1
|
Coleman D, Hurtado-de-Mendoza A, Montero A, Sawhney S, Wang JHY, Lobo T, Graves KD. Stigma, social support, and spirituality: associations with symptoms among Black, Latina, and Chinese American cervical cancer survivors. J Cancer Surviv 2024; 18:710-726. [PMID: 36417116 PMCID: PMC10200827 DOI: 10.1007/s11764-022-01283-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2022] [Accepted: 10/21/2022] [Indexed: 11/24/2022]
Abstract
PURPOSE Few studies have examined experiences of stigma and factors associated with symptoms among cervical cancer survivors from diverse racial and ethnic backgrounds. We investigated survivorship experiences and patient-reported outcomes in the SPADE symptom cluster (sleep disturbance, pain interference, anxiety, depression, and energy/fatigue) among Black, Latina, and Chinese American women diagnosed with cervical cancer. METHODS In two phases of research with cervical cancer survivors, we collected qualitative data through individual interviews (N=12; recruited through community referrals) and quantitative data from an observational cohort study (N=91; recruited through 4 national cancer registries). We coded interview transcripts to describe the survivors' experiences. We then evaluated associations between social support, spirituality, and SPADE symptom cluster domains using linear regression models. RESULTS Qualitative analysis yielded four themes: perceptions of stigma, empowerment, physical and psychological effects, and social support. These concepts revolved around internal and external stigmas, emotional responses, strengthened faith, and different social support types. Quantitative analyses indicated that greater spirituality was associated with lower symptom burden on all five SPADE domains (p<0.01). We observed nuanced associations between specific types of social support and SPADE domains. CONCLUSIONS The survivorship experiences of Black, Latina, and Chinese American women with cervical cancer are negatively influenced by perceptions of stigma. Higher scores on spirituality and varied types of social support were significantly associated with fewer symptoms in the SPADE symptom cluster. IMPLICATIONS FOR CANCER SURVIVORS Results suggest targets for future interventions to reduce symptom burden among women diagnosed with cervical cancer by leveraging spirituality and social support.
Collapse
Affiliation(s)
- DeJuana Coleman
- Georgetown University, 37th and O Streets, Washington, DC, NW, 20007, USA
| | - Alejandra Hurtado-de-Mendoza
- Cancer Prevention and Control Program, Georgetown Lombardi Comprehensive Cancer Center, Georgetown University, 2115 Wisconsin Avenue, Suite 300, Washington, DC, NW, 20007, USA
| | - Abigail Montero
- Cancer Prevention and Control Program, Georgetown Lombardi Comprehensive Cancer Center, Georgetown University, 2115 Wisconsin Avenue, Suite 300, Washington, DC, NW, 20007, USA
| | - Sabrina Sawhney
- Georgetown University, 37th and O Streets, Washington, DC, NW, 20007, USA
| | - Judy Huei-Yu Wang
- Cancer Prevention and Control Program, Georgetown Lombardi Comprehensive Cancer Center, Georgetown University, 2115 Wisconsin Avenue, Suite 300, Washington, DC, NW, 20007, USA
| | - Tania Lobo
- Cancer Prevention and Control Program, Georgetown Lombardi Comprehensive Cancer Center, Georgetown University, 2115 Wisconsin Avenue, Suite 300, Washington, DC, NW, 20007, USA
| | - Kristi D Graves
- Cancer Prevention and Control Program, Georgetown Lombardi Comprehensive Cancer Center, Georgetown University, 2115 Wisconsin Avenue, Suite 300, Washington, DC, NW, 20007, USA.
