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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收藏
页码:1933 / 1940
页数:8
相关论文
共 41 条
[41]   THE HOSPITAL ANXIETY AND DEPRESSION SCALE [J].
ZIGMOND, AS ;
SNAITH, RP .
ACTA PSYCHIATRICA SCANDINAVICA, 1983, 67 (06) :361-370