Research Topics
| Camilla ZimmermannSummaryAffiliation: University of Toronto Country: Canada Publications
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Detail Information
Publications
The denial of death thesis: sociological critique and implications for palliative careCamilla Zimmermann
Department of Psychosocial Oncology and Palliative Care, Princess Margaret Hospital, University Health Network, University of Toronto, Ontario, Canada
Palliat Med 18:121-8. 2004..In particular, we argue that the emphasis of palliative care should not be on extinguishing the denial of death but on the relief of suffering...- Bringing palliative care to a Canadian cancer center: the palliative care program at Princess Margaret HospitalCamilla Zimmermann
Department of Psychosocial Oncology and Palliative Care, Princess Margaret Hospital, 610 University Ave, 16th Floor, M5G 2M9, Toronto, ON, Canada
Support Care Cancer 14:982-7. 2006..We will describe the components, successes, and challenges of our program, which may be useful for others, who are developing palliative care programs in an academic setting... - Integrating palliative care: a postmodern perspectiveCamilla Zimmermann
Am J Hosp Palliat Care 23:255-8. 2006..In this article, the authors deconstruct these dichotomies and advocate for a fully integrated model of palliative care... 
Effectiveness of specialized palliative care: a systematic reviewCamilla Zimmermann
Division of Medical Oncology and Hematology, Department of Medicine, University of Toronto, Canada
JAMA 299:1698-709. 2008..However, the impact of such teams on quality of life, satisfaction with care, and economic cost has not been examined systematically using detailed criteria for study quality...- Measuring attachment security in patients with advanced cancer: psychometric properties of a modified and brief Experiences in Close Relationships scaleChristopher Lo
Department of Psychosocial Oncology and Palliative Care, Princess Margaret Hospital, and Psychosocial Oncology and Palliative Care Research Division, Ontario Cancer Institute, University Health Network, Toronto, Canada
Psychooncology 18:490-9. 2009..This study reports on (1) the psychometric properties of a modified 36-item Experiences in Close Relationships scale (ECR), adapted for this population; and (2) the validity of a brief 16-item version of our modified scale... - Acceptance of dying: a discourse analysis of palliative care literatureCamilla Zimmermann
University of Toronto, 610 University Ave, 16 712, Toronto, Ontario, Canada M5G 2M9
Soc Sci Med 75:217-24. 2012.... - Determinants of quality of life in patients with advanced cancerCamilla Zimmermann
Division of Medical Oncology and Hematology, Department of Medicine, Toronto, Canada
Support Care Cancer 19:621-9. 2011..Improving health-related quality of life (HRQL) is the main goal of palliative care and an important outcome for oncology trials. This study examines medical and sociodemographic determinants of HRQL in outpatients with advanced cancer... - Predictors of symptom severity and response in patients with metastatic cancerCamilla Zimmermann
Division of Medical Oncology and Hematology, Department of Medicine, University of Toronto, Ontario, Canada
Am J Hosp Palliat Care 27:175-81. 2010..Performance status, gender, and baseline symptom severity should be accounted for in trials of palliative care interventions; inclusion criteria based on symptom severity should also be considered... - Rotation to methadone after opioid dose escalation: How should individualization of dosing occur?Camilla Zimmermann
Department of Psychosocial Oncology and Palliative Care, Princess Margaret Hospital, Toronto, ON, Canada, M5G 2M9
J Pain Palliat Care Pharmacother 19:25-31. 2005..A possible conversion method for rotation to methadone for patients with escalating pain and opioid use is suggested... - Nurse and physician inter-rater agreement of three performance status measures in palliative care outpatientsCamilla Zimmermann
Division of Medical Oncology and Hematology, Department of Medicine, University of Toronto, Toronto, Canada
Support Care Cancer 18:609-16. 2010..Performance status (PS) scales are used widely in oncology practice and research. We compared inter-rater agreement, between nurses and physicians, for three commonly used PS scales... - Denial of impending death: a discourse analysis of the palliative care literatureCamilla Zimmermann
Division of General Internal Medicine, University Health Network, Department of Psychosocial Oncology and Palliative Care, Princess Margaret Hospital, University of Toronto, Toronto, Canada
Soc Sci Med 59:1769-80. 2004.... - Death denial: obstacle or instrument for palliative care? An analysis of clinical literatureCamilla Zimmermann