| |
Collapse
|
2
|
Ashabi B, Kazeminia M, Nazari M, Oshnookhah M, Mahmoudi E, Mahvar T, Javanbakht Z, Kamravamanesh M. The Effect of Religious-Spiritual Education and Care on the Quality of Life of Iranian Women: A Systematic Review and Meta-Analysis. JOURNAL OF RELIGION AND HEALTH 2024; 63:2291-2313. [PMID: 38374493 DOI: 10.1007/s10943-024-02002-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 01/05/2024] [Indexed: 02/21/2024]
Abstract
So far, several preliminary studies have been conducted on the effect of religious-spiritual education and care on the quality of life of women in different parts of Iran. Therefore, the current study aims to explore the effect of religious-spiritual education and care on the quality of life of Iranian women through systematic review and meta-analysis. Databases searched for studies related to the research objective include SID, MagIran, Embase, PubMed, Scopus, WoS, and Google Scholar. The search was performed using keywords linked to and validated with MeSH/Emtree with no time limit until April 2022. The I2 index was used to calculate the heterogeneity of the studies and the random effects model was used to combine the data and perform the meta-analysis. Finally, 14 articles with a sample size of 295 intervention group and 288 control group were included in the meta-analysis. The mean score of the quality of life after the intervention showed a significant increase of 1.87 ± 0.29 (95% confidence interval) per unit (P < 0.001). Meta-regression results showed that with the increasing year of study and age, the standardized mean difference decreased and with increasing the number of intervention sessions, this difference increased (P < 0.05). The results of this study show that religious-spiritual education and care significantly increase the quality of life of Iranian women. Therefore, it seems that the use of religious-spiritual education and care can be part of the program to increase the quality of life of women.
Collapse
Affiliation(s)
- Bita Ashabi
- School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Mohsen Kazeminia
- School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Mojgan Nazari
- Department of Midwifery, School of Nursing and Midwifery, Gilan University of Medical Sciences, Rasht, Iran
| | - Maedeh Oshnookhah
- School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Ehsan Mahmoudi
- School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Tayebeh Mahvar
- School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Zahra Javanbakht
- Department of Obstetrics and Gynecology, School of Medicine, Motazedi Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Mastaneh Kamravamanesh
- School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
- Department of Reproductive Health, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
| |
Collapse
|
3
|
Aslamzai M, Del D, Sajid SA. The Impact of Negative Moral Character on Health and the Role of Spirituality: A Narrative Literature Review. JOURNAL OF RELIGION AND HEALTH 2024; 63:1117-1153. [PMID: 38091205 DOI: 10.1007/s10943-023-01942-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 10/26/2023] [Indexed: 03/27/2024]
Abstract
Although negative moral character is highly prevalent, it is not included in the International Classification of Diseases (ICD). Along with the modification of WHO ICD-11, spirituality should be acknowledged for its potetnial role in the prevention of negative moral traits. This study aimed to explore the effects of negative moral character on health and determine the role of spirituality in improving negative moral traits. This narrative literature review was conducted from 2020 to 2023 in Kabul, Afghanistan. The articles were obtained from the Web of Science, PubMed, and Google Scholar databases. As demonstrated in this narrative literature review, most of the relevant experimental and observational studies have found that negative moral character can have significant negative impact on overall health and well-being. Many studies have established the positive role of spirituality in improving negative moral character. These studies concluded that facilities must be available within schools, universities, and communities for everyone to gain knowledge of spirituality and improve their negative moral character. Considering the adverse impacts of negative moral character on health, the current study proposes the addition of moral disorder to the WHO International Classification of Diseases. According to this literature review, spirituality will improve negative moral character and strengthen excellent moral traits.
Collapse
Affiliation(s)
- Mansoor Aslamzai
- Department of Neonatology, Kabul University of Medical Sciences (KUMS), Kabul, Afghanistan.
| | - Delaqa Del
- Department of Medicine, Nangarhar Medical Faculty, Jalalabad, Afghanistan
| | | |
Collapse
|
4
|
Kasler J, Walter O, Elias MJ. Life satisfaction in emerging adults: The role of emotional and spiritual intelligences. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024; 72:849-858. [PMID: 35427462 DOI: 10.1080/07448481.2022.2058881] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Accepted: 03/23/2022] [Indexed: 06/14/2023]
Abstract
Objectives. The present research had two main objectives. The first was to examine the impact of emotional intelligence and aspects of spiritual intelligence on life satisfaction among emerging adults in high-income countries. The second objective was to study the interactions between the variables. Methods. First, we used predictive analysis to examine the impact of emotional and spiritual intelligences on life satisfaction beyond that accounted for by gender and by anxiety and depression. Second, we studied the interactions between the variables measured by means of decision-tree analysis. Results. Personal meaning production emerged as the primary determining factor of life satisfaction. In addition, the participants with both personal meaning production and emotional intelligence above a certain threshold had the highest average scores on life satisfaction. Conclusions. The results suggest that further research on emerging adults should investigate the critical issue of identity development, specifically regarding the impact of spiritual and emotional intelligence.
