scholarly journals Meaning in Life as a Mediator Between Physical Impairment and the Wish to Hasten Death in Patients With Advanced Cancer

2017 ◽  
Vol 54 (6) ◽  
pp. 826-834 ◽  
Author(s):  
Mariona Guerrero-Torrelles ◽  
Cristina Monforte-Royo ◽  
Joaquín Tomás-Sábado ◽  
Frederic Marimon ◽  
Josep Porta-Sales ◽  
...  
Keyword(s):  
Advanced Cancer ◽  
Meaning In Life ◽  
Physical Impairment ◽  
Wish To Hasten Death

Finding meaning in life: an exploration on the experiences with dependence on care of patients with advanced cancer and nurses caring for them

2020 ◽  
Vol 28 (9) ◽  
pp. 4493-4499 ◽  
Author(s):  
Maria Luigia Candela ◽  
Michela Piredda ◽  
Anna Marchetti ◽  
Gabriella Facchinetti ◽  
Laura Iacorossi ◽  
...  
Keyword(s):  
Advanced Cancer ◽  
Meaning In Life ◽  
Finding Meaning

scholarly journals Understanding patients’ experiences of the wish to hasten death: an updated and expanded systematic review and meta-ethnography

BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e016659 ◽  
Author(s):  
Andrea Rodríguez-Prat ◽  
Albert Balaguer ◽  
Andrew Booth ◽  
Cristina Monforte-Royo
Keyword(s):  
Systematic Review ◽  
Meaning In Life ◽  
Assisted Suicide ◽  
Advanced Disease ◽  
Sense Of Self ◽  
Free Text ◽  
Qualitative Synthesis ◽  
Care Plans ◽  
Wish To Hasten Death ◽  
Life Threatening

ObjectivesPatients with advanced disease sometimes express a wish to hasten death (WTHD). In 2012, we published a systematic review and meta-ethnography of qualitative studies examining the experience and meaning of this phenomenon. Since then, new studies eligible for inclusion have been reported, including in Europe, a region not previously featured, and specifically in countries with different legal frameworks for euthanasia and assisted suicide. The aim of the present study was to update our previous review by including new research and to conduct a new analysis of available data on this topic.SettingEligible studies originated from Australia, Canada, China, Germany, The Netherlands, Switzerland, Thailand and USA.ParticipantsStudies of patients with life-threatening conditions that had expressed the WTHD.DesignThe search strategy combined subject terms with free-text searching of PubMed MEDLINE, Web of Science, CINAHL and PsycInfo. The qualitative synthesis followed the methodology described by Noblit and Hare, using the ‘adding to and revising the original’ model for updating a meta-ethnography, proposed by Franceet al. Quality assessment was done using the Critical Appraisal Skills Programme checklist.Results14 studies involving 255 participants with life-threatening illnesses were identified. Five themes emerged from the analysis: suffering (overarching theme), reasons for and meanings and functions of the WTHD and the experience of a timeline towards dying and death. In the context of advanced disease, the WTHD emerges as a reaction to physical, psychological, social and existential suffering, all of which impacts on the patient’s sense of self, of dignity and meaning in life.ConclusionsThe WTHD can hold different meanings for each individual—serving functions other than to communicate a genuine wish to die. Understanding the reasons for, and meanings and functions of, the WTHD is crucial for drawing up and implementing care plans to meet the needs of individual patients.

scholarly journals The role of perceived dignity and control in the wish to hasten death among advanced cancer patients: A mediation model

2018 ◽  
Vol 27 (12) ◽  
pp. 2840-2846 ◽  
Author(s):  
Cristina Monforte-Royo ◽  
Iris Crespo ◽  
Andrea Rodríguez-Prat ◽  
Frederic Marimon ◽  
Josep Porta-Sales ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Advanced Cancer ◽  
Mediation Model ◽  
Advanced Cancer Patients ◽  
Wish To Hasten Death ◽  
And Control

scholarly journals What Gives Meaning in Life to Patients With Advanced Cancer? A Comparison Between Spanish, German, and Swiss Patients

2015 ◽  
Vol 50 (6) ◽  
pp. 861-866 ◽  
Author(s):  
Joaquín Tomás-Sábado ◽  
Christian Villavicencio-Chávez ◽  
Cristina Monforte-Royo ◽  
Mariona Guerrero-Torrelles ◽  
Martin Johannes Fegg ◽  
...  
Keyword(s):  
Advanced Cancer ◽  
Meaning In Life

