Repository logo
 
Publication

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

2017-12Journal article Restricted access
Simple item page
dc.contributor.authorJulião, Miguel
dc.contributor.authorOliveira, Fátima
dc.contributor.authorNunes, Baltazar
dc.contributor.authorCarneiro, António Vaz
dc.contributor.authorBarbosa, António
dc.date.accessioned2018-02-26T16:33:35Z
dc.date.available2018-02-26T16:33:35Z
dc.date.issued2017-12
dc.description.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 endof-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 þ 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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationPalliat Support Care. 2017 Dec;15(6):628-637. doi: 10.1017/S1478951516001140. Epub 2017 Feb 7pt_PT
dc.identifier.doi10.1017/S1478951516001140pt_PT
dc.identifier.issn1478-9515
dc.identifier.urihttp://hdl.handle.net/10400.18/5076
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherCambridge University Presspt_PT
dc.relation.publisherversionhttps://doi.org/10.1017/S1478951516001140pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectDignity Therapypt_PT
dc.subjectEnd-of-life Psychological Distresspt_PT
dc.subjectPalliative Carept_PT
dc.subjectRandomized Controlled Trialpt_PT
dc.subjectPortuguese Populationpt_PT
dc.subjectCuidados de Saúdept_PT
dc.titleEffect of dignity therapy on end-of-life psychological distress in terminally ill Portuguese patients: a randomized controlled trialpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage637pt_PT
oaire.citation.issue06pt_PT
oaire.citation.startPage628pt_PT
oaire.citation.titlePalliative and Supportive Carept_PT
oaire.citation.volume15pt_PT
rcaap.rightsembargoedAccesspt_PT
rcaap.typearticlept_PT

Files

Original bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
Juliao2017.pdf
Size:
139.04 KB
Format:
Adobe Portable Document Format
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

DEP - Artigos em revistas internacionais