Development of a psychology support program on end-of-life treatment choices for elderly cancer patients and their families

• Project/Area Number: 26780406
• Research Category: Grant-in-Aid for Young Scientists (B)
• Allocation Type: Multi-year Fund
• Research Field: Clinical psychology
• Research Institution: Kindai University
• Principal Investigator: Shiozaki Mariko 近畿大学, 総合社会学部, 准教授 (40557948)
• Project Period (FY): 2014-04-01 – 2018-03-31
• Project Status: Completed (Fiscal Year 2017)
• Budget Amount: ¥3,510,000 (Direct Cost: ¥2,700,000、Indirect Cost: ¥810,000); Fiscal Year 2016: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000); Fiscal Year 2015: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000); Fiscal Year 2014: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
• Keywords: がん患者 / 家族 / 意思決定 / 後悔 / 終末期の治療選択 / がん / 遺族 / 夫婦 / コミュニケーション / 質的研究 / 治療選択 / 加齢 / 高齢者 / 心理的支援

Outline of Final Research Achievements

A series of studies were conducted on general elderly people and elderly bereaved families with patients who survived cancer, to formulate a proposal to provide psychological support for elderly cancer patients and their families so that they did not regret terminal treatment choices. Studies on the characteristics of the regrets of the bereaved families were also examined to explain individual differences in sensitivity. These findings suggested that in order to minimize regret it is important to intentionally change the reference point so that it matches the situation at the time the decision was made. Studies on general elderly people suggested that it was important to build relationships without the fear of dealing with emotions expressed in daily conversation in order to face family-related decisions made at the final stage of life.

