{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T06:34:18Z","timestamp":1784010858895,"version":"3.55.0"},"reference-count":15,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2012,10,11]],"date-time":"2012-10-11T00:00:00Z","timestamp":1349913600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2013,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Dignity therapy (DT) has been developed to help reduce distress experienced by people nearing the end of life; however, evaluations of this novel intervention have largely involved non\u2010distressed samples.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>The objective of this study was to explore in detail the impact of DT on distressed patients with advanced cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We used a case study approach. Three patients with the highest levels of dignity\u2010related distress who received DT were explored in depth. We collected quantitative and qualitative outcomes from patients in face\u2010to\u2010face interviews at baseline and at 1 and 4\u2009weeks after completion of the intervention. We assessed dignity\u2010related distress using the Patient Dignity Inventory. Patients rated the benefits of DT at completion of the intervention and at both follow\u2010ups. We conducted qualitative interviews exploring experiences of DT with patients and with two recipients of generativity documents produced by patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>These patients were experiencing a wide range of major or overwhelming physical and psychosocial problems when they received the intervention, most of which would not be expected to be helped by DT. All felt that DT had helped them and had helped or would help their families; however, patients' concerns about their current situation made delivering the intervention challenging, and DT\u2010relevant problems returned when a patients' condition deteriorated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The extent to which DT can help these patients and their families, either as a stand\u2010alone therapy or as an adjunct to other therapies, needs to be determined in studies focussing on distressed patients, particularly those with problems likely to be helped by the therapy.Copyright \u00a9 2012 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.3206","type":"journal-article","created":{"date-parts":[[2012,10,11]],"date-time":"2012-10-11T13:27:42Z","timestamp":1349962062000},"page":"1748-1752","source":"Crossref","is-referenced-by-count":17,"title":["Exploring the impact of dignity therapy on distressed patients with advanced cancer: three case studies"],"prefix":"10.1002","volume":"22","author":[{"given":"Sue","family":"Hall","sequence":"first","affiliation":[{"name":"King's College London Department of Palliative Care, Policy &amp; Rehabilitation  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cassie","family":"Goddard","sequence":"additional","affiliation":[{"name":"King's College London Department of Palliative Care, Policy &amp; Rehabilitation  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pauline","family":"Martin","sequence":"additional","affiliation":[{"name":"University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Opio","sequence":"additional","affiliation":[{"name":"Guy's &amp; St Thomas' Hospitals NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Speck","sequence":"additional","affiliation":[{"name":"King's College London Department of Palliative Care, Policy &amp; Rehabilitation  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,10,11]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2005.08.391"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(01)00084-3"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2005.04.912"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2007.0002"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(11)70153-X"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269216311418145"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2011-000054"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2012.03.009"},{"key":"e_1_2_8_10_1","first-page":"135","volume-title":"Researching Ageing and Later Life","author":"Coleman P","year":"2002"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1191\/0269216304pm962ra"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2007.12.018"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269216310373164"},{"key":"e_1_2_8_14_1","first-page":"75","article-title":"Is dignity therapy feasible in Scotland?","volume":"3","author":"Matthews A","year":"2010","journal-title":"DCP Scotland Newsletter"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10865-009-9227-2"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-684X-9-21"}],"container-title":["Psycho-Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fpon.3206","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pon.3206","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T16:27:26Z","timestamp":1698683246000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pon.3206"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,10,11]]},"references-count":15,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2013,8]]}},"alternative-id":["10.1002\/pon.3206"],"URL":"https:\/\/doi.org\/10.1002\/pon.3206","archive":["Portico"],"relation":{},"ISSN":["1057-9249","1099-1611"],"issn-type":[{"value":"1057-9249","type":"print"},{"value":"1099-1611","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,10,11]]}}}