{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T20:30:40Z","timestamp":1792269040354,"version":"4.4.0"},"reference-count":47,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T00:00:00Z","timestamp":1780444800000},"content-version":"unspecified","delay-in-days":153,"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=\"S1478951526102727_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study was conducted to determine the relationship between death anxiety, spiritual well-being, and social support in patients with gynecological cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526102727_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This descriptive study consisted of 519 patients with gynecological cancers. Data were collected using a \u201cPersonal Information Form,\u201d the \u201cDeath Anxiety Scale,\u201d the \u201cSpiritual Well-Being Scale,\u201d and the \u201cMultidimensional Perceived Social Support Scale.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526102727_sec3c\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean total score of the Death Anxiety Scale was 6.8\u00a0\u00b1\u00a02.95, the Spiritual Well-Being Scale was 31.16\u00a0\u00b1\u00a05.24, and the Multidimensional Perceived Social Support Scale was 62.46\u00a0\u00b1\u00a013.76. A positive correlation was found between the scores of the Multidimensional Perceived Social Support Scale and the Spiritual Well-Being Scale. However, death anxiety levels were not influenced by spiritual well-being or social support levels (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). As the level of perceived social support increases, spiritual well-being also increases; however, no significant relationship was found between death anxiety and either spiritual well-being or perceived social support.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526102727_sec4d\">\n                    <jats:title>Significance of results<\/jats:title>\n                    <jats:p>The findings of this study highlight the importance of social support as a key factor associated with higher levels of spiritual well-being in women with gynecological cancer. Strengthening patients\u2019 support systems may contribute to better psychological and spiritual adjustment during cancer treatment. Although death anxiety was not significantly related to either spiritual well-being or perceived social support, this result suggests that death anxiety may be influenced by other clinical or personal factors beyond these psychosocial variables. These findings provide guidance for developing supportive care programs that prioritize social support enhancement to improve overall patient well-being.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951526102727","type":"journal-article","created":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T07:21:08Z","timestamp":1780471268000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":2,"title":["Relationship between death anxiety, spiritual well-being, and social support in patients with gynecologic cancer"],"prefix":"10.1017","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-6409-0127","authenticated-orcid":false,"given":"Merve","family":"Sezer Da\u015f\u00e7ikaran","sequence":"first","affiliation":[{"name":"Institute of Health Sciences, \u00c7ukurova University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ev\u015fen","family":"Nazik","sequence":"additional","affiliation":[{"name":"\u00c7ukurova University, Faculty of Health Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,6,3]]},"reference":[{"key":"S1478951526102727_ref31","first-page":"28","article-title":"Relationship between death anxiety and spiritual well-being in patients with gynecologic cancer","volume":"27","author":"Mansori","year":"2018","journal-title":"Advances in Nursing and Midwifery"},{"key":"S1478951526102727_ref31a","unstructured":"Ministry of Health (2018) T\u00fcrkiye kanser istatistikleri 2015 [Turkey cancer statistics 2015]. T.C. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 Halk Sa\u011fl\u0131\u011f\u0131 Genel M\u00fcd\u00fcrl\u00fc\u011f\u00fc."