Skip to main content
Top
Published in: Supportive Care in Cancer 4/2006

01-04-2006 | Original Article

Is there a correlation between spirituality and anxiety and depression in patients with advanced cancer?

Authors: Rachel C. McCoubrie, Andrew N. Davies

Published in: Supportive Care in Cancer | Issue 4/2006

Login to get access

Abstract

Aims and objectives

To establish whether there is a correlation between spirituality and anxiety and depression in patients with advanced cancer.

Patients and methods

Patients with a diagnosis of cancer at St. Peter’s day hospice in Bristol were asked to complete three questionnaires to assess anxiety, depression and spirituality. Informed consent was obtained. Anxiety and depression are indicated by the Hospital Anxiety and Depression Scale score, and spirituality is indicated by scores on the Spiritual Well-Being Scale (SWBS) and the Royal Free Interview for Spiritual and Religious Beliefs. As will be explained, religion and spirituality are generally recognised as having different meanings—religion entailing a relationship with a higher being, while spirituality can be thought of in terms of meaning and purpose in life.

Results

Eighty-five complete data sets were obtained. A significant negative correlation was found between both anxiety and depression scores and overall spiritual well-being scores (p<0.0001). When the SWBS subscale scores were analysed individually, a significant negative correlation was found between the existential well-being scores and the anxiety and depression scores (p<0.001). However, no correlation was found between the religious well-being scores and anxiety or depression.

