The cognitive-spiritual dimension – an important addition to the assessment of quality of life: Validation of a questionnaire (SELT-M) in patients with advanced cancer

Wegberg, Brigitte van; Bacchi, M.; Heusser, Peter; Helwig, S.; Schaad, R.; Rohr, E. von; Bernhard, Jürg; Hürny, Christoph; Castiglione, M.; Cerny, T.

doi:10.1023/a:1008343219970

Cited by 32 publications

(20 citation statements)

References 13 publications

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“…To evaluate the spiritual well-being, we used the SELT-M (Skalen zur Erfassung von Lebens qualitat bei Tumorkranken-Modified Version) [22], because at the time of this investigation, no other validated measurement tools to assess spiritual well-being were available in Japan. The patients completed the Japanese version of the SETL-M [13] before and after the intervention.…”

Section: Interventions and Outcome Measurementsmentioning

confidence: 99%

Life review interviews on the spiritual well-being of terminally ill cancer patients

Ando

Tsuda

Morita

2006

Support Care Cancer

106

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Life review interviews may be effective in improving the spiritual well-being of terminally ill cancer patients. The potential predictors of treatment success are "positive view of life," "pleasure in daily activities and good human relationships," and a "balanced evaluation of life," while those of treatment failure are "worries about future caused by disease," "conflicts in family relationships," and "confrontation of practical problems." Further intervention trials on patients with predictors of treatment success are promising.

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Section: Interventions and Outcome Measurementsmentioning

confidence: 99%

Life review interviews on the spiritual well-being of terminally ill cancer patients

Ando

Tsuda

Morita

2006

Support Care Cancer

106

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“…This concerns questions of meaning or possible positive aspects and experiences related to the disease, coping with issues of life and death, finding new inner goals, interests and hope beyond the physical perspective of life, having more courage to be oneself, and the ability to distinguish the essential from the non-essential. The resulting SELT-M contains 5 functional scales: 'physical well-being' (3 items), 'basic mood' (6 items), 'social support' (3 items), 'inner life orientation' (3 items) and the newly added 'spiritual QoL' (8 items), which had shown good construct and discriminant validity [24]. As the item contents of 'inner life orientation' and 'spiritual QoL' are very closely related, and as both dimensions with their cognitive and spiritual elements pertain to the spiritual aspects of human being in the perspective of AM, we combined them for evaluation for the present publication to form the dimension 'cognitive-spiritual QoL' (13 items).…”

Section: Assessment and Evaluation Of Qolmentioning

confidence: 99%

“…Yet, so far, the effectiveness of its holistic therapeutic strategy has not been studied systematically. Therefore, the LK was included in a composite research project of the Swiss National Science Foundation Program NFP 34, which we reported about earlier [14,[22][23][24][25][26][27]. The aim was a first and thorough investigation of QoL development in patients with advanced cancer during and after holistic in-patient treatment at LK.…”

Section: Introductionmentioning

confidence: 99%

Palliative In-Patient Cancer Treatment in an Anthroposophic Hospital: II. Quality of Life during and after Stationary Treatment, and Subjective Treatment Benefits*

Heusser

Braun²,

Bertschy³

et al. 2006

Complement Med Res

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There is an increasing demand for comprehensive forms of palliative cancer care, meeting physical as well as emotional, cognitive, spiritual and social needs. Therapy programs of anthroposophic hospitals are aimed at improving health and quality of life (QoL) at these levels. However, data on the influence of these programs on QoL of patients with advanced cancer are scarce. Patients and Methods: 144 in-patients with advanced epithelial cancers were treated at the anthroposophic Lukas Klinik, Arlesheim, Switzerland. QoL was assessed upon admission, discharge and after 4 months, using 20 functional scales from the questionnaires EORTC QLQ-C30, HADS and SELT-M. Statistical testing was performed with the Wilcoxon signed rank test. At month 4, subjectively perceived benefits from anthroposophic medicine (AM) and conventional cancer therapy (CCT) were assessed by telephone. Objective: The aim was to provide an account of global, physical, emotional, cognitive-spiritual and social QoL developments in advanced cancer patients, during and after in-patient AM treatment, and to investigate subjective benefits from AM and CCT. Results: QoL improvements were observed in all 20 dimensions (12 significant). Compared to related studies, improvements were fairly high. At month 4, QoL scores had decreased but were still above baseline in all 20 dimensions. Both AM and CCT were perceived as beneficial. Conclusion: Our data provide evidence that in-patient therapy at an anthroposophic hospital can lead to significant QoL improvements, especially in emotional, but also global, physical, cognitive-spiritual and social aspects. Benefits of AM were experienced on the physical, emotional, cognitive- spiritual and social level. Benefits of CCT were tumor-focused.

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“…In recent years the traditionally assessed aspects of quality of life (QOL) such as physical, psychological and social well-being and functioning have been supplemented by spiritual aspects of QOL [1,2,3]. The importance of spirituality as a central component of psychological wellbeing is increasingly recognized by doctors and mentalhealth professionals [4].…”

Section: Introductionmentioning

confidence: 99%

Reliability and validity of the Functional Assessment of Chronic Illness Therapy?Spiritual (FACIT?Sp) for Japanese patients with cancer

Noguchi

Ohno

Morita³

et al. 2004

Supportive Care in Cancer

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The reliability and validity of the Japanese version of the Functional Assessment of Chronic Illness Therapy-Spiritual (FACIT-Sp) scale were assessed. This scale was developed in the United States to assess quality of life (QOL) in relation to spirituality. Two surveys were conducted on each of 306 cancer patients. In addition to the FACIT-Sp, the Hospital Anxiety and Depression Scale (HADS) was administered. Cronbach's alpha reliability coefficient, an evaluation of internal consistency, for the FACIT-Sp subscales ranged from 0.81 to 0.91. There were no significant differences between the patients evaluated using the FACIT-Sp subscale and the HADS subscale with regard to degree of religious feelings. The correlation coefficients between the FACIT-Sp and the HADS depression and anxiety scales indicated a moderate correlation. These findings suggest that the Japanese version of the FACIT-Sp scale is satisfactory in terms of reliability and validity and is a useful tool in the study of spirituality among Japanese cancer patients.

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The cognitive-spiritual dimension – an important addition to the assessment of quality of life: Validation of a questionnaire (SELT-M) in patients with advanced cancer

Abstract: Overall there is confirming evidence for the hypothesised structure of the SELT-M, especially for the newly developed module on spiritual QL. This module may be used as a module together with other cancer specific QL questionnaires.

Cited by 32 publications

References 13 publications

Life review interviews on the spiritual well-being of terminally ill cancer patients

Life review interviews on the spiritual well-being of terminally ill cancer patients

Palliative In-Patient Cancer Treatment in an Anthroposophic Hospital: II. Quality of Life during and after Stationary Treatment, and Subjective Treatment Benefits*

Reliability and validity of the Functional Assessment of Chronic Illness Therapy?Spiritual (FACIT?Sp) for Japanese patients with cancer

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