NDLI: Effect of dignity therapy on end-of-life psychological distress in terminally ill Portuguese patients: A randomized controlled trial.

Please wait, while we are loading the content...

Delirium in the intensive care setting: A reevaluation of the validity of the CAM-ICU and ICDSC versus the DSM-IV-TR in determining a diagnosis of delirium as part of the daily clinical routine.

Functional evaluation of treatment of chronic disease: Validity and reliability of the Turkish version of the Spiritual Well-Being Scale.

Effects of hospital palliative care on health, length of stay, and in-hospital mortality across intensive and non-intensive-care units: A systematic review and metaanalysis.

Modes of relating to contingency: An exploration of experiences in advanced cancer patients-ERRATUM.

Correlates of the positive psychological byproducts of cancer: Role of family caregivers and informational support.

Distress and body image due to altered appearance in posttreatment and active treatment of breast cancer patients and in general population controls.

Interconnection: A qualitative analysis of adjusting to living with renal cell carcinoma.

Subsyndromal delirium in the intensive care setting: Phenomenological characteristics and discrimination of subsyndromal delirium versus no and full-syndromal delirium.

Testing the feasibility of using the Edmonton Symptom Assessment System (ESAS) to assess caregiver symptom burden.

A qualitative study of patient and provider perspectives on using web-based pain coping skills training to treat persistent cancer pain.

Factors associated with patient-reported subjective well-being among advanced lung or non-colonic gastrointestinal cancer patients.

Changes in social engagement and depression predict incident loneliness among seriously ill home care clients.

Year: 2016 Volume: 14

Year: 2016

Year: 2015 Volume: 13

Year: 2014 Volume: 12

Year: 2013 Volume: 11

Year: 2012 Volume: 10

Effect of dignity therapy on end-of-life psychological distress in terminally ill Portuguese patients: A randomized controlled trial.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Julião, Miguel Oliveira, Fátima Nunes, Baltazar Carneiro, António Vaz Barbosa, António
Description	Country affiliation: Portugal Author Affiliation: Julião M ( Life and Health Sciences Research Institute,School of Medicine,University of Minho,Braga,Portugal.); Oliveira F ( Department of Palliative Medicine,Instituto das Irmãs Hospitaleiras do Sagrado Coração de Jesus,Casa de Saúde da Idanha,Belas,Portugal.); Nunes B ( Department of Epidemiology,Instituto Dr. Ricardo Jorge,Lisbon,Portugal.); Carneiro AV ( Center for Evidence-Based Medicine,Faculty of Medicine of the University of Lisbon,Lisbon,Portugal.); Barbosa A ( Center for Bioethics,Faculty of Medicine,University of Lisbon,Lisbon,Portugal.)
Abstract	OBJECTIVE: Dignity therapy (DT) is a brief form of psychotherapy developed for patients living with a life-limiting illness that has demonstrated efficacy in treating several dimensions of end-of-life psychological distress. Our aim was to determine the influence of DT on demoralization syndrome (DS), the desire for death (DfD), and a sense of dignity (SoD) in terminally ill inpatients experiencing a high level of distress in a palliative care unit. METHOD: A nonblinded phase II randomized controlled trial was conducted with 80 patients who were randomly assigned to one of two groups: the intervention group (DT + standard palliative care [SPC]) or the control group (SPC alone). The main outcomes were DS, DfD, and SoD, as measured according to DS criteria, the Desire for Death Rating Scale, and the Patient Dignity Inventory (PDI), respectively. All scales were assessed at baseline (day 1) and at day 4 of follow-up. This study is registered with http://www.controlled-trials.com/ISRCTN34354086. RESULTS: Of the 80 participants, 41 were randomized to DT and 39 to SPC. Baseline characteristics were similar between the two groups. DT was associated with a significant decrease in DS compared with SPC (DT DS prevalence = 12.1%; SPC DS prevalence = 60.0%; p < 0.001). Similarly, DT was associated with a significant decrease in DfD prevalence (DT DfD prevalence = 0%; SPC DfD prevalence = 14.3%; p = 0.054). Compared with participants allocated to the control group, those who received DT showed a statistically significant reduction in 19 of 25 PDI items. SIGNIFICANCE OF RESULTS: Dignity therapy had a beneficial effect on the psychological distress encountered by patients near the end of life. Our research suggests that DT is an important psychotherapeutic approach that should be included in clinical care programs, and it could help more patients to cope with their end-of-life experiences.
File Format	HTM / HTML
ISSN	14789515
Journal	Palliative and Supportive Care
e-ISSN	14789523
Language	English
Publisher	Cambridge University Press
Publisher Date	2017-02-07
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Palliative Care Discipline Psychology
Content Type	Text
Resource Type	Article
Subject	Nursing Clinical Psychology Psychiatry and Mental Health

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Dignity Therapy Helps Terminally Ill Patients Maintain a Sense of Peace: Early Results of a Randomized Controlled Trial

Efficacy of dignity therapy for depression and anxiety in terminally ill patients: early results of a randomized controlled trial.

The project ENABLE II randomized controlled trial to improve palliative care for rural patients with advanced cancer: baseline findings, methodological challenges, and solutions.

A new measure of home care patients' dignity at the end of life: The Palliative Patients' Dignity Scale (PPDS).

Dignity: a fight to the end, or an end to the fight?

Effects of dignity therapy on psychological distress and wellbeing of palliative care patients and family caregivers – a randomized controlled study

The effect of dignity therapy on distress and end-of-life experience in terminally ill patients: a randomised controlled trial

'All my saints are within me': expressions of end-of-life spirituality.

Dying to talk: unsettling assumptions toward research with patients at the end of life.

Effect of dignity therapy on end-of-life psychological distress in terminally ill Portuguese patients: A randomized controlled trial.

Similar Documents

Dignity Therapy Helps Terminally Ill Patients Maintain a Sense of Peace: Early Results of a Randomized Controlled Trial

Efficacy of dignity therapy for depression and anxiety in terminally ill patients: early results of a randomized controlled trial.

The project ENABLE II randomized controlled trial to improve palliative care for rural patients with advanced cancer: baseline findings, methodological challenges, and solutions.

A new measure of home care patients' dignity at the end of life: The Palliative Patients' Dignity Scale (PPDS).

Dignity: a fight to the end, or an end to the fight?

Effects of dignity therapy on psychological distress and wellbeing of palliative care patients and family caregivers – a randomized controlled study

The effect of dignity therapy on distress and end-of-life experience in terminally ill patients: a randomised controlled trial

'All my saints are within me': expressions of end-of-life spirituality.

Dying to talk: unsettling assumptions toward research with patients at the end of life.

Effect of dignity therapy on end-of-life psychological distress in terminally ill Portuguese patients: A randomized controlled trial.