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01-12-2020 | Original Paper

Spiritual Wellbeing of Cancer Patients: What Health-Related Factors Matter?

Authors: Olga Riklikienė, Snieguolė Kaselienė, Lina Spirgienė, Laima Karosas, John W. Fisher

Published in: Journal of Religion and Health | Issue 6/2020

Abstract

This study aimed to determine the predictors of spiritual wellbeing of non-terminal stage cancer patients hospitalized in oncology units in Lithuania. An exploratory cross-sectional study design was employed. During structured face-to-face interviews, 226 cancer patients hospitalized in oncology units responded about their spiritual wellbeing, perception of happiness, satisfaction with life, pain intensity, levels of education and physical functioning, and length of inpatient stay. A set of standardized tools were used: spiritual wellbeing scale SHALOM, brief multidimensional life satisfaction scale, Oxford Happiness Questionnaire, Barthel Index questionnaire, and verbal pain intensity scale. Additionally, social- and health-related factors were included in data analyses. Structural equation modeling was adapted for a comprehensive assessment of the mediating effect of spiritual wellbeing on the relationship between different health- and value-related factors. The overall fit of the structural model was generally good: \(\chi_{(29)}^{2}\) = 66.94 (χ²/df = 2.31), CFI = 0.94, RMSEA = 0.08, and SRMR = 0.06. Data were analyzed using the Statistical Package for Social Sciences (IBM SPSS Statistics) version 24.0 and Mplus version 8.2. Level of happiness, life satisfaction, and spiritual wellbeing scored in the moderate upper range. The communal domain of spiritual wellbeing rated with the highest mean score and transcendental domain with the lowest score. Education (b = 0.208, p = 0.004), physical functioning (b = 0.171, p = 0.025), and hospital duration (b = − 0.240, p = 0.001) were significant predictors of spiritual wellbeing. Happiness and life satisfaction were negatively influenced by pain intensity, which ranged from mild to moderate. Levels of education, physical functioning, and length of hospital stay predict spiritual wellbeing of non-terminally ill cancer patients. Happiness, as well as life satisfaction, was negatively predicted by pain intensity but had no direct influence on spiritual wellbeing of cancer patients. Spiritual wellbeing positively influences emotional wellbeing (happiness and life satisfaction), and its influence is stronger than the negative influence of physical pain has on emotional wellbeing.

Alford, K. R. (2017). Spiritual wellbeing among older cancer patients and implications for Christians in social work. Social work & Christianity, 4(3), 25–38.

Amirian, M. E., & Fazilat-Pour, M. (2016). Simple and multivariate relationships between spiritual intelligence with general health and happiness. Journal of Religion and Health, 55, 1275. https://doi.org/10.1007/s10943-015-0004-y.CrossRefPubMed

Bai, M., & Lazenby, M. (2015). A systematic review of associations between spiritual wellbeing and quality of life at the scale and factor levels in studies among patients with cancer. Journal of Palliative Medicine, 18(3), 286–298. https://doi.org/10.1089/jpm.2014.0189.CrossRefPubMedPubMedCentral

Bekelman, D. B., Rumsfeld, J. S., Havranek, E. P., Yamashita, T. E., Hutt, E., Gottlieb, S. H., et al. (2009). Symptom burden, depression and spiritual wellbeing: A comparison of heart failure and advanced cancer patients. Journal of General Internal Medicine, 24(5), 592–598. https://doi.org/10.1007/s11606-009-0931-y.CrossRefPubMedPubMedCentral

Bezzera, S. M. M. S., Gomes, E. T., Galvao, P. C. C., & Souza, K. V. (2018). Spiritual wellbeing and hope in the perioperative period of cardiac surgery. Revista Brasileira de Enfermagem, 71(2), 398–405. https://doi.org/10.1590/0034-7167-2016-0642.CrossRef

Büssing, A., Fischer, J., Haller, A., Heusser, P., Ostermann, T., & Matthiessen, P. F. (2009). Validation of the brief multidimensional life satisfaction scale in patients with chronic diseases. European Journal of Medical Research, 14, 171–177. https://doi.org/10.1186/2047-783X-14-4-171.CrossRefPubMedPubMedCentral

