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dc.contributor.authorGuerrero Torrelles, Mariona
dc.contributor.authorMonforte Royo, Cristina
dc.contributor.authorTomás Sábado, Joaquín
dc.contributor.authorMarimon Viadiu, Frederic
dc.contributor.authorPorta Sales, Josep
dc.contributor.authorBalaguer, Albert
dc.date.accessioned2019-07-08T08:51:59Z
dc.date.available2019-07-08T08:51:59Z
dc.date.issued2017-12
dc.identifier.citationGuerrero-Torrelles, Mariona; Monforte-Royo, Cristina; Tomas-Sabado, Joaquin; Marimon Viadiu, Frederic; Porta-Sales, Josep; Balaguer, Albert. «Meaning in life as a mediator between physical impairment and the wish to hasten death in patients with advanced cancer». Journal of pain and symptom management, 2017, vol. 54, núm. 6, p. 826-834. Disponible en: <https://www.sciencedirect.com/science/article/pii/S0885392417303494?via%3Dihub>. Fecha de acceso: 08 jul. 2019. https://doi.org/10.1016/j.jpainsymman.2017.04.018ca
dc.identifier.issn0885-3924ca
dc.identifier.urihttp://hdl.handle.net/20.500.12328/1133
dc.description.abstractContext. Meaning in life (MiL) is a key factor for ensuring spiritual well-being and quality of life among patients with life threatening illnesses. However, the role of MiL in relation to the wish to hasten death (WTHD) and its interaction with other physical and psychological factors in patients with advanced cancer has not yet been studied. Objective. The objective of this study was to analyze the relationship between the WTHD and MiL and to propose a theoretical model of functional relationships among WTHD, performance status, depression, and MiL. Methods. This is a cross-sectional study of 101 patients in a palliative care unit, who were assessed in the context of a clinical interview. Outcome measures included performance status, depression, MiL, and the WTHD. Structural equation modeling was used to analyze the functional relationships between these factors. Results. The WTHD correlated significantly (P < 0.01) with MiL (r = 0.60), performance status (r = 0.548), and depression (r = 0.397). The structural equation modeling analysis showed that although there was no significant direct effect between performance status and the WTHD, there was a significant total effect because of the mediation of depression and MiL. The latter played the most significant role, accounting for 76.5% of the mediation. Conclusion. These results support the proposed model and provide evidence of a mediator effect of MiL and depression on the relationship between physical impairment and the WTHD in advanced patients. Our findings suggest that interventions to enhance MiL could help to address and/or prevent the emergence of a WTHD in this population.ca
dc.format.extent19ca
dc.language.isoengca
dc.publisherElsevier Ltd.ca
dc.relation.ispartofJournal of pain and symptom managementca
dc.relation.ispartofseries54;6
dc.rightshttp://creativecommons.org/licenses/by-nc-nd/4.0/ca
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subject.otherQualitat de vidaca
dc.subject.otherQuality of lifeca
dc.subject.otherCalidad de vidaca
dc.subject.otherTractament pal·liatiuca
dc.subject.otherPalliative treatmentca
dc.subject.otherCuidados paliativosca
dc.subject.otherEutanàsiaca
dc.subject.otherEuthanasiaca
dc.subject.otherEutanasiaca
dc.titleMeaning in life as a mediator between physical impairment and the wish to hasten death in patients with advanced cancerca
dc.typeinfo:eu-repo/semantics/articleca
dc.description.versioninfo:eu-repo/semantics/acceptedVersionca
dc.embargo.terms12 mesosca
dc.subject.udc61ca
dc.identifier.doihttps://doi.org/10.1016/j.jpainsymman.2017.04.018ca


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