{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T05:10:31Z","timestamp":1789103431071,"version":"build-2803163510"},"reference-count":45,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T00:00:00Z","timestamp":1763078400000},"content-version":"unspecified","delay-in-days":317,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1478951525100965_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study examined the changes in intimacy and sexuality amongst cancer patients at the end of life, including those in the final stage, and the distress they raised while experiencing those changes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951525100965_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A phenomenological qualitative study, based on interviews with 35 dying cancer patients. The results were analyzed by Constant Comparison Analysis method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951525100965_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Some of the dying patients reported absence of essential change in their sexual needs and ability. while others reported about changes. The changes caused seven various forms of distress to the majority of patients, for example grief due to diminution of sexuality, impact on the partner due to lack of sex and distress resulting from consciousness of the end of life. A minority did not experience distress from the sexuality changes. About a third of the interviewees were interested in sexual counseling during their dying period, and about 80% considered it important for the palliative care team to raise the issue of sexuality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951525100965_sec4d\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>End of life patients and even those in final stages may have needs related to their intimate and sexual life. As long as the person breathes, even towards death, he can continue to live, even in the intimate aspect, so the palliative team has an important role in answering the specific and complex needs related to sexuality at the end of life. Recommendations were formulated specifically based on this research, for professional intervention regarding sexuality at the end of life, by a PASSION model.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951525100965","type":"journal-article","created":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T06:52:23Z","timestamp":1763103143000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":2,"title":["Sexuality in the light of awareness of approaching mortality"],"prefix":"10.1017","volume":"23","author":[{"given":"Livia","family":"Kislev","sequence":"first","affiliation":[{"name":"Israel Cancer Association"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2151-6834","authenticated-orcid":false,"given":"Lena","family":"Kurtz-Almog","sequence":"additional","affiliation":[{"name":"Israel Cancer Association"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pdut","family":"Bier","sequence":"additional","affiliation":[{"name":"Israel Cancer Association"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rina","family":"Dikhel","sequence":"additional","affiliation":[{"name":"Israel Cancer Association"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michal","family":"Avidan","sequence":"additional","affiliation":[{"name":"Israel Cancer Association"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Waller","sequence":"additional","affiliation":[{"name":"Israel Cancer Association"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,11,14]]},"reference":[{"key":"S1478951525100965_ref36","doi-asserted-by":"publisher","DOI":"10.1080\/13697137.2018.1526893"},{"key":"S1478951525100965_ref5","doi-asserted-by":"publisher","DOI":"10.1093\/hsw\/34.3.223"},{"key":"S1478951525100965_ref2","doi-asserted-by":"publisher","DOI":"10.1037\/0893-3200.19.3.465"},{"key":"S1478951525100965_ref28","doi-asserted-by":"publisher","DOI":"10.1191\/0269216304pm941oa"},{"key":"S1478951525100965_ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2010.06.001"},{"key":"S1478951525100965_ref40","first-page":"550","article-title":"The dying patient act, 2005: israeli innovative legislation","volume":"9","author":"Steinberg","year":"2007","journal-title":"The Israel Medical Association Journal"},{"key":"S1478951525100965_ref19","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15303"},{"key":"S1478951525100965_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2017.03.012"},{"key":"S1478951525100965_ref41","doi-asserted-by":"publisher","DOI":"10.1177\/0269216313519489"},{"key":"S1478951525100965_ref26","volume-title":"The Sickness Unto