display_name":"Dana-Farber Cancer Institute","ror":"https://ror.org/02jzgtq86","country_code":"US","type":"facility","lineage":["https://openalex.org/I4210117453"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Yvan Beaussant","raw_affiliation_strings":["Department of Supportive Oncology Dana\u2010Farber Cancer Institute  Boston Massachusetts USA","Harvard Medical School  Boston Massachusetts USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Supportive Oncology Dana\u2010Farber Cancer Institute  Boston Massachusetts USA","institution_ids":["https://openalex.org/I4210117453"]},{"raw_affiliation_string":"Harvard Medical School  Boston Massachusetts USA","institution_ids":["https://openalex.org/I136199984"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":7,"corresponding_author_ids":["https://openalex.org/A5071091088"],"corresponding_institution_ids":["https://openalex.org/I114457229","https://openalex.org/I136199984","https://openalex.org/I4210106256","https://openalex.org/I4210117453"],"apc_list":{"value":4940,"currency":"USD","value_usd":4940},"apc_paid":{"value":4940,"currency":"USD","value_usd":4940},"fwci":5.4083,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.94635198,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":92,"max":95},"biblio":{"volume":"35","issue":"6","first_page":"e70522","last_page":"e70522"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13340","display_name":"Palliative and Oncologic Care","score":0.5746999979019165,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T13340","display_name":"Palliative and Oncologic Care","score":0.5746999979019165,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.19059999287128448,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10178","display_name":"Cancer survivorship and care","score":0.17499999701976776,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/demoralization","display_name":"demoralization","score":1.0},{"id":"https://openalex.org/keywords/adjustment-disorder","display_name":"adjustment disorder","score":0.9639999866485596},{"id":"https://openalex.org/keywords/palliative-care","display_name":"palliative care","score":0.7170000076293945},{"id":"https://openalex.org/keywords/cancer-outpatients","display_name":"cancer outpatients","score":0.6800000071525574},{"id":"https://openalex.org/keywords/depression","display_name":"depression","score":0.628000020980835},{"id":"https://openalex.org/keywords/existential-distress","display_name":"existential suffering","score":0.7039999961853027},{"id":"https://openalex.org/keywords/symptom-co-occurrence","display_name":"symptom co-occurrence","score":0.8299999833106995},{"id":"https://openalex.org/keywords/screening","display_name":"screening","score":0.3580000102519989}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6674000024795532},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.6302000284194946},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.5964999794960022},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.47699999809265137},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.4381999969482422},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.41600000858306885},{"id":"https://openalex.org/C2994186709","wikidata":"https://www.wikidata.org/wiki/Q29483","display_name":"Palliative care","level":2,"score":0.41350001096725464},{"id":"https://openalex.org/C139265228","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Distress","level":2,"score":0.3871999979019165},{"id":"https://openalex.org/C127882523","wikidata":"https://www.wikidata.org/wiki/Q38066","display_name":"Existentialism","level":2,"score":0.37549999356269836},{"id":"https://openalex.org/C2781152799","wikidata":"https://www.wikidata.org/wiki/Q317158","display_name":"Adjustment disorders","level":3,"score":0.36410000920295715},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.3465000092983246},{"id":"https://openalex.org/C2780051608","wikidata":"https://www.wikidata.org/wiki/Q42844","display_name":"Major depressive disorder","level":3,"score":0.31349998712539673},{"id":"https://openalex.org/C3019858935","wikidata":"https://www.wikidata.org/wiki/Q4340209","display_name":"Depressive symptoms","level":3,"score":0.31060001254081726},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.30379998683929443},{"id":"https://openalex.org/C142853389","wikidata":"https://www.wikidata.org/wiki/Q744778","display_name":"Association (psychology)","level":2,"score":0.2840000092983246},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.2806999981403351},{"id":"https://openalex.org/C143998085","wikidata":"https://www.wikidata.org/wiki/Q162555","display_name":"Oncology","level":1,"score":0.2766999900341034},{"id":"https://openalex.org/C43138044","wikidata":"https://www.wikidata.org/wiki/Q1937818","display_name":"Psycho-oncology","level":3,"score":0.2687999904155731},{"id":"https://openalex.org/C2777895361","wikidata":"https://www.wikidata.org/wiki/Q1758614","display_name":"Longitudinal study","level":2,"score":0.265500009059906},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.2572000026702881}],"mesh":[{"descriptor_ui":"D000079224","descriptor_name":"Demoralization","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000275","descriptor_name":"Adjustment Disorders","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D000275","descriptor_name":"Adjustment