Objective

To review which are the most influential variables in achieving levels of psychological well-being at the end of life and to verify whether, as certain studies suggest, spirituality, resilience and social support are the pillars on which the psychological well-being construct is based.

Method

A systematic search through the Scopus, Pubmed and PsycInfo electronic databases was carried out using keywords such as: “wellbeing” OR “psychological-well-being” AND “resilience” AND “spirituality” AND “social support” AND “palliative care” and their multiple combinations.

Results

Eleven studies were selected, in which terms such as spiritual well-being, absence of discomfort and quality of life were used in substitution of psychological well-being and a certain consensus was found regarding whether resilience, spirituality and social support are predictive variables of psychological well-being.

Conclusions

Resilience, social support and spirituality are highly relevant variables at the end of life and contribute decisively towards psychological well-being.

中文翻译：

---

姑息治疗中的心理健康：系统评价

客观的

审查哪些变量对实现生命末期的心理健康水平最有影响，并验证是否如某些研究表明的那样，灵性、复原力和社会支持是心理健康构建所基于的支柱.

方法

使用以下关键字对 Scopus、Pubmed 和 PsycInfo 电子数据库进行了系统搜索：“幸福”或“心理健康”和“弹性”和“灵性”和“社会支持”和“姑息治疗”和他们的多种组合。

结果

选取了 11 项研究，其中使用精神幸福感、无不适感和生活质量等术语代替心理幸福感，并就复原力、灵性和社会支持是否是心理健康的预测变量达成了一定的共识福利。

结论

复原力、社会支持和灵性是生命结束时高度相关的变量，对心理健康具有决定性作用。