Palliative Care Institute, Center for Hospice and Palliative Care, Cheektowaga, New York.
Department of Counseling, School and Educational Psychology, University at Buffalo, the State University of New York, Buffalo, New York.
J Palliat Med. 2020 Mar;23(3):319-324. doi: 10.1089/jpm.2019.0269. Epub 2019 Sep 11.
End-of-life dreams and visions (ELDVs) can provide both meaning and comfort to individuals nearing death. While research has examined the prevalence and content of ELDVs, little is known on how dreaming at end of life may affect psychological processes. This study aimed to explore differences in posttraumatic growth (PTG) between hospice patients who experience ELDVs and hospice patients who do not experience this phenomenon. This is a multimethod cross-sectional comparison study. 70 hospice patients (35 with ELDV experiences and 35 without ELDV experiences) were recruited after being admitted to a hospice inpatient unit. PTG was assessed using a modified version of the Posttraumatic Growth Inventory (PTGI). Demographic information, ELDV occurrence, and a brief description of ELDVs were also collected. Significant differences emerged between groups in terms of personal strength ( = 0.012), spiritual change ( = 0.002), and overall PTG ( = 0.019). Patients with ELDV experiences had higher scores on all subscales as well as overall PTG compared to nondreaming patients. Dreams and visions at the end of life affect PTG of dying individuals in hospice care. Further research should be conducted between groups to examine the effects ELDVs may have on other psychological processes.
临终之梦和幻象(ELDVs)可以为临近死亡的个体提供意义和安慰。虽然研究已经考察了 ELDVs 的发生率和内容,但对于临终之梦如何影响心理过程知之甚少。本研究旨在探讨经历 ELDVs 的临终关怀患者和未经历这一现象的临终关怀患者之间创伤后成长(PTG)的差异。这是一项多方法的横断面比较研究。在被收治到临终关怀住院病房后,招募了 70 名临终关怀患者(35 名有 ELDV 体验,35 名没有 ELDV 体验)。使用创伤后成长量表(PTGI)的修订版评估 PTG。还收集了人口统计学信息、ELDV 的发生情况以及 ELDV 的简要描述。在个人力量( = 0.012)、精神变化( = 0.002)和整体 PTG( = 0.019)方面,两组之间存在显著差异。与无梦患者相比,有 ELDV 体验的患者在所有子量表以及整体 PTG 上的得分都更高。临终之梦和幻象会影响临终关怀患者的创伤后成长。应在组间进行进一步的研究,以检验 ELDVs 对其他心理过程可能产生的影响。