Division of Medical Oncology and Haematology, University of Toronto and Department of Psychosocial Oncology and Palliative Care, Princess Margaret Hospital, University Health Network, Canada
Sociol Health Illn 29:297-314. 2007..The personal struggle with mortality has become an important instrument in the public problem of managing the dying process... - Longitudinal study of depressive symptoms in patients with metastatic gastrointestinal and lung cancerChristopher Lo
Princess Margaret Hospital, University Health Network, Toronto, Ontario, Canada
J Clin Oncol 28:3084-9. 2010..We therefore conducted a longitudinal study to determine the course and predictors of depressive symptoms... - Pathways to distress: the multiple determinants of depression, hopelessness, and the desire for hastened death in metastatic cancer patientsGary Rodin
Department of Psychosocial Oncology and Palliative Care, Princess Margaret Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada
Soc Sci Med 68:562-9. 2009.... - Phase II study of an outpatient palliative care intervention in patients with metastatic cancerMatthew Follwell
Department of Radiation Oncology, University of Toronto, Toronto, Ontario, Canada
J Clin Oncol 27:206-13. 2009..This study assessed prospectively the efficacy of an Oncology Palliative Care Clinic (OPCC) in improving patient symptom distress and satisfaction... - Predictors of referral for specialized psychosocial oncology care in patients with metastatic cancer: the contributions of age, distress, and marital statusJanet Ellis
Department of Psychosocial Oncology and Palliative Care, Princess Margaret Hospital, University Health Network, Toronto, Ontario, Canada
J Clin Oncol 27:699-705. 2009..This study examines the rate and prediction of referral for specialized psychosocial oncology care in 326 patients with metastatic GI or lung cancer... - Assessing agreement between terminally ill cancer patients' reports of their quality of life and family caregiver and palliative care physician proxy ratingsJennifer M Jones
Department of Psychosocial Oncology and Palliative Care, Princess Margaret Hospital, Toronto, Ontario, Canada
J Pain Symptom Manage 42:354-65. 2011..Proxy ratings, if valid, may provide an alternative approach to evaluating patient quality of life (QoL) at the end of life... - Measuring death-related anxiety in advanced cancer: preliminary psychometrics of the Death and Dying Distress ScaleChristopher Lo
Department of Psychosocial Oncology and Palliative Care, Princess Margaret Hospital, University Health Network, Toronto, Canada
J Pediatr Hematol Oncol 33:S140-5. 2011..We conclude by presenting a revised 15-item version of the scale for further study in advanced cancer and other palliative populations... - Age-related patterns in adaptation to cancer pain: a mixed-method studyLucia Gagliese
School of Kinesiology and Health Science, York University, Toronto, Canada
Pain Med 10:1050-61. 2009..The objective of this study was to explore age-related patterns in adaptation to chronic cancer-related pain in younger and older patients... - Factors associated with work stress and professional satisfaction in oncology staffElizabeth Dougherty
Department of Psychosocial Oncology and Palliative Care, Princess Margaret Hospital, University Health Network, Toronto, Canada
Am J Hosp Palliat Care 26:105-11. 2009..009), perceived lack of resources (odds ratio = 0.06; P = .007), and lack of control over the choice of workplace (odds ratio = 0.10; P = .03). Measures to address work-related stress should be included in the planning of cancer programs... - Managing Cancer and Living Meaningfully (CALM): a qualitative study of a brief individual psychotherapy for individuals with advanced cancerRinat Nissim
Department of Psychosocial Oncology and Palliative Care, Princess Margaret Hospital, University Health Network, Toronto, Canada
Palliat Med 26:713-21. 2012..Although psychosocial care has been regarded as central to palliative and supportive care, there have been few empirically tested approaches to individual intervention... - Factor structure of the Beck Hopelessness Scale in individuals with advanced cancerRinat Nissim
Behavioural Sciences and Health Research Division, Toronto General Research Institute, University Health Network, Toronto, Canada
Psychooncology 19:255-63. 2010..Although the Beck Hopelessness Scale is often used with the seriously ill, its factor structure has been given relatively little consideration in this context... - The FAMCARE-Patient scale: measuring satisfaction with care of outpatients with advanced cancerChristopher Lo
Department of Psychosocial Oncology and Palliative Care, Princess Margaret Hospital, University Health Network, Canada
