Dignity Therapy: A Novel Psychotherapeutic Intervention for Patients Near the End of Life

Chochinov, Harvey Max; Hack, Thomas F.; Hassard, Thomas; Kristjanson, Linda J.; McClement, Susan; Harlos, Mike

doi:10.1200/jco.2005.08.391

Cited by 812 publications

(824 citation statements)

References 14 publications

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“…Poststroke patients may feel like they have no hope, are a burden on others, or are losing their personal dignity and thus may have a desire for death 19, 20, 21. Our study provides information for suicide prevention by suggesting that those who received a depression diagnosis before a stroke are likely at higher risk of attempting suicide than those diagnosed with depression after a stroke.…”

Section: Discussionmentioning

confidence: 83%

Risk of Suicide Attempt in Poststroke Patients: A Population‐Based Cohort Study

Harnod

Lin

Kao

2018

JAHA

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BackgroundThis nationwide population‐based cohort study evaluated the risk of and risk factors for suicide attempt in poststroke patients in Taiwan.Methods and ResultsThe poststroke and nonstroke cohorts consisted of 713 690 patients and 1 426 009 controls, respectively. Adults (aged >18 years) who received new stroke diagnoses according to the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD‐9‐CM; codes 430–438) between 2000 and 2011 were included in the poststroke cohort. We calculated the adjusted hazard ratio for suicide attempt (ICD‐9‐CM codes E950–E959) after adjustment for age, sex, monthly income, urbanization level, occupation category, and various comorbidities. Kaplan–Meier analysis was used to measure the cumulative incidence of suicide attempt, and the Fine and Gray method was used as a competing event when estimating death subhazard ratios and 95% confidence intervals between groups. The cumulative incidence of suicide attempt was higher in the poststroke cohort, and the adjusted hazard ratio of suicide attempt was 2.20 (95% confidence interval, 2.04–2.37) compared with that of the controls. The leading risk factors for poststroke suicide attempt were earning low monthly income (<660 US dollars), living in less urbanized regions, doing manual labor, and having a stroke before age 50 years. The attempted suicide risk did not differ significantly between male and female patients in this study.ConclusionsThese results convey crucial information to clinicians and governments for preventing suicide attempt in poststroke patients in Taiwan and other Asian countries.

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Section: Discussionmentioning

confidence: 83%

Risk of Suicide Attempt in Poststroke Patients: A Population‐Based Cohort Study

Harnod

Lin

Kao

2018

JAHA

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“…The positive nature of legacy-making is consistent with previous studies, which have shown patient benefits including decreased breathing difficulties, distraction from pain and negative thoughts, increased religious meaning, greater social interaction, leaving a legacy, preparation for end of life, greater appreciation for self, as well as improved family communication and decreased caregiver stress. [4][5][6][7][8] However, previous studies have focused on adult and elderly adult patients [4][5][6][7] and have rarely explored legacy-making specific to pediatric populations.…”

Section: Legacy-making Activities 575 Resultsmentioning

confidence: 99%

“…3-8 Legacy-making activities including life review, dignity therapy, board games, or creative arts have been shown to benefit adult patients living with advanced cancer and their family members, [4][5][6][7][8] but have rarely been tested in pediatric populations. A qualitative study explored bereaved parents' and siblings' reports of legacies by children who had died of cancer.…”

Section: Introductionmentioning

confidence: 99%

National Survey of Children's Hospitals on Legacy-Making Activities

Foster

Dietrich

Friedman

et al. 2012

Journal of Palliative Medicine

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Objective: Many hospitals offer legacy-building activities for children with serious illnesses or their family members, yet legacy-making has received little empirical attention. This descriptive cross-sectional study examined healthcare provider perceptions of legacy-making activities (e.g., memory books) currently offered by hospitals to pediatric patients and their families. Methods: Healthcare providers in seventy-seven (100%) teaching children's hospitals across the United States completed an electronic survey. Results: Nearly all providers surveyed reported offering legacy-making activities to ill children and their families, with patients and families usually completing the activity together. Most activities were offered before a patient died and when cure is no longer being sought. Perceived outcomes included benefit to bereaved families and a tangible memento of their deceased child. Conclusion: Legacy-making may enhance life and decrease suffering for dying children and their families. Healthcare professionals can facilitate opportunities for children and their families to build legacies. Additional research is needed to examine activities across different age groups and conditions, the best time to offer such activities, and associations with positive and negative outcomes for ill children, their family members, and the bereaved.

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“…The importance of patient dignity is also reflected in various nursing codes of ethics worldwide (International Council of Nurses, 2001;Sanjari et al, 2011). Providing dignified care also has undeniable effects on health indicators including life expectancy and quality of life (Chochinov et al, 2005). On the other Zoleikha Avestan 1 *, Azad Rahmani 2 , Fatemeh Heshmati-Nabavi 3 , Sima Mogadasian 1 , Safieh Faghani 4 , Arman Azadi 5 , Ali Esfahani 2 hand, violation of patients' dignity may influence their psychological and spiritual status and also adversely affect their cooperation with medical staff (Walsh and Kowanko., 2002).…”

Section: Introductionmentioning

confidence: 99%

Perceptions of Iranian Cancer Patients Regarding Respecting their Dignity in Hospital Settings

Avestan¹,

Rahmani²,

Nabavi³

et al. 2015

Asian Pacific Journal of Cancer Prevention

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Background: There are several factors that threaten the dignity of cancer patients in hospital settings. However, there is limited literature regarding the degree to which dignity of cancer patients is actually respected in daily clinical practice. The aims of this study were therefore to explore cancer patient perceptions of respecting their dignity and related variables in an Iranian cancer specific center. Materials and Methods: This descriptivecorrelational study was carried out among 250 cancer patients admitted to a cancer specific center in East Azerbaijan Province, Iran. These patients were selected using a convenience sampling method. The Patient Dignity Inventory (PDI) was used for data collection. Descriptive and inferential statistics were used for data analysis. Results: The patients' scores in 18 out of 25 items of PDI were 3 or greater which indicate the importance of considering these items in clinical settings. Also, the score of patients in three sub-scales of PDI including illnessrelated concerns, personal dignity, and social dignity were 74, 65 and 57, respectively (based on a total 100). The overall score of PDI was statistically associated with age, history of disease recurrence, education, employment and economic status of participants. Conclusions: According to the study findings the dignity of Iranian cancer patients is not completely respected in clinical settings which require special considerations. As nurses spend more time at patients' bedsides, they have an important role in maintaining and promoting dignified care.

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Dignity Therapy: A Novel Psychotherapeutic Intervention for Patients Near the End of Life

Abstract: Dignity therapy shows promise as a novel therapeutic intervention for suffering and distress at the end of life.

Cited by 812 publications

References 14 publications

Risk of Suicide Attempt in Poststroke Patients: A Population‐Based Cohort Study

Risk of Suicide Attempt in Poststroke Patients: A Population‐Based Cohort Study

National Survey of Children's Hospitals on Legacy-Making Activities

Perceptions of Iranian Cancer Patients Regarding Respecting their Dignity in Hospital Settings

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