Guided Mindfulness of Death to Reduce Fear of Death in Cancer Patients: Randomized Controlled Study.
Gespeichert in:
| Titel: | Guided Mindfulness of Death to Reduce Fear of Death in Cancer Patients: Randomized Controlled Study. |
|---|---|
| Autoren: | Beng TS; Department of Palliative Medicine (T.B.), Subang Jaya Medical Center, Subang Jaya, Selangor, Malaysia., Wen LY; Department of Medicine (L.W., N.Y., N.L., M.S., C.J.), University Malaya Medical Center, Lembah Pantai, Kuala Lumpur, Malaysia., Yoong NS; Department of Medicine (L.W., N.Y., N.L., M.S., C.J.), University Malaya Medical Center, Lembah Pantai, Kuala Lumpur, Malaysia., Latif NEBMA; Department of Medicine (L.W., N.Y., N.L., M.S., C.J.), University Malaya Medical Center, Lembah Pantai, Kuala Lumpur, Malaysia., Sanaf MIBM; Department of Medicine (L.W., N.Y., N.L., M.S., C.J.), University Malaya Medical Center, Lembah Pantai, Kuala Lumpur, Malaysia., Jing CW; Department of Medicine (L.W., N.Y., N.L., M.S., C.J.), University Malaya Medical Center, Lembah Pantai, Kuala Lumpur, Malaysia., Joyce YC; Department of Clinical Oncology Unit (Y.J.), University Malaya Medical Center, Lembah Pantai, Kuala Lumpur, Malaysia., Ching DNL; Department of Medicine, Faculty of Medicine and Health Science (D.C., C.S.), University Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia. Electronic address: nlcdiana@unimas.my., Shee CC; Department of Medicine, Faculty of Medicine and Health Science (D.C., C.S.), University Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia. |
| Quelle: | Journal of pain and symptom management [J Pain Symptom Manage] 2025 Dec; Vol. 70 (6), pp. 547-556.e2. Date of Electronic Publication: 2025 Aug 13. |
| Publikationsart: | Journal Article; Randomized Controlled Trial |
| Sprache: | English |
| Info zur Zeitschrift: | Publisher: Elsevier Country of Publication: United States NLM ID: 8605836 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-6513 (Electronic) Linking ISSN: 08853924 NLM ISO Abbreviation: J Pain Symptom Manage Subsets: MEDLINE |
| Imprint Name(s): | Publication: New York, NY : Elsevier Original Publication: [Madison, WI : Dept. of Anesthesiology, University of Wisconsin--Madison, 1986- |
| MeSH-Schlagworte: | Mindfulness*/methods , Fear*/psychology , Neoplasms*/psychology , Neoplasms*/therapy , Attitude to Death*, Humans ; Male ; Female ; Middle Aged ; Adult ; Aged ; Treatment Outcome |
| Abstract: | Objectives: This study aimed to assess the effectiveness of guided mindfulness of death in reducing fear of death in cancer patients. Methods: A parallel-group, nonblinded randomized controlled study was conducted at the University of Malaya Medical Centre, Malaysia, involving 52 cancer patients with moderate to severe fear of death. Participants were randomly assigned to either a mindfulness of death intervention group or a control group. The intervention consisted of four guided mindfulness exercises focusing on death awareness. Primary outcomes were measured using a numerical rating scale for fear of death (NRS) and the Death and Dying Distress Scale (DADDS), with secondary outcomes measured using the Suffering Pictogram. Results: The intervention group experienced a significant reduction in fear of death scores, overall suffering score, and total suffering score, compared to the control group. Feedback from participants indicated that while most found the exercises beneficial, some reported discomfort or conflict with their religious beliefs, particularly in exercises involving body decomposition and near-death visualizations. Conclusions: Mindfulness of death exercises effectively reduce fear of death, distress, and suffering in cancer patients. However, the intervention may not be suitable for all due to cultural and religious factors, underscoring the need for tailored approaches in clinical settings. (Copyright © 2025 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.) |
| Contributed Indexing: | Keywords: Palliative care; cancer; fear of death; mindfulness; suffering |
| Entry Date(s): | Date Created: 20250815 Date Completed: 20251113 Latest Revision: 20251113 |
| Update Code: | 20251114 |
| DOI: | 10.1016/j.jpainsymman.2025.08.002 |
| PMID: | 40816694 |
| Datenbank: | MEDLINE |
Full Text Finder 
Nájsť tento článok vo Web of Science | Abstract: | Objectives: This study aimed to assess the effectiveness of guided mindfulness of death in reducing fear of death in cancer patients.<br />Methods: A parallel-group, nonblinded randomized controlled study was conducted at the University of Malaya Medical Centre, Malaysia, involving 52 cancer patients with moderate to severe fear of death. Participants were randomly assigned to either a mindfulness of death intervention group or a control group. The intervention consisted of four guided mindfulness exercises focusing on death awareness. Primary outcomes were measured using a numerical rating scale for fear of death (NRS) and the Death and Dying Distress Scale (DADDS), with secondary outcomes measured using the Suffering Pictogram.<br />Results: The intervention group experienced a significant reduction in fear of death scores, overall suffering score, and total suffering score, compared to the control group. Feedback from participants indicated that while most found the exercises beneficial, some reported discomfort or conflict with their religious beliefs, particularly in exercises involving body decomposition and near-death visualizations.<br />Conclusions: Mindfulness of death exercises effectively reduce fear of death, distress, and suffering in cancer patients. However, the intervention may not be suitable for all due to cultural and religious factors, underscoring the need for tailored approaches in clinical settings.<br /> (Copyright © 2025 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.) |
|---|---|
| ISSN: | 1873-6513 |
| DOI: | 10.1016/j.jpainsymman.2025.08.002 |