Universität zu Köln

Kukla, Helena ORCID: 0000-0003-4337-9666, Herrler, Angelique ORCID: 0000-0002-8551-5091, Strupp, Julia and Voltz, Raymond (2021). The effects of confronting one's own end of life on older individuals and those with a life-threatening disease: A systematic literature review. Palliat. Med., 35 (10). S. 1793 - 1815. LONDON: SAGE PUBLICATIONS LTD. ISSN 1477-030X

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Abstract

Background: Awareness of the impending end of one's life can pose profound existential challenges, thereby impairing well-being. Confronting one's own end of life may be an approach to meet the psychological needs and consequently enhance overall well-being. Different approaches of confrontation have been evaluated positively using measures of psychosocial comfort. To date, there exists no systematic overview on the different ways of confrontation (e.g. psychosocial or individual coping approaches). Aim: To synthesize the existing knowledge on the effects of different approaches of confronting one's own end of life on older individuals and those with a life-threatening disease. Design: A systematic review of quantitative, qualitative, and mixed-methods full research reports was conducted. The retrieved studies were screened and appraised for methodological quality by two independent reviewers based on MMAT and CASP. The findings were synthesized narratively using the meta-summary technique by Sandelowski and Barroso. Data sources: Medline, PsycINFO, and Web of Science were searched from inception to 12/2020. Results: N = 49 studies reported on different approaches of confronting one's own end of life, including psychosocial interventions, meaning-enhancing approaches, educational programs, and learning from lived experiences. The results suggest a clear trend toward beneficial effects on psychosocial comfort (e.g. anxiety, sense of meaning, well-being). Conclusion: Low-threshold opportunities of confrontation have the potential to improve well-being and should be emphasized in practical implementation. The results can serve as a comprehensive basis for future research aiming to investigate the determinants of psychosocial comfort for people nearing the end of life.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Kukla, Helena UNSPECIFIED orcid.org/0000-0003-4337-9666 UNSPECIFIED Herrler, Angelique UNSPECIFIED orcid.org/0000-0002-8551-5091 UNSPECIFIED Strupp, Julia UNSPECIFIED UNSPECIFIED UNSPECIFIED Voltz, Raymond UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-563799
DOI:	10.1177/02692163211042528
Journal or Publication Title:	Palliat. Med.
Volume:	35
Number:	10
Page Range:	S. 1793 - 1815
Date:	2021
Publisher:	SAGE PUBLICATIONS LTD
Place of Publication:	LONDON
ISSN:	1477-030X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language QUALITY-OF-LIFE; RANDOMIZED CONTROLLED-TRIAL; MEANING-CENTERED PSYCHOTHERAPY; TERMINALLY-ILL PATIENTS; DIGNITY THERAPY; PALLIATIVE CARE; ADVANCED CANCER; PSYCHOLOGICAL DISTRESS; DEPRESSIVE SYMPTOMS; CHINESE PATIENTS Multiple languages Health Care Sciences & Services; Public, Environmental & Occupational Health; Medicine, General & Internal Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/56379