Physical and psychological factors and the wish to hasten death in advanced cancer patients

2014 ◽  
Vol 23 (10) ◽  
pp. 1125-1132 ◽  
Author(s):  
Christian Villavicencio-Chávez ◽  
Cristina Monforte-Royo ◽  
Joaquín Tomás-Sábado ◽  
Markus A. Maier ◽  
Josep Porta-Sales ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Advanced Cancer ◽  
Psychological Factors ◽  
Advanced Cancer Patients ◽  
Wish To Hasten Death

Assessment of the wish to hasten death in patients with advanced cancer: A comparison of 2 different approaches

2018 ◽  
Vol 27 (6) ◽  
pp. 1538-1544 ◽  
Author(s):  
Mercedes Bellido-Pérez ◽  
Iris Crespo ◽  
Keith G. Wilson ◽  
Josep Porta-Sales ◽  
Albert Balaguer ◽  
...  
Keyword(s):  
Advanced Cancer ◽  
Wish To Hasten Death

Health-related quality of life in patients with advanced cancer who express a wish to hasten death: A comparative study

2020 ◽  
Vol 34 (5) ◽  
pp. 630-638 ◽  
Author(s):  
Iris Crespo ◽  
Andrea Rodríguez-Prat ◽  
Cristina Monforte-Royo ◽  
Keith G Wilson ◽  
Josep Porta-Sales ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Advanced Cancer ◽  
Self Efficacy ◽  
Control Group ◽  
Case Group ◽  
Health Related Quality ◽  
Related Quality ◽  
Wish To Hasten Death ◽  
Health Related

Background: Some evidence suggests the wish to hasten death is related to poor health-related quality of life. Deficits in perceived dignity and self-efficacy are risk factors for wish to hasten death that also impact health-related quality of life. Aim: To compare perceived health-related quality of life, dignity and self-efficacy in patients with advanced cancer who either do (case group) or do not (control group) express a wish to hasten death. Cases and controls were matched on sociodemographic and functional characteristics. Design: A comparative cross-sectional study. Participants: A total of 153 adult patients with advanced cancer were assessed for wish to hasten death using the Desire for Death Rating Scale. Scores ⩾1 indicate some degree of wish to hasten death (case group, n = 51), and score = 0 implies no wish to hasten death (control group, n = 102). Assessments included health-related quality of life using the European Organization for Research and Treatment of Cancer Quality-of-Life Core 15-Item Palliative Questionnaire, perceived loss of dignity using the Patient Dignity Inventory and self-efficacy using the General Self-Efficacy Scale. Results: Patients with a wish to hasten death had worse emotional functioning ( p < 0.001), greater perceived loss of dignity ( p < 0.001) and lower self-efficacy ( p = 0.001). There was no difference in most physical symptoms. Perceived overall health-related quality of life was significantly worse for those with a clinically relevant wish to hasten death ( p = 0.023) and marginally worse for the case group than the control group ( p = 0.052). Conclusion: Patients with wish to hasten death showed lower perceived dignity, self-efficacy and emotional quality of life than patients without wish to hasten death without necessarily perceiving worse physical symptoms.

The Assessment and Prevalence of Affective Disorders in Advanced Cancer

1995 ◽  
Vol 11 (1) ◽  
pp. 10-18 ◽  
Author(s):  
Mary E. Lynch
Keyword(s):  
Cancer Patients ◽  
Advanced Cancer ◽  
Affective Disorders ◽  
Recent Literature ◽  
Physical Impairment ◽  
Prevalence Rates ◽  
Depression Risk ◽  
Clinical Challenge ◽  
Diagnostic Interviews ◽  
Wish To Die

The assessment of depression in patients with advanced cancer presents a difficult clinical challenge. Reported prevalence rates of depression in cancer patients range from 3.7% to 58%. Studies using structured diagnostic interviews and clearly defined diagnostic criteria are presented. The current literature suggests that among hospitalized cancer patients with significant levels of physical impairment at least 25% suffer from clinically important depression. Risk of suicide and recent literature regarding early wish to die are also discussed.

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