Collapse
Affiliation(s)
- Jonathan Kasler
- Department of Education, Tel Hai College, Kiryat Shemona, Israel
| | - Ofra Walter
- Department of Education, Tel Hai College, Kiryat Shemona, Israel
| | - Maurice J Elias
- Department of Psychology, Rutgers University, New Brunswick, New Jersey, USA
| |
Collapse
|
5
|
Marznaki ZH, Khalilizad M, Moradi A, Mamun MA. Impact of spirituality on elderly people's quality of life and life satisfaction after acute myocardial infarction: Iranian hospital-based study. BJPsych Open 2023; 10:e4. [PMID: 38059462 PMCID: PMC10755561 DOI: 10.1192/bjo.2023.593] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/23/2022] [Revised: 09/08/2023] [Accepted: 09/22/2023] [Indexed: 12/08/2023] Open
Abstract
BACKGROUND As people age, survival after a heart attack can affect their quality of life and lead to a decrease in life satisfaction. After a myocardial infarction, elderly patients may experience physical, psychological, emotional and social changes that affect their thoughts and behaviour in relation to spirituality. AIMS To investigate the relationship between spiritual well-being and other sociodemographic and medical history-related factors on quality of life and life satisfaction among elderly people after myocardial infarction. METHOD In a census-based cross-sectional study conducted at the Imam Reza Hospital in Amol, Iran, from May 2020 to May 2021, data on sociodemographics, medical history, subjective well-being, life satisfaction and quality of life were collected from 502 participants who were referred at the heart clinic. RESULTS The findings showed that spiritual well-being dimensions (religious well-being, [self-assessment of one's relationship with God], and existential well-being, [self-assessment of one's sense of purpose in life and life satisfaction]) were not significantly associated with life satisfaction, but a high perception of both dimensions of spiritual well-being were associated with higher self-reported quality of life. A history of past-year hospital admission and cardiopulmonary resuscitation were significant predictors of life satisfaction, and educational level was a predictor of quality of life. CONCLUSIONS The study found no significant association between spiritual well-being and life satisfaction among elderly people following myocardial infarction. This finding might have been influenced by the physical and emotional challenges experienced by the participants during the COVID-19 pandemic. Further studies are needed to confirm this relationship.
Collapse
Affiliation(s)
| | - Majid Khalilizad
- Department of Orthopedic and Trauma Surgery, Shahid Beheshti Hospital, Babol, Iran; and Mobility Impairment Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
| | - Azadeh Moradi
- Imam Reza Hospital at Amol City, Mazandaran University of Medical Sciences, Sari, Iran
| | - Mohammed A. Mamun
- CHINTA Research Bangladesh, Dhaka, Bangladesh; Department of Public Health and Informatics, Jahangirnagar University, Dhaka, Bangladesh; and Department of Public Health, University of South Asia, Dhaka, Bangladesh
| |
Collapse
|
6
|
Fellinger M, Holzinger D, Fogler J, Fellinger J. Exploring spirituality and quality of life in individuals who are deaf and have intellectual disabilities. Soc Psychiatry Psychiatr Epidemiol 2023; 58:1709-1718. [PMID: 36894659 PMCID: PMC10562275 DOI: 10.1007/s00127-023-02451-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Accepted: 02/27/2023] [Indexed: 03/11/2023]
Abstract
PURPOSE While positive contributions of religion and spirituality (R/S) to quality of life (QOL) are confirmed by a growing body of evidence, only limited research has involved people with intellectual disabilities and so far, no studies included prelingually deaf individuals with intellectual disabilities. This study explores the role of R/S in people with intellectual disabilities and deafness living in three therapeutic living communities specifically adapted to their needs. METHODS Forty-one individuals (mean age: 46.93 years, 43.9% female) with prelingual deafness and mild to moderate intellectual disability participated in structured sign language interviews adapted to their cognitive-developmental level, regarding their QOL, individual spirituality and participation in spiritual practices in the community. Participants' QOL was assessed with an established short measure for QOL (EUROHIS-QOL) adapted to easy-to-understand sign language. With 21 participants, qualitative interviews were conducted. In addition, proxy ratings from caregivers were obtained. RESULTS The participants' ratings of their individual spirituality (r = 0.334; p = 0.03) and spiritual practices-in-community (r = 0.514; p = 0.00) correlated positively with their self-reported QOL. Qualitative findings illustrate the importance of R/S and give insights into R/S concepts and practices. CONCLUSIONS Personal spirituality and participating in spiritual practices are positively related to self-reported quality of life in deaf individuals with intellectual disability (ID). As a consequence, access to spiritual and religious services should be included in comprehensive programs and society at large.