},{"key":"S1478951526102727_ref33","doi-asserted-by":"publisher","DOI":"10.1207\/S15324796ABM2401_06"},{"key":"S1478951526102727_ref10","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1556"},{"key":"S1478951526102727_ref27","doi-asserted-by":"publisher","DOI":"10.1590\/1982-0194201700090"},{"key":"S1478951526102727_ref38","unstructured":"Republic of Turkey Ministry of Health, General Directorate of Public Health (2021) Kanser kontrol program\u0131 (versiyon 1). https:\/\/hsgm.saglik.gov.tr\/depo\/birimler\/kanser-db\/Dokumanlar\/Raporlar\/17.Agustos_2021_Kanser_Kontrol_Programi_versiyon-1.pdf (accessed 13 March 2024 )."},{"key":"S1478951526102727_ref1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1420306"},{"key":"S1478951526102727_ref16","first-page":"164","article-title":"Jinekolojik kanserli T\u00fcrk kad\u0131nlar\u0131n\u0131n dini ve geleneksel uygulamalar\u0131","volume":"15","author":"Duman","year":"2018","journal-title":"Jgon"},{"key":"S1478951526102727_ref8","article-title":"Correlation of spiritual well-being with hope and depression in oncology patients: The case of Turkey","author":"Ata","year":"2021","journal-title":"Perspectives in Psychiatric Care"},{"key":"S1478951526102727_ref4","doi-asserted-by":"publisher","DOI":"10.54557\/karataysad.1172368"},{"key":"S1478951526102727_ref25","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000000930"},{"key":"S1478951526102727_ref24","unstructured":"International Agency for Research on Cancer (IARC) (2024) World fact sheet. https:\/\/gco.iarc.who.int\/media\/globocan\/factsheets\/populations\/900-world-fact-sheet.pdf (accessed 13 March 2024 )."},{"key":"S1478951526102727_ref11","article-title":"The effect of perceived social support and spiritual care needs in predicting hope in oncology patients","author":"Budak","year":"2024","journal-title":"Cancer Nursing"},{"key":"S1478951526102727_ref46","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14595"},{"key":"S1478951526102727_ref39","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1186\/s12904-021-00778-3","article-title":"Exploring the relationship between spiritual well-being and death anxiety in patients with gynecological cancer: A cross-sectional study","volume":"20","author":"Tangwei","year":"2021","journal-title":"BMC Palliative Care"},{"key":"S1478951526102727_ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-020-05954-4"},{"key":"S1478951526102727_ref36","unstructured":"\u015eenol, C (1989) Ankara ilinde kurumlarda ya\u015fayan ya\u015fl\u0131larda \u00f6l\u00fcme ili\u015fkin kayg\u0131 ve korkular [Anxiety and fears related to death among the elderly living in institutions in the province of Ankara] (Unpublished master\u2019s thesis). Ankara University, Ankara, Turkey."},{"key":"S1478951526102727_ref28","unstructured":"Kurt, E (2021) Kanser hastalar\u0131nda manevi dan\u0131\u015fmanl\u0131k uygulamalar\u0131n\u0131n kayg\u0131 ve ya\u015fam kalitesi \u00fczerindeki etkisinin incelenmesi (Doctoral thesis). Bursa: Uluda\u011f \u00dcniversitesi Sosyal Bilimler Enstit\u00fcs\u00fc. http:\/\/hdl.handle.net\/11452\/21898."},{"key":"S1478951526102727_ref22","unstructured":"Globocan (2024) Cancer Facts. https:\/\/gco.iarc.fr\/today\/en\/fact-sheets-cancers (accessed 13 March 2024 )."},{"key":"S1478951526102727_ref40","doi-asserted-by":"publisher","DOI":"10.1080\/00221309.1970.9920634"},{"key":"S1478951526102727_ref9","doi-asserted-by":"publisher","DOI":"10.46413\/boneyusbad.1111161"},{"key":"S1478951526102727_ref42","article-title":"Correlates of death anxiety for patients with cancer: A systematic review and meta-analysis","author":"Wanglin","year":"2024","journal-title":"Journal of Clinical Nursing"},{"key":"S1478951526102727_ref2","unstructured":"Akbolat, A (2022). Kronik hastalarda iyi olu\u015f ve maneviyat: Nitel bir ara\u015ft\u0131rma (Doctoral thesis). Necmettin Erbakan \u00dcniversitesi Sosyal Bilimler Enstit\u00fcs\u00fc, Konya, T\u00fcrkiye."},{"key":"S1478951526102727_ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.suponc.2011.09.001"},{"key":"S1478951526102727_ref35","doi-asserted-by":"publisher","DOI":"10.1080\/02699930902847144"},{"key":"S1478951526102727_ref12","doi-asserted-by":"publisher","DOI":"10.55646\/jaren.2023.18942"},{"key":"S1478951526102727_ref19","first-page":"17","article-title":"\u00c7ok boyutlu alg\u0131lanan sosyal destek \u00f6l\u00e7e\u011fi\u2019nin g\u00f6zden ge\u00e7irilmi\u015f formunun fakt\u00f6r yap\u0131s\u0131, ge\u00e7erlik ve g\u00fcvenirli\u011fi","volume":"12","author":"Eker","year":"2001","journal-title":"T\u00fcrk Psikiyatri Dergisi"},{"key":"S1478951526102727_ref23","first-page":"319","article-title":"Death anxiety in the elderly: The role