Death","author":"Kierkegaard","year":"2004b"},{"key":"S1478951525100965_ref44","doi-asserted-by":"publisher","DOI":"10.21037\/apm.2017.10.05"},{"key":"S1478951525100965_ref21","doi-asserted-by":"publisher","DOI":"10.1188\/10.CJON.106-107"},{"key":"S1478951525100965_ref9","doi-asserted-by":"publisher","DOI":"10.1111\/famp.12604"},{"key":"S1478951525100965_ref13","volume-title":"The Ego and the Id","author":"Freud","year":"1962"},{"key":"S1478951525100965_ref11","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1947"},{"key":"S1478951525100965_ref15","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2014.60.7366"},{"key":"S1478951525100965_ref31","volume-title":"Qualitative Health Research: Creative a New Discipline","author":"Morse","year":"2012"},{"key":"S1478951525100965_ref33","doi-asserted-by":"publisher","DOI":"10.1080\/07481187.2020.1728426"},{"key":"S1478951525100965_ref32","doi-asserted-by":"publisher","DOI":"10.1177\/1049732315588501"},{"key":"S1478951525100965_ref25","volume-title":"Either\/Or","author":"Kierkegaard","year":"2004a"},{"key":"S1478951525100965_ref16","first-page":"1","article-title":"Associations between anticipatory grief and post-bereavement depression and post-loss grief of family members of dying patients with cancer in palliative care units: a cohort study","author":"Gotoh","year":"2025","journal-title":"American Journal of Hospice and Palliative Medicine"},{"key":"S1478951525100965_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2016.01.014"},{"key":"S1478951525100965_ref39","doi-asserted-by":"publisher","DOI":"10.1080\/21692327.2016.1263009"},{"key":"S1478951525100965_ref20","doi-asserted-by":"publisher","DOI":"10.1093\/med\/9780199656097.003.0088"},{"key":"S1478951525100965_ref30","doi-asserted-by":"publisher","DOI":"10.1016\/0147-1767(85)90062-8"},{"key":"S1478951525100965_ref34","doi-asserted-by":"publisher","DOI":"10.1177\/104990910402100101"},{"key":"S1478951525100965_ref35","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-007-9205-0"},{"key":"S1478951525100965_ref38","doi-asserted-by":"publisher","DOI":"10.1097\/NJH.0000000000000208"},{"key":"S1478951525100965_ref27","article-title":"Life experience of survivors of gynecologic cancers: a survey conducted in Italy","volume":"38","author":"La Spina","year":"2024","journal-title":"Oncology"},{"key":"S1478951525100965_ref29","doi-asserted-by":"publisher","DOI":"10.1007\/s11912-015-0497-2"},{"key":"S1478951525100965_ref17","doi-asserted-by":"publisher","DOI":"10.1080\/1743727X.2014.914487"},{"key":"S1478951525100965_ref4","doi-asserted-by":"publisher","DOI":"10.1177\/1049732316654870"},{"key":"S1478951525100965_ref23","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.30263"},{"key":"S1478951525100965_ref10","doi-asserted-by":"publisher","DOI":"10.1080\/0092623X.2016.1158759"},{"key":"S1478951525100965_ref3","doi-asserted-by":"publisher","DOI":"10.1111\/jan.13572"},{"key":"S1478951525100965_ref45","first-page":"1439","article-title":"Sexual dysfunction in women with breast cancer receiving chemotherapy","volume":"10","author":"Yesilbalkan","year":"2017","journal-title":"International Journal of Caring Sciences"},{"key":"S1478951525100965_ref42","doi-asserted-by":"publisher","DOI":"10.1177\/1049909110386044"},{"key":"S1478951525100965_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.sexol.2006.06.010"},{"key":"S1478951525100965_ref1","doi-asserted-by":"publisher","DOI":"10.1080\/08952841.2019.1591888"},{"key":"S1478951525100965_ref24","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2019.04.015"},{"key":"S1478951525100965_ref8","doi-asserted-by":"publisher","DOI":"10.1007\/s12282-018-0927-8"},{"key":"S1478951525100965_ref6","doi-asserted-by":"publisher","DOI":"10.4135\/9781452230153"},{"key":"S1478951525100965_ref12","doi-asserted-by":"publisher","DOI":"10.1080\/19317611.2021.2023718"},{"key":"S1478951525100965_ref43","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnac150"},{"key":"S1478951525100965_ref37","first-page":"291","volume-title":"Meaning, Mortality, and Choice: The Social Psychology of Existential Concerns. American Psychological Association","author":"Shaver","year":"2012"}],"container-title":["Palliative and Supportive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1478951525100965","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T06:52:25Z","timestamp":1763103145000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1478951525100965\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":45,"alternative-id":["S1478951525100965"],"URL":"https:\/\/doi.org\/10.1017\/s1478951525100965","relation":{},"ISSN":["1478-9515","1478-9523"],"issn-type":[{"value":"1478-9515","type":"print"},{"value":"1478-9523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e206"}}