Conclusions

This study found a significant negative correlation between spirituality (in particular, the existential aspect) and anxiety and depression in patients with advanced cancer. Religious well-being and strength of belief had no impact on psychological well-being in this study.
Literature
1.
go back to reference Anandarajah G, Hight E (2001) Spirituality and medical practice: using the HOPE questions as a practical tool for spiritual assessment. Am Fam Physician 63(1):81–88PubMed Anandarajah G, Hight E (2001) Spirituality and medical practice: using the HOPE questions as a practical tool for spiritual assessment. Am Fam Physician 63(1):81–88PubMed
2.
go back to reference Boivin MJ, Kirby AL, Underwood LK, Silva H (1999) Spiritual well-being scale. In: Hill PC, Hood RW (eds) Measures of religiosity. Religious Education Press, Birmingham, AL, pp 382–385. ISBN 089135106X Boivin MJ, Kirby AL, Underwood LK, Silva H (1999) Spiritual well-being scale. In: Hill PC, Hood RW (eds) Measures of religiosity. Religious Education Press, Birmingham, AL, pp 382–385. ISBN 089135106X
3.
go back to reference Breitbart W, Rosenfeld B, Pessin H, Kaim M, Funesti-Esch J, Galietta M, Nelson CJ, Brescia R (2000) Depression, hopelessness, and desire for hastened death in terminally ill patients with cancer. JAMA 284(22):2907–2911PubMedCrossRef Breitbart W, Rosenfeld B, Pessin H, Kaim M, Funesti-Esch J, Galietta M, Nelson CJ, Brescia R (2000) Depression, hopelessness, and desire for hastened death in terminally ill patients with cancer. JAMA 284(22):2907–2911PubMedCrossRef
4.
5.
go back to reference Cassileth BR, Lusk EJ, Hutter R, Strouse TB, Brown LI (1984) Concordance of depression and anxiety in patients with cancer. Psychol Rep 54:588–590PubMed Cassileth BR, Lusk EJ, Hutter R, Strouse TB, Brown LI (1984) Concordance of depression and anxiety in patients with cancer. Psychol Rep 54:588–590PubMed
6.
go back to reference Chibnall JT, Videen SD, Duckro PN, Miller DK (2002) Psychosocial–spiritual correlates of death distress in patients with life-threatening medical conditions. Palliat Med 16:331–338PubMedCrossRef Chibnall JT, Videen SD, Duckro PN, Miller DK (2002) Psychosocial–spiritual correlates of death distress in patients with life-threatening medical conditions. Palliat Med 16:331–338PubMedCrossRef
7.
go back to reference Cotton SP, Levine EG, Fitzpatrick CM, Dold KH, Targ E (1999) Exploring the relationships among spiritual well-being, quality of life, and psychological adjustment in women with breast cancer. Psychooncology 8:429–438PubMedCrossRef Cotton SP, Levine EG, Fitzpatrick CM, Dold KH, Targ E (1999) Exploring the relationships among spiritual well-being, quality of life, and psychological adjustment in women with breast cancer. Psychooncology 8:429–438PubMedCrossRef
8.
go back to reference Daaleman TP, VandeCreek L (2000) Placing religion and spirituality in end-of-life care. JAMA 284(19):2514–2517PubMedCrossRef Daaleman TP, VandeCreek L (2000) Placing religion and spirituality in end-of-life care. JAMA 284(19):2514–2517PubMedCrossRef
9.
go back to reference Dom H (1999) Spiritual care, need and pain—recognition and response. Eur J Palliat Care 6(3):87–90 Dom H (1999) Spiritual care, need and pain—recognition and response. Eur J Palliat Care 6(3):87–90
10.
go back to reference Dyson J, Cobb M, Forman D (1997) The meaning of spirituality: a literature review. J Adv Nurs 26:1183–1188PubMedCrossRef Dyson J, Cobb M, Forman D (1997) The meaning of spirituality: a literature review. J Adv Nurs 26:1183–1188PubMedCrossRef
11.
go back to reference Encarta (1999) World English dictionary, Microsoft Corporation Encarta (1999) World English dictionary, Microsoft Corporation
12.
go back to reference Fehring RJ, Miller JF, Shaw C (1997) Spiritual well-being, religiosity, hope, depression, and other mood states in elderly people coping with cancer. Oncol Nurs Forum 24(4):663–671PubMed Fehring RJ, Miller JF, Shaw C (1997) Spiritual well-being, religiosity, hope, depression, and other mood states in elderly people coping with cancer. Oncol Nurs Forum 24(4):663–671PubMed
13.
go back to reference Fryback PB, Reinert BR (1999) Spirituality and people with potentially fatal diagnoses. Nurs Forum 34(1):13–22PubMedCrossRef Fryback PB, Reinert BR (1999) Spirituality and people with potentially fatal diagnoses. Nurs Forum 34(1):13–22PubMedCrossRef
14.
go back to reference Gartner J, Larson DB, Allen GD (1994) Religious commitment and mental health: a review of the empirical literature. J Psychol Theol 19(1):6–25 Gartner J, Larson DB, Allen GD (1994) Religious commitment and mental health: a review of the empirical literature. J Psychol Theol 19(1):6–25
