Effect of Dignity Therapy on Distress and End-of-Life Experience in Terminally Ill Patients: A Randomised Controlled Trial

2013 ◽  
Vol 11 (4) ◽  
pp. 576-587 ◽  
Author(s):  
Harvey Max Chochinov ◽  
Linda J Kristjanson ◽  
William Breitbart ◽  
Susan McClement ◽  
Thomas F Hack ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
End Of Life ◽  
Life Experience ◽  
Controlled Trial ◽  
Terminally Ill ◽  
Terminally Ill Patients ◽  
Dignity Therapy ◽  
Randomised Controlled

scholarly journals Effect of dignity therapy on distress and end-of-life experience in terminally ill patients: a randomised controlled trial

2011 ◽  
Vol 12 (8) ◽  
pp. 753-762 ◽  
Author(s):  
Harvey Max Chochinov ◽  
Linda J Kristjanson ◽  
William Breitbart ◽  
Susan McClement ◽  
Thomas F Hack ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
End Of Life ◽  
Life Experience ◽  
Controlled Trial ◽  
Terminally Ill ◽  
Terminally Ill Patients ◽  
Dignity Therapy ◽  
Randomised Controlled

scholarly journals Discussing prognosis and end-of-life care in the final year of life: a randomised controlled trial of a nurse-led communication support programme for patients and caregivers

BMJ Open ◽  
2014 ◽  
Vol 4 (6) ◽  
pp. e005745-e005745 ◽  
Author(s):  
A. Walczak ◽  
P. N. Butow ◽  
J. M. Clayton ◽  
M. H. N. Tattersall ◽  
P. M. Davidson ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
End Of Life ◽  
End Of Life Care ◽  
Controlled Trial ◽  
Life Care ◽  
Communication Support ◽  
Support Programme ◽  
Randomised Controlled

Efficacy of Dignity Therapy on Depression and Anxiety in Portuguese Terminally Ill Patients: A Phase II Randomized Controlled Trial

2014 ◽  
Vol 17 (6) ◽  
pp. 688-695 ◽  
Author(s):  
Miguel Julião ◽  
Fátima Oliveira ◽  
Baltazar Nunes ◽  
António Vaz Carneiro ◽  
António Barbosa
Keyword(s):  
Randomized Controlled Trial ◽  
Phase Ii ◽  
Controlled Trial ◽  
Terminally Ill ◽  
Depression And Anxiety ◽  
Randomized Controlled ◽  
Terminally Ill Patients ◽  
Dignity Therapy

scholarly journals Randomised controlled trial of effects of coordinating care for terminally ill cancer patients.

BMJ ◽  
1992 ◽  
Vol 305 (6865) ◽  
pp. 1317-1322 ◽  
Author(s):  
J. M. Addington-Hall ◽  
L. D. MacDonald ◽  
H. R. Anderson ◽  
J. Chamberlain ◽  
P. Freeling ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Cancer Patients ◽  
Controlled Trial ◽  
Terminally Ill ◽  
Terminally Ill Cancer Patients ◽  
Randomised Controlled

scholarly journals Effect of dignity therapy on end-of-life psychological distress in terminally ill Portuguese patients: A randomized controlled trial

2017 ◽  
Vol 15 (6) ◽  
pp. 628-637 ◽  
Author(s):  
Miguel Julião ◽  
Fátima Oliveira ◽  
Baltazar Nunes ◽  
António Vaz Carneiro ◽  
António Barbosa
Keyword(s):  
Palliative Care ◽  
Randomized Controlled Trial ◽  
Psychological Distress ◽  
End Of Life ◽  
Controlled Trial ◽  
Terminally Ill ◽  
Control Group ◽  
Randomized Controlled ◽  
Dignity Therapy ◽  
Desire For Death

ABSTRACTObjective:Dignity therapy (DT) is a brief form of psychotherapy developed for patients living with a life-limiting illness that has demonstrated efficacy in treating several dimensions of end-of-life psychological distress. Our aim was to determine the influence of DT on demoralization syndrome (DS), the desire for death (DfD), and a sense of dignity (SoD) in terminally ill inpatients experiencing a high level of distress in a palliative care unit.Method:A nonblinded phase II randomized controlled trial was conducted with 80 patients who were randomly assigned to one of two groups: the intervention group (DT + standard palliative care [SPC]) or the control group (SPC alone). The main outcomes were DS, DfD, and SoD, as measured according to DS criteria, the Desire for Death Rating Scale, and the Patient Dignity Inventory (PDI), respectively. All scales were assessed at baseline (day 1) and at day 4 of follow-up. This study is registered with http://www.controlled-trials.com/ISRCTN34354086.Results:Of the 80 participants, 41 were randomized to DT and 39 to SPC. Baseline characteristics were similar between the two groups. DT was associated with a significant decrease in DS compared with SPC (DT DS prevalence = 12.1%; SPC DS prevalence = 60.0%; p < 0.001). Similarly, DT was associated with a significant decrease in DfD prevalence (DT DfD prevalence = 0%; SPC DfD prevalence = 14.3%; p = 0.054). Compared with participants allocated to the control group, those who received DT showed a statistically significant reduction in 19 of 25 PDI items.Significance of results:Dignity therapy had a beneficial effect on the psychological distress encountered by patients near the end of life. Our research suggests that DT is an important psychotherapeutic approach that should be included in clinical care programs, and it could help more patients to cope with their end-of-life experiences.

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