共 41 条
Spiritual well-being, distress and quality of life in Hispanic women diagnosed with cancer undergoing treatment with chemotherapy
被引:3
作者:
Barata, Anna
[1
]
Hoogland, Aasha, I
[1
]
Small, Brent J.
[2
]
Acevedo, Karina, I
[3
]
Antoni, Michael H.
[4
,5
]
Gonzalez, Brian D.
[1
]
Jacobsen, Paul B.
[6
]
Lechner, Suzanne C.
[4
,5
]
Tyson, Dinorah Martinez
[7
]
Meade, Cathy D.
[1
]
Rodriguez, Yvelise
[1
]
Salsman, John M.
[8
]
Sherman, Allen C.
[9
]
Sutton, Steven K.
[10
]
Jim, Heather S. L.
[1
]
机构:
[1] H Lee Moffitt Canc Ctr & Res Inst, Dept Hlth Outcomes & Behav, 12902 Magnolia Dr MFC EDU, Tampa, FL 33612 USA
[2] Univ S Florida, Sch Aging Studies, Tampa, FL 33620 USA
[3] Ponce Hlth Sci Univ, Ponce, PR USA
[4] Univ Miami, Sylvester Comprehens Canc Ctr, Dept Psychol, Miami, FL USA
[5] Canc Control Program, Miami, FL USA
[6] NCI, Healthcare Delivery Res Program, Bethesda, MD 20892 USA
[7] Univ S Florida, Coll Publ Hlth, Tampa, FL 33620 USA
[8] Wake Forest Baptist Comprehens Canc Ctr, Winston Salem, NC USA
[9] Univ Arkansas Med Sci, Winthrop P Rockefeller Canc Inst, Little Rock, AR 72205 USA
[10] H Lee Moffitt Canc Ctr & Res Inst, Dept Biostat & Bioinformat, Tampa, FL 33612 USA
关键词:
cancer;
chemotherapy;
Hispanic;
oncology;
quality of life;
spirituality;
FUNCTIONAL ASSESSMENT;
HOSPITAL ANXIETY;
HEALTH;
SURVIVORS;
SCALE;
DEPRESSION;
AMERICAN;
VALIDATION;
SUPPORT;
D O I:
10.1002/pon.6038
中图分类号:
R73 [肿瘤学];
学科分类号:
100214 ;
摘要:
Objective Previous studies have examined whether spiritual well-being is associated with cancer outcomes, but minority populations are under-represented. This study examines associations of baseline spiritual well-being and change in spiritual well-being with change in distress and quality of life, and explores potential factors associated with changes in spiritual well-being among Hispanic women undergoing chemotherapy. Methods Participants completed measures examining spiritual well-being, distress, and quality of life prior to beginning chemotherapy and at weeks 7 and 13. Participants' acculturation and sociodemographic data were collected prior to treatment. Mixed models were used to examine the association of baseline spiritual well-being and change in spiritual well-being during treatment with change in distress and quality of life, and to explore whether sociodemographic factors, acculturation and clinical variables were associated with change in spiritual well-being. Results A total of 242 participants provided data. Greater baseline spiritual well-being was associated with less concurrent distress and better quality of life (p < 0.001), as well as with greater emotional and functional well-being over time (p values < 0.01). Increases in spiritual well-being were associated with improved social well-being during treatment, whereas decreases in spiritual well-being were associated with worsened social well-being (p < 0.01). Married participants reported greater spiritual well-being at baseline relative to non-married participants (p < 0.001). Conclusions Greater spiritual well-being is associated with less concurrent distress and better quality of life, as well as with greater emotional, functional, and social well-being over time among Hispanic women undergoing chemotherapy. Future work could include developing culturally targeted spiritual interventions to improve survivors' well-being.
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页码:1933 / 1940
页数:8
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