PDF(Pubmed)
Abstract：
BACKGROUND: Terror management theory (TMT) posits that people manage death-related anxiety through the meaning provided by their cultural world-views and the sense of personal value provided by self-esteem. While a large body of research has supported the core propositions of TMT, little research has focused on its application to individuals with terminal illness. If TMT can help healthcare providers better understand how belief systems adapt and change in life-threatening illness, and the role they play in managing death-related anxiety, it may provide guidance on how to improve communication around treatments near the end of life. As such, we set out to review the available research articles that focus on describing the relationship between TMT and life-threatening illness.
METHODS: We reviewed PubMed, PsycINFO, Google Scholar, and EMBASE through May 2022 for original research articles focused on TMT and life-threatening illness. Articles were only deemed appropriate for inclusion if direct incorporation of the principles of TMT were made in reference to a population of interest whom had life-threatening illness Results were screened by title and abstract, followed by full review of candidate articles. References were also scanned. Articles were assessed qualitatively.
RESULTS: Six relevant and original research articles were published which provide varied levels of support for TMT\'s application in critical illness, each article detailed evidence of ideological changes consistent with what TMT would predict. Building self-esteem, enhancing the experience of life as meaningful, incorporating spirituality, engaging family members, and caring for patients at home where meaning and self-esteem can be better maintained are strategies supported by the studies and serve as starting points for further research.
CONCLUSIONS: These articles suggest that applying TMT to life-threatening illness can help identify psychological changes that may effectively minimize the distress from dying. Limitations of this study include a heterogenous group of relevant studies and qualitative assessment.
METHODS: We reviewed PubMed, PsycINFO, Google Scholar, and EMBASE through May 2022 for original research articles focused on TMT and life-threatening illness. Articles were only deemed appropriate for inclusion if direct incorporation of the principles of TMT were made in reference to a population of interest whom had life-threatening illness Results were screened by title and abstract, followed by full review of candidate articles. References were also scanned. Articles were assessed qualitatively.
RESULTS: Six relevant and original research articles were published which provide varied levels of support for TMT\'s application in critical illness, each article detailed evidence of ideological changes consistent with what TMT would predict. Building self-esteem, enhancing the experience of life as meaningful, incorporating spirituality, engaging family members, and caring for patients at home where meaning and self-esteem can be better maintained are strategies supported by the studies and serve as starting points for further research.
CONCLUSIONS: These articles suggest that applying TMT to life-threatening illness can help identify psychological changes that may effectively minimize the distress from dying. Limitations of this study include a heterogenous group of relevant studies and qualitative assessment.
摘要：
背景：恐怖管理理论（TMT）认为，人们通过文化世界观提供的意义和自尊提供的个人价值感来管理与死亡有关的焦虑。虽然大量研究支持了TMT的核心主张，很少有研究将其应用于绝症患者。如果TMT可以帮助医疗保健提供者更好地了解信仰系统如何适应和改变危及生命的疾病，以及它们在处理与死亡有关的焦虑中所起的作用，它可以提供有关如何在临终治疗期间改善沟通的指导。因此，我们开始回顾现有的研究文章,重点描述TMT与危及生命的疾病之间的关系.
方法：我们回顾了PubMed，PsycINFO,谷歌学者，和EMBASE至2022年5月，用于专注于TMT和危及生命的疾病的原创研究文章。如果直接将TMT原则纳入到有威胁生命的疾病的相关人群中,则仅根据标题和摘要筛选结果,其次是对候选文章的全面审查。还扫描了参考文献。文章进行了定性评估。
结果：发表了六篇相关和原创的研究文章，为TMT在危重病中的应用提供了不同程度的支持，每篇文章都详细说明了与TMT预测一致的意识形态变化的证据。建立自尊，增强生活的体验是有意义的，结合灵性，吸引家庭成员，和照顾病人在家里可以更好地保持意义和自尊的策略支持的研究，并作为进一步研究的起点。
结论：这些文章表明，将TMT应用于危及生命的疾病可以帮助识别可能有效减少死亡困扰的心理变化。这项研究的局限性包括一组异质性的相关研究和定性评估。
方法：我们回顾了PubMed，PsycINFO,谷歌学者，和EMBASE至2022年5月，用于专注于TMT和危及生命的疾病的原创研究文章。如果直接将TMT原则纳入到有威胁生命的疾病的相关人群中,则仅根据标题和摘要筛选结果,其次是对候选文章的全面审查。还扫描了参考文献。文章进行了定性评估。
结果：发表了六篇相关和原创的研究文章，为TMT在危重病中的应用提供了不同程度的支持，每篇文章都详细说明了与TMT预测一致的意识形态变化的证据。建立自尊，增强生活的体验是有意义的，结合灵性，吸引家庭成员，和照顾病人在家里可以更好地保持意义和自尊的策略支持的研究，并作为进一步研究的起点。
结论：这些文章表明，将TMT应用于危及生命的疾病可以帮助识别可能有效减少死亡困扰的心理变化。这项研究的局限性包括一组异质性的相关研究和定性评估。
