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Life review on psychospiritual outcomes among older adults with life-threatening illnesses: A systematic review and meta-analysis

BACKGROUND: At the intersection of old age and illness, older adults with life-threatening illnesses (LTI) are a group who often show resilience and seek validation of life, acceptance, and integration of past and now, even under the fear of loss, suffering, and dying evoked by life adversities. Lif...

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Autores principales: Liu, Mandong, Wang, Ying, Du, Yan, Chi, Iris
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10011082/
https://www.ncbi.nlm.nih.gov/pubmed/36926459
http://dx.doi.org/10.3389/fpsyt.2023.1077665
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author Liu, Mandong
Wang, Ying
Du, Yan
Chi, Iris
author_facet Liu, Mandong
Wang, Ying
Du, Yan
Chi, Iris
author_sort Liu, Mandong
collection PubMed
description BACKGROUND: At the intersection of old age and illness, older adults with life-threatening illnesses (LTI) are a group who often show resilience and seek validation of life, acceptance, and integration of past and now, even under the fear of loss, suffering, and dying evoked by life adversities. Life review has been widely conducted to help older adults enhance well-being and cope with burdens. Spirituality is an important part of an older adult’ overall well-being, especially for those with LTI. However, few review studies examined the effectiveness of life review interventions on psychospiritual outcomes among this population. The aim of the study was to examine the effectiveness of life review on psychospiritual well-being among older adults with LTI. METHODS: A systematic review with meta-analysis following the recommendations of the Cochrane Collaboration was conducted. Database searches included PubMed, PsycINFO, the Cochrane Library, the Campbell Library, EBSCO, CNKI, and the Airiti Library up to March 2020. Gray literature and reference lists from relevant articles were also searched and reviewed. RESULTS: In total, 34 studies were included in the systematic review and the meta-analysis for outcomes of depression (n = 24), quality-of-life (QOL) (n = 10), anxiety (n = 5), life satisfaction (n = 3), mood (n = 3), apathy (n = 2), and general well-being (n = 2). Other psychospiritual outcome measures included spirituality, self-esteem, meaning in life, hope, and some multi-dimensional instruments. The studies greatly varied in program design, content, format, length, and more. Although with high heterogeneity, meta-analysis results demonstrated standardized mean differences in favor of life review in decreasing depression, anxiety, negative mood, and increasing positive mood and QOL compared with the control group. CONCLUSION: This review calls for including more psycho-spiritual well-being measures among interventions for older adults with LTI, as well as studies with rigorous designs in future research.
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spelling pubmed-100110822023-03-15 Life review on psychospiritual outcomes among older adults with life-threatening illnesses: A systematic review and meta-analysis Liu, Mandong Wang, Ying Du, Yan Chi, Iris Front Psychiatry Psychiatry BACKGROUND: At the intersection of old age and illness, older adults with life-threatening illnesses (LTI) are a group who often show resilience and seek validation of life, acceptance, and integration of past and now, even under the fear of loss, suffering, and dying evoked by life adversities. Life review has been widely conducted to help older adults enhance well-being and cope with burdens. Spirituality is an important part of an older adult’ overall well-being, especially for those with LTI. However, few review studies examined the effectiveness of life review interventions on psychospiritual outcomes among this population. The aim of the study was to examine the effectiveness of life review on psychospiritual well-being among older adults with LTI. METHODS: A systematic review with meta-analysis following the recommendations of the Cochrane Collaboration was conducted. Database searches included PubMed, PsycINFO, the Cochrane Library, the Campbell Library, EBSCO, CNKI, and the Airiti Library up to March 2020. Gray literature and reference lists from relevant articles were also searched and reviewed. RESULTS: In total, 34 studies were included in the systematic review and the meta-analysis for outcomes of depression (n = 24), quality-of-life (QOL) (n = 10), anxiety (n = 5), life satisfaction (n = 3), mood (n = 3), apathy (n = 2), and general well-being (n = 2). Other psychospiritual outcome measures included spirituality, self-esteem, meaning in life, hope, and some multi-dimensional instruments. The studies greatly varied in program design, content, format, length, and more. Although with high heterogeneity, meta-analysis results demonstrated standardized mean differences in favor of life review in decreasing depression, anxiety, negative mood, and increasing positive mood and QOL compared with the control group. CONCLUSION: This review calls for including more psycho-spiritual well-being measures among interventions for older adults with LTI, as well as studies with rigorous designs in future research. Frontiers Media S.A. 2023-02-28 /pmc/articles/PMC10011082/ /pubmed/36926459 http://dx.doi.org/10.3389/fpsyt.2023.1077665 Text en Copyright © 2023 Liu, Wang, Du and Chi. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Liu, Mandong
Wang, Ying
Du, Yan
Chi, Iris
Life review on psychospiritual outcomes among older adults with life-threatening illnesses: A systematic review and meta-analysis
title Life review on psychospiritual outcomes among older adults with life-threatening illnesses: A systematic review and meta-analysis
title_full Life review on psychospiritual outcomes among older adults with life-threatening illnesses: A systematic review and meta-analysis
title_fullStr Life review on psychospiritual outcomes among older adults with life-threatening illnesses: A systematic review and meta-analysis
title_full_unstemmed Life review on psychospiritual outcomes among older adults with life-threatening illnesses: A systematic review and meta-analysis
title_short Life review on psychospiritual outcomes among older adults with life-threatening illnesses: A systematic review and meta-analysis
title_sort life review on psychospiritual outcomes among older adults with life-threatening illnesses: a systematic review and meta-analysis
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10011082/
https://www.ncbi.nlm.nih.gov/pubmed/36926459
http://dx.doi.org/10.3389/fpsyt.2023.1077665
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