Chaar, E. A., Hallit, S., Hajj, A., Aaraj, R., Kattan, J., Jabbour, H., et al. (2018). Evaluating the impact of spirituality on the quality of life, anxiety, and depression among patients with cancer: An observational transversal study. Supportive Care in Cancer, 26(8), 2581–2590. https://doi.org/10.1007/s00520-018-4089-1.CrossRefPubMed

Chan, C. L. W., Ng, S. M., Ho, R. T. H., & Chow, A. Y. M. (2006). East meets west: Applying eastern spirituality in clinical practice. Journal of Clinical Nursing, 15(7), 822–832. https://doi.org/10.1111/j.1365-2702.2006.01649.x.CrossRefPubMed

Cheng, Q., Liu, X., Li, X., Wang, Y., Mao, T., & Chen, Y. (2019). Improving spiritual wellbeing among cancer patients: Implications for clinical care. Supportive Care in Cancer. https://doi.org/10.1007/s00520-019-4636-4.CrossRefPubMed

Chiang, Y. C., Lee, H. C., Chu, T. L., Han, C. Y., & Hsiao, Y. C. (2015). The impact of nurses’ spiritual health on their attitudes toward spiritual care, professional commitment, and caring. Nursing Outlook, 64(3), 215–224. https://doi.org/10.1016/j.outlook.2015.11.012.CrossRefPubMed

Cooper-Effa, M., Blount, W., Kaslow, N., Rothenberg, R., & Eckman, J. (2001). Role of spirituality in patients with sickle cell disease. Journal of the American Board of Family Practice, 14(2), 116–122.PubMed

Deb, S., Thomas, S., Bose, A., & Aswathi, T. (2019). Happiness, meaning, and satisfaction in life as perceived by Indian university students and their association with spirituality. Journal of Religion and Health. https://doi.org/10.1007/s10943-019-00806-w.CrossRef

Dilmaghani, M. (2018). Religiosity and subjective wellbeing in Canada. Journal of Happiness Studies, 19, 629–664. https://doi.org/10.1007/s10902-016-9837-7.CrossRef

Ellison, C. W. (1983). Spiritual wellbeing: Conceptualization and measurement. Journal of Psychology and Theology, 11, 30–340.

Eslami, A. A., Rabiei, L., Khayri, F., Rashidi Nooshabadi, M. R., & Masoudi, R. (2014). Sleep quality and spiritual wellbeing in hemodialysis patients. Iranian Red Crescent Medical Journal, 16(7), e17155. https://doi.org/10.5812/ircmj.17155.CrossRefPubMedPubMedCentral

Fisher, J. (2010). Development and application of a spiritual wellbeing questionnaire called SHALOM. Religions, 1, 105–121. https://doi.org/10.3390/rel1010105.CrossRef

Fisher, J. (2011). The four domains model: Connecting spirituality, health and well-being. Religions, 2, 17–28. https://doi.org/10.3390/rel2010017.CrossRef

Fisher, J. (2012). Staff’s and family members’ spiritual wellbeing in relation to help for residents with dementia. Journal of Nursing Education and Practice, 2, 77–85. https://doi.org/10.5430/jnep.v2n4p77.CrossRef

Flint, K. M., Fairclough, D. L., Spertus, J. A., & Bekelman, D. B. (2019). Does heart failure-specific health status identify patients with bothersome symptoms, depression, anxiety and/or poorer spiritual wellbeing? European Heart Journal-Quality of Care and Clinical Outcomes, 1:5(3), 233–241. https://doi.org/10.1093/ehjqcco/qcy061.CrossRefPubMed

Gomez, R., & Fisher, J. W. (2003). Domains of spiritual well-being and development and validation of the Spiritual Well-Being Questionnaire. Personality and Individual Differences, 35(8), 1975–1991. https://doi.org/10.1016/S0191-8869(03)00045-X.CrossRef

Hills, P., & Argyle, M. (2002). The Oxford Happiness Questionnaire: A compact scale for the measurement of psychological wellbeing. Personality and Individual Differences, 33(7), 1073–1082. https://doi.org/10.1016/S0191-8869(01)00213-6.CrossRef

Hooper, D., Coughlin, J., & Mullen, M. (2008). Structural equation modelling: Guidelines for determining model fit. Electronic Journal of Business Research Methods, 6, 53–60. https://doi.org/10.21427/D7CF7R.CrossRef

