1
|
Lapses of the Heart: Frequency and Subjective Salience of Impressions Reported by Patients after Cardiac Arrest. J Clin Med 2023; 12:jcm12051968. [PMID: 36902754 PMCID: PMC10004426 DOI: 10.3390/jcm12051968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Revised: 02/16/2023] [Accepted: 02/27/2023] [Indexed: 03/06/2023] Open
Abstract
After cardiac arrest (CA), some patients report impressions with highly realistic features, often referred to as near-death experience (NDE). The frequency of such episodes seems to be variable, with various types of content. In a prospective study, we subjected 126 CA cases treated at the Department of Emergency Medicine of the Medical University of Vienna under carefully controlled conditions to a structured interview. We included all patients admitted due to CA, whose communicative abilities were restored and who agreed to participate in the study. The questionnaire inquired as to living conditions, attitudes towards issues of life and death, and last recollections before and first impressions after the CA. The majority of the subjects (91 = 76%) replied to inquiries concerning impressions during CA with "nothing" or "blackout", but 20 (16%) gave a detailed account. A German version of the Greyson questionnaire specifically addressing NDE phenomena (included towards the end of the interview) resulted in ≥7 points in five patients (4%). Three patients reported a meeting with deceased relatives (one with 6 Greyson points), one an out-of-body episode, and one having been sucked into a colorful tunnel. Eleven of these twenty cases had their cardiopulmonary resuscitation (CPR) started within the first min of CA, a higher fraction than cases without experience. Reported experience after CA was of high significance for the patients; many of them changed their point of view on issues of life and death.
Collapse
|
2
|
The Near-Death Experience Content (NDE-C) scale: Development and psychometric validation. Conscious Cogn 2020; 86:103049. [PMID: 33227590 DOI: 10.1016/j.concog.2020.103049] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2020] [Revised: 11/05/2020] [Accepted: 11/05/2020] [Indexed: 02/06/2023]
Abstract
As interest grows in near-death experiences (NDEs), it is increasingly important to accurately identify them to facilitate empirical research and reproducibility among assessors. We aimed (1) to reassess the psychometric properties of the NDE scale developed by Greyson (1983) and (2) to validate the Near-Death Experience Content (NDE-C) scale that quantifies NDEs in a more complete way. Internal consistency, construct and concurrent validity analyses were performed on the NDE scale. Based on those results and the most recent empirical evidence, we then developed a new 20-item scale. Internal consistency, explanatory and confirmatory factor, concurrent and discriminant validity analyses were conducted. Results revealed (1) a series of weaknesses in the NDE scale, (2) a 5-factor structure covering relevant dimensions and the very good psychometric properties of the NDE-C scale, including very good internal consistency (Cronbach α = 0.85) and concurrent validity (correlations above 0.76). This new reliable scale should facilitate future research.
Collapse
|
3
|
Bond GD, Pasko B, Solis-Perez F, Sisneros CS, Gonzales AF, Bargo AJB, Walker WR. Remembering the Super-Typhoon: Some, but Not All, Qualities of First-Hand Survivor Memories of Natural Disaster Are Similar to Near Death Experience and Flashbulb Memory Accounts. Psychol Rep 2020; 124:2119-2138. [PMID: 32954974 DOI: 10.1177/0033294120957570] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The strongest storm in Philippines history, super-typhoon Haiyan, barreled through central Philippines in 2013 and left a high death toll and extensive destruction in its wake. Past studies have investigated Fading Affect Bias (FAB) in extremely negative situations like the death of a loved one and found that the FAB generally occurs in those extreme situations, but this study is the first to assess FAB in first-hand memories for a natural disaster survival situation. The FAB phenomenon is the tendency for emotional intensity associated with negative memories for events to fade over time and emotional intensity for positive events stays relatively stable over time. Researchers collected memories for the super-typhoon from survivors three years after the event. Results showed that negative emotional intensity for the event faded after the event. Emotion in comparison positive memories for non-typhoon events did not fade, and emotion in comparison negative memories faded, following results in several other FAB studies. The Positive and Negative Affect Scale (PANAS) was used as an initial assessment of mood before the study began, and PANAS scores reliably predicted current emotional intensity scores. Memory vividness and emotional intensity in first-hand accounts of a natural disaster experience behave like vividness and intensity in flashbulb memories, but details in first-hand accounts are similar to the amount of details in memories of near-death experiences. How memory rehearsal behaves in relation to time elapsed since event has yet to be captured for first-hand survival experiences.
Collapse
Affiliation(s)
- Gary D Bond
- Department of Psychological Sciences, Eastern New Mexico University, Portales, NM, USA.,Department of Psychology, Colorado State University-Pueblo, Pueblo, CO, USA
| | - Brian Pasko
- Department of Mathematical Sciences, Eastern New Mexico University, Portales, NM, USA.,Department of Psychology, Colorado State University-Pueblo, Pueblo, CO, USA
| | | | | | - Angelina F Gonzales
- Department of Psychological Sciences, Eastern New Mexico University, Portales, NM, USA.,Department of Psychology, Colorado State University-Pueblo, Pueblo, CO, USA
| | - Ann J B Bargo
- Department of Education, Capiz State University, Roxas City, Capiz, Philippines.,Department of Psychology, Colorado State University-Pueblo, Pueblo, CO, USA
| | - W Richard Walker
- Department of Psychology, Colorado State University-Pueblo, Pueblo, CO, USA
| |
Collapse
|