Peace, Equanimity, and Acceptance in the cancer experience (PEACE)

BACKGROUND. The role of emotional acceptance of a terminal illness in end‐of‐life (EOL) care is not known. The authors developed a measure of peaceful acceptance at the EOL, and evaluated the role of peaceful acceptance in EOL decision‐making and care. METHODS. The authors developed the Peace, Equan...

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Bibliographic Details
Published in:Cancer 2008-06, Vol.112 (11), p.2509-2517
Main Authors: Mack, Jennifer W., Nilsson, Matthew, Balboni, Tracy, Friedlander, Robert J., Block, Susan D., Trice, Elizabeth, Prigerson, Holly G.
Format: Article
Language:English
Subjects:
cognitive acceptance
end‐of‐life care
prognosis communication
self‐reported peacefulness
symptom burden
terminal illness
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Summary:BACKGROUND. The role of emotional acceptance of a terminal illness in end‐of‐life (EOL) care is not known. The authors developed a measure of peaceful acceptance at the EOL, and evaluated the role of peaceful acceptance in EOL decision‐making and care. METHODS. The authors developed the Peace, Equanimity, and Acceptance in the Cancer Experience (PEACE) questionnaire to measure the extent to which patients with advanced cancer have a sense of peaceful acceptance of their terminal illness. The scale was administered to 160 patients with advanced cancer along with measures of other attributes that hypothetically are related to acceptance, including cognitive acceptance of terminal illness. EOL outcomes in 56 patients who died during the study also were examined. RESULTS. The 12‐item PEACE questionnaire had 2 subscales: a 7‐item Struggle With Illness subscale (Cronbach α = .81) and a 5‐item Peaceful Acceptance subscale (α = .78). Both subscales were associated with patients' self‐reported peacefulness (correlation coefficient [r] = 0.66 for acceptance [P
ISSN:0008-543X
1097-0142
DOI:10.1002/cncr.23476