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Original Article
Effects of a Short-term Life Review on Spiritual Well-being, Depression, and Anxiety in Terminally Ill Cancer Patients
Sung Hee Ahn, Young Lan An, Yang Sook Yoo, Michiyo Ando, Soo Jin Yoon
Journal of Korean Academy of Nursing 2012;42(1):28-35.
DOI: https://doi.org/10.4040/jkan.2012.42.1.28
Published online: February 29, 2012

1Professor, College of Nursing, The Catholic University of Korea, Seoul, Korea.

2Director, Hospice Coaching Center, Seoul, Korea.

3Professor, College of Nursing, The Catholic University of Korea, Seoul, Korea.

4Professor, St. Mary's Nursing College, Fukuoka, Japan.

5Team leader, Mohyun Hospice Center, Seoul, Korea.

Address reprint requests to: Ahn, Sung Hee. College of Nursing, The Catholic University of Korea, 505 Banpo-dong Seocho-gu, Seoul 137-701, Korea. Tel: +82-2-2258-7409, H·P: 010-9975-1299, Fax: +82-2-2258-7772, shahn@catholic.ac.kr
• Received: October 3, 2010   • Accepted: February 5, 2012

© 2012 Korean Society of Nursing Science

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  • Purpose
    This study was done to evaluate the effects of a short-term life review on spiritual well-being, depression, and anxiety in patients with terminal cancer.
  • Methods
    The study used a pre posttest quasi experimental design with a nonequivalent control group. Measurement instruments included the Functional Assessment of Chronic Illness Therapy-Spiritual scale (FACIT-Sp12) and the Hospital Anxiety and Depression Scale (HADS). Participants were 32 patients with terminal cancer who were receiving chemotherapy or palliative care at hospitals or at home. Eighteen patients were assigned to the experimental group and 14 to the control group. A sixty minute short-term life review session was held twice a week as the intervention with the experimental group.
  • Results
    There was a statistically significant increase in spiritual well-being in the experimental group compared to the control group. There were also significant decreases in depression and anxiety in the experimental group compared to the control group.
  • Conclusion
    The results indicate that a short-term life review can be used as a nursing intervention for enhancing the spiritual well-being of patients with terminal cancer.
Table 1
Homogeneity Test for General Characteristics, Performance Status, and Outcome Variables of Participants (N=32)
jkan-42-28-i001.jpg

*Fisher's exact test; Wilcoxon signed rank sum test;

Exp.=Experimental group; Cont.=Control group; ECOG-PSR=Eastern cooperative oncology group - performance status Rating; HADS=Hospital anxiety and depression scale; 1=Fully ambulatory with symptoms; 2=Requiring rest for 1 to 49% of the waking day; 3=Requiring rest 50 to 99% of the waking day; 4=Requiring complete bed rest.

Table 2
Composition for Short-Term Life Review
jkan-42-28-i002.jpg
Table 3
Effects of Short-term Life Review on Spiritual Well-being, Anxiety, and Depression
jkan-42-28-i003.jpg

a, b, c, d=Significant difference between the same αbetic letters;

Exp.=Experimental group; Cont.=Control group; G=Group; T=Time.

