“…Psychogenic pain can be subdivided into the following factors: 1) cultural and spiritual aspects, including cultural beliefs, worldview, cultural diversity, cultural values, and behaviors (17) ; the corresponding statements on nursing diagnoses/outcomes that were constructed included conflicting cultural beliefs, lack of knowledge of disease, lack of knowledge of treatment regimen, risk for spiritual distress, and spiritual distress; 2) social aspects, including deterioration of the quality of life (18) , social disturbance (19) , and challenge to dignity (20) ; the corresponding statements on nursing diagnoses/ outcomes constructed included lack of social support, social isolation, risk for helplessness, risk for moral distress, and moral distress; and 3) psychological aspects, including anguish, guilt (21) , depression, anxiety (5) , hopelessness, and despair (22) ; these originated from various statements on nursing diagnoses/outcomes, including anguish, anxiety, negative self-image, delirium, depression, hopelessness, and fear, among others described in Chart 3.…”