{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T22:45:11Z","timestamp":1790808311918,"version":"4.1.0"},"reference-count":48,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T00:00:00Z","timestamp":1754352000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T00:00:00Z","timestamp":1754352000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Omega (Westport)"],"abstract":"<jats:p>\n                    <jats:bold>Aims:<\/jats:bold>\n                    This study explores the relationship between resilience and self-efficacy in palliative care patients and caregivers, focusing on gender differences in emotional expression and the impact of patient-caregiver dynamics on distress and coping.\n                    <jats:bold>Methods:<\/jats:bold>\n                    A cross-sectional study involved 160 palliative patients and 123 caregivers. Validated tools assessed resilience (Resilience Scale-14), self-efficacy (General Self-Efficacy Scale), distress (Integrated Palliative Care Outcome Scale), emotional expressivity (Toronto Alexithymia Scale), and caregiving burden (Caregiver Inventory). Regression and mediation analyses identified predictors of distress and burden.\n                    <jats:bold>Results:<\/jats:bold>\n                    Higher resilience correlated with lower patient distress (\n                    <jats:italic>p<\/jats:italic>\n                    = .004) but increased caregiver burden (\n                    <jats:italic>p<\/jats:italic>\n                    &lt; .001). Resilience mediated the relationship between self-efficacy and burden. Male patients had more difficulty identifying emotions (\n                    <jats:italic>p<\/jats:italic>\n                    &lt; .001). The patient-caregiver relationship type did not significantly affect distress.\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    While resilience is a protective factor for patients, it may unintentionally heighten the burden on caregivers. Gender-sensitive psychological interventions are needed to improve emotional processing and coping strategies.\n                  <\/jats:p>","DOI":"10.1177\/00302228251363091","type":"journal-article","created":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T13:27:14Z","timestamp":1754400434000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Resilience, Self-Efficacy, and Psychological Burden in Palliative Care: A Cross-Sectional Observational Study"],"prefix":"10.1177","author":[{"given":"Letizia","family":"Lafuenti","sequence":"first","affiliation":[{"name":"Clinical Psychology Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Belella","sequence":"additional","affiliation":[{"name":"Clinical Psychology Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, 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