  • 1. Ando M., Morita T., Ahn S.H., Marquez-Wong F., Ide S. International comparison study on the primary concerns of terminally ill cancer patients in short-term life review interviews among Japanese, Koreans, and Americans. Palliative and Supportive Care. 2009;7:349–355.ArticlePubMed
  • 2. Ando M., Morita T., Akechi T., Okamoto T. Efficacy of short-term life-review interviews on the spiritual well-being of terminally ill cancer patients. Journal of Pain and Symptom Management. 2010;39:993–1002.ArticlePubMed
  • 3. Ando M., Morita T., Okamoto T., Ninosaka Y. One-week short-term life review interview can improve spiritual well-being of terminally ill cancer patients. Psycho-oncology. 2008;17:885–890.ArticlePubMed
  • 4. Ando M., Tsuda A., Moorey S. Preliminary study of reminiscence therapy on depression and self-esteem in cancer patients. Psychological Reports. 2006;98:339–346.ArticlePubMedPDF
  • 5. Ando M., Tsuda A., Morita T. Life review interviews on the spiritual well being of terminally ill cancer patients. Supportive Care in Cancer. 2007;15:225–231.ArticlePubMedPDF
  • 6. Bohlmeijer E., Smit F., Cuijpers P. Effects of reminiscence and life review on late-life depression: A meta-analysis. International Journal of Geriatric Psychiatry. 2003;18:1088–1094.ArticlePubMed
  • 7. Chang W.S., Lee J.M. The effect of group reminiscence therapy on depression, quality of life and social behavior of patient with dementia. Journal of Welfare for the Aged. 2006;34:239–270.
  • 8. Chochinov H.M., Hack T., Hassard T., Kristjanson L.J., McClement S., Harlos M. Dignity therapy: A novel psychotherapeutic intervention for patients near the end of life. Journal of Clinical Oncology. 2005;23:5520–5525.ArticlePubMed
  • 9. Cohen J. Statistical power analysis for the behavioral science. 1988;2nd ed. Hillsdale, NJ, Lawrence Earlbaum Associates.
  • 10. Fisher J.W., Francis L.J., Johnson P. Assessing spiritual health via four domains of spiritual wellbeing: The SH4DI. Pastoral Psychology. 2000;49:133–145.
  • 11. Haber D. Life review: Implementation, theory, research, and therapy. International Journal of Aging and Human Development. 2006;63:153–171.ArticlePubMedPDF
  • 12. Hills J., Paice J.A., Cameron J.R., Shott S. Spirituality and distress in palliative care consultation. Journal of Palliative Medicine. 2005;8:782–788.ArticlePubMed
  • 13. Jenko M., Gonzalez L., Alley P. Life review in critical care: Possibilities at the end of life. Critical Care Nurse. 2010;30:17–27.ArticlePubMedPDF
  • 14. Jin B.S., Jeon M.Y. The effect of a group reminiscence therapy on the psychological components of the senile dementia. Journal of the Korea Gerontological Society. 2000;20:183–194.
  • 15. Kemp C. Ferrell B.R., Coyle N. Spiritual care interventions. In: Textbook of palliative nursing. 2006;New York, NY, Oxford University Press. 595–604.
  • 16. Kim K.B., Yun J.H., Sok S.R. Effects of individual reminiscence therapy on older adults' depression, morale and quality of life. Journal of Korean Academy of Nursing. 2006;36:813–820.ArticlePubMedPDF
  • 17. Kim N.C., Yoo Y.S., Han S.W. The effect of reminiscence with audio-visual stimulation on senile dementia. Journal of Korean Academy of Nursing. 2000;30:98–109.ArticlePDF
  • 18. McClain C.S., Rosenfeld B., Breitbart W. Effect of spiritual wellbeing on end-of-life despair in terminally-ill cancer patients. Lancet. 2003;361:1603–1607.ArticlePubMed
  • 19. Oh S.M., Min K.J., Park D.B. A study on the standardization of the hospital anxiety and depressed scale for Koreans. Journal of the Korean Neuropsychiatric Association. 1999;38:289–296.
  • 20. Oken M.M., Creech R.H., Tormey D.C., Horton J., Davis T.E., McFadden E.T, et al. Toxicity and response criteria of the Eastern Cooperative Oncology Group. American Journal of Clinical Oncology. 1982;5:649–655.ArticlePubMed
  • 21. Peterman A.H., Fitchett G., Brady M.J., Hernandez L., Cella D. Measuring spiritual well-being in people with cancer: The functional assessment of chronic illness therapy-Spiritual Well-being Scale (FACIT-Sp). Annals of Behavioral Medicine. 2002;24:49–58.ArticlePubMed
  • 22. Rades D., Rudat V., Veninga T., Stalpers L.J., Hoskin P.J., Schild S.E. Prognostic factors for functional outcome and survival after re-irradiation for in-field recurrences of metastatic spinal cord compression. Cancer. 2008;113:1090–1096.ArticlePubMed
  • 23. Zigmond A.S., Snaith R.P. The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica. 1983;67:361–370.ArticlePubMed
  • 24. Wilson K.G., Chochinov H.M., Skirko M.G., Allard P., Chary S., Gagnon P.R, et al. Depression and anxiety disorders in palliative cancer care. Journal of Pain and Symptom Management. 2007;33:118–129.ArticlePubMed

