{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T02:13:56Z","timestamp":1767838436522,"version":"3.49.0"},"reference-count":37,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,2,15]],"date-time":"2016-02-15T00:00:00Z","timestamp":1455494400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Japan Hospice Palliative Care Foundation"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J cachexia sarcopenia muscle"],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>A number of advanced cancer patients are suffering from physical and psychosocial burdens because of cancer cachexia, and these burdens also greatly impact on their family members and relationships between patients and family members. It is necessary to consider the psychosocial impact of cancer cachexia on family members of advanced cancer patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional anonymous nationwide survey was conducted involving 925 bereaved family members of cancer patients who had been admitted to 133 inpatient hospices throughout Japan.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 702 bereaved family members returned the questionnaires (response rate, 75.9%). Concerning eating\u2010related distress, \u2018I served what the patient wanted without consideration of calories and nutritional composition\u2019 was highest (75.1%), and \u2018I tried making many kinds of meals for the patient\u2019 and \u2018I was concerned about planning meals for the patient every day\u2019 followed (63.0% and 59.4%, respectively). The top 5 of the 19 items were categorized as \u2018fighting back\u2019. Need for nutritional support was high (72.2%), and need for explanations about the reasons for anorexia and weight loss of patients was moderate (41.4%). Explanatory factor analysis of eating\u2010related distress identified the following four domains: (factor 1) feeling that family members forced the patient to eat to avoid death, (factor 2) feeling that family members made great efforts to help the patient eat, (factor 3) feeling that eating was a cause of conflicts between the patient and family members, and (factor 4) feeling that correct information was insufficient. Results of multiple logistic regression analysis showed that spouse, fair\/poor mental status, factors 1, and 4 were identified as independent determinants of major depression {odds ratio [OR] 3.27 [95% confidence interval (CI) 1.24\u20138.60], <jats:italic>P<\/jats:italic>\u2009=\u20090.02; OR 4.50 [95% CI 2.46\u20138.25], <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001; OR 2.51 [95% CI 1.16\u20135.45], <jats:italic>P<\/jats:italic>\u2009=\u20090.02; OR 2.33 [95% CI 1.13\u20134.80], <jats:italic>P<\/jats:italic>\u2009=\u20090.02, respectively}.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A number of family members of advanced cancer patients experienced high levels of eating\u2010related distress and had a need for nutritional support.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jcsm.12102","type":"journal-article","created":{"date-parts":[[2016,2,15]],"date-time":"2016-02-15T05:44:11Z","timestamp":1455515051000},"page":"527-534","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":77,"title":["Eating\u2010related distress and need for nutritional support of families of advanced cancer patients: a nationwide survey of bereaved family members"],"prefix":"10.1002","volume":"7","author":[{"given":"Koji","family":"Amano","sequence":"first","affiliation":[{"name":"Department of Palliative Medicine Osaka City General Hospital  Osaka City Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isseki","family":"Maeda","sequence":"additional","affiliation":[{"name":"Department of Palliative Medicine, Graduate School of Medicine Osaka University  Suita City Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatsuya","family":"Morita","sequence":"additional","affiliation":[{"name":"Palliative and Supportive Care Division Seirei Mikatahara General Hospital  Hamamatsu City Shizuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshiro","family":"Okajima","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Jichi Medical University Saitama Medical Center  Saitama City Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Hama","sequence":"additional","affiliation":[{"name":"Palliative Care Team Osaka Medical Center for Cancer and Cardiovascular Diseases  Osaka City Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maho","family":"Aoyama","sequence":"additional","affiliation":[{"name":"Department of Palliative Nursing, Health Sciences Tohoku University Graduate School of Medicine  Sendai City Miyagi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshiyuki","family":"Kizawa","sequence":"additional","affiliation":[{"name":"Department of Palliative Medicine Kobe University Graduate School of Medicine  Kobe City Hyogo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoru","family":"Tsuneto","sequence":"additional","affiliation":[{"name":"Palliative Care Center, Department of Palliative Medicine Kyoto University Hospital  Kyoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuo","family":"Shima","sequence":"additional","affiliation":[{"name":"Department of Palliative Medicine Tsukuba Medical Center Hospital  Tsukuba City Ibaraki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitsunori","family":"Miyashita","sequence":"additional","affiliation":[{"name":"Department of Palliative Nursing, Health Sciences Tohoku University Graduate School of Medicine  Sendai City Miyagi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,2,15]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13539-014-0142-1"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2012.06.020"},{"key":"e_1_2_9_4_1","first-page":"281","article-title":"The psychological and social consequences of cachexia in patients with advanced cancer: a systematic review. 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