Collapse
Affiliation(s)
- Maria Fellinger
- Research Institute for Developmental Medicine, Johannes Kepler University, 4020 Linz, Austria
| | - Daniel Holzinger
- Research Institute for Developmental Medicine, Johannes Kepler University, 4020 Linz, Austria
- Institute of Neurology of Senses and Language, Hospital of St. John of God, 4020 Linz, Austria
- Institute of Linguistics, University of Graz, 8010 Graz, Austria
| | - Jason Fogler
- Research Institute for Developmental Medicine, Johannes Kepler University, 4020 Linz, Austria
- Division of Developmental Medicine, Boston Children’s Hospital and Departments of Pediatrics and Psychiatry, Harvard Medical School, Boston, MA 02115 USA
- Leadership Education in Neurodevelopmental and Related Disabilities/Institute for Community Inclusion (LEND/ICI), Boston Children’s Hospital, Boston, MA 02115 USA
| | - Johannes Fellinger
- Research Institute for Developmental Medicine, Johannes Kepler University, 4020 Linz, Austria
- Institute of Neurology of Senses and Language, Hospital of St. John of God, 4020 Linz, Austria
- Division of Social Psychiatry, University Clinic for Psychiatry and Psychotherapy, Medical University of Vienna, 1090 Vienna, Austria
| |
Collapse
|
7
|
Omoyajowo K, Danjin M, Omoyajowo K, Odipe O, Mwadi B, May A, Amos Ogunyebi, Rabie M. Exploring the interplay of environmental conservation within spirituality and multicultural perspective: insights from a cross-sectional study. ENVIRONMENT, DEVELOPMENT AND SUSTAINABILITY 2023:1-29. [PMID: 37363007 PMCID: PMC10199440 DOI: 10.1007/s10668-023-03319-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/05/2022] [Accepted: 05/01/2023] [Indexed: 06/28/2023]
Abstract
The need to protect and sustain environmental resources for future generation remains sacrosanct in global sustainability agenda. This study was aimed at exploring the interplay between environmental conservation and spirituality from a multicultural perspective. While studies on "spirituality" have monumentally gained global attention, a growing number of evidence underscore the critical role of spiritual resources available for ensuring environmental stewardship. In this present study, attempt was made to respond to some critical questions: Is there any significant association between spirituality and environmental responsibility? What is the impact of spiritual leadership on environmental conservation? What key messages do spiritual leaders need to prioritize to encourage environmental conservation? And what are some of the spirituality-related predictors of willingness to engage in global environmental conservation efforts among the respondents? To determine this nexus between spirituality and environmentalism, a cross-sectional study design was adopted. Primary data were collected by means of a validated and adapted instrument from various literature searches. Data collected from a sample of 1,438 respondents were entered on Excel spreadsheet and eventually exported on SPSS version 21 for further analysis. Every segment of the instrument used yielded a Cronbach's alpha reliability test result of no less than 0.70. Descriptive statistics and ordinal logistics regression analysis were employed. The findings revealed that majority of respondents expressed a high level of spirituality (p value < 0.05). Majority (70%) of the respondents believe that everyone has a duty of care toward nature. More than two-third (> 60.0%) would be more inclined to observing environmental conservative measures if their spiritual leaders would continue to give exemplary teachings on environmental conservation. While a few indicators of spirituality yielded direct correlation with the willingness to engage in global environmental conservation efforts, most of the selected indicators reflect willingness. Some of these (predictors) include how often respondents pray, meditate, and fast; caring about people, animals, and the planet; being just happy to be alive; etc. In conclusion, this study reasoned that spirituality could indeed serve as a foundation for environmental conservation campaigns and could reinforce pro-environmental behaviors.