Figure & Data

Table 1
Homogeneity Test for General Characteristics, Performance Status, and Outcome Variables of Participants (N=32)
jkan-42-28-i001.jpg

*Fisher's exact test; Wilcoxon signed rank sum test;

Exp.=Experimental group; Cont.=Control group; ECOG-PSR=Eastern cooperative oncology group - performance status Rating; HADS=Hospital anxiety and depression scale; 1=Fully ambulatory with symptoms; 2=Requiring rest for 1 to 49% of the waking day; 3=Requiring rest 50 to 99% of the waking day; 4=Requiring complete bed rest.

Table 2
Composition for Short-Term Life Review
jkan-42-28-i002.jpg
Table 3
Effects of Short-term Life Review on Spiritual Well-being, Anxiety, and Depression
jkan-42-28-i003.jpg

a, b, c, d=Significant difference between the same αbetic letters;

Exp.=Experimental group; Cont.=Control group; G=Group; T=Time.

REFERENCES

  • 1. Ando M., Morita T., Ahn S.H., Marquez-Wong F., Ide S. International comparison study on the primary concerns of terminally ill cancer patients in short-term life review interviews among Japanese, Koreans, and Americans. Palliative and Supportive Care. 2009;7:349–355.ArticlePubMed
  • 2. Ando M., Morita T., Akechi T., Okamoto T. Efficacy of short-term life-review interviews on the spiritual well-being of terminally ill cancer patients. Journal of Pain and Symptom Management. 2010;39:993–1002.ArticlePubMed
  • 3. Ando M., Morita T., Okamoto T., Ninosaka Y. One-week short-term life review interview can improve spiritual well-being of terminally ill cancer patients. Psycho-oncology. 2008;17:885–890.ArticlePubMed
  • 4. Ando M., Tsuda A., Moorey S. Preliminary study of reminiscence therapy on depression and self-esteem in cancer patients. Psychological Reports. 2006;98:339–346.ArticlePubMedPDF
  • 5. Ando M., Tsuda A., Morita T. Life review interviews on the spiritual well being of terminally ill cancer patients. Supportive Care in Cancer. 2007;15:225–231.ArticlePubMedPDF
  • 6. Bohlmeijer E., Smit F., Cuijpers P. Effects of reminiscence and life review on late-life depression: A meta-analysis. International Journal of Geriatric Psychiatry. 2003;18:1088–1094.ArticlePubMed
  • 7. Chang W.S., Lee J.M. The effect of group reminiscence therapy on depression, quality of life and social behavior of patient with dementia. Journal of Welfare for the Aged. 2006;34:239–270.
  • 8. Chochinov H.M., Hack T., Hassard T., Kristjanson L.J., McClement S., Harlos M. Dignity therapy: A novel psychotherapeutic intervention for patients near the end of life. Journal of Clinical Oncology. 2005;23:5520–5525.ArticlePubMed
  • 9. Cohen J. Statistical power analysis for the behavioral science. 1988;2nd ed. Hillsdale, NJ, Lawrence Earlbaum Associates.
  • 10. Fisher J.W., Francis L.J., Johnson P. Assessing spiritual health via four domains of spiritual wellbeing: The SH4DI. Pastoral Psychology. 2000;49:133–145.
  • 11. Haber D. Life review: Implementation, theory, research, and therapy. International Journal of Aging and Human Development. 2006;63:153–171.ArticlePubMedPDF
  • 12. Hills J., Paice J.A., Cameron J.R., Shott S. Spirituality and distress in palliative care consultation. Journal of Palliative Medicine. 2005;8:782–788.ArticlePubMed
  • 13. Jenko M., Gonzalez L., Alley P. Life review in critical care: Possibilities at the end of life. Critical Care Nurse. 2010;30:17–27.ArticlePubMedPDF
  • 14. Jin B.S., Jeon M.Y. The effect of a group reminiscence therapy on the psychological components of the senile dementia. Journal of the Korea Gerontological Society. 2000;20:183–194.
  • 15. Kemp C. Ferrell B.R., Coyle N. Spiritual care interventions. In: Textbook of palliative nursing. 2006;New York, NY, Oxford University Press. 595–604.
  • 16. Kim K.B., Yun J.H., Sok S.R. Effects of individual reminiscence therapy on older adults' depression, morale and quality of life. Journal of Korean Academy of Nursing. 2006;36:813–820.ArticlePubMedPDF
  • 17. Kim N.C., Yoo Y.S., Han S.W. The effect of reminiscence with audio-visual stimulation on senile dementia. Journal of Korean Academy of Nursing. 2000;30:98–109.ArticlePDF
  • 18. McClain C.S., Rosenfeld B., Breitbart W. Effect of spiritual wellbeing on end-of-life despair in terminally-ill cancer patients. Lancet. 2003;361:1603–1607.ArticlePubMed
  • 19. Oh S.M., Min K.J., Park D.B. A study on the standardization of the hospital anxiety and depressed scale for Koreans. Journal of the Korean Neuropsychiatric Association. 1999;38:289–296.
  • 20. Oken M.M., Creech R.H., Tormey D.C., Horton J., Davis T.E., McFadden E.T, et al. Toxicity and response criteria of the Eastern Cooperative Oncology Group. American Journal of Clinical Oncology. 1982;5:649–655.ArticlePubMed
  • 21. Peterman A.H., Fitchett G., Brady M.J., Hernandez L., Cella D. Measuring spiritual well-being in people with cancer: The functional assessment of chronic illness therapy-Spiritual Well-being Scale (FACIT-Sp). Annals of Behavioral Medicine. 2002;24:49–58.ArticlePubMed
  • 22. Rades D., Rudat V., Veninga T., Stalpers L.J., Hoskin P.J., Schild S.E. Prognostic factors for functional outcome and survival after re-irradiation for in-field recurrences of metastatic spinal cord compression. Cancer. 2008;113:1090–1096.ArticlePubMed
  • 23. Zigmond A.S., Snaith R.P. The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica. 1983;67:361–370.ArticlePubMed
  • 24. Wilson K.G., Chochinov H.M., Skirko M.G., Allard P., Chary S., Gagnon P.R, et al. Depression and anxiety disorders in palliative cancer care. Journal of Pain and Symptom Management. 2007;33:118–129.ArticlePubMed