Jacobs-Lawson, J. M., Schumacher, M. M., Hughes, T., & Arnold, S. (2010). Gender differences in psychosocial responses to lung cancer. Gender Medicine, 7(2), 137–148. https://doi.org/10.1016/j.genm.2010.03.002.CrossRefPubMed

Juškienė, V. (2016). Spiritual health as an integral component of human wellbeing. Applied Research In Health And Social Sciences: Interface And Interaction, 13(1), 3–13. https://doi.org/10.1515/arhss-2016-0002.CrossRef

Kanis, S. (2002). Theobiology and gendered spirituality. American Behavioral Scientist, 45(12), 1866–1874. https://doi.org/10.1177/0002764202045012009.CrossRef

Koyama, A., Matsuoka, H., Ohtake, Y., Makimura, C., Sakai, K., Sakamoto, R., et al. (2016). Gender differences in cancer-related distress in Japan: A retrospective observation study. BioPsychoSocial Medicine. https://doi.org/10.1186/s13030-016-0062-8.CrossRefPubMedPubMedCentral

Lee, S., & Jirásek, I. (2019). Associations between screen-based activity, spiritual wellbeing, and life satisfaction among adolescents. Journal of Religion and Health, 58, 795. https://doi.org/10.1007/s10943-017-0429-6.CrossRefPubMed

Lim, C., & Putnam, R. D. (2010). Religion, social networks, and life satisfaction. American Sociological Review, 75(6), 914–933. https://doi.org/10.1177/0003122410386686.CrossRef

Mahoney, F., & Barthel, D. W. (1965). Functional evaluation: The Barthel Index. Maryland State Medical Journal, 14, 61–65.PubMed

Mashhadimalek, M., Jafarnia Dabanloo, N., & Gharibzadeh, S. (2019). Is it possible to determine the level of spiritual wellbeing by measuring heart rate variability during the reading of heavenly books? Applied Psychophysiology and Biofeedback, 8, 1–9. https://doi.org/10.1007/s10484-019-09433-3.CrossRef

Mehdipoorkorani, L., Bahrami, M., & Mosavizade, R. (2019). Impact of a spiritual care program on spiritual wellbeing of oncology nurses: A randomized clinical trial. Iranian Journal of Nursing and Midwifery Research, 24(1), 38–43. https://doi.org/10.4103/ijnmr.IJNMR_33_18.CrossRefPubMedPubMedCentral

Mihaljević, S., Vuksan-Ćusa, B., Marčinko, D., Koić, E., Kušević, Z., & Jakovljević, M. (2011). Spiritual wellbeing, cortisol, and suicidality in Croatian war veterans suffering from PTSD. Journal of Religion and Health, 50(2), 464–473. https://doi.org/10.1007/s10943-010-9383-2.CrossRefPubMed

Murray, S. A., Kendall, M., Grant, E., Boyd, K., Barclay, S., & Sheikh, A. (2007). Patterns of social, psychological and spiritual decline toward the end of life in lung cancer and heart failure. Journal of Pain and Symptom Management, 34(4), 393–402. https://doi.org/10.1016/j.jpainsymman.2006.12.009.CrossRefPubMed

Musa, A. S., Pevalin, D. J., & Shahin, F. I. (2016). Impact of spiritual wellbeing, spiritual perspective, and religiosity on the self-rated health of Jordanian Arab Christians. Journal of Transcultural Nursing, 27(6), 550–557. https://doi.org/10.1177/1043659615587590.CrossRefPubMed

Oxford Happiness Questionnaire. Available online at: http://www.meaningandhappiness.com/oxford‐happiness‐questionnaire/214/. Retrieved on 5 September, 2019.