Disorders","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003863","descriptor_name":"Depression","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D003863","descriptor_name":"Depression","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009369","descriptor_name":"Neoplasms","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D009369","descriptor_name":"Neoplasms","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D010045","descriptor_name":"Outpatients","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D010045","descriptor_name":"Outpatients","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1002/pon.70522","doi":"https://doi.org/10.1002/pon.70522","is_oa":true,"landing_page_url":"https://doi.org/10.1002/pon.70522","pdf_url":null,"source":{"id":"https://openalex.org/S13506822","display_name":"Psycho-Oncology","issn_l":"1057-9249","issn":["1057-9249","1099-1611"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","erih-plus","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Psycho-Oncology","raw_type":"journal-article"},{"id":"pmid:42271659","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42271659","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Psycho-oncology","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13254010","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13254010/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Psychooncology","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1002/pon.70522","doi":"https://doi.org/10.1002/pon.70522","is_oa":true,"landing_page_url":"https://doi.org/10.1002/pon.70522","pdf_url":null,"source":{"id":"https://openalex.org/S13506822","display_name":"Psycho-Oncology","issn_l":"1057-9249","issn":["1057-9249","1099-1611"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","erih-plus","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Psycho-Oncology","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":21,"referenced_works":["https://openalex.org/W1445373613","https://openalex.org/W2000720463","https://openalex.org/W2028459761","https://openalex.org/W2066061643","https://openalex.org/W2610614969","https://openalex.org/W2625982844","https://openalex.org/W2804655978","https://openalex.org/W3022423927","https://openalex.org/W3156394671","https://openalex.org/W3172330394","https://openalex.org/W3211454967","https://openalex.org/W4200021929","https://openalex.org/W4200399044","https://openalex.org/W4220690437","https://openalex.org/W4288695831","https://openalex.org/W4310017885","https://openalex.org/W4313648119","https://openalex.org/W4318667684","https://openalex.org/W4361214646","https://openalex.org/W4402500386","https://openalex.org/W4408875246"],"related_works":["https://openalex.org/W4318212980","https://openalex.org/W2897271135","https://openalex.org/W2610614969","https://openalex.org/W4318667684","https://openalex.org/W2326359375","https://openalex.org/W4200021929","https://openalex.org/W2810219060","https://openalex.org/W1999136028","https://openalex.org/W1862997372","https://openalex.org/W2951794277"],"abstract_inverted_index":{"BACKGROUND:":[0],"Demoralization":[1,173],"is":[2],"common":[3],"in":[4,86],"palliative":[5,47],"psycho-oncology":[6],"settings.":[7],"Although":[8],"its":[9,18,203],"relationship":[10],"with":[11,20,98,132,145,161],"other":[12],"psycho-existential":[13,53],"conditions":[14],"has":[15],"been":[16],"scrutinized,":[17],"co-occurrence":[19,38,97,163],"adjustment":[21,42,100,121,159],"disorder,":[22,160],"as":[23,226],"measured":[24],"by":[25],"the":[26,92,178],"Adjustment":[27],"Disorder":[28],"New":[29],"Module-20":[30],"(ADNM-20),":[31],"remains":[32],"unexamined.":[33],"AIM:":[34],"Estimate":[35],"frequency":[36],"and":[37,41,49,52,76,137,181,198,222,239],"of":[39,91,151,170,189,195,202,236],"demoralization":[40,83,157,225],"disorder":[43,101,122],"symptom":[44],"domains":[45],"among":[46],"outpatients":[48,153],"examine":[50],"sociodemographic":[51],"factors.":[54],"METHODS:":[55],"A":[56],"single-site,":[57],"cross-sectional":[58],"survey":[59],"at":[60,177],"an":[61],"academic":[62],"cancer":[63],"center":[64],"used":[65],"self-reported":[66],"web-based":[67],"screening":[68,197],"questionnaires.":[69],"Analyses":[70],"included":[71],"descriptive":[72],"statistics,":[73],"association":[74],"tests,":[75],"hierarchical":[77],"logistic":[78],"regression":[79],"models.":[80],"RESULTS:":[81],"Moderate-to-severe":[82],"symptoms":[84,102,116],"occurred":[85],"43.3%":[87],"(90%":[88,105,110],"CI:":[89,106,111,128],"36.9-49.7)":[90],"164":[93],"outpatients.":[94],"Among":[95],"these,":[96],"high-risk":[99],"reached":[103],"77.6%":[104],"69.5-85.8)":[107],"versus":[108],"54.9%":[109],"45.2-64.6)":[112],"for":[113,156],"moderate-to-severe":[114,133,146],"depression":[115,134],"(p":[117],"<":[118,140],"0.001).":[119],"High-risk":[120],"was":[123,142],"also":[124],"frequent":[125],"(44.1%,":[126],"90%":[127],"34.4-53.8.3)":[129],"and,":[130],"along":[131],"(OR":[135],"7.23":[136],"8.67,":[138],"p":[139],"0.01),":[141],"independently":[143],"associated":[144],"demoralization.":[147],"CONCLUSIONS:":[148],"Approximately":[149],"half":[150],"oncology":[152],"screened":[154],"positive":[155],"or":[158],"substantial":[162],"reflecting":[164],"their":[165],"conceptually":[166],"defined":[167],"shared":[168],"disruption":[169],"adaptive":[171],"capacities.":[172],"demonstrates":[174],"incomplete":[175],"overlap":[176],"symptom-domain":[179],"level":[180],"appears":[182],"to":[183,215],"capture":[184],"a":[185,227],"distinct":[186,228],"existential":[187,237],"dimension":[188],"distress.":[190],"This":[191],"pattern":[192],"supports":[193],"consideration":[194],"routine":[196],"further":[199,223],"empirical":[200],"evaluation":[201],"potential":[204],"diagnostic":[205,229],"positioning.":[206],"Clinician-administered":[207],"longitudinal":[208],"studies":[209],"incorporating":[210],"item-level":[211],"analyses":[212],"are":[213],"warranted":[214],"clarify":[216],"temporal":[217],"relationships,":[218],"refine":[219],"discriminant":[220],"validity,":[221],"evaluate":[224],"entity.":[230],"Such":[231],"work":[232],"may":[233],"enhance":[234],"recognition":[235],"suffering":[238],"inform":[240],"targeted":[241],"integrative":[242],"interventions.":[243]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-06-12T00:00:00"}