of spiritual health and perceived social support","volume":"6","author":"Hajihasani","year":"2021","journal-title":"Aging Psychology"},{"key":"S1478951526102727_ref13","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-018-4089-1"},{"key":"S1478951526102727_ref6","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951517000013"},{"key":"S1478951526102727_ref17","first-page":"153","article-title":"Akci\u011fer kanser cerrahisi ge\u00e7iren ve adjuvan kemoterapi alan hastalar\u0131n ya\u015fam kaliteleri ve sosyal destek d\u00fczeylerinin belirlenmesi","volume":"31","author":"D\u00fczen","year":"2021","journal-title":"Saglik ve Toplum"},{"key":"S1478951526102727_ref3","article-title":"\u00d6l\u00fcm kayg\u0131s\u0131 \u00f6l\u00e7e\u011finin uyarlanmas\u0131: Ge\u00e7erlilik ve g\u00fcvenirlik \u00e7al\u0131\u015fmas\u0131","volume":"11","author":"Ak\u00e7a","year":"2008","journal-title":"Klinik Psikiyatri Dergisi"},{"key":"S1478951526102727_ref20","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-021-00778-3"},{"key":"S1478951526102727_ref18","first-page":"45","article-title":"\u00c7ok boyutlu alg\u0131lanan sosyal destek \u00f6l\u00e7e\u011finin fakt\u00f6r yap\u0131s\u0131, ge\u00e7erlik ve g\u00fcvenirli\u011fi","volume":"34","author":"Eker","year":"1995","journal-title":"T\u00fcrk Psikoloji Dergisi"},{"key":"S1478951526102727_ref14","first-page":"e24248","article-title":"The relationship between spiritual well-being, quality of life, anxiety, and resilience in gynecological cancer patients in China","volume":"100","author":"Chen","year":"2021","journal-title":"Medicine"},{"key":"S1478951526102727_ref26","doi-asserted-by":"publisher","DOI":"10.34087\/cbusbed.1141820"},{"key":"S1478951526102727_ref30","doi-asserted-by":"publisher","DOI":"10.1080\/07481187.2011.649939"},{"key":"S1478951526102727_ref32","first-page":"60","volume-title":"Psikoonkoloji-Kanserli Hastaya Psikososyal Bak\u0131\u015f","author":"\u00d6zdo\u011fan","year":"2021"},{"key":"S1478951526102727_ref41","doi-asserted-by":"publisher","DOI":"10.53388\/IN2024007"},{"key":"S1478951526102727_ref44","unstructured":"World Health Organization (WHO) (2024) Governance constitution. https:\/\/www.who.int\/about\/governance\/constitution?utm_source=chatgpt.com"},{"key":"S1478951526102727_ref45","doi-asserted-by":"crossref","first-page":"16","DOI":"10.33371\/ijoc.v16i1.819","article-title":"Spiritual well-being and optimism as contributing factors that influence the subjective well-being of cancer patients","volume":"16","author":"Yesiana","year":"2022","journal-title":"Indonesian Journal of Cancer"},{"key":"S1478951526102727_ref47","doi-asserted-by":"publisher","DOI":"10.1207\/s15327752jpa5201_2"},{"key":"S1478951526102727_ref43","unstructured":"Wild, CP , Weiderpass, E and Stewart, BW (2020) WHO-IARC. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK606505\/ (accessed 13 March 2024 )."},{"key":"S1478951526102727_ref5","first-page":"103","article-title":"The relationship between women\u2019s gynecological complaint solutions, protection from gynecological cancers, knowledge and behaviors","volume":"7","author":"Akkoyun","year":"2024","journal-title":"Journal of Midwifery and Health Sciences"},{"key":"S1478951526102727_ref37","doi-asserted-by":"crossref","first-page":"805380","DOI":"10.3389\/fpsyt.2022.805380","article-title":"Support and spiritual well-being of patients with esophageal cancer aged over 50 years: The mediating role of rumination","volume":"13","author":"Social","year":"2022","journal-title":"Frontiers in Psychiatry"},{"key":"S1478951526102727_ref29","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.805380"},{"key":"S1478951526102727_ref34","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000001134"}],"container-title":["Palliative and Supportive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1478951526102727","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T07:21:18Z","timestamp":1780471278000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1478951526102727\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":47,"alternative-id":["S1478951526102727"],"URL":"https:\/\/doi.org\/10.1017\/s1478951526102727","relation":{},"ISSN":["1478-9515","1478-9523"],"issn-type":[{"value":"1478-9515","type":"print"},{"value":"1478-9523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. 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":"e153"}}