Collapse
Affiliation(s)
- Koleayo Omoyajowo
- Department of Cell Biology and Genetics (Environmental Conservation Working Group), University of Lagos, Akoka, Nigeria
| | - Mela Danjin
- College of Nursing and Midwifery, Gombe, Nigeria
| | | | - Oluwaseun Odipe
- Department of Environmental and Occupational Health Science, School of Public Health, University of Medical Sciences, Ondo, Nigeria
| | - Benjamin Mwadi
- School of Politics, University of Kinshasa, Kinshasa, Democratic Republic of the Congo
| | | | - Amos Ogunyebi
- Department of Cell Biology and Genetics (Environmental Conservation Working Group), University of Lagos, Akoka, Nigeria
| | | |
Collapse
|
8
|
Jetan M, Daifallah A, Rabayaa MK, Qadri R, Nassorah M, Nouri A, Al-Othaman N. The Impact of Spiritual Well-Being on the Quality of Life of Cancer Patients: A Cross-Sectional Study. Integr Cancer Ther 2023; 22:15347354231210841. [PMID: 37961876 PMCID: PMC10647945 DOI: 10.1177/15347354231210841] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Revised: 09/26/2023] [Accepted: 10/13/2023] [Indexed: 11/15/2023] Open
Abstract
BACKGROUND Quality of life is a multidimensional concept that involves physical, social, emotional, and functional well-being. Spirituality represents a potentially influential factor in the quality of life. This study aimed to evaluate the quality of life and spirituality among cancer patients. METHODS A cross-sectional study was carried out on 354 cancer patients in Palestine. A self-administered questionnaire was used for data collection. The questionnaire was made up of 4 sections: sociodemographic factors, clinical data, FACT-G, and FACIT-sp. RESULTS A total of 354 cancer patients with a mean age of 46.4 ± 15.3 years were enrolled in the study. The spiritual well-being of patients reported in this study was measured by using the median FACIT-Sp total score, and it was 35 (IQR: 29-42). The quality of life of patients was measured using the median of the FACT-G total score, and it was 63 (IQR: 52-85). The FACT-G score was significantly variable based on several factors including age, marital status, cancer type, presence of metastasis, presence of treatment side effects, and the period since diagnosis (P-value < .05). The FACIT-Sp total score had a significantly strong positive relationship with FACT-G total score (r = .705, P < .001). Moreover, moderate to strong significant correlations were found between spirituality and quality of life subscales. CONCLUSIONS Quality of life among cancer patients is affected by their basic and clinical characteristics and is highly correlated with their spirituality level. Thus, addressing palliative support through spiritual care besides primary clinical treatment is of great importance to improve the quality of life among cancer patients.
