The effect of cognitive–behavioral intervention on hope and death anxiety level in patients undergoing hemodialysis

Abstract

Purpose Hope and death anxiety as the important sources of adjustment can affect the attitude, health status and quality of life in patients undergoing hemodialysis. Hopelessness and death anxiety are considered as the important factors in patients undergoing hemodialysis, because these can avoid non-adherence and increase mortality rate. This study aims to investigate the effect of the cognitive–behavioral intervention on hope and death anxiety in patients undergoing hemodialysis. Design/methodology/approach In this randomized controlled clinical trial, 84 patients undergoing hemodialysis were included, who were then divided into two groups as the cognitive–behavioral intervention group (n = 42) and the control group (n = 42). The experimental group received eight sessions of individual chair-side cognitive–behavioral intervention. To measure the hope level and death anxiety, Hearth Hope Scale and Templer’s Death Anxiety Scale were used as tools once at the beginning and once at the end of the study. Findings The mean scores of the hope levels in the intervention group significantly improved compared to the control group. Furthermore, the mean scores of the death anxiety levels significantly decreased in the intervention group compared to the control group. Originality/value Cognitive–behavioral interventions are significantly effective on promoting the level of hope and decreasing the level of death anxiety in patients undergoing hemodialysis. Therefore, applying this psychological intervention to design the individual education programs is recommended.

Effects of different psychosocial interventions on death anxiety in patients: a network meta-analysis of randomized controlled trials

“…Our analysis encompassed 15 RCTs in total, involving a cohort of 926 patients. The interventions in experimental group comprised the following: spiritual care (1 study) ( Amini et al, 2020 ), group logotherapy (2 studies) ( Emafti et al, 2019 ; Heidary et al, 2023 ), acceptance and commitment therapy (3 studies) ( Farahi and Khalatbari, 2019 ; Sahebanmaleki et al, 2021 ; Fadhil et al, 2022 ), cognitive-behavioral therapy (2 studies) ( Moradi et al, 2022 ; Saki et al, 2022 ), logotherapy (2 studies) ( Akbari et al, 2021 ; Bahar et al, 2021 ), rational-emotive hospice care therapy (1 study) ( Onyechi et al, 2016 ), spirituality therapy training (1 study) ( Ameri et al, 2021 ), positive psychology group therapy (1 study) ( Saeedi et al, 2016 ), mindfulness based cognitive therapy (1 study) ( Nabipour et al, 2018 ), and white noise and Benson’s relaxation technique (1 study) ( Ahmadi et al, 2022 ). Thirteen studies utilized TDAS as an outcome indicator.…”

“…This research seeks to explore and compare these interventions, providing evidence-based insights into their effectiveness in reducing death anxiety among patients. Several therapeutic approaches, such as spiritual care, group logotherapy, acceptance and commitment therapy, cognitive-behavioral therapy, and rational-emotive hospice care therapy have been empirically proven to effectively alleviate the experience of DA in patients ( Onyechi et al, 2016 ; Saeedi et al, 2016 ; Nabipour et al, 2018 ; Emafti et al, 2019 ; Farahi and Khalatbari, 2019 ; Amini et al, 2020 ; Akbari et al, 2021 ; Ameri et al, 2021 ; Bahar et al, 2021 ; Sahebanmaleki et al, 2021 ; Ahmadi et al, 2022 ; Fadhil et al, 2022 ; Moradi et al, 2022 ; Saki et al, 2022 ; Heidary et al, 2023 ). This meta-analysis exclusively includes randomized controlled trials (RCTs) to ensure the highest level of evidence and minimize bias.…”

Does Intradialytic Group Exercise Programme Influence Patient-Reported Outcomes, Laboratory Parameters, and Anthropometric Parameters in Maintenance Hemodialysis Patients? A Single-Group Repeated-Measures Trial

“…The finding was in line with the systematic review of Hargrove, El Tobgy, Zhou, Pinder, Plant, Askin, Bieber, Collister, Whitlock, Tangri, Bohm, 59 which looked at the effectiveness of aerobic exercise on patients’ anxiety and demonstrated inconclusive results. Techniques such as deep breathing, 60 guided imagery, 61 and cognitive-behavioural interventions 62 may be needed to reduce the level of anxiety. In addition to patient-reported outcomes, this study also used anthropometric and laboratory indicators to reflect MHD patients’ nutritional state and systemic inflammation.…”

Psychological Interventions for End-Stage Renal Disease Patients’ Receiving Hemodialysis

“…Therefore, reduce depression [44,45] and anxiety and improves quality of life of the patients undergoing HD [46,47]. CBT is effective in increasing hope among ESRD patients receiving HD and dealing with their death anxiety [48].…”