{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T23:27:29Z","timestamp":1783121249025,"version":"3.54.6"},"reference-count":40,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T00:00:00Z","timestamp":1773619200000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Death anxiety in patients with advanced cancer may increase during the last year of life due to increasing symptom burden and growing awareness of prognosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To examine the trajectory of death anxiety during the last year of life in patients with advanced cancer and its associated factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data from the prospective, multicentre, observational eQuiPe study were used. Patients with stage IV solid cancer were included (2017\u20132020) and completed three\u2010monthly questionnaires until death. Death anxiety was measured using a single item from the Problem and Needs in Palliative Care questionnaire (yes, a little bit, or no). Additionally, 32 patients completed the Death and Dying Distress Scale (DADDS). Longitudinal analyses were performed using mixed\u2010effects regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In total, 629 patients were included (mean age: 66\u00a0years, SD\u00a0=\u00a010). During the last year of life, 12%\u201315% experienced death anxiety, 30%\u201334% a little, and 52%\u201358% none. The prevalence of death anxiety remained stable over time and was significantly associated with female sex (OR 2.48), age (OR 0.93), fatigue (OR 1.10), planning (OR 1.84) and acceptance coping (OR 0.20), and social support (OR 1.39). Concerns about the impact of their death on relatives was the most frequently reported issue (84%) in patients with available DADDS data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The prevalence of death anxiety does not change in the last year of life and is associated with several psychosocial factors. These findings underscore the value of open communication and care approaches that strengthen adaptive coping and address the relational aspects of distress.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70429","type":"journal-article","created":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T03:46:56Z","timestamp":1773719216000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Death Anxiety During the Last Year of Life in Patients With Advanced Cancer: Longitudinal Results From the eQuiPe Study"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7908-294X","authenticated-orcid":false,"given":"Moyke A. J.","family":"Versluis","sequence":"first","affiliation":[{"name":"Graduate School of Social and Behavioral Sciences Tilburg University  Tilburg the Netherlands"},{"name":"Research and Development Netherlands Comprehensive Cancer Organisation (IKNL)  Utrecht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4099-2385","authenticated-orcid":false,"given":"Froukje E.","family":"de Vries","sequence":"additional","affiliation":[{"name":"Department of Psychiatry The Netherlands Cancer Institute  Amsterdam the\u00a0Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yvette M.","family":"van der Linden","sequence":"additional","affiliation":[{"name":"Research and Development Netherlands Comprehensive Cancer Organisation (IKNL)  Utrecht the Netherlands"},{"name":"Centre of Expertise in Palliative Care Leiden University Medical Centre  Leiden the Netherlands"},{"name":"Department of Radiotherapy Leiden University Medical Centre  Leiden the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasan","family":"Alradhi","sequence":"additional","affiliation":[{"name":"Research and Development Netherlands Comprehensive Cancer Organisation (IKNL)  Utrecht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-0555-2781","authenticated-orcid":false,"given":"Marianne","family":"Kool","sequence":"additional","affiliation":[{"name":"Center for Quality of Life Netherlands Cancer Institute  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jarmo C. B.","family":"Hunting","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology St. Antonius Hospital  Utrecht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1274-5643","authenticated-orcid":false,"given":"Hanneke W. M.","family":"van Laarhoven","sequence":"additional","affiliation":[{"name":"Cancer Center Amsterdam Cancer Treatment and Quality of Life  Amsterdam the Netherlands"},{"name":"Department of Medical Oncology Amsterdam University Medical Centre University of Amsterdam  Amsterdam the\u00a0Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnold","family":"Baars","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Hospital Gelderse Vallei  Ede the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sander M.","family":"de Hosson","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Diseases Wilhelmina Hospital Assen  Assen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wouter K.","family":"de Jong","sequence":"additional","affiliation":[{"name":"Department of Pulmonology University Medical Centre Utrecht  Utrecht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6687-5393","authenticated-orcid":false,"given":"Mathijs P.","family":"Hendriks","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology Northwest Clinics  Alkmaar the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marieke H. J. van den Beuken\u2010van","family":"Everdingen","sequence":"additional","affiliation":[{"name":"Centre of Expertise in Palliative Care Maastricht University Medical Centre (MUMC+)  Maastricht the Netherlands"},{"name":"Department of Anesthesiology and Pain Management Maastricht University Medical Centre+ (MUMC+)  Maastricht the\u00a0Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tineke J.","family":"Smilde","sequence":"additional","affiliation":[{"name":"Medical Advisor National Health Care Institute the Netherlands  Diemen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magdolen Youssef\u2010El","family":"Soud","sequence":"additional","affiliation":[{"name":"Department of Lung Oncology Maxima Medical Centre  Eindhoven the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marjolein H.","family":"Tilkema\u2010Tiebosch","sequence":"additional","affiliation":[{"name":"Department of Pulmonology Elisabeth\u2010Tweesteden Hospital  Tilburg the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dirkje","family":"Sommeijer","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Flevoziekenhuis  Almere the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"de Graeff","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology University Medical Center Utrecht  Utrecht the\u00a0Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7791-2049","authenticated-orcid":false,"given":"Caroline","family":"Mandigers","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Canisius Wilhelmina Hospital  Nijmegen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lia","family":"van Zuylen","sequence":"additional","affiliation":[{"name":"Cancer Center Amsterdam Cancer Treatment and Quality of Life  Amsterdam the Netherlands"},{"name":"Department of Medical Oncology Amsterdam University Medical Centre Free University Amsterdam  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Art","family":"Vreugdenhil","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology Maxima Medical Centre  Veldhoven the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annemieke","family":"van der Padt\u2010Pruijsten","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Maasstad Hospital  Rotterdam the Netherlands"},{"name":"Department of Internal Medicine Spijkenisse MC  Spijkenisse the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evelien J. 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