Advance Care Planning Does Not Adversely Affect Hope or Anxiety Among Patients With Advanced Cancer

Abstract

Engaging in ACP with online planning tools increases knowledge without diminishing hope, increasing hopelessness, or inducing anxiety in patients with advanced cancer. Physicians need not avoid ACP out of concern for adversely affecting patients' psychological well-being.

The Effectiveness of Mindfulness Based Cognitive Therapy Training on Anxiety of Death and Thoughts of Suicide of Patients With Cancer

“…The finding of present research indicated that mindfulness-based cognition therapy was effective on suicidal thoughts and death anxiety in patients with cancer. The findings of this research were consistent with the results of Walker et al [6], Green and Walker [26], Carlson [28], Kabat Zinn [29], Carlson and Garland [30], Martin [31], Salajegheh and Raghibi [32], Sullivan et al [33], Nyklicek and Karlijn [34].…”

“…The findings related to this hypothesis were consistent with the results of Mousavi [24], Kaviani et al [16], Walker et al [6], Forkman et al [25], Green and Walker [26], Kim [27], Carlson [28], Kabat Zinn [29], Carlson and Garland [30], and Martin [31]. In order to explain these findings, we can say that cancer is associated with negative thoughts, especially thoughts of suicide.…”

“…MBCT program includes: Raising awareness through the practice of mindfulness, a particular perspective that is determined through little effort, acceptance and intrinsic interest to experiences, a process that communicates between understanding how to work with vulnerable factors and training them [11]. During MBCT sessions, therapy would be easier through dialogue, feedback, group exercises and training [12]. In the treatment of cancer, more attention is focused on physical therapy, while patients with cancer are faced with many psychological problems, fear, death anxiety, depression, reduced interest in marriage relationships and reduced confidence.…”

Advance care planning for patients with amyotrophic lateral sclerosis

“…Consistent with previous studies involving other patient populations, we found that after using the decision aid, patients’ knowledge of ACP increased, and patients expressed high levels of satisfaction with MYWK (37, 40, 42, 49, 50). So too, there were no adverse effects on anxiety, which should help allay concerns some clinicians have about discussing end-of-life issues with patients.…”

“…Baseline measures included: 1) Demographics and Health Assessment (22 items); 2) Self-Determination (8 items, adapted from Pellino (41), assessing individuals’ sense of control over future treatments); 3) Advance Care Planning Knowledge (27 items, previously described (42), assessing knowledge of the advance care planning process and the clinical decisions patients often face at the end of life); 4) Anxiety (State Trait Anxiety Inventory (43)); 5) Functional Status (ALS Functional Rating Scale-Revised ALSFRS-R (44)); and 6) Quality of Life (ALS-Specific QoL Scale (45)).…”