Spirituality and Quality of Life in Gynecologic Oncology Patients

Gioiella, Marie Elena; Berkman, Barbara; Robinson, Mark D.

doi:10.1046/j.1523-5394.1998.006006333.x

Cited by 90 publications

(76 citation statements)

References 20 publications

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“…Another special population in which religion has been associated with quality of life is cancer patients. 29 Giorella et al 30 found a correlation between levels of spirituality as measured by the Spiritual Well-Being Scale and quality of life as measured by the Functional Living Index: Cancer. In this sample drawn from patients with gynecologic cancer, the effect was particularly strong among older patients.…”

Section: Well-beingmentioning

confidence: 99%

Religion, Senescence, and Mental Health: The End of Life Is Not the End of Hope

Ness¹

2002

American Journal of Geriatric Psychiatry

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The authors review epidemiological and survey research relevant to the relationships between religiousness/spirituality and mental health in people at the end of life, with the end of helping psychiatrists, psychologists, and other mental health professionals dealing with older Americans. They give special attention to well-being, religious coping, cognitive dysfunction, anxiety, depression, and suicide, and consider the extent to which hope is a mediator of the purported salutary effects of religiousness. Studies were selected from the comprehensive and systematic review of 20th-century scientific literature concerning religion and health. Authors also review current studies relevant to religion and end-of-life issues. Religious persons reported generally higher levels of well-being. The review also found fairly consistent inverse associations of religiousness with rates of depression and suicide. There was some negative association between religious participation and cognitive dysfunction, but the association with anxiety was inconsistent, with some studies showing a correlation between higher levels of religion and anxiety. Religion's effects on mental health are generally protective in direction but modest in strength.Public opinion polls suggest that the United States is a very religious nation. The 1999 Gallup Poll reports that 94% of Americans believe in God or a higher power; an almost equal proportion of the population says that religion is very or fairly important in their lives. 1 Less than a majority of these respondents report weekly attendance at religious services, but American rates of religious service attendance are still higher than for almost all other developed countries. 2 Most Americans believe that religion and health are intimately related. A 1996 Time/CNN poll conducted by Yankelovich Partners reports that 77% of respondents believe that God sometimes intervenes to cure people who have serious illnesses. 3 Furthermore, people act upon such beliefs. This same poll reports that 82% of Americans profess belief in the healing power of prayer. Also, research by Eisenberg and colleagues 4 shows that Americans spend billions of dollars annually on "alternative" medical therapies, and many of these therapies have spiritual meanings associated with them. 4,5

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Section: Well-beingmentioning

confidence: 99%

Religion, Senescence, and Mental Health: The End of Life Is Not the End of Hope

Ness¹

2002

American Journal of Geriatric Psychiatry

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“…Independently of its effect on the evolution of diseases, this dimension has been identified as very relevant and an important domain to be taken into account when evaluating quality of life [11][12][13][14][15][16] . As an example of acknowledging the importance of the spiritual dimension, the World Health Organization, included a domain on spirituality/religiousness/personal beliefs 17 in its instrument for the evaluation of quality of life (WHOQOL) 14 .…”

Section: Introductionmentioning

confidence: 99%

Avaliação de qualidade de vida e importância dada a espiritualidade/religiosidade/ crenças pessoais (SRPB) em adultos com e sem problemas crônicos de saúde

Rocha

Fleck

2011

Rev. psiquiatr. clín.

