Lai, C. F., Kao, T. W., Wu, M. S., Chiang, S. S., Chang, C. H., Lu, C. S., Yang, C. S., Yang, C. C., Chang, H. W., Lin, S. L., Chang, C. J., Chen, P. Y., Wu, K. D., Tsai, T. J., & Chen, W. Y. (2007). Impact of near-death experiences on dialysis patients: A multicenter collaborative study American Journal of Kidney Diseases, 50(1) 124-132.
Abstract: Background: People who have come close to death may report an unusual experience known as a near-death experience (NDE). This study aims to investigate NDEs and their aftereffects in dialysis patients. Study Design: Cross-sectional study. Setting & Participants: 710 dialysis patients at 7 centers in Taipei, Taiwan. Predictor: Demographic characteristics, life-threatening experience, depression, and religiosity. Outcomes: NDE and self-perceived changes in attitudes or behaviors. Measurements: Greyson’s NDE scale, Royal Free Questionnaire, 10-Question Survey, Ring’s Weighted Core Experience Index, and Beck Depression Inventory. Results: 45 patients had 51 NDEs. Mean NDE score was 11.9 (95% confidence interval, 11.0 to 12.9). Out-of-body experience was found in 51.0% of NDEs. Purported precognitive visions, awareness of being dead, and “tunnel experience” were uncommon (<10%). Compared with the no-NDE group, subjects in the NDE group were more likely to be women and younger at life-threatening events. Both frequency of participation in religious ceremonies and pious religious activity correlated significantly with NDE score in patients with NDEs (p < 0.01 and p = 0.01, respectively). The NDE group reported being kinder to others (p = 0.04) and more motivated (p= 0.02) after their life-threatening events than the no-NDE group. Limitations: Determining the incidence of NDEs is dependent on self-reporting. Many NDEs occurred before the patient began long-term dialysis therapy. Causality between NDE and aftereffects cannot be inferred. Conclusions: NDE is not uncommon in the dialysis population and is associated with positive aftereffects. Nephrology care providers should be aware of the occurrence and aftereffects of NDEs. The high occurrence of life-threatening events, availability of medical records, and accessibility and cooperativeness of patients make the dialysis population very suitable for NDE research.
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Topics:
Aftereffects of NDEs—Emotional
Aftereffects of NDEs—Orientation to Death
Aftereffects of NDEs—Orientation to Life
Aftereffects of NDEs—Religion
Aftereffects of NDEs NOS
Afterlife, Belief in
Altered States and NDEs
Characteristics of NDErs—Age, Adults
Characteristics of NDErs—Education Level
Characteristics of NDErs—Gender
Characteristics of NDErs—Religious Affiliations
Characteristics of NDErs NOS
Characteristics of NDEs—Autoscopy, Out-of-Body
Characteristics of NDEs—Emotions, Distressing
Characteristics of NDEs—Emotions, Pleasurable
Characteristics of NDEs—Encountering Beings, Deceased or Living
Characteristics of NDEs—Encountering Beings, Spiritual
Characteristics of NDEs—Increased Knowledge, Thoughts
Characteristics of NDEs—Life Review
Characteristics of NDEs—Light, Mystical
Characteristics of NDEs—Otherworldly Environments
Characteristics of NDEs—Parapsychological Phenomena, ESP
Characteristics of NDEs—Parapsychological Phenomena, Precognition
Characteristics of NDEs—Perception of Time
Characteristics of NDEs—Return NOS
Characteristics of NDEs—Sensory, Vision
Characteristics of NDEs—Sensory NOS
Characteristics of NDEs—Tunnel Experiences
Characteristics of NDEs NOS
Circumstances of NDEs—Consciousness and Unconsciousness
Circumstances of NDEs—Hospital
Circumstances of NDEs—Illness
Cross-Cultural NDEs (outside the U.S.)—non-Western
Health Care Professionals and NDEs—Medical
Methodology in NDE Research
Veridical Perception during NDEs