Effects of family-oriented dignity therapy on dignity, depression and spiritual well-being of patients with lung cancer undergoing chemotherapy: A randomised controlled trial

Xiao, Jinnan; Chow, Ka Ming; Choi, Kai Chow; Ng, Marques Shek Nam; Huang, Chongmei; Ding, Jinfeng; Chan, Carmen W.H.

doi:10.1016/j.ijnurstu.2022.104217

Cited by 30 publications

(46 citation statements)

References 41 publications

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“…Sandpaly therapy, therefore, provides an effective way to express and release these negative emotions, which in turn improves their self-repressed inner heart and patients can mobilise their positive energy to cope with the difficulties and pain they faced, ultimately relieving their anxiety. Meanwhile, studies have also demonstrated that dignity therapy is widely accepted to be effective in alleviating the emotional symptoms of patients with lung cancer 30 31. Thus, sandplay therapy can resonate deeply with the content of dignity therapy.…”

Section: Discussionmentioning

confidence: 99%

Anxiety and depression in lung cancer: effect of psychological interventions – network meta-analysis

Yuan

Huang

et al. 2022

BMJ Support Palliat Care

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BackgroundThe prevalence of depression and anxiety is high in patients with lung cancer, while multiple psychological interventions have revealed a positive impact on patients’ negative emotions. However, it remains scarce which psychological intervention is the best choice for patients.This study was conducted to compare and rank the efficacy of psychological interventions on anxiety and depression in patients with lung cancer using a network meta-analysis.MethodsThe Chinese academic database (CNKI, Wan Fang and Vip) and English academic database (The Cochrane Library, PubMed, PsycINFO and Web of Science) were searched from their inception to March 2022. Randomised controlled studies of psychological interventions on depression and anxiety in patients with lung cancer were included. Study selection and evaluation were conducted independently by two researchers. Included studies were performed a network meta-analysis to compare and rank the psychological interventions for negative emotions of patients with lung cancer. The clustered ranking of psychotherapies in the network was based on surface under the cumulative probability ranking curve values.Results23 studies (2221 participants) with 13 psychological interventions were retrieved. The random-effects model showed a significantly large effect size of supportive therapy for anxiety (mean difference, MD 14.38, 95% CI 2.42 to 26.21) and depression (MD 14.29, 95% CI 2.74 to 25.70). The supportive therapy, sandplay therapy and music therapy were top three rankings of interventions for anxiety, while supportive therapy, dignity therapy and sandplay therapy were the top three interventions for depression.ConclusionsSupportive therapy would be a more appropriate option for alleviating negative emotions in patients with lung cancer. Other psychological intervention techniques may be used as alternatives, such as sandplay therapy and music therapy for anxiety, dignity therapy and sandplay therapy for depression.PROSPERO registration numberCRD42022320188.

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Section: Discussionmentioning

confidence: 99%

Anxiety and depression in lung cancer: effect of psychological interventions – network meta-analysis

Yuan

Huang

et al. 2022

BMJ Support Palliat Care

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“…Recently, it has been shown that some psychological interventions such as family-based dignity therapy and expressive writing have a bene cial effect on psychological disorders in dying patients (22,23).…”

Section: Discussionmentioning

confidence: 99%

“…In addition, family participatory dignity therapy on cancer patients had a positive effect on promoting patients' hope and spiritual well-being (36). In another clinical trial, family-oriented dignity intervention had a potential role to relieve existential distress and depressive symptoms and improve spiritual well-being in patients with lung cancer (22).…”

Section: Discussionmentioning

confidence: 99%

“…In a randomized controlled trial (RCT), Xiao et al reported that family-oriented dignity therapy relieved existential distress, depressive symptoms, and spiritual well-being among patients with lung cancer (22).…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies have mainly focused on the effect of family-based dignity intervention on the mental health of dying cancer patients (22,23) and less attention has been paid to caregivers of these patients.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effects of Family-based Dignity Intervention and Expressive Writing on Anticipatory Grief in Family Caregivers of Patients with Cancer: A Randomized Controlled Trial

Najafi

seyedfatemi

Kamyari³

et al. 2022

Preprint

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Family caregivers of dying cancer patients may suffer from grief experiences and bereavement complications. Previous studies have proposed some psycho-emotional interventions for the management of these complications. However, little attention has been given to family-based dignity intervention and expressive writing. This study was conducted to examine the effects of family-based dignity intervention and expressive writing, combined and alone, on anticipatory grief in family caregivers of dying cancer patients. This was a randomized controlled trial, in which 200 family caregivers of dying cancer patients were randomly assigned to the 4 intervention groups: family-based dignity intervention (n = 50), expressive writing intervention (n = 50), combined family-based single dignity intervention and expressive writing (n = 50), and control group (n = 50). At baseline, 1 week and 2 weeks after the interventions, anticipatory grief was assessed by a 13-item anticipatory grief scale (AGS). We found a significant reducing effect of family-based dignity intervention on AGS (-8.12 ± 1.53 vs. -1.57 ± 1.52, P = 0.01) and its subscales including behavioral (-5.92 ± 0.97 vs. -2.17 ± 0.96, P = 0.04) and emotional (-2.38 ± 0.78 vs. 0.68 ± 0.77, P = 0.03) subscales compared with the control group. However, no significant effect was seen for expressive writing intervention and combined interventions of expressive writing and family-based dignity therapy. In conclusion, family-based dignity therapy may be a safe and low-cost intervention for relieving anticipatory grief among family caregivers of dying cancer patients. Additional clinical trials are needed to confirm our findings. Registration number: IRCT20210111050010N1.

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Psychological and spiritual interventions to enhance meaning in adults diagnosed with cancer: a systematic review with meta-analysis and meta-regression

Martínez-Calderón

García-Muñoz

García

et al. 2023

Support Care Cancer

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Effects of family-oriented dignity therapy on dignity, depression and spiritual well-being of patients with lung cancer undergoing chemotherapy: A randomised controlled trial

Cited by 30 publications

References 41 publications

Anxiety and depression in lung cancer: effect of psychological interventions – network meta-analysis

Anxiety and depression in lung cancer: effect of psychological interventions – network meta-analysis

Effects of Family-based Dignity Intervention and Expressive Writing on Anticipatory Grief in Family Caregivers of Patients with Cancer: A Randomized Controlled Trial

Psychological and spiritual interventions to enhance meaning in adults diagnosed with cancer: a systematic review with meta-analysis and meta-regression

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