15.
go back to reference Gioiella ME, Berkman B, Robinson M (1998) Spirituality and quality of life in gynaecologic oncology patients. Cancer Pract 6(6):333–338PubMedCrossRef Gioiella ME, Berkman B, Robinson M (1998) Spirituality and quality of life in gynaecologic oncology patients. Cancer Pract 6(6):333–338PubMedCrossRef
17.
go back to reference Hassad CS (2000) Depression: dispirited or spiritually deprived? Med J Aust 173:545–547 Hassad CS (2000) Depression: dispirited or spiritually deprived? Med J Aust 173:545–547
18.
go back to reference Hermann CP (2001) Spiritual needs of dying patients: a qualitative study. Oncol Nurs Forum 28(1):67–72PubMed Hermann CP (2001) Spiritual needs of dying patients: a qualitative study. Oncol Nurs Forum 28(1):67–72PubMed
19.
go back to reference Herrmann C (1997) International experiences with the hospital anxiety and depression scale—a review of validation data and clinical results. J Psychosom Res 42(1):17–41PubMedCrossRef Herrmann C (1997) International experiences with the hospital anxiety and depression scale—a review of validation data and clinical results. J Psychosom Res 42(1):17–41PubMedCrossRef
20.
go back to reference Holtom N, Barraclough J (2000) Is the hospital anxiety and depression scale (HADS) useful in assessing depression in palliative care? Palliat Med 14:219–220PubMedCrossRef Holtom N, Barraclough J (2000) Is the hospital anxiety and depression scale (HADS) useful in assessing depression in palliative care? Palliat Med 14:219–220PubMedCrossRef
21.
go back to reference Hotopf M, Chidgey J, Addington-Hall J, Lan Ly K (2002) Depression in advanced disease: a systematic review. Part 1. Prevalence and case finding. Palliat Med 16:81–97PubMedCrossRef Hotopf M, Chidgey J, Addington-Hall J, Lan Ly K (2002) Depression in advanced disease: a systematic review. Part 1. Prevalence and case finding. Palliat Med 16:81–97PubMedCrossRef
22.
go back to reference House A, Stark D (2002) ABC of psychological medicine: anxiety in medical patients. BMJ 325:207–209PubMedCrossRef House A, Stark D (2002) ABC of psychological medicine: anxiety in medical patients. BMJ 325:207–209PubMedCrossRef
23.
go back to reference Johnston M, Pollard B, Hennessey P (2000) Construct validation of the hospital anxiety and depression scale with clinical populations. J Psychosom Res 48:579–584PubMedCrossRef Johnston M, Pollard B, Hennessey P (2000) Construct validation of the hospital anxiety and depression scale with clinical populations. J Psychosom Res 48:579–584PubMedCrossRef
24.
go back to reference Kaczorowski J (1989) Spiritual well-being and anxiety in adults diagnosed with cancer. Hosp J 5:105–116PubMedCrossRef Kaczorowski J (1989) Spiritual well-being and anxiety in adults diagnosed with cancer. Hosp J 5:105–116PubMedCrossRef
25.
26.
go back to reference King M, Speck P, Thomas A (1995) The royal free interview for religious and spiritual beliefs: development and standardization. Psychol Med 25:1125–1134PubMed King M, Speck P, Thomas A (1995) The royal free interview for religious and spiritual beliefs: development and standardization. Psychol Med 25:1125–1134PubMed
27.
go back to reference King M, Speck P, Thomas A (2001) The royal free interview for spiritual and religious beliefs: development and validation of a self-report version. Psychol Med 31:1015–1023PubMedCrossRef King M, Speck P, Thomas A (2001) The royal free interview for spiritual and religious beliefs: development and validation of a self-report version. Psychol Med 31:1015–1023PubMedCrossRef
28.
go back to reference Koenig HG, Larson DB, Weaver AJ (1998) Research on religion and serious mental illness. New Dir Ment Health Serv 80:81–95PubMedCrossRef Koenig HG, Larson DB, Weaver AJ (1998) Research on religion and serious mental illness. New Dir Ment Health Serv 80:81–95PubMedCrossRef
29.
go back to reference Lloyd-Williams M, Spiller J, Ward J (2003) Which depression screening tool should be used in palliative care? Palliat Med 17:40–43PubMedCrossRef Lloyd-Williams M, Spiller J, Ward J (2003) Which depression screening tool should be used in palliative care? Palliat Med 17:40–43PubMedCrossRef
30.
go back to reference McClain CS, Rosenfeld B, Breitbart W (2003) Effect of spiritual well-being on end-of-life despair in terminally-ill cancer patients. Lancet 361:1603–1607PubMedCrossRef McClain CS, Rosenfeld B, Breitbart W (2003) Effect of spiritual well-being on end-of-life despair in terminally-ill cancer patients. Lancet 361:1603–1607PubMedCrossRef
31.
go back to reference Mickley JR, Soeken K, Belcher A (1992) Spiritual well-being, religiousness and hope among women with breast cancer. Image J Nurs Scholarsh 24(4):267–272CrossRef Mickley JR, Soeken K, Belcher A (1992) Spiritual well-being, religiousness and hope among women with breast cancer. Image J Nurs Scholarsh 24(4):267–272CrossRef
32.
go back to reference Moberg DO, Brusek PM (1978) Spiritual well-being: a neglected subject in quality of life research. Soc Indic Res 5:303–323CrossRef Moberg DO, Brusek PM (1978) Spiritual well-being: a neglected subject in quality of life research. Soc Indic Res 5:303–323CrossRef
33.
go back to reference Moorey S, Greer S, Watson M, Gorman C, Rowden L, Tunmore R, Robertson B, Bliss J (1991) The factor structure and factor stability of the hospital anxiety and depression scale in patients with cancer. Br J Psychiatry 158:255–259PubMedCrossRef Moorey S, Greer S, Watson M, Gorman C, Rowden L, Tunmore R, Robertson B, Bliss J (1991) The factor structure and factor stability of the hospital anxiety and depression scale in patients with cancer. Br J Psychiatry 158:255–259PubMedCrossRef
34.
go back to reference Mytko JJ, Knight SJ (1999) Body, mind and spirit: towards the integration of religiosity and spirituality in cancer quality of life research. Psychooncology 8:439–450PubMedCrossRef Mytko JJ, Knight SJ (1999) Body, mind and spirit: towards the integration of religiosity and spirituality in cancer quality of life research. Psychooncology 8:439–450PubMedCrossRef
35.
go back to reference Paloutzian RF, Ellison CW (1982) Loneliness, spiritual well-being and the quality of life. In: Peplau LA, Perlman D (eds) Loneliness: a source book of current theory, research and therapy. Wiley, New York, pp 224–237 Paloutzian RF, Ellison CW (1982) Loneliness, spiritual well-being and the quality of life. In: Peplau LA, Perlman D (eds) Loneliness: a source book of current theory, research and therapy. Wiley, New York, pp 224–237
36.
go back to reference Razavi D, Delvaux N, Farvacques C, Robaye E (1990) Screening for adjustment disorders and major depressive disorders in cancer inpatients. Br J Psychiatry 156:79–83PubMed Razavi D, Delvaux N, Farvacques C, Robaye E (1990) Screening for adjustment disorders and major depressive disorders in cancer inpatients. Br J Psychiatry 156:79–83PubMed
37.
go back to reference Reed PG (1987) Spirituality and well-being in terminally ill hospitalised adults. Res Nurs Health 10:335–344PubMedCrossRef Reed PG (1987) Spirituality and well-being in terminally ill hospitalised adults. Res Nurs Health 10:335–344PubMedCrossRef
38.
go back to reference Rousseau P (2000) Spirituality and the dying patient. J Clin Oncol 18(9):2000–2002PubMed Rousseau P (2000) Spirituality and the dying patient. J Clin Oncol 18(9):2000–2002PubMed
39.
40.
go back to reference Speck P (1998) Spiritual issues in palliative care. In: Doyle D, Hanks GW, MacDonald N (eds) Oxford textbook of palliative medicine, 2nd edn. Oxford University Press, Oxford, pp 805–814 Speck P (1998) Spiritual issues in palliative care. In: Doyle D, Hanks GW, MacDonald N (eds) Oxford textbook of palliative medicine, 2nd edn. Oxford University Press, Oxford, pp 805–814
41.
go back to reference Thomson J (2000) The place of spiritual well-being in hospice patients’ overall quality of life. Hosp J 15(2):13–27PubMedCrossRef Thomson J (2000) The place of spiritual well-being in hospice patients’ overall quality of life. Hosp J 15(2):13–27PubMedCrossRef
42.
43.
go back to reference Wright MC (2001) Spirituality: a developing concept within palliative care? Prog Palliat Care 9(4):143–147 Wright MC (2001) Spirituality: a developing concept within palliative care? Prog Palliat Care 9(4):143–147
44.
go back to reference Yates JW, Chalmer BJ, St James P, Follansbee M, McKegney FP (1981) Religion in patients with advanced cancer. Med Pediatr Oncol 9(2):121–128PubMedCrossRef Yates JW, Chalmer BJ, St James P, Follansbee M, McKegney FP (1981) Religion in patients with advanced cancer. Med Pediatr Oncol 9(2):121–128PubMedCrossRef
45.
go back to reference Zigmund A, Snaith R (1983) The hospital anxiety and depression scale. Acta Psychiatr Scand 67:361–370CrossRef Zigmund A, Snaith R (1983) The hospital anxiety and depression scale. Acta Psychiatr Scand 67:361–370CrossRef
Metadata
Title
Is there a correlation between spirituality and anxiety and depression in patients with advanced cancer?
Authors
Rachel C. McCoubrie
Andrew N. Davies
Publication date
01-04-2006
Publisher
Springer-Verlag
Published in
Supportive Care in Cancer / Issue 4/2006
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-005-0892-6

Other articles of this Issue 4/2006

Supportive Care in Cancer 4/2006 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine