Patients’ experiences of life review therapy combined with memory specificity training (LRT-MST) targeting cancer patients in palliative care

Kleijn, Gitta; Uden–Kraan, Cornelia F. van; Bohlmeijer, Ernst Thomas; Becker-Commissaris, Annemarie; Pronk, Mathilde C.; Willemsen, Vincent; Cuijpers, Pim; Leeuw, Irma M. Verdonck‐de

doi:10.1007/s00520-018-4613-3

Cited by 6 publications

(3 citation statements)

References 15 publications

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“…A change in the nurse-patient relationship was also noted and it was deemed to be beneficial [ 146 ]. Further studies exploring the impact of Life Review Therapy (LRT) and Memory Specificity Training (MST) (LRT-MST) were found to improve ego-integrity and despair among cancer patients in palliative care [ 147 ], with qualitative analysis indicating the benefit and acceptance of the intervention among the patients [ 148 ], but no specific effect on the family caregivers [ 148 , 149 ].…”

Section: Resultsmentioning

confidence: 99%

Dignity in Medicine: Definition, Assessment and Therapy

Grassi,

Nanni,

Riba

et al. 2024

Curr Psychiatry Rep

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Purpose of Review Over the last 20 years, dignity and dignity-conserving care have become the center of investigation, in many areas of medicine, including palliative care, oncology, neurology, geriatrics, and psychiatry. We summarized peer-reviewed literature and examined the definition, conceptualization of dignity, potential problems, and suggested interventions. Recent Findings We performed a review utilizing several databases, including the most relevant studies in full journal articles, investigating the problems of dignity in medicine. It emerged that dignity is a multifactorial construct and that dignity-preserving care should be at the center of the health organization. Dignity should be also regularly assessed through the tools currently available in clinical practice. Among dignity intervention, besides dignity models of care, dignity intervention, such as dignity therapy (DT), life review and reminiscence therapy, have a role in maintaining both the extrinsic (preserved when health care professionals treat the patient with respect, meeting physical and emotional needs, honors the patient’s wishes, and makes attempts to maintain privacy and confidentiality) and intrinsic dignity (preserved when the patient has appropriate self-esteem, is able to exercise autonomy and has a sense of hope and meaning). Summary Unified trends across diverse medical contexts highlight the need for a holistic, patient-centered approach in healthcare settings. Challenges compromising dignity are pervasive, underscoring the importance of interventions and systematic efforts to address these issues. Future research and interventions should prioritize the multifaceted nature of dignity, striving to create healthcare environments that foster compassion, respect, and dignity across all medical settings.

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Section: Resultsmentioning

confidence: 99%

Dignity in Medicine: Definition, Assessment and Therapy

Grassi,

Nanni,

Riba

et al. 2024

Curr Psychiatry Rep

View full text Add to dashboard Cite

show abstract

“…This type of life review, or reminiscence, activity is considered particularly productive for those in later adulthood 4 and reflects a long tradition of incorporating life review techniques into healthcare (e.g., mental health counseling, nursing, palliative care). [5][6][7][8] While DT is useful for patients of any age, DT's focus on guiding patients to look back over their life experiences may be particularly poignant for patients in the second half of life.…”

Section: Introductionmentioning

confidence: 99%

Quality of Life for Older Cancer Patients: Relation of Psychospiritual Distress to Meaning-Making During Dignity Therapy

Bluck

Mroz

Wilkie

et al. 2021

Am J Hosp Palliat Care

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Background: Nearly 500,000 older Americans die a cancer-related death annually. Best practices for seriously ill patients include palliative care that aids in promoting personal dignity. Dignity Therapy is an internationally recognized therapeutic intervention designed to enhance dignity for the seriously ill. Theoretically, Dignity Therapy provides opportunity for patients to make meaning by contextualizing their illness within their larger life story. The extent to which Dignity Therapy actually elicits meaning-making from patients, however, has not been tested. Aim: The current study examines (i) extent of patient meaning-making during Dignity Therapy, and (ii) whether baseline psychospiritual distress relates to subsequent meaning-making during Dignity Therapy. Design: Participants completed baseline self-report measures of psychospiritual distress (i.e., dignity-related distress, spiritual distress, quality of life), before participating in Dignity Therapy. Narrative analysis identified the extent of meaning-making during Dignity Therapy sessions. Participants: Twenty-five outpatients ( M age = 63, SD = 5.72) with late-stage cancer and moderate cancer-related symptoms were recruited. Results: Narrative analysis revealed all patients made meaning during Dignity Therapy but there was wide variation (i.e., 1—12 occurrences). Patients who made greater meaning were those who, at baseline, reported significantly higher psychospiritual distress, including greater dignity-related distress ( r = .46), greater spiritual distress ( r = .44), and lower quality of life ( r = -.56). Conclusion: Meaning-making was found to be a central component of Dignity Therapy. Particularly, patients experiencing greater distress in facing their illness use the Dignity Therapy session to express how they have made meaning in their lives.

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“…Ego integrity is described as accepting your life cycle as something that had to be, feeling connected to others, and experiencing a sense of wholeness, meaning, and coherence when facing death) [9]. Additionally, reasons to start, experiences, and perceived outcomes were studied via a qualitative approach among patients who underwent LRT-MST [12]. Patients reported positive outcomes on ego integrity and psychological well-being in the here and now, as well as in the nearby future (including end of life).…”

Section: Introductionmentioning

confidence: 99%

A randomized controlled trial on the efficacy of life review therapy targeting incurably ill cancer patients: do their informal caregivers benefit?

Kleijn

Lissenberg‐Witte

Bohlmeijer

et al. 2020

Support Care Cancer

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Purpose Investigate whether Life Review Therapy and Memory Specificity Training (LRT-MST) targeting incurably ill cancer patients may also have a beneficial effect on caregiving burden, symptoms of anxiety and depression, and posttraumatic growth of the informal caregivers. Methods Data was collected in the context of a randomized controlled trial (RCT) (secondary analyses) on the effect of LRT-MST among incurably cancer patients. Informal caregivers of participating patients were asked to complete outcome measures at baseline (T0), post-intervention (T1), and 1-month follow-up (T2): caregiver burden (caregivers reaction assessment scale (CRA)), symptoms of anxiety and depression (hospital anxiety and depression scale), and posttraumatic growth (posttraumatic growth inventory). Linear mixed models (intention to treat) were used to assess group differences in changes over time. Effect size and independent samples t tests were used to assess group differences at T1 and T2. Results In total, 64 caregivers participated. At baseline, 56% of the caregivers experienced anxiety and 30% depression. No significant effect was found on these symptoms nor on posttraumatic growth or most aspects of caregiver burden. There was a significant effect of LRT-MST on the course of self-esteem (subscale CRA) (p = 0.013). Effect size was moderate postintervention (ES = − 0.38, p = 0.23) and at 3-month follow-up (ES = 0.53, p = 0.083). Conclusions Many caregivers of incurably ill cancer patients experience symptoms of anxiety and depression. LRT-MST does not improve symptoms of depression and anxiety, negative aspects of caregiver burden, or posttraumatic growth. LRT-MST may have a protective effect on self-esteem of informal caregivers (positive aspect of caregiver burden). Trial registration number Netherlands Trial Register (NTR 2256), registered on 23-3-2010.

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Patients’ experiences of life review therapy combined with memory specificity training (LRT-MST) targeting cancer patients in palliative care

Cited by 6 publications

References 15 publications

Dignity in Medicine: Definition, Assessment and Therapy

Dignity in Medicine: Definition, Assessment and Therapy

Quality of Life for Older Cancer Patients: Relation of Psychospiritual Distress to Meaning-Making During Dignity Therapy

A randomized controlled trial on the efficacy of life review therapy targeting incurably ill cancer patients: do their informal caregivers benefit?

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