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Background: There is a lack of studies seeking to elucidate the association of religiousness with quality of life, comparing sick and healthy people, regardless the type of disease and age group. Objective: To examine the association between: (1) presence of a chronic health condition and the importance given to spirituality/ religiousness/personal beliefs (SRPB); (2) presence of a chronic health condition and quality of life (QOL) adjusted for age, socioeconomic level and depressive symptoms; (3) QOL and importance given to SRPB, also adjusted for the same factors. Design: cross-sectional study. Participants: n = 241 consisted of 122 inand outpatients from a university hospital and 119 religious healthy subjects from community. Measurements: a) WHOQOL-100 (QOL); b) BDI (depressive symptoms); c) WHOQOL-SRPBi -scale of importance assigned to the facets of the Spirituality/Religiousness/Personal Beliefs Module of WHOQOL-100 to measure importance given to religiousness. Results: Patients in comparison to healthy subjects showed worse scores in most WHOQOL-100 domains. The patients' mean score of the WHOQOL-SRPBi was 97.2 compared to the healthy subjects' mean score = 92.9 (P = 0.03). After using a multiple regression model, the WHOQOL-SRPBi appears positively associated with the psychological, the social relationships, the environment, the SRPB domains and general QOL (beta = 0.17; beta = 0.12; beta = 0.11; beta = 0.72; beta = 0.10, respectively), when adjusted for age, SEL, BDI and the presence of a chronic health condition. Discussion: The more important is the SRPB for these people, the better is their QOL in most of their domains, independently of other factors involved. This finding may be taken into account when planning interventions to improve QOL of chronic health patients.

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“…A number of studies have also shown that religiosity and spirituality significantly contribute to psychosocial adjustment to cancer and its treatments (Musick et al, 1998;Nelson et al, 2002;Weaver & Flannelly, 2004) and to quality of life in cancer patients, even in the face of high levels of symptoms such as pain and fatigue (Gioiella et al, 1998;Brady et al, 1999).…”

Section: Introductionmentioning

confidence: 99%

Do spirituality and faith make a difference? Report from the Southern European Psycho-Oncology Study Group

et al. 2010

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Objective: In the last decade, some attention has been given to spirituality and faith and their role in cancer patients' coping. Few data are available about spirituality among cancer patients in Southern European countries, which have a big tradition of spirituality, namely, the Catholic religion. As part of a more general investigation (Southern European Psycho-Oncology Study -SEPOS), the aim of this study was to examine the effect of spirituality in molding psychosocial implications in Southern European cancer patients.Method: A convenience sample of 323 outpatients with a diagnosis of cancer between 6 to 18 months, a good performance status (Karnofsky Performance Status . 80), and no cognitive deficits or central nervous system (CNS) involvement by disease were approached in university and affiliated cancer centers in Italy, Spain, Portugal, and Switzerland (Italian speaking area). Each patient was evaluated for spirituality (Visual Analog Scale 0-10), psychological morbidity (Hospital Anxiety and Depression Scale-HADS), coping strategies (Mini-Mental Adjustment to Cancer -Mini-MAC) and concerns about illness (Cancer Worries Inventory -CWI).Results. The majority of patients (79.3%) referred to being supported by their spirituality/ faith throughout their illness. Significant differences were found between the spirituality and non-spirituality groups ( p 0.01) in terms of education, coping styles, and psychological morbidity. Spirituality was significantly correlated with fighting spirit (r ¼ 20.27), fatalism (r ¼ 0.50), and avoidance (r ¼ 0.23) coping styles and negatively correlated with education (r ¼ 20.25), depression (r ¼ 20.22) and HAD total (r ¼ 20.17).Significance of results: Spirituality is frequent among Southern European cancer patients with lower education and seems to play some protective role towards psychological morbidity, specifically depression. Further studies should examine this trend in Southern European cancer patients.

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Spirituality and Quality of Life in Gynecologic Oncology Patients

Cited by 90 publications

References 20 publications

Religion, Senescence, and Mental Health: The End of Life Is Not the End of Hope

Religion, Senescence, and Mental Health: The End of Life Is Not the End of Hope

Avaliação de qualidade de vida e importância dada a espiritualidade/religiosidade/ crenças pessoais (SRPB) em adultos com e sem problemas crônicos de saúde

Do spirituality and faith make a difference? Report from the Southern European Psycho-Oncology Study Group

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