{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T12:33:46Z","timestamp":1771504426571,"version":"3.50.1"},"reference-count":41,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T00:00:00Z","timestamp":1766966400000},"content-version":"unspecified","delay-in-days":0,"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":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1478951525101302_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Existential distress is a debilitating condition in end-of-life cancer patients. The Psycho-existential Symptom Assessment Scale (PeSAS) was developed to screen psycho-existential symptoms in palliative care, but limited research has examined its use. This study aimed to implement the Italian version of the PeSAS in palliative care services and to evaluate changes in healthcare providers\u2019 (HCPs) competence after experiential training. It also aimed to estimate the frequency of psycho-existential symptoms and explore the scale structure using network analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951525101302_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Two-hour experiential workshops were conducted in 5 Italian palliative care services by a clinical psychologist specialized in psycho-oncology and palliative care. Training covered psycho-existential distress, role-play, and feedback. Pre- and post-workshop questionnaires assessed clinicians\u2019 self-efficacy in evaluating physical, psycho-existential, and suicidal symptoms, managing distress, and providing psychosocial support. Patient cross-sectional data were analyzed with descriptive statistics,\n                      <jats:italic>t<\/jats:italic>\n                      -tests, chi-square tests, and exploratory graph analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951525101302_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      One hundred one clinicians from 3 services participated. Significant results were found in HCPs\u2019 self-efficacy, with the largest effect in assessing suicidal symptoms (Cohen\u2019s\n                      <jats:italic>d<\/jats:italic>\n                      \u00a0=\u00a00.54), followed by managing distress (\n                      <jats:italic>d<\/jats:italic>\n                      \u00a0=\u00a00.47) and evaluating psycho-existential symptoms (\n                      <jats:italic>d<\/jats:italic>\n                      \u00a0=\u00a00.40). Of 210 patients screened, 194 were included. PeSAS scores were strongly associated with Hopelessness (strength\u00a0=\u00a01.30) and depression (1.18), while being trapped by illness (\u22121.64) and wishing to die (\u22121.12) had weaker associations.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951525101302_sec4d\">\n                    <jats:title>Significance of results<\/jats:title>\n                    <jats:p>The Italian PeSAS is feasible for integration into palliative care. Strong associations highlight targets for interventions, while weaker associations suggest the need for additional approaches. PeSAS enhances HCPs\u2019 ability to address the psycho-existential needs in end-of-life care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951525101302","type":"journal-article","created":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T05:29:34Z","timestamp":1766986174000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Implementation of psycho-existential symptom distress screening among Italian healthcare providers"],"prefix":"10.1017","volume":"24","author":[{"given":"Andrea","family":"Bovero","sequence":"first","affiliation":[{"name":"A.O.U. Citt\u00e0 della Salute e della Scienza"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giorgia","family":"Feni","sequence":"additional","affiliation":[{"name":"A.O.U. Citt\u00e0 della Salute e della Scienza"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Valenti","sequence":"additional","affiliation":[{"name":"Fondazione FARO Onlus"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandro","family":"Valle","sequence":"additional","affiliation":[{"name":"Fondazione FARO Onlus"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Massimo","family":"Di Maio","sequence":"additional","affiliation":[{"name":"University of Turin, A.O.U. Citt\u00e0 della Salute e della Scienza di Torino"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ernesta","family":"Audisio","sequence":"additional","affiliation":[{"name":"A.O.U. 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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":"e8"}}