Psychosocial Factors Associated With Thoughts Regarding Life-Sustaining Treatment for Oneself and Family Members.

IF 1.8 4区 医学 Q3 PSYCHIATRY Psychiatry Investigation Pub Date : 2024-06-01 Epub Date: 2024-06-24 DOI:10.30773/pi.2024.0032
Jeewon Lee, Shin-Gyeom Kim, Soyoung Irene Lee, HyunChul Youn
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Abstract

Objective: This study aims to investigate the thoughts of the general population regarding life-sustaining treatment for both oneself and family members and to assess the factors associated with those thoughts.

Methods: A total of 1,500 individuals participated in this study by completing a questionnaire consisting of self-reporting items with some instructions, basic demographic information, thoughts on life-sustaining treatment, and psychosocial scales. The disease status was calculated using the Charlson Comorbidity Index. The psychosocial scales included the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), Pittsburgh Sleep Quality Index, and Multidimensional Scale of Perceived Social Support.

Results: The majority of participants did not want to receive life-sustaining treatment for both themselves and their families. However, more people wanted life-sustaining treatment for their family members (35.9%) than for themselves (21.6%). Among the basic demographic characteristics, there were significant differences in age, sex, marital status, living arrangements, occupational status, religion, and disease status. Regarding the psychosocial scales, there were significant differences in the PHQ-9 and GAD-7 scores between the group that preferred life-sustaining treatment for family members and the group that did not.

Conclusion: The findings suggest that life-sustaining treatment decisions for oneself and for one's family members can be different. We recommend a more clear expression of one's preferences regarding the last moments of one's life, including advance directives.

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与为自己和家人提供维持生命治疗的想法相关的社会心理因素。
研究目的本研究旨在调查普通人群对自己和家人接受维持生命治疗的想法,并评估与这些想法相关的因素:共有 1,500 人参与了这项研究,他们填写了一份由自我报告项目和一些说明、基本人口统计学信息、对维持生命治疗的想法以及社会心理量表组成的调查问卷。疾病状况使用夏尔森合并症指数进行计算。社会心理量表包括患者健康问卷-9(PHQ-9)、广泛性焦虑症-7(GAD-7)、匹兹堡睡眠质量指数和感知社会支持多维量表:大多数参与者都不希望自己和家人接受维持生命的治疗。然而,希望为家人提供维持生命治疗的人数(35.9%)多于自己(21.6%)。在基本人口统计学特征中,年龄、性别、婚姻状况、居住安排、职业状况、宗教信仰和疾病状况存在显著差异。在社会心理量表方面,倾向于为家庭成员提供生命维持治疗的群体与不倾向于为家庭成员提供生命维持治疗的群体在 PHQ-9 和 GAD-7 分数上存在显著差异:研究结果表明,为自己和为家人做出的维持生命治疗决定可能是不同的。我们建议更明确地表达自己对生命最后时刻的偏好,包括预先指示。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.10
自引率
3.70%
发文量
105
审稿时长
6-12 weeks
期刊介绍: The Psychiatry Investigation is published on the 25th day of every month in English by the Korean Neuropsychiatric Association (KNPA). The Journal covers the whole range of psychiatry and neuroscience. Both basic and clinical contributions are encouraged from all disciplines and research areas relevant to the pathophysiology and management of neuropsychiatric disorders and symptoms, as well as researches related to cross cultural psychiatry and ethnic issues in psychiatry. The Journal publishes editorials, review articles, original articles, brief reports, viewpoints and correspondences. All research articles are peer reviewed. Contributions are accepted for publication on the condition that their substance has not been published or submitted for publication elsewhere. Authors submitting papers to the Journal (serially or otherwise) with a common theme or using data derived from the same sample (or a subset thereof) must send details of all relevant previous publications and simultaneous submissions. The Journal is not responsible for statements made by contributors. Material in the Journal does not necessarily reflect the views of the Editor or of the KNPA. Manuscripts accepted for publication are copy-edited to improve readability and to ensure conformity with house style.
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