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Estimated pre- and post-intervention marginal means for the intervention and control groups, for the variables with a statistically significant interaction effect.
Source publication
Context
The WHO recognizes the need to attend to patients’ spiritual needs as being fundamental to comprehensive and high-quality end-of-life care. Spiritual needs must be attended to since the resolution of biological and psychosocial issues is insufficient to reduce patients’ suffering. Associations have been found between spiritual needs and oth...
Citations
... Fourteen studies met all inclusion criteria ( Fig. 1) [19][20][21][22][23][24][25][26][27][28][29][30][31][32]. Study designs, interventions, participants, assessments, main findings, attrition rates, and risks of bias are summarized in Table 1. ...
... The most commonly used measurements for evaluating demoralization in these studies were the Demoralization Scale (n = 7) and Demoralization Scale-II (n = 5). One study utilized the Short Demoralization Scale [31], while the remaining study employed five criteria for diagnosing demoralization [28]. Interventions varied from 2-3 days to 6 months. ...
... One study showed that Kibo, a therapeutic interview focused on patients' spiritual needs, improved demoralization compared with usual care when used with semi-structured interviews of patients with advanced cancer [31]. ...
Background
Demoralization, a significant mental health concern in patients with chronic diseases, can have a large impact on physical symptom burden and quality of life. The present review aimed to evaluate the effectiveness of interventions for demoralization among patients with chronic diseases.
Method
PubMed, Scopus, Embase, and Web of Science were systematically searched. Research on providing interventions to patients with chronic diseases that included quantitative data on demoralization was then systematically reviewed.
Results
Fourteen studies were included, most of which considered demoralization as a secondary outcome. Interventions included evidence-based meaning-centered psychotherapy, dignity therapy, psilocybin-assisted psychotherapy, and others. Ten studies used randomized controlled designs. Six of these investigated evidence-based meaning-centered therapy, and four investigated dignity therapy, showing the best empirical support for these intervention types. Most studies showed significant impacts on demoralization in patients with chronic diseases.
Conclusion
This systematic review provides insights into potential psychological interventions for reducing demoralization in patients with chronic diseases. Randomized controlled designs and adequately powered samples, with demoralization as the primary outcome, are needed to more clearly evaluate its effectiveness.
... La Entrevista Terapéutica KIBO explora aspectos de las dimensiones intrapersonal, interpersonal y transpersonal, 31 conformantes de la estructura dimensional de la Espiritualidad validada por Benito 32 y estudiada en población facción con la vida", Behavioral Psychology/Psicología Conductual, vol. 20, núm. 1, 2012 Barreto et al. 34 KIBO ha sido validada mediante un ensayo clínico aleatorizado controlado en población en situación de cuidados paliativos, mostrando su fiabilidad y validez para la población detallada (Soto-Rubio et al., 2020). Se plantea como una breve intervención en cuatro pasos: a) introducción para facilitar la reflexión sobre la espiritualidad de forma natural; b) preguntas principales sobre la dimensión intrapersonal (componentes de valores, hitos vitales, pasiones, satisfacciones, sentimientos, autoconcepto y dominios); dimensión interpersonal (componentes de conexión, acciones, pertenencia, perdón y seres queridos; dimensión transpersonal (componentes de creencias, religiosidad, filosofía de vida y trascendencia). ...
La Espiritualidad ha mostrado beneficios en variables como resiliencia y bienestar emocional en poblaciones en cuidados paliativos, pero existen pocas intervenciones validadas aplicadas a población general, lo cual supone un área de oportunidad de prevención en salud mental. La Organización Mundial de la Salud destaca que las intervenciones en prevención deben fortalecer las variables protectoras para reducir la vulnerabilidad a la psicopatología. El objetivo fue analizar los efectos de una entrevista terapéutica basada en Espiritualidad sobre variables de distrés y resiliencia en población general. Se realizó un estudio piloto de tipo cuantitativo transversal con medidas pre/post intervención, con la entrevista terapéutica KIBO para el abordaje de la Espiritualidad en una población de 16 participantes, con previa firma de consentimiento informado. El análisis de datos se realizó mediante SPSS para análisis estadísticos descriptivos y de comparación de medias. Los resultados indican efectos positivos en la reducción del distrés y el aumento de la espiritualidad y la resiliencia.
Demoralization as cancer-related mental health needs to be understood and addressed by clinical staff. This review systematically examined the characteristics and outcomes of interventions for demoralization in patients with cancer. Seven databases-PubMed, PsycINFO, Cinahl, Embase, Web of Science, Medline, and Cochrane Library Databases of Systematic Reviews-were systematically searched for relevant literature. We included intervention studies focusing on interventions for demoralization in patients with cancer. We ultimately included 14 studies. Overall, 10 studies had a positive effect on improving demoralization in patients with cancer, including two main types of interventions: psilocybin-assisted psychotherapy and psychological interventions. This review summarizes information on interventions for demoralization in patients with cancer. To provide precise care for demoralization in patients with cancer, future studies should use more rigorous methods to test interventions that may affect demoralization.
