ArticlePalliative & supportive care2025
Psychosocial distress in rural palliative care: Preliminary longitudinal findings using the DADDS.
Article in Palliative & supportive care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
objectivesPalliative care enhances life, but rural Australia faces significant inequities, and psychosocial distress, an important yet often overlooked aspect, is under-recognized in these settings. This study examines how psychosocial distress evolves in rural palliative patients using the Death and Dying Distress Scale (DADDS).
methodsA longitudinal study was conducted with palliative care patients in rural hospitals on Australia's east coast. Distress levels were measured using DADDS at multiple timepoints. Mixed-effects models assessed distress trajectories, while survival analyses (Weibull model) examined whether average distress changes predicted survival duration. For comparability, DADDS scores in mixed-effects models were standardized (0-100%), whereas survival analyses used raw total score changes.
resultsAdjusted mean total DADDS was 37.14 ± 22.67, with highest distress in SIGNIFICANCE OF
resultsPsychosocial distress peaks in early palliative care and near death and is associated with reduced survival. Support should prioritize fears of suffering and pain during these stages, address fear of the dying process earlier, and remain attentive to persistent concerns such as loss of time and opportunity.
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