{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T17:23:28Z","timestamp":1758043408463,"version":"3.44.0"},"reference-count":56,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T00:00:00Z","timestamp":1757635200000},"content-version":"unspecified","delay-in-days":254,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S147895152510045X_sec1a\">\n\t    <jats:title>Objectives<\/jats:title>\n\t    <jats:p>Dignity Therapy (DT) helps reframe and give meaning to the illness process of the terminally ill individual. This study aims to evaluate the effect of DT on meaning in life scores and, additionally, to assess how much DT can alleviate physical and emotional symptoms in cancer patients undergoing palliative care.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S147895152510045X_sec2b\">\n\t    <jats:title>Methods<\/jats:title>\n\t    <jats:p>This was a before-and-after clinical trial, involving the recruitment of 30 patients hospitalized in a palliative care unit, who filled out the Edmonton Symptom Assessment Scale (ESAS) and the Meaning in Life Scale (MiLS) both before and after the implementation of DT.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S147895152510045X_sec3c\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>Of the 40 patients invited to participate in the study, DT was completed by 30 (75%) participants: 22 (73%) women and 8 (27%) men. Eighteen (60%) patients died during hospitalization, while 12 (40%) were discharged. When analyzing the factors correlated with the MiLS scores, a positive association was identified between the emotional and physical domains of the ESAS, and a negative association with the total ESAS score, spiritual ESAS score, male gender, higher educational level, and a cancer diagnosis duration (&gt;6 years).<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S147895152510045X_sec4d\">\n\t    <jats:title>Significance of results<\/jats:title>\n\t    <jats:p>DT contributed to clinically relevant improvement, albeit not statistically significant, observed in emotional and spiritual well-being, as well as in the meaning of life. This underscores the importance of considering DT for palliative care patients nearing death.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/s147895152510045x","type":"journal-article","created":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T05:23:53Z","timestamp":1757654633000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Effect of dignity therapy on meaning in life scores of cancer patients in palliative care"],"prefix":"10.1017","volume":"23","author":[{"given":"Michelle","family":"Uchida Miwa","sequence":"first","affiliation":[{"name":"Barretos Cancer Hospital"},{"name":"Barretos Cancer Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7934-1451","authenticated-orcid":false,"given":"Carlos Eduardo","family":"Paiva","sequence":"additional","affiliation":[{"name":"Barretos Cancer Hospital"},{"name":"Barretos Cancer Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Julia","family":"Sucupira Ferreira","sequence":"additional","affiliation":[{"name":"Barretos Cancer Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9283-5045","authenticated-orcid":false,"given":"Miguel","family":"Juli\u00e3o","sequence":"additional","affiliation":[{"name":"Equipa Comunit\u00e1ria de Suporte em Cuidados Paliativos de Sintra"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harvey Max","family":"Chochinov","sequence":"additional","affiliation":[{"name":"University of Manitoba, CancerCare Manitoba Research Institute"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Welinton Yoshio","family":"Hirai","sequence":"additional","affiliation":[{"name":"Barretos Cancer Hospital"},{"name":"Barretos Cancer Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ricardo","family":"dos Reis","sequence":"additional","affiliation":[{"name":"Barretos Cancer Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2711-8346","authenticated-orcid":false,"given":"Bianca Sakamoto Ribeiro","family":"Paiva","sequence":"additional","affiliation":[{"name":"Barretos Cancer Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,9,12]]},"reference":[{"key":"S147895152510045X_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaging.2004.01.005"},{"key":"S147895152510045X_ref8","unstructured":"Chochinov, H (2022) The model in detail. https:\/\/www.dignityincare.ca\/en\/the-model-in-detail.html (accessed 13 October 2024 )."},{"key":"S147895152510045X_ref22","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-019-05239-5"},{"key":"S147895152510045X_ref11","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2005.08.391"},{"key":"S147895152510045X_ref37","first-page":"62","article-title":"Translation and cross-cultural adaptation of the Dignity Therapy Question Protocol to Brazilian Portuguese","volume":"21","author":"Miwa","year":"2023","journal-title":"Palliative and Supportive Care"},{"key":"S147895152510045X_ref31","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbp047"},{"key":"S147895152510045X_ref2","doi-asserted-by":"publisher","DOI":"10.4103\/picr.PICR_91_19"},{"key":"S147895152510045X_ref42","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0132073"},{"key":"S147895152510045X_ref21","volume-title":"Em Busca de Sentido","author":"Frankl","year":"1991"},{"key":"S147895152510045X_ref26","doi-asserted-by":"publisher","DOI":"10.1177\/0269216313514883"},{"key":"S147895152510045X_ref33","doi-asserted-by":"publisher","DOI":"10.1016\/j.anr.2020.04.003"},{"key":"S147895152510045X_ref1","first-page":"1","article-title":"The challenges of palliative care research","author":"Addington-Hall","year":"2009","journal-title":"Research methods in palliative care"},{"key":"S147895152510045X_ref6","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-021-06227-4"},{"key":"S147895152510045X_ref40","unstructured":"NHS (2024) Emotional effects of an illness or condition. https:\/\/www.nhsinform.scot\/care-support-and-rights\/palliative-care\/mental-health-and-wellbeing\/emotional-effects-of-an-illness-or-condition\/ (accessed 13 October 2024 )."},{"key":"S147895152510045X_ref46","unstructured":"Robinson, L , S, J and S, M (2019) Cope with a life-threatening illness or serious health event. https:\/\/www.helpguide.org\/wellness\/health-conditions\/coping-with-a-life-threatening-illness (accessed 13 October 2024 )."},{"key":"S147895152510045X_ref4","doi-asserted-by":"publisher","DOI":"10.1177\/02692163241287650"},{"key":"S147895152510045X_ref35","unstructured":"Maciel, MGS and Carvalho, RT (2009) Portuguese (Brazilian) translation of the Palliative Performance Scale (PPSv2). 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