Research Products

• [Journal Article] "What I Did for My Loved One Is More Important than Whether We Talked About Death": A Nationwide Survey of Bereaved Family Members. (2018)
  • Author(s): Mori M, Yoshida S, Shiozaki M, Baba M, Morita T, Aoyama M, Kizawa Y, Tsuneto S, Shima Y, Miyashita M
  • Journal Title: J Palliat Med Volume: 21 Issue: 3 Pages: 335-341
  • DOI: 10.1089/jpm.2017.0267
  • Peer Reviewed / Open Access
• [Journal Article] Talking about death with terminally-ill cancer patients: What contributes to the regret of bereaved family members? (2017)
  • Author(s): Mori M, Yoshida S, Shiozaki M, Baba M, Morita T, Aoyama M, Kizawa Y, Tsuneto S, Shima Y, Miyashita M
  • Journal Title: J Pain Symptom Manage Volume: 54 Issue: 6 Pages: 853-860
  • DOI: 10.1016/j.jpainsymman.2017.02.021
  • Peer Reviewed / Open Access
• [Journal Article] Verbal communication of families with cancer patients at end of life: A questionnaire survey with bereaved family members (2017)
  • Author(s): Nakazato Kazuhiro、Shiozaki Mariko、Hirai Kei、Morita Tatsuya、Tatara Ryuhei、Ichihara Kaori、Sato Shinichi、Simizu Megumi、Tsuneto Satoru、Shima Yasuo、Miyasita Mitsunori
  • Journal Title: Psycho-Oncology Volume: 27 Issue: 1 Pages: 155-162
  • DOI: 10.1002/pon.4482
  • Peer Reviewed / Open Access / Int'l Joint Research
• [Journal Article] Exploratory Qualitative Study of Regret Stemming from Ending Terminal Treatment and Psychological Coping among the Bereaved Family Members of Cancer Patients: What Does the Family Regret about Terminal Treatment Choices and Why? (2017)
  • Author(s): 塩﨑麻里子・三條真紀子・吉田沙蘭・平井 啓・宮下光令・森田達也・恒藤 暁・志真泰夫
  • Journal Title: Palliative Care Research Volume: 12 Issue: 4 Pages: 753-760
  • DOI: 10.2512/jspm.12.753
  • NAID: 130006224407
  • ISSN: 1880-5302
  • Peer Reviewed / Open Access
• [Journal Article] Background factors associated with problem avoidance behavior in healthy partners of breast cancer patients. (2016)
  • Author(s): Shiozaki M, Sanjo M, Hirai K.
  • Journal Title: Psychooncology Volume: 1 Issue: 8 Pages: 1-7
  • DOI: 10.1002/pon.4292
  • Peer Reviewed
• [Journal Article] Age and gender differences in relationships among emotion regulation, mood, and mental health. (2016)
  • Author(s): Masumoto, K., Taishi, N., Shiozaki, M.
  • Journal Title: Gerontology and Geriatric Medicine Volume: 2 Pages: 813-820
  • DOI: 10.1177/2333721416637022
  • Peer Reviewed / Open Access
• [Journal Article] 中高年期・高齢期を対象とした夫婦関係における効力感と主観的幸福感との関連 (2016)
  • Author(s): 荒井弘和・中原純・塩﨑麻里子・藤田綾子
  • Journal Title: 老年精神医学雑誌 Volume: 27 Pages: 92-96
  • Peer Reviewed
• [Journal Article] 問題解決プロセスを応用した膵臓がん患者の心理社会的問題と対処法リストの作成：外来において化学療法加療中の膵臓がん患者を対象として (2015)
  • Author(s): 塩﨑麻里子・・酒見惇子・佐藤貴之・江口英利・種村匡弘・北川透・伊藤壽記・平井啓
  • Journal Title: Palliative Care Research Volume: 10 Issue: 3 Pages: 186-193
  • DOI: 10.2512/jspm.10.186
  • NAID: 130005093299
  • Peer Reviewed / Open Access
• [Presentation] Effects of Aging on Goal-Framing in Health-Related Message (2017)
  • Author(s): Masumoto K, & Shiozaki M.
  • Organizer: Society for Medical Decision Making 39th Annual North American Meeting.
  • Int'l Joint Research
• [Presentation] Exploratory Study of Regret Experienced by Japanese Family Caregivers of Dementia Patients in Surrogate Decision Making (2017)
  • Author(s): Shiozaki M, Sato N, Masumoto K.
  • Organizer: Society for Medical Decision Making 39th Annual North American Meeting.
  • Int'l Joint Research
• [Presentation] The reasons for treatment choices in terminal cancer stage. (2016)
  • Author(s): Shiozaki M, Taishi N, & Masumoto K.
