{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T02:25:21Z","timestamp":1772159121246,"version":"3.50.1"},"reference-count":40,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,9,9]],"date-time":"2020-09-09T00:00:00Z","timestamp":1599609600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Prognostic awareness is essential for making treatment decisions in malignant diseases. Being confronted with a poor prognosis, however, can affect patients' mental health. Therefore, it is important to study coping in the context of malignant diseases. Acceptance is an adaptive coping strategy associated with less psychological distress. This study sought to explore the facilitators and barriers for prognostic acceptance in a sample in which both hope and uncertainty regarding prognosis are pronounced: multiple myeloma patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In a German university hospital, 20 multiple myeloma patients participated in semistructured interviews. Following thematic content analysis by Kuckartz, the interview transcripts were coded for facilitators and barriers for prognostic acceptance. Additionally, patients completed questionnaires on prognostic awareness and sociodemographic characteristics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients described the following facilitators for prognostic acceptance: social support, positive thinking, focusing on the Here and Now, proactive confrontation, having little to no symptoms, and being there for others. The indicated barriers were distressing physical symptoms and restricted functioning, social distress, and additional distress from other areas of life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients reported a variety of factors\u2014related to the social realm, symptom burden, and specific attitudes\u2014that help or hinder them in accepting their prognosis. Oncologists and psycho\u2010oncologists may support prognostic acceptance by encouraging patients to both actively deal with realistic information as well as enjoy pleasant and meaningful moments in the present during which the disease and its prognosis recedes into the background.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.5535","type":"journal-article","created":{"date-parts":[[2020,8,31]],"date-time":"2020-08-31T05:58:10Z","timestamp":1598853490000},"page":"59-66","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Perspectives of patients with multiple myeloma on accepting their prognosis\u2014A qualitative interview study"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3579-4085","authenticated-orcid":false,"given":"Myriel","family":"Hermann","sequence":"first","affiliation":[{"name":"Charit\u00e9 Comprehensive Cancer Center Charit\u00e9\u2014Universit\u00e4tsmedizin Berlin Corporate Member of Freie Universit\u00e4t Berlin Humboldt\u2010Universit\u00e4t zu Berlin, and Berlin Institute of Health  Berlin Germany"},{"name":"Department of Psychology Clinical Psychology and Psychotherapy University of Potsdam  Potsdam Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franziska","family":"K\u00fchne","sequence":"additional","affiliation":[{"name":"Department of Psychology Clinical Psychology and Psychotherapy University of Potsdam  Potsdam Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5640-8844","authenticated-orcid":false,"given":"Amy","family":"Rohrmoser","sequence":"additional","affiliation":[{"name":"Charit\u00e9 Comprehensive Cancer Center Charit\u00e9\u2014Universit\u00e4tsmedizin Berlin Corporate Member of Freie Universit\u00e4t Berlin Humboldt\u2010Universit\u00e4t zu Berlin, and Berlin Institute of Health  Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martina","family":"Preisler","sequence":"additional","affiliation":[{"name":"Charit\u00e9 Comprehensive Cancer Center Charit\u00e9\u2014Universit\u00e4tsmedizin Berlin Corporate Member of Freie Universit\u00e4t Berlin Humboldt\u2010Universit\u00e4t zu Berlin, and Berlin Institute of Health  Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8157-3836","authenticated-orcid":false,"given":"Ute","family":"Goerling","sequence":"additional","affiliation":[{"name":"Charit\u00e9 Comprehensive Cancer Center Charit\u00e9\u2014Universit\u00e4tsmedizin Berlin Corporate Member of Freie Universit\u00e4t Berlin Humboldt\u2010Universit\u00e4t zu Berlin, and Berlin Institute of Health  Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Letsch","sequence":"additional","affiliation":[{"name":"Charit\u00e9 Comprehensive Cancer Center Charit\u00e9\u2014Universit\u00e4tsmedizin Berlin Corporate Member of Freie Universit\u00e4t Berlin Humboldt\u2010Universit\u00e4t zu Berlin, and Berlin Institute of Health  Berlin Germany"},{"name":"Department of Hematology and Oncology Campus Benjamin Franklin Charit\u00e9\u2014Universit\u00e4tsmedizin Berlin Corporate Member of Freie Universit\u00e4t Berlin Humboldt\u2010Universit\u00e4t zu Berlin, and Berlin Institute of Health  Berlin Germany"},{"name":"Department of Medicine II Hematology and Oncology University Hospital Schleswig\u2010Holstein  