Eur J Cancer 45:3182-8. 2009..To provide confirmatory results concerning the psychometric properties of a measure of satisfaction with oncology care for use with advanced stage cancer patients, and test its sensitivity to change... - Validation of the QUAL-EC for assessing quality of life in patients with advanced cancerChristopher Lo
Department of Psychosocial Oncology and Palliative Care, Princess Margaret Hospital, University Health Network, 610 University Ave, Toronto, Ontario, Canada
Eur J Cancer 47:554-60. 2011..However, there is a lack of measures validated specifically for advanced cancer. The purpose of this study was to validate the Quality of Life at the End of Life (QUAL-E) measure in a sample of patients with advanced cancer... - Patterns of depression in cancer patients: an indirect test of gender-specific vulnerabilities to depressionSara Miller
Department of Psychosocial Oncology and Palliative Care, Campbell Family Cancer Research Institute, Ontario Cancer Institute, Princess Margaret Hospital, University Health Network, University of Toronto, 610 University Avenue 16 724, Toronto, ON, M5G 2M9, Canada
Soc Psychiatry Psychiatr Epidemiol 46:767-74. 2011.... - Interconversion of three measures of performance status: an empirical analysisClement Ma
Department of Biostatistics, Ontario Cancer Institute, Princess Margaret Hospital, University Health Network, Toronto, Canada
Eur J Cancer 46:3175-83. 2010.... - Spirituality and use of complementary therapies for cure in advanced cancerMateya Trinkaus
Division of Medical Oncology and Haematology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada
Psychooncology 20:746-54. 2011..We examined the use of CAM in this population, and associations of use for potential cure with spiritual faith and existential well-being... - Referral practices of oncologists to specialized palliative careKirsten Wentlandt
University of Toronto, Toronto, Ontario, Canada
J Clin Oncol 30:4380-6. 2012..To describe current referral practices of oncologists to specialized palliative care (SPC) and define demographic characteristics, practice situations, and opinions associated with referral... - Understanding bereaved caregiver evaluations of the quality of dying and death: an application of cognitive interviewing methodology to the quality of dying and death questionnaireSarah Hales
Princess Margaret Hospital, University Health Network, Toronto, Ontario, Canada
J Pain Symptom Manage 43:195-204. 2012..To increase the interpretability of quality of dying and death measures, research is needed to understand potential sources of response variation... - The desire for hastened death in patients with metastatic cancerGary Rodin
Department of Psychosocial Oncology and Palliative Care, Princess Margaret Hospital, University Health Network, Toronto, Canada
J Pain Symptom Manage 33:661-75. 2007..The relative absence of a strong DHD in this sample suggests that the will to live tends to be preserved in cancer patients prior to the end of life, in spite of significant emotional and physical suffering... - Acceptance of pain: a study in patients with advanced cancerLynn R Gauthier
School of Kinesiology and Health Science, York University, Toronto, Canada
Pain 143:147-54. 2009..These data lay the groundwork for future research and interventions designed to enhance quality of life for patients with advanced cancer and pain... - Quality of life and symptom burden in cancer patients admitted to an acute palliative care unitJennifer M Jones
Department of Psychosocial Oncology and Palliative Care, Princess Margaret Hospital, University Health Network, Toronto, Ontario, Canada
J Palliat Care 26:94-102. 2010..These findings emphasize the need for interdisciplinary, collaborative approaches to managing the complex physical, psychosocial, and existential needs of cancer patients admitted to acute PCUs... - Administrative outcomes five years after opening an acute palliative care unit at a comprehensive cancer centerJohn Bryson
Division of Medical Oncology and Hematology, Department of Medicine, University of Toronto, Canada
J Palliat Med 13:559-65. 2010..We examined administrative outcomes after opening an oncology acute palliative care unit (APCU), to determine attainment of administrative targets related to the unit's function of acute palliation... - Measuring patient satisfaction in oncology palliative care: psychometric properties of the FAMCARE-patient scaleChristopher Lo
Department of Psychosocial Oncology and Palliative Care, Princess Margaret Hospital, University Health Network, Toronto, Ontario, Canada
Qual Life Res 18:747-52. 2009..We provide preliminary psychometric results concerning the use of a modified FAMCARE scale, adapted for patient use, to assess satisfaction with outpatient care in advanced stage cancer patients... - Abducted by the illness: A qualitative study of traumatic stress in individuals with acute leukemiaRinat Nissim
Department of Psychosocial Oncology and Palliative Care, Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada Electronic address
Leuk Res 37:496-502. 2013..Patients also expressed a strong preference for limited information, with a preference to avoid discussions about overall prognosis. These results may inform interventions to relieve traumatic stress in this high risk population... - A couples intervention for patients facing advanced cancer and their spouse caregivers: outcomes of a pilot studyLinda M McLean
Department of Psychosocial Oncology and Palliative Care, Princess Margaret Hospital, University Health Network, Toronto, Ontario, Canada
Psychooncology 17:1152-6. 2008..A secondary objective was to determine its impact on other symptoms of psychosocial distress and its feasibility and acceptability as a clinical intervention... - The association of physical and psychological symptom burden with time to death among palliative cancer outpatientsWinson Y Cheung
Division of Medical Oncology and Hematology, University of Toronto, Toronto, Canada
J Pain Symptom Manage 37:297-304. 2009..The lack of intensification of psychological symptoms in relation to time to death is striking and needs to be further investigated using specific validated measures for depression and anxiety... - Review: the quality of dying and death: a systematic review of measuresSarah Hales
Psychosocial Oncology and Palliative Care, Princess Margaret Hospital, University Health Network, Toronto, ON, Canada
Palliat Med 24:127-44. 2010..Strategies to measure the quality of dying and death are becoming increasingly rigorous. Further research is required to understand the factors influencing the ratings of the quality of dying and death... - Bereavement practices of physicians in oncology and palliative careNicole G Chau
Princess Margaret Hospital, Department of Medical Oncology and Hematology, University of Toronto, Toronto, ON M5G 2M9, Canada
Arch Intern Med 169:963-71. 2009.... - The communal coping model and cancer pain: the roles of catastrophizing and attachment styleLynn R Gauthier
School of Kinesiology and Health Science, York University, Toronto, Ontario, Canada
J Pain 13:1258-68. 2012.... - Availability of services in Ontario hospices and hospitals providing inpatient palliative careKathryn Towns
Division of Medical Oncology and Hematology, Department of Medicine, University of Toronto, Ontario, Canada
J Palliat Med 15:527-34. 2012.... - Staff stress, work satisfaction, and death attitudes on an oncology palliative care unit, and on a medical and radiation oncology inpatient unitBruce Pierce
Princess Margaret Hospital, University Health Network, University of Toronto, Canada
J Palliat Care 23:32-9. 2007.... - Phase II trial of mirtazapine for cancer-related cachexia and anorexiaRachel P Riechelmann
Department of Medical Oncology, University of Toronto, Canada
Am J Hosp Palliat Care 27:106-10. 2010..2 kg); 24% and 6% improved appetite and health-related quality of life (HQOL), respectively. Mirtazapine is a promising agent for the treatment of CRCA... - Maintaining the will to live of patients with advanced cancerLuluel Khan
Department of Radiation Oncology, University Health Network, University of Toronto, Toronto, Ontario, Canada
Cancer J 16:524-31. 2010..Comfort and facility with such supportive interventions in oncology will require greater attention to the development of communication and relationship skills at both undergraduate and postgraduate levels of training... - Methadone for treatment of cancer painJohn Bryson
Division of Medical Oncology and Hematology, Psychosocial Oncology and Palliative Care Program, Princess Margaret Hospital, Toronto, Ontario, Canada M5G 2M9
Curr Oncol Rep 8:282-8. 2006..Randomized controlled trials are needed to assess the effectiveness and safety of methadone compared with other opioids and to further evaluate its role in the treatment of neuropathic pain... - The contribution of attachment security and social support to depressive symptoms in patients with metastatic cancerGary Rodin
Department of Psychosocial Oncology and Palliative Care, Princess Margaret Hospital, and Psychosocial Oncology and Palliative Care Research Division, Ontario Cancer Institute, University Health Network, Toronto, Canada
Psychooncology 16:1080-91. 2007.... - Potential drug interactions in cancer patients receiving supportive care exclusivelyRachel P Riechelmann
Department of Medical Oncology and Hematology, Princess Margaret Hospital, University of Toronto, Toronto, Ontario, Canada
J Pain Symptom Manage 35:535-43. 2008..Older patients, those with comorbid conditions, brain tumor patients, and those taking many medications are at greater risk of drug interactions... - Quality of life and mental health in caregivers of outpatients with advanced cancerDeepa Wadhwa
Division of Medical Oncology and Haematology, Department of Medicine, University of Toronto, Toronto, Canada
Psychooncology 22:403-10. 2013..This study evaluates the quality of life (QOL) and mental health (MH) of caregivers of patients with advanced cancer who are receiving ambulatory oncology care and associations with patient, caregiver and care-related characteristics... - Psychoanalytic reflections on mortality: a reconsiderationGary Rodin
Department of Psychosocial Oncology and Palliative Care, Princess Margaret Hospital, University Health Network, Toronto, Ontario, Canada
J Am Acad Psychoanal Dyn Psychiatry 36:181-96. 2008.... - Symptom clusters in patients with advanced cancersWinson Y Cheung
Division of Medical Oncology and Hematology, Department of Medicine, University of Toronto, Toronto, ON, Canada
Support Care Cancer 17:1223-30. 2009..Prior research on symptom patterns has focused mainly on inpatients, early stage cancers, or a single cancer type or metastatic site. Our aim was to explore symptom clusters among outpatients with different advanced cancers... - The quality of dying and deathSarah Hales
Department of Psychosocial Oncology and Palliative Care, Princess Margaret Hospital, University Health Network, Toronto, Ontario, Canada
Arch Intern Med 168:912-8. 2008..Quality of dying and death is broader in scope than either quality of life at the end of life or quality of care at the end of life, although there is overlap among these constructs... - The role of palliative care in the lung cancer patient: can we improve quality while limiting futile care?Orit C Freedman
Division of Medical Oncology and Haematology, University of Toronto, Toronto, Canada
Curr Opin Pulm Med 15:321-6. 2009..Lung cancer is the leading cause of cancer death worldwide, and is diagnosed in the advanced stage in 70% of patients. This study will summarize the most up-to-date strategies in supportive care for patients with metastatic lung cancer... - Symptom and medication profiles among cancer patients attending a palliative care clinicRachel P Riechelmann
Department of Medical Oncology and Hematology, Princess Margaret Hospital, University of Toronto, Toronto, ON, Canada
Support Care Cancer 15:1407-12. 2007..We describe the symptomatology and medication profile of ambulatory cancer patients receiving exclusively supportive care at the Princess Margaret Hospital... 
The PROGRESS trial three years later: time for a balanced report of effectivenessRichard Wennberg
Department of Medicine, University of Toronto, University Health Network, Toronto, ON, Canada M5T 2S8
BMJ 329:968-70. 2004- Traumatic stress in acute leukemiaGary Rodin
Department of Psychosocial Oncology and Palliative Care, Princess Margaret Hospital, University Health Network, Toronto, Canada
Psychooncology 22:299-307. 2013..In the present study, we investigate the prevalence and correlates of post-traumatic stress symptoms in this population... - Interpersonal processes in palliative care: an attachment perspective on the patient-clinician relationshipAdrienne Tan
Department of Psychosocial Oncology and Palliative Care, Princess Margaret Hospital, Canada
Palliat Med 19:143-50. 2005..This paper provides an overview of this theory and demonstrates its application and relevance to palliative care... - Clinician-patient communication: a systematic reviewGary Rodin
Department of Psychosocial Oncology and Palliative Care, Princess Margaret Hospital, University Health Network, 610 University Avenue, Toronto, ON M5G 2M9, Canada
Support Care Cancer 17:627-44. 2009..The goal of this work was to identify methods of clinician-patient cancer-related communication that may impact patient outcomes associated with distress at critical points in the course of cancer care... - Addition of methadone to another opioid in the management of moderate to severe cancer pain: a case seriesElaine Wallace
Department of Psychosocial Oncology and Palliative Care, Princess Margaret Hospital, University Health Network, Toronto, Ontario, Canada
J Palliat Med 16:305-9. 2013..Previous research has reported improved pain after adding methadone to another opioid, but did not quantify this benefit using a validated outcome measure... - Filling in the gaps: reporting of concurrent supportive care therapies in breast cancer chemotherapy trialsOrit Freedman
Department of Medicine, University of Toronto, Toronto, Canada
Support Care Cancer 19:315-22. 2011..This study determined the prevalence and quality of reporting of supportive care treatment for common chemotherapy-induced toxicities in phase III, breast cancer chemotherapy trials... - Perindopril monotherapy and PROGRESS in EuropeRichard Wennberg
BMJ 331:235-6. 2005 - Progress: measuring the benefit. Re: The numbers needed to treat for neurological disordersRichard Wennberg
Can J Neurol Sci 33:254; author reply 254. 2006