Evidence map›Paper›PMID 38316668›Full record

SynthesisInternational journal of behavioral medicine2025

A Systematic Review of Interventions for Demoralization in Patients with Chronic Diseases.

Li Dong, Li Li, Yunlian Wu, Xiaoling Zhao, Hui Zhong, Xi Cheng, Lixia Liu, Changxia Cheng, Mingqiu Ouyang, Liande Tao

Abstract readSystematic Review
In one paragraph

Synthesis in International journal of behavioral medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Demoralization: A concept analysis through a scoping review methodology.International journal of nursing studies advances · 2025
    Article
  5. Article
  6. Modeling of demoralization in breast cancer.Frontiers in psychiatry · 2025
    Article
  7. Article
  8. Demoralization in breast cancer survivors.Frontiers in psychology · 2025
    Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Li DongDepartment of Nursing, The Second People's Hospital of Yibin, Yibin, 644000, China.
Li LiDepartment of Nursing, The Second People's Hospital of Yibin, Yibin, 644000, China.
Yunlian WuDepartment of Nursing, The Second People's Hospital of Yibin, Yibin, 644000, China.
Xiaoling ZhaoDepartment of Nursing, The Second People's Hospital of Yibin, Yibin, 644000, China.
Hui ZhongDepartment of Nursing, The Second People's Hospital of Yibin, Yibin, 644000, China.
Xi ChengDepartment of Nursing, The Second People's Hospital of Yibin, Yibin, 644000, China.
Lixia LiuDepartment of Nursing, The Second People's Hospital of Yibin, Yibin, 644000, China.
Changxia ChengDepartment of Nursing, The Second People's Hospital of Yibin, Yibin, 644000, China.
Mingqiu OuyangDepartment of Nursing, The Second People's Hospital of Yibin, Yibin, 644000, China.
Liande TaoDepartment of Nursing, The Second People's Hospital of Yibin, Yibin, 644000, China. m15892776369@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDemoralization, a significant mental health concern in patients with chronic diseases, can have a large impact on physical symptom burden and quality of life. The present review aimed to evaluate the effectiveness of interventions for demoralization among patients with chronic diseases.

methodPubMed, Scopus, Embase, and Web of Science were systematically searched. Research on providing interventions to patients with chronic diseases that included quantitative data on demoralization was then systematically reviewed.

resultsFourteen studies were included, most of which considered demoralization as a secondary outcome. Interventions included evidence-based meaning-centered psychotherapy, dignity therapy, psilocybin-assisted psychotherapy, and others. Ten studies used randomized controlled designs. Six of these investigated evidence-based meaning-centered therapy, and four investigated dignity therapy, showing the best empirical support for these intervention types. Most studies showed significant impacts on demoralization in patients with chronic diseases.

conclusionThis systematic review provides insights into potential psychological interventions for reducing demoralization in patients with chronic diseases. Randomized controlled designs and adequately powered samples, with demoralization as the primary outcome, are needed to more clearly evaluate its effectiveness.

Indexed as

PsychotherapyChronic DiseaseHumansQuality of LifeChronic diseaseDemoralizationPatientsPsychological interventionSystematic review

Identifiers

PMID38316668
PMCPMC11790688

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.