Citations

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Effects of a Short-term Life Review on Spiritual Well-being, Depression, and Anxiety in Terminally Ill Cancer Patients
Effects of a Short-term Life Review on Spiritual Well-being, Depression, and Anxiety in Terminally Ill Cancer Patients

Homogeneity Test for General Characteristics, Performance Status, and Outcome Variables of Participants (N=32)

*Fisher's exact test; Wilcoxon signed rank sum test;

Exp.=Experimental group; Cont.=Control group; ECOG-PSR=Eastern cooperative oncology group - performance status Rating; HADS=Hospital anxiety and depression scale; 1=Fully ambulatory with symptoms; 2=Requiring rest for 1 to 49% of the waking day; 3=Requiring rest 50 to 99% of the waking day; 4=Requiring complete bed rest.

Composition for Short-Term Life Review

Effects of Short-term Life Review on Spiritual Well-being, Anxiety, and Depression

a, b, c, d=Significant difference between the same αbetic letters;

Exp.=Experimental group; Cont.=Control group; G=Group; T=Time.

Table 1 Homogeneity Test for General Characteristics, Performance Status, and Outcome Variables of Participants (N=32)

*Fisher's exact test; Wilcoxon signed rank sum test;

Exp.=Experimental group; Cont.=Control group; ECOG-PSR=Eastern cooperative oncology group - performance status Rating; HADS=Hospital anxiety and depression scale; 1=Fully ambulatory with symptoms; 2=Requiring rest for 1 to 49% of the waking day; 3=Requiring rest 50 to 99% of the waking day; 4=Requiring complete bed rest.

Table 2 Composition for Short-Term Life Review

Table 3 Effects of Short-term Life Review on Spiritual Well-being, Anxiety, and Depression

a, b, c, d=Significant difference between the same αbetic letters;

Exp.=Experimental group; Cont.=Control group; G=Group; T=Time.


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