Collapse
Affiliation(s)
- Mohamad Jetan
- An-Najah National University, Nablus, West Bank and Gaza Strip, Palestine
| | - Aiman Daifallah
- An-Najah National University, Nablus, West Bank and Gaza Strip, Palestine
- An-Najah National University Hospital, Nablus, West Bank and Gaza Strip, Palestine
| | | | - Rana Qadri
- An-Najah National University, Nablus, West Bank and Gaza Strip, Palestine
| | | | - Ahmed Nouri
- An-Najah National University, Nablus, West Bank and Gaza Strip, Palestine
| | - Nihad Al-Othaman
- An-Najah National University, Nablus, West Bank and Gaza Strip, Palestine
| |
Collapse
|
9
|
Blackburn R, Jim C, Paltoglou AE. A “random group of misfits” or being “part of something bigger”? Exploring experiences of attending a non-religious congregation. Int J Qual Stud Health Well-being 2022; 17:2021618. [PMID: 35257631 PMCID: PMC8925926 DOI: 10.1080/17482631.2021.2021618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Purpose Religion is an important part of many people’s lives and there is some evidence that attending church or other religious congregations is positively associated with psychological well-being. However, religious participation is declining in Western Europe and North America. Sunday Assembly is a non-religious gathering that intends to provide a similar communal experience and a sense of spirituality to the church, but without the religious element. In the current study, we aimed to explore the experiences of and motivations for attending a non-religious congregation in relation to well-being. Methods A qualitative approach was taken, gathering data through semi-structured interviews with participants from Sunday Assembly congregations across England. Results Thematic analysis was used and three key themes were found: (1) searching for meaning and community, (2) Sunday Assembly as protective of mental health, and (3) loneliness in a crowd. Conclusions Sunday Assembly can provide a sense of belonging and improvement in mental health through shared experience and spirituality, and it can act as a coping mechanism during difficult times. Further research could explore the benefits of Sunday Assembly upon attendee’s mental health, test the effectiveness of Sunday Assembly as a coping mechanism, and whether continued attendance improves mood over time.
Collapse
Affiliation(s)
- Rowena Blackburn
- Department of Psychology, Manchester Metropolitan University, Manchester, UK
| | - Carly Jim
- Department of Psychology, Manchester Metropolitan University, Manchester, UK
| | | |
Collapse
|
10
|
Suntai Z, Chipalo E. Racial/Ethnic Differences in Provider-Engaged Religious Belief Discussions with Older Adults at the End of Life. OMEGA-JOURNAL OF DEATH AND DYING 2022:302228221148526. [PMID: 36567507 DOI: 10.1177/00302228221148526] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
The purpose of this study was to determine racial/ethnic differences in provider-engaged religious belief discussion with older adults in the final month of life. Data were derived from the combined 2012 to 2020 National Health and Aging Trends Study. Chi-square tests were used for bivariate analysis, and a binary logistic regression model was used to test the association between race/ethnicity and provider-engaged religious belief discussions at the end of life. After controlling for other explanatory factors during the analysis, results showed that providers were less likely to have religious belief discussions with Black and Hispanic older adults compared to Whites. The results of this study point to a significant gap in knowledge among healthcare providers whose diversity training may not be inclusive of religious/spiritual cultural humility. Implications for research, policy, and practice are provided.
Collapse
Affiliation(s)
- Zainab Suntai
- Diana R. Garland School of Social Work, Baylor University, Waco, TX, USA
| | - Edson Chipalo
- Department of Social Work, College of Education and Social Sciences, Lewis University, Romeoville, IL, USA
| |
Collapse
|
11
|
Chima C, George S, Murray B, Moore Z, Costello M. Health-related quality of life and assessment in patients with lower limb lymphoedema: a systematic review. J Wound Care 2022; 31:690-699. [PMID: 36001703 DOI: 10.12968/jowc.2022.31.8.690] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
OBJECTIVE To determine the impact of lower limb lymphoedema (LLL) on health-related quality of life (HRQoL), and to identify the methodologies used to assess HRQoL and their adherence to the World Health Organization (WHO)-recommended HRQoL dimensions. METHOD A systematic review was used following the PRISMA guidance. Studies were eligible if they assessed HRQoL in adult patients with LLL. The search was conducted between September 2019 and February 2020 using CINAHL, PubMed, Scopus, EMBASE and the Cochrane Library database. Data were placed onto a pre-developed data extraction table and analysed using a narrative synthesis. Evidence-based Librarianship (EBL) was used for quality appraisal. RESULTS A total of 18 studies were identified, among which 10 were cross-sectional and eight were longitudinal studies. Twelve HRQoL questionnaires were identified and the Lymphoedema Quality of Life tool (LYMQoL) was the most commonly used. All of the studies except one had an EBL validity score of ≥75%. Although LLL causes a considerable impairment in HRQoL, the findings varied across the studies. All the studies considered at least four of the six WHO recommended dimensions, with none considering the spirituality dimension. Furthermore, physical functioning and wellbeing were discovered to be the worst affected HRQoL dimensions. CONCLUSION LLL adversely affects physical function, wellbeing and thus the HRQoL. The LYMQoL is the most commonly used questionnaire; despite this, all elements of the WHO recommendations were not captured in the included studies. However, accurate information on HRQoL indicating the impact of the disease on survivors' lives and complete wellbeing is needed to inform evidence-based decision-making. Furthermore, having a universally accepted, disease-specific methodology will facilitate comparison and contrasting of HRQoL in patients with LLL. DECLARATION OF INTEREST The authors have no conflicts of interest.
