| Physical | Decreased functional capability. |
|---|---|
| Diminished strength, endurance. | |
| Nausea, poor appetite. | |
| Poor or interrupted sleep. | |
| Psychological | Diminished leisure, enjoyment. |
| Increased anxiety, fear. | |
| Depression, personal distress. | |
| Difficulty concentrating. | |
| Somatic preoccupation. | |
| Loss of control. | |
| Social | Diminished social relationships. |
| Decreased sexual function, affection. | |
| Altered appearance. | |
| Increased caregiver burden. | |
| Spiritual | Increased suffering. |
| Altered meaning. | |
| Reevaluation of religious beliefs. |
Source: Ferrell, Rhiner, Cohen, et al., 1991. Used with permission.