{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T08:20:28Z","timestamp":1777882828633,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"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":["Palliative Medicine Reports"],"published-print":{"date-parts":[[2025,6,1]]},"abstract":"<jats:p>\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Background:<\/jats:italic>\n                    <\/jats:bold>\n                    Depression is a common yet under-recognized condition among palliative care patients, often affecting their psychological well-being and quality of life. Coping strategies used by these patients may influence their mental health outcomes and overall adaptation to illness.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Objective:<\/jats:italic>\n                    <\/jats:bold>\n                    To assess the presence of depression and identify coping strategies among palliative care patients attending a tertiary teaching hospital in Karachi, Pakistan.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Setting\/Subjects:<\/jats:italic>\n                    <\/jats:bold>\n                    This cross-sectional study was conducted at Aga Khan University Hospital, Karachi, Pakistan, over six months (June to December 2023). A total of 81 adult patients receiving palliative care for at least one month were enrolled in the study. Depression was assessed using the Patient Health Questionnaire-9, while coping strategies were evaluated using the Brief COPE Inventory. Descriptive and inferential statistics were applied using SPSS v. 21.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Results:<\/jats:italic>\n                    <\/jats:bold>\n                    Depression was present in majority of participants, with 30% showing minimal, 18% mild, 19% moderate, 22% moderately severe, and 11% severe symptoms. The coping styles used were problem-focused (2.65 \u00b1 0.65), emotion-focused (2.18 \u00b1 0.32), and avoidant coping (1.74 \u00b1 0.34). Female participants were more likely to employ emotion-focused coping compared to male participants (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = 0.012). A weak inverse correlation was observed between education level and depression severity (\n                    <jats:italic toggle=\"yes\">r<\/jats:italic>\n                    = \u22120.213,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = 0.056).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Conclusion:<\/jats:italic>\n                    <\/jats:bold>\n                    Depression is highly prevalent among palliative care patients in this context. Most patients adopt adaptive coping strategies, particularly emotional support and religious coping. These findings highlight the need for integrated psychological care as a routine component of palliative treatment.\n                  <\/jats:p>","DOI":"10.1177\/26892820251394288","type":"journal-article","created":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T01:15:53Z","timestamp":1763428553000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Depression and Coping Strategies Among Palliative Care Patients in a Tertiary Hospital in Karachi, Pakistan"],"prefix":"10.1177","volume":"6","author":[{"given":"Hina","family":"Ali","sequence":"first","affiliation":[{"name":"Department of Family Medicine, Aga Khan University, Karachi, Pakistan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ismat","family":"Jabeen","sequence":"additional","affiliation":[{"name":"Department of Oncology, Aga Khan University Hospital, Karachi, Pakistan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nawazish","family":"Zehra","sequence":"additional","affiliation":[{"name":"Department of Oncology, Aga Khan University Hospital, Karachi, Pakistan."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,11,17]]},"reference":[{"issue":"1","key":"e_1_3_3_2_1","first-page":"37","article-title":"Palliative care in Pakistan","volume":"2","author":"Khan RI","year":"2017","unstructured":"1. 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Palliative medicine: An emerging discipline. J Pak Med Assoc 2002;52(3):129\u2013131 .","journal-title":"J Pak Med Assoc"},{"key":"e_1_3_3_19_1","doi-asserted-by":"crossref","unstructured":"18. Ali H Fearon D Jabeen I. Systematic review on coping strategies used by palliative care patients in South Asia [preprint]. 2024; doi: 10.21203\/rs.3.rs-4480982\/v1","DOI":"10.21203\/rs.3.rs-4480982\/v1"},{"issue":"3","key":"e_1_3_3_20_1","first-page":"1","article-title":"Coping strategies used by oncology palliative care nurses: An integrative review","volume":"21","author":"Dos Santos NA","year":"2016","unstructured":"19. Dos Santos NA, , Gomes SV, , Rodrigues CM, , Coping strategies used by oncology palliative care nurses: An integrative review. 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