Collapse
Affiliation(s)
- Comfort Chima
- School of Nursing and Midwifery, Royal College of Surgeons in Ireland University of Medicine and Health Science.,School of Nursing and Midwifery and Skin Wounds and Trauma Research Centre, Royal College of Surgeons in Ireland University of Medicine and Health Science
| | - Sherly George
- School of Nursing and Midwifery, Royal College of Surgeons in Ireland University of Medicine and Health Science.,School of Nursing and Midwifery and Skin Wounds and Trauma Research Centre, Royal College of Surgeons in Ireland University of Medicine and Health Science
| | - Bridget Murray
- School of Nursing and Midwifery, Royal College of Surgeons in Ireland University of Medicine and Health Science.,School of Nursing and Midwifery and Skin Wounds and Trauma Research Centre, Royal College of Surgeons in Ireland University of Medicine and Health Science
| | - Zena Moore
- School of Nursing and Midwifery, Royal College of Surgeons in Ireland University of Medicine and Health Science.,School of Nursing and Midwifery and Skin Wounds and Trauma Research Centre, Royal College of Surgeons in Ireland University of Medicine and Health Science.,Faculty of Science, Medicine and Health, University of Wollongong, Australia.,Fakeeh College of Health Sciences, Jeddah, Saudi Arabia.,Lida Institute, Shanghai.,Monash University, Melbourne, Australia.,Faculty of Medicine and Health Sciences, Ghent University.,Cardiff University, Wales
| | | |
Collapse
|
12
|
How to improve the long-term quality of life, insomnia, and depression of survivors 10 years after the Wenchuan earthquake? A network analysis. Asian J Psychiatr 2022; 73:103137. [PMID: 35489212 DOI: 10.1016/j.ajp.2022.103137] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/08/2022] [Revised: 04/09/2022] [Accepted: 04/20/2022] [Indexed: 01/12/2023]
Abstract
BACKGROUND Previous studies have found a negative effect of depression and insomnia on the psychological health domain of quality of life (QOL) among earthquake survivors. However, little is known about the symptom-to-symptom interactions among the above psychological outcomes. This study thus aimed to assess the interplay among the above three variables in survivors 10 years after the Wenchuan earthquake at the symptom level. METHODS A total of 744 survivors completed the questionnaire at 10 years post-earthquake, reporting depressive symptoms, insomnia symptoms, and the psychological health domain of QOL. All network structures were estimated and compared using the network analysis approach in R version 4.1.1. RESULTS Among the 744 survivors, 593 individuals did not have significant depressive and insomnia symptoms, while 151 individuals reported depressive and/or insomnia symptoms. "Little energy", "Suicidal ideation", and "Spirituality" were the key highest bridge symptoms in the three networks, respectively. Additionally, there were significant differences in network global strength, network structure, and individual edge weights between individuals with and without depression and/or insomnia. CONCLUSIONS Intervention programs aimed at treating symptoms, such as exercise therapy, cognitive behavioural therapy, and spirituality education, may improve the QOL of survivors following an earthquake.
Collapse
|
13
|
Fortis SP, Kriebardis AG, Georgatzakou HT, Lyrakos G, Alexiou P, Antoniou C, Papadopoulos G, Stamoulis KE, Valsami S. Economic crisis in Greece: the invisible enemy of blood donation or not? Transfus Apher Sci 2022; 61:103467. [DOI: 10.1016/j.transci.2022.103467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2022] [Revised: 05/11/2022] [Accepted: 05/18/2022] [Indexed: 10/18/2022]
|
14
|
Rodrigues-Sobral MM, Carneiro LSF, Pupe CCB, Nascimento OJMD, Sampaio CA, Monteiro Junior RS. Influence of Islamic religion and spirituality on the well-being and quality of life of cancer patients: a meta-analysis and a hypothetical model of cerebral mechanisms. JORNAL BRASILEIRO DE PSIQUIATRIA 2022. [DOI: 10.1590/0047-2085000000369] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
ABSTRACT Objective: To systematically analyze quantitative data about the effects of religion/spirituality and the well-being/quality of life of cancer patients. The second aim was to hypothesize a neurophysiological model of the association between religion/spirituality and the brain. Methods: This study met the PRISMA Statement and was registered at PROSPERO database. Randomized and Controlled trials investigating religion/spirituality and well-being/quality of life of cancer patients were included. Based on neuroimaging and neurophysiology studies, a neuroanatomical model was developed to hypothesize the relationship between neuroscience and religion/spirituality. Results: A large effect size was found on the improvement of well-being/quality of life (SMD = 3.90 [2.43-5.38], p < 0.01). Heterogeneity was high among studies (I2 = 98%, p < 0.01). Specific regions of the brain, such as the temporal lobes, amygdalae and hippocampus, regions from the limbic system, were hypothesized to take part in the religion/spirituality phenomena and the well-being/quality of life improvement. Conclusion: Religion/spirituality intervention, mainly the Islamic, promotes an improvement on well-being/quality of life of cancer patients.
Collapse
|
15
|
Gielen J, Kashyap K, Singh SP, Bhatnagar S, Chaturvedi SK. Psychometric Assessment of SpiDiscI: Spiritual Distress Scale for Palliative Care Patients in India. Indian J Palliat Care 2022; 28:13-20. [PMID: 35673385 PMCID: PMC9165459 DOI: 10.25259/ijpc_50_21] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2021] [Accepted: 01/09/2022] [Indexed: 11/25/2022] Open
Abstract
Objectives: Spirituality has an impact on the quality of life of palliative care patients and it influences the way in which they experience their disease. Spiritual distress is a common issue among palliative care patients in India that is best assessed through a tool specifically designed for them. This study presents the findings of a psychometric assessment of SpiDiscI: a 16-item spiritual distress scale for Hindi speaking palliative care patients in India. Materials and Methods: This study used a non-experimental cross-sectional sample survey design. 400 cancer patients undergoing pain treatment at the pain and palliative care unit of a tertiary cancer hospital in New Delhi enrolled in the study and completed the study’s questionnaire. The questionnaire contained a section on demographic information, a numerical rating scale (NRS) for pain, SpiDiscI, FACIT-Sp-12, and WHOQOL-BREF. A subset of 50 patients with stable pain completed SpiDiscI a 2nd time 2 weeks after the first administration of the scale to assess test-retest reliability. Results: The scale’s internal consistency is very good (Cronbach’s Alpha 0.85). Spiritual distress scores ranged from 0 to 93.8 (mean 37.1, SD 23.6). Significant negative correlations between SpiDiScI and both FACIT-Sp-12 (R = –0.16, P = 0.001) and WHOQOL-BREF (R = –0.27, P < 0.001) confirmed convergent validity. There was no significant association with NRS pain scores (R = 0.06, P = 0.224). The highly significant association (R = 0.75, P < 0.001) of the scores on assessments 2 weeks apart confirmed test-retest reliability. Conclusion: SpiDiScