Perspectives of newly diagnosed advanced cancer patients receiving dignity therapy during cancer treatment

Dose, Ann Marie; Rhudy, Lori M.

doi:10.1007/s00520-017-3833-2

Cited by 19 publications

(27 citation statements)

References 30 publications

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“…Our work is consistent with another research study, in which participants seldom spoke about their cancer diagnoses, indicating that dignity therapy may take on a different meaning for patients undergoing active treatment (Dose & Rhudy, ). Effective communication could be achieved by virtue of providing appropriate opportunities and necessary guidance.…”

Section: Discussionsupporting

confidence: 91%

The development of a family participatory dignity therapy programme for patients with haematologic neoplasms and their family caregivers in China: A feasibility study

et al. 2020

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Objective To develop a communication prompt based on dignity therapy to facilitate effective conversations between patients with haematologic neoplasms and their family caregivers and to improve the programme and preliminarily explore the benefits and challenges of family participatory dignity therapy (FPDT). Methods A mixed‐methods approach was applied to develop and revise the programme. The FPDT was developed and validated using the Delphi survey, and its further improvement was explored with a simple one‐group pre‐ and post‐trial and semi‐structured in‐depth interviews. Results Most of the FPDT items were endorsed by experts and patient–family dyads. The Content Validity Index was 93.6% in the first round of the Delphi survey and 100% in the second round. The “hope level,” “spiritual well‐being” and “general health” scores of pre‐ and post‐testing increased from 33.60 ± 4.30 to 37.70 ± 5.10 (t = 3.99, p = .003); from 30.30 ± 3.65 to 38.80 ± 7.29(t = 4.13, p = .003); and from 41.67 ± 8.78 to 53.33 ± 8.05 (t = 3.50, p = .007) respectively. The qualitative data also indicated that the project was meaningful and well received. Conclusions We showed that FPDT was a valuable and feasible means of improving communication between patients with haematologic neoplasms and their family caregivers in China by raising the hope level and spiritual well‐being and promoting general health.

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Section: Discussionsupporting

confidence: 91%

The development of a family participatory dignity therapy programme for patients with haematologic neoplasms and their family caregivers in China: A feasibility study

et al. 2020

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“…We included 24 clinical studies: 8 qualitative, [20][21][22][23][24][25][26][27] 14 quantitative [28][29][30][31][32][33][34][35][36][37][38][39][40][41] and 2 mixed methods 42,43 (Table 2). Among these, six sets of articles reported results from the same intervention and population.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…In total, the articles reported on five narrative interventions in hospital-based settings from 17 populations: life review, 31 short-term life review, 32,33 outlook, 24,25,40 legacy building 28 and dignity therapy. [20][21][22][23]26,27,29,30,[34][35][36][37][38][39][41][42][43] Of the 24 studies, 6 were conducted in the United States; 20,25,28,30,34,40 3 in the United Kingdom; 22,36,42 3 in Australia; 24,27,41 3 in Japan; 31-33 2 in Portugal; 38,39 2 in Denmark; 23,37 2 in Canada and Australia; 21,29 1 in Canada, the United States and Australia; 35 1 in Canada 26 and 1 in Germany. 43 The quantitative studies used either RCT 31,33,35...…”

Section: Study Characteristicsmentioning

confidence: 99%

The use of personal narratives in hospital-based palliative care interventions: An integrative literature review

et al. 2019

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Background: People living with life-threatening illness experience unmet existential needs despite the growing research and clinical field of palliative care. Narrative interventions show promise in managing these problems, but more knowledge is needed on the characteristics of narrative interventions and the feasibility of using personal narratives in a hospital. Aim: To review the literature on personal narratives in hospital-based palliative care interventions and to strengthen palliative care practices. Design: We conducted a systematic integrative review with qualitative analysis and narrative synthesis in accordance with PRISMA where applicable (PROSPERO#:CRD42018089202). Data sources: We conducted a systematic search in PubMed, Embase, Scopus, Cinahl, SocINDEX and PsychInfo for primary research articles published until June 2018. We assessed full-text articles against the eligibility criteria followed by a discussion of quality using the Critical Appraisal Skills Programme. Results: Of 480 articles, we found 24 eligible for this review: 8 qualitative, 14 quantitative and 2 mixed methods. The articles reported on dignity therapy, legacy building, outlook, short-term life review and life review. Data analysis resulted in five themes: core principles, theoretical framework, content of narrative, outcome and, finally, acceptability and feasibility. Conclusion: Various types of systematic palliative care interventions use personal narratives. Common to these is a shared psychotherapeutic theoretical understanding and aim. Clinical application in a hospital setting is both feasible and acceptable but requires flexibility regarding the practices of the setting and the needs of the patient.

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“…Several additional psychological interventions are currently under investigation for treatment of depression and psychological distress in specific medical sub-populations. For example, in cancer and palliative care, several new modalities have shown promising results, such as meaning-centered psychotherapy (Breitbart et al, 2012;Dose and Rhudy, 2018;Martínez et al, 2017) and CALM Australian & New Zealand Journal of Psychiatry, 54 4therapy (Rodin et al, 2018). Specifically in migraine patients, well-being therapy has been proposed (Mansueto et al, 2018).…”

Section: Psychotherapy In the Medically Illmentioning

confidence: 99%

Depression in the medically ill

Rosenblat

Kurdyak

Cosci

et al. 2019

Aust N Z J Psychiatry

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Background: Depressive disorders are significantly more common in the medically ill compared to the general population. Depression is associated with worsening of physical symptoms, greater healthcare utilization and poorer treatment adherence. The present paper provides a critical review on the assessment and management of depression in the medically ill. Methods: Relevant articles pertaining to depression in the medically ill were identified, reviewed and synthesized qualitatively. A systematic review was not performed due to the large breadth of this topic, making a meaningful summary of all published and unpublished studies not feasible. Notable studies were reviewed and synthesized by a diverse set of experts to provide a balanced summary. Results: Depression is frequently under-recognized in medical settings. Differential diagnoses include delirium, personality disorders and depressive disorders secondary to substances, medications or another medical condition. Depressive symptoms in the context of an adjustment disorder should be initially managed by supportive psychological approaches. Once a mild to moderate major depressive episode is identified, a stepped care approach should be implemented, starting with general psychoeducation, psychosocial interventions and ongoing monitoring. For moderate to severe symptoms, or mild symptoms that are not responding to low-intensity interventions, the use of antidepressants or higher intensity psychotherapeutic interventions should be considered. Psychotherapeutic interventions have demonstrated benefits with small to moderate effect sizes. Antidepressant medications have also demonstrated benefits with moderate effect sizes; however, special caution is needed in evaluating side effects, drug–drug interactions as well as dose adjustments due to impairment in hepatic metabolism and/or renal clearance. Novel interventions for the treatment of depression and other illness-related psychological symptoms (e.g. death anxiety, loss of dignity) are under investigation. Limitations: Non-systematic review of the literature. Conclusion: Replicated evidence has demonstrated a bidirectional interaction between depression and medical illness. Screening and stepped care using pharmacological and non-pharmacological interventions is merited.

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Perspectives of newly diagnosed advanced cancer patients receiving dignity therapy during cancer treatment

Cited by 19 publications

References 30 publications

The development of a family participatory dignity therapy programme for patients with haematologic neoplasms and their family caregivers in China: A feasibility study

The development of a family participatory dignity therapy programme for patients with haematologic neoplasms and their family caregivers in China: A feasibility study

The use of personal narratives in hospital-based palliative care interventions: An integrative literature review

Depression in the medically ill

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