“…However, this reduction occurred whether or not the referral had been accepted or refused, except in the case of social issues where levels of distress were significantly lowered when the patient accepted. These results may indicate both the cancer clientele's capacity for resiliency and the benefits of support and education, mainly by nurses, that go greatly undocumented (De Marinis, et al, 2010;Tremblay et al, 2017).…”