  • Organizer: The 31st International Congress of Psychology
  • Place of Presentation: パシフィコ横浜（神奈川）
  • Year and Date: 2016-07-28
  • Int'l Joint Research
• [Presentation] Age and gender differences in relationships among emotion regulation, mood, and mental health. (2016)
  • Author(s): Masumoto, K., Taishi, N., & Shiozaki, M.
  • Organizer: The 31st International Congress of Psychology.
  • Place of Presentation: パシフィコ横浜（神奈川）
  • Year and Date: 2016-07-28
  • Int'l Joint Research
• [Presentation] The decision-making of stopping or going in automobile driving (2016)
  • Author(s): Taishi, N., Masumoto, K., & Shiozaki, M.
  • Organizer: The 31st International Congress of Psychology.
  • Place of Presentation: パシフィコ横浜（神奈川）
  • Year and Date: 2016-07-25
  • Int'l Joint Research
• [Presentation] がんの終末期の治療選択と選択肢のコスト-ベネフィットの関連：一般成人を対象とした探索的検討 (2016)
  • Author(s): 塩崎麻里子・太子のぞみ・増本康平
  • Organizer: 第21回日本緩和医療学会
  • Place of Presentation: 国立京都国際会館（京都）
  • Year and Date: 2016-06-18
• [Presentation] 社会的問題解決理論を応用した膵臓がん患者の家族の心理社会的問題と対処法リストの作成 (2016)
  • Author(s): 塩﨑麻里子・酒見惇子・佐藤貴之・江口英利・種村匡弘・北川透・伊藤壽記
  • Organizer: 第21回日本緩和医療学会
  • Place of Presentation: 国立京都国際会館（京都）
  • Year and Date: 2016-06-18
• [Presentation] 終末期がん患者の家族が「もっと話しておけばよかった」「もっとあれをしておけばよかった」と思う原因は何か？ (2016)
  • Author(s): 森雅紀・吉田沙蘭・塩﨑麻里子・馬場美華・森田達也・青山真帆・木澤義之・恒藤暁・宮下光令
  • Organizer: 第21回日本緩和医療学会
  • Place of Presentation: 国立京都国際会館（京都）
  • Year and Date: 2016-06-18
• [Presentation] がんの終末期の治療選択と選択肢のコスト-ベネフィットの関連：一般成人を対象とした探索的検討 (2016)
  • Author(s): 塩崎麻里子・太子のぞみ・増本康平
  • Organizer: 第21回日本緩和医療学会
  • Place of Presentation: 京都（国立京都国際会館・グランドプリンスホテル京都）
  • Year and Date: 2016-06-17
• [Presentation] 問題解決理論を応用した膵臓がん患者の家族の心理社会的問題と対処法リストの作成 (2016)
  • Author(s): 塩﨑麻里子・酒見惇子・佐藤貴之・江口英利・種村匡弘・北川透・伊藤壽記
  • Organizer: 第21回日本緩和医療学会
  • Place of Presentation: 京都（国立京都国際会館・グランドプリンスホテル京都）
  • Year and Date: 2016-06-17
• [Presentation] 終末期がん患者の家族が「もっと話しておけばよかった」「もっとあれをしておけばよかった」と思う原因は何か？ (2016)
  • Author(s): 森雅紀・吉田沙蘭・塩﨑麻里子・馬場美華・森田達也・青山真帆・木澤義之・恒藤暁・宮下光令
  • Organizer: 第21回日本緩和医療学会
  • Place of Presentation: 京都（国立京都国際会館・グランドプリンスホテル京都）
  • Year and Date: 2016-06-17
• [Presentation] がん患者と家族の関係性に予後告知が与える影響 (2015)
  • Author(s): 山木照子・青松棟吉・塩﨑麻里子・坂口幸弘・足立康則・植村和正
  • Organizer: 第28回日本サイコオンコロジー学会
  • Place of Presentation: 広島(広島市文化創造センター・広島市中区明文化センター
  • Year and Date: 2015-09-18
• [Presentation] がん医療における意思決定研究の必要性と可能性 (2014)
  • Author(s): 塩崎麻里子
  • Organizer: 第21回日本行動医学会
  • Place of Presentation: 早稲田大学所沢キャンパス（埼玉県所沢市）
  • Year and Date: 2014-11-23
• [Presentation] 社会的問題解決理論を応用した膵臓がん患者の心理社会的問題と対処法リストの作成 (2014)
  • Author(s): 塩﨑麻里子・酒見惇子・佐藤貴之・江口英利・種村匡弘・北川透・伊藤壽記・平井啓
  • Organizer: 第27回日本サイコオンコロジー学会
  • Place of Presentation: タワーホール船堀（東京都江戸川区）
  • Year and Date: 2014-10-03
• [Presentation] 外来通院中の膵臓がん患者とその家族の心理状態とその関連性の検討 (2014)
  • Author(s): 酒見惇子・塩崎麻里子・佐藤貴之・江口英利・種村匡弘・北川透・伊藤壽記・平井啓
  • Organizer: 第27回日本サイコオンコロジー学会
  • Place of Presentation: タワーホール船堀（東京都江戸川区）
  • Year and Date: 2014-10-03
• [Presentation] 1-2施設でできる研究のエッセンシャルズ：調査研究のデザイン (2014)
  • Author(s): 塩崎麻里子
  • Organizer: 第19回日本緩和医療学会
  • Place of Presentation: 神戸国際展示場（兵庫県神戸市）
  • Year and Date: 2014-06-21
• [Presentation] 加齢および将来展望と感情調整の関連－若年・中年・高齢者の比較－ (2014)
  • Author(s): 増本康平・太子のぞみ・塩崎麻里子
  • Organizer: 第56回日本老年社会科学会
  • Place of Presentation: 下呂交流会館アクティブ（岐阜県下呂市）
  • Year and Date: 2014-06-08
• [Presentation] 自動車運転中止・継続の意思決定における加齢及び保有効果の影響 (2014)
  • Author(s): 太子のぞみ・塩崎麻里子・増本康平
  • Organizer: 第56回日本老年社会科学会
  • Place of Presentation: 下呂交流会館アクティブ（岐阜県下呂市）
  • Year and Date: 2014-06-08
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