Kiel Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,9,9]]},"reference":[{"key":"e_1_2_9_1_2_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2009.25.4672"},{"key":"e_1_2_9_1_3_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2011.34.6247"},{"key":"e_1_2_9_1_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/bmt.2015.113"},{"key":"e_1_2_9_1_5_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2009.22.9658"},{"key":"e_1_2_9_1_6_1","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.2017-0329"},{"key":"e_1_2_9_1_7_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2016.71.3404"},{"key":"e_1_2_9_1_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2019.06.022"},{"key":"e_1_2_9_1_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3943"},{"issue":"1","key":"e_1_2_9_1_10_1","first-page":"139","article-title":"Coping in patients with incurable lung and gastrointestinal cancers: a validation study of the brief COPE","volume":"176","author":"Hagan TL","year":"2018","journal-title":"Physiol Behav"},{"key":"e_1_2_9_1_11_1","volume-title":"Krebs in Deutschland f\u00fcr 2013\/2014","author":"Robert Koch Institut","year":"2017"},{"key":"e_1_2_9_1_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12185-020-02841-w"},{"key":"e_1_2_9_1_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/ejh.12790"},{"issue":"8","key":"e_1_2_9_1_14_1","first-page":"2361","article-title":"The importance of physical function in patients with multiple myeloma for improving quality of life","volume":"25","author":"Kim SH","year":"2019","journal-title":"Support Care Cancer"},{"key":"e_1_2_9_1_15_1","unstructured":"American Cancer Society.Cancer Facts & Figures 2018; 2018.https:\/\/www.cancer.org\/content\/dam\/cancer-org\/research\/cancer-facts-and-statistics\/annual-cancer-facts-and-figures\/2018\/cancer-facts-and-figures-2018.pdf."},{"key":"e_1_2_9_1_16_1","volume-title":"Dorsch Lexikon der Psychologie","author":"Wirtz MA","year":"2017"},{"key":"e_1_2_9_1_17_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2009.25.4250"},{"key":"e_1_2_9_1_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000000388"},{"key":"e_1_2_9_1_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.28369"},{"key":"e_1_2_9_1_20_1","volume-title":"R: A Language and Environment for Statistical Computing","author":"R Core Team","year":"2019"},{"key":"e_1_2_9_1_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/001316446002000104"},{"key":"e_1_2_9_1_22_1","volume-title":"MAXQDA 2019","author":"VERBI Software","year":"2018"},{"key":"e_1_2_9_1_23_1","volume-title":"Qualitative Inhaltsanalyse. Methoden, Praxis, Computerunterst\u00fctzung","author":"Kuckartz U","year":"2018"},{"key":"e_1_2_9_1_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/001316448104100307"},{"key":"e_1_2_9_1_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-11671-2"},{"key":"e_1_2_9_1_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(197509)36:3<842::AID-CNCR2820360303>3.0.CO;2-U"},{"key":"e_1_2_9_1_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269216316663976"},{"key":"e_1_2_9_1_28_1","doi-asserted-by":"publisher","DOI":"10.1080\/0284186X.2019.1631471"},{"key":"e_1_2_9_1_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.13997"},{"key":"e_1_2_9_1_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-018-1953-x"},{"key":"e_1_2_9_1_31_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359105316637839"},{"key":"e_1_2_9_1_32_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2012.743963"},{"key":"e_1_2_9_1_33_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049909117734826"},{"key":"e_1_2_9_1_34_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0169071"},{"issue":"3","key":"e_1_2_9_1_35_1","first-page":"14","article-title":"Locus of control orientation and acceptance of disability","volume":"31","author":"Martz E","year":"2000","journal-title":"J Appl Rehabil Couns"},{"key":"e_1_2_9_1_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.12601"},{"key":"e_1_2_9_1_37_1","doi-asserted-by":"publisher","DOI":"10.1348\/135910706X128278"},{"key":"e_1_2_9_1_38_1","doi-asserted-by":"publisher","DOI":"10.1177\/1474515117733731"},{"key":"e_1_2_9_1_39_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-018-4467-8"},{"key":"e_1_2_9_1_40_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12144-014-9204-y"},{"key":"e_1_2_9_1_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cllc.2018.11.011"}],"container-title":["Psycho-Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pon.5535","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pon.5535","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pon.5535","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,3]],"date-time":"2023-09-03T12:25:25Z","timestamp":1693743925000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pon.5535"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,9]]},"references-count":40,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1002\/pon.5535"],"URL":"https:\/\/doi.org\/10.1002\/pon.5535","archive":["Portico"],"relation":{},"ISSN":["1057-9249","1099-1611"],"issn-type":[{"value":"1057-9249","type":"print"},{"value":"1099-1611","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,9]]},"assertion":[{"value":"2020-04-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-08-18","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-09-09","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}