Dignity Therapy Improves Hope and Quality of Life in Cancer Patients: A Randomized Clinical Trial

Karimi, Zahra; Mehrpooya, Nasim; Vagharseyyedin, Seyyed Abolfazl; Rahimi, Hossein

doi:10.30699/jambs.28.128.156

Cited by 5 publications

(12 citation statements)

References 25 publications

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“…Four studies ( 15 – 17 , 28 ) were included to compare the results of dignity between intervention group and control group. QOL was measured using EORTC Quality of Life C30 Questionnaire (EORTC–QLQ–C30) or EuroQOL (EQ-5D).…”

Section: Resultsmentioning

confidence: 99%

“…Four studies that reported the effects of dignity therapy on the quality of life of terminally ill patients ( 15 – 17 , 28 ) were meta-analyzed, and the results showed dignity therapy did not have a significant effect on quality of life. Three of the four studies included in the analysis were measured using the 2-item QOL tool, one study measured by the Edmonton Symptom Assessment Scale (ESAS), and the other one assessed using the EORTC-QLQ-C30.…”

Section: Discussionmentioning

confidence: 99%

“…The QOL of the participants in the studies included in the review shows a decrease over time due to the terminally ill condition regardless of dignity therapy. The study of Rahimi, et al ( 15 ) only reported dignity therapy has a significant effect on QOL. The different results may be derived from study location (Iran), questionnaires used to measure QOL (EORTCQLQ-C30), or other factors.…”

Section: Discussionmentioning

confidence: 99%

“…Dignity therapy has been proved to be feasible and acceptable to the patients with various clinical status including cancer, motor neuron disease, and elderly were tested ( 7 , 10 , 11 ). Application of dignity therapy showed that the therapy had a significant effect on the subject’s dignity, depression, anxiety, and quality of life ( 6 , 12 – 15 ). However, there were studies that did not show a consistent effect ( 16 , 17 ).…”

Section: Introductionmentioning

confidence: 99%

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The Effect of Dignity Therapy on Terminally-Ill Adult Patients: A Systematic Review and Meta-Analysis

Lee¹,

Jeong²

2023

ijph

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Background: We aimed to evaluate the effect of dignity therapy on the dignity, distress, and quality of life of terminally-ill adult patients. Methods: All randomized controlled trials published prior to Jan 2021 were searched through database, including PubMed, Medline, OVID, Cochrane Library, CINAHL, Web of Science, Scopus, ProQuest Central, KMBASE, KoreaMed, NDSL, and RISS. The RoB 2 was used to assess risk of bias. Effect sizes, Hedge's g and Higgins I2–statistics were used for meta-analysis. Results: We finally identified 10 studies for a systematic review, and eight studies out of them were selected for a meta-analysis. Overall, 776 participants were included in the meta-analysis. There were significant differences between with and without dignity therapy groups in dignity and anxiety (SMD = -0.3805, Cl = -0.5606, -0.2004; SMD = -0.1932, Cl = -0.3774, -0.0090, respectively) while there was no significant difference in quality of life and depression (SMD=0.4678, Cl = -0.0989, 1.0345; SMD= -0.0513, Cl= -0.2461, 0.1434, respectively). Conclusion: Dignity therapy may be effective for terminally ill patients on dignity and anxiety. We suggested further empirical studies with dignity therapy and repetitive meta-analysis in the future due to heterogeneity of the studies.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Effect of Dignity Therapy on Terminally-Ill Adult Patients: A Systematic Review and Meta-Analysis

Lee¹,

Jeong²

2023

ijph

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“…For example, the largest randomised controlled trial conducted with terminally ill patients found no significant differences between groups on dignity-related distress, psychological distress, spiritual well-being and quality of life at follow-up 14. Although some studies showed the ineffectiveness of dignity therapy,15–17 others found that this intervention was effective in reducing demoralisation and dignity-related distress18 and depression and anxiety symptoms,19 20 and improving quality of life 21. It has been suggested that these mixed findings might be due to the lack of specific instruments assessing the effectiveness of dignity therapy,12 measures not sensitive enough to detect psychological changes,13 selection of outcomes not directly addressed by dignity therapy (eg, measures including physical symptoms and functions) and the possibility of delayed effects7 as well as ‘ceiling and floor’ effects 7 10 12.…”

Section: Introductionmentioning

confidence: 99%

Spiritual well-being, dignity-related distress and demoralisation at the end of life-effects of dignity therapy: a randomised controlled trial

Vincenzo

Lombardo

Iani

et al. 2023

BMJ Support Palliat Care

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ObjectivesThis single-centre prospective randomised controlled study aimed to investigate the effectiveness of dignity therapy on spiritual well-being, demoralisation and dignity-related distress compared with standard palliative care.MethodsA total of 111 terminally ill hospice patients were randomly allocated to one of two groups: dignity therapy plus standard palliative care (intervention group) or standard palliative care alone (control group). The main outcomes were meaning, peace, faith, loss of meaning and purpose, distress and coping ability, existential distress, psychological distress and physical distress. Assessments were conducted at baseline, 7–10 and 15–20 days.ResultsFollowing randomisation, 11 dropped out before baseline assessment and 33 after post-treatment assessment. A total of 67 patients completed the study, 35 in the experimental group and 32 in the control group. Repeated measures general linear model showed significant differences between groups on peace and psychological distress over time, but not on existential distress, physical distress, meaning and purpose, distress and coping ability, meaning and faith. Specifically, patients in the dignity therapy intervention maintained similar levels of peace from baseline to follow-up, whereas patients in the control group significantly declined in peace during the same time period. Moreover, psychological distress significantly decreased from pretreatment to post-treatment in the intervention group and increased in the control group.ConclusionsDignity therapy may be an effective intervention in maintaining sense of peace for terminally ill patients. The findings of our study are of relevance in palliative care and suggest the potential clinical utility of this psychological intervention.

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Effectiveness of dignity therapy on well-being among patients under palliative care: A systematic review and meta-analysis

Wulandari,

Rochmawati

2024

International Journal of Nursing Studies

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Dignity Therapy Improves Hope and Quality of Life in Cancer Patients: A Randomized Clinical Trial

Cited by 5 publications

References 25 publications

The Effect of Dignity Therapy on Terminally-Ill Adult Patients: A Systematic Review and Meta-Analysis

The Effect of Dignity Therapy on Terminally-Ill Adult Patients: A Systematic Review and Meta-Analysis

Spiritual well-being, dignity-related distress and demoralisation at the end of life-effects of dignity therapy: a randomised controlled trial

Effectiveness of dignity therapy on well-being among patients under palliative care: A systematic review and meta-analysis

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