Phenwan, T., Peerawong, T., & Tulathamkij, K. (2019). The meaning of spirituality and spiritual well-being among Thai breast cancer patients: A qualitative study. Indian Journal of Palliative Care, 25(1), 119–123. https://doi.org/10.4103/IJPC.IJPC_101_18.CrossRefPubMedPubMedCentral

Phillips, K. D., Mock, K. S., Bopp, C. M., Dudgeon, W. A., & Hand, G. A. (2006). Spiritual wellbeing, sleep disturbance, and mental and physical health status in HIV-infected individuals. Issues in Mental Health Nursing, 27(2), 125–139. https://doi.org/10.1080/01612840500436917.CrossRefPubMed

Piderman, K. M., Lapid, M., Stevens, S. R., Ryan, S. M., Somers, K. J., Kronberg, M. T., et al. (2011). Spiritual wellbeing and spiritual practices in elderly depressed psychiatric inpatients. Journal of Pastoral Care and Counseling, 65(1–2), 1–11.PubMed

Pilger, C., Santos, R. O. P. D., Lentsck, M. H., Marques, S., & Kusumota, L. (2017). Spiritual wellbeing and quality of life of older adults in hemodialysis. Revista Brasileira de Enfermagem, 70(4), 689–696. https://doi.org/10.1590/0034-7167-2017-0006.CrossRefPubMed

Riklikienė, O., Kaselienė, S., & Fulton, J. (2018). Translation and validation of spiritual wellbeing questionnaire SHALOM in Lithuanian language, culture and health care practice. Religions, 9, 156. https://doi.org/10.3390/rel9050156.CrossRef

Rowold, J. (2011). Effects of spiritual wellbeing on subsequent happiness, psychological wellbeing, and stress. Journal of Religion and Health, 50(4), 950–963. https://doi.org/10.1007/s10943-009-9316-0.CrossRefPubMed

Scheffold, K., Philipp, R., Vehling, S., Koranyi, S., Engelmann, D., Schulz-Kindermann, F., et al. (2019). Spiritual wellbeing mediates the association between attachment insecurity and psychological distress in advanced cancer patients. Supportive Care in Cancer. https://doi.org/10.1007/s00520-019-04744-x.CrossRefPubMed

Shor, E., & Roelfs, D. J. (2013). The longevity effects of religious and nonreligious participation: A meta-analysis and meta-regression. Journal of Scientific Study of Religion, 52, 120–145. https://doi.org/10.1111/jssr.12006.CrossRef

Tamutienė E. (2009). Relation of nurses’ happiness and personality traits with the subjective assessment of mental health [In Lithuanian]. Master thesis, Vytautas Magnus University, Lithuania. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2009~D_20091222_084140-59191. Assessed 15 Oct 2018.

Unterrainer, H. F., Lukanz, M., Pilch, M., Scharf, S., Glawischnig-Goschnik, M., Wutte, N., et al. (2016). The influence of religious/spiritual wellbeing on quality of life in dermatological disease. British Journal of Dermatology, 174(6), 1380–1383. https://doi.org/10.1111/bjd.14359.CrossRefPubMed

Wade, J. B., Hayes, R. B., Wade, J. H., Bekenstein, J. W., Williams, K. D., & Bajaj, J. S. (2018). Associations between religiosity, spirituality, and happiness among adults living with neurological illness. Geriatrics (Basel)., 3(3), 35. https://doi.org/10.3390/geriatrics3030035.CrossRefPubMedCentral

Wang, C. W., Chow, A. Y. M., & Chan, C. L. W. (2017). The effects of life review interventions on spiritual wellbeing, psychological distress, and quality of life in patients with terminal or advanced cancer: A systematic review and meta-analysis of randomized controlled trials. Palliative Medicine, 31(10), 883–894. https://doi.org/10.1177/0269216317705101.CrossRefPubMed

Yong, J., Kim, J., Park, J., Seo, I., & Swinton, J. (2011). Effects of a spirituality training program on spiritual and psychosocial wellbeing of hospital middle manager nurses in Korea. Journal of Continuing Education in Nursing, 42(6), 280–288. https://doi.org/10.3928/00220124-20101201-04.CrossRefPubMed

Title: Spiritual Wellbeing of Cancer Patients: What Health-Related Factors Matter?
Authors: Olga Riklikienė
Snieguolė Kaselienė
Lina Spirgienė
Laima Karosas
John W. Fisher
Publication date: 01-12-2020
Publisher: Springer US
Published in: Journal of Religion and Health / Issue 6/2020
Print ISSN: 0022-4197
Electronic ISSN: 1573-6571
DOI: https://doi.org/10.1007/s10943-020-01053-0

At a glance: The STEP trials

Springer Medicine

Spiritual Wellbeing of Cancer Patients: What Health-Related Factors Matter?

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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