What the study found
The study found that older Iranian adults with colorectal cancer experienced existential distress, meaning deep psychological suffering related to meaning, identity, and purpose. Their accounts centered on diminished self-worth, uncertainty and fear of death, and strained relationships.
Why the authors say this matters
The authors conclude that the findings support supportive cancer care that addresses existential and spiritual needs as well as physical care. The study suggests that psychosocial dimensions should be considered in culturally informed interventions.
What the researchers tested
The researchers used a qualitative descriptive phenomenological design to explore the lived experience of existential distress. They interviewed 17 adults aged 65 years or older with confirmed colorectal cancer at a cancer center in northern Iran and analyzed the interviews using Colaizzi’s seven-step method.
What worked and what didn't
Three themes emerged: Inadequate Self-Realization, Confronting Uncertainty and Death, and Disruption of Meaningful Relationships. Participants described diminished inner value and guilt about being a family burden, feeling lost and fearful of the unknown, and experiencing stigma, social humiliation, and self-isolation.
What to keep in mind
The study is based on 17 participants from one cancer center in northern Iran, so the findings reflect this specific group and setting. The abstract does not describe additional limitations.
Key points
- Seventeen adults age 65 and older with confirmed colorectal cancer were interviewed.
- Participants described existential distress as suffering tied to meaning, identity, and purpose.
- Three themes were identified: inadequate self-realization, confronting uncertainty and death, and disruption of meaningful relationships.
- Reported experiences included guilt about family burden, fear of the unknown, stigma, and self-imposed isolation.
- The authors say supportive care should address existential and spiritual needs alongside physical care.
Disclosure
- Research title:
- Older Iranian adults with colorectal cancer reported existential distress
- Authors:
- Parisa Khalili, Zhale Zandieh, Ahmad Delbari, Shahab Papi, Yadollah Abolfathi Momtaz
- Institutions:
- Lorestan University of Medical Sciences, University of Social Welfare and Rehabilitation Sciences, University of Social Welfare and Rehabilitation Sciences, University of Social Welfare and Rehabilitation Sciences, University of Social Welfare and Rehabilitation Sciences
- Publication date:
- 2026-01-07
- OpenAlex record:
- View
Get the weekly research newsletter
Stay current with scholarly research without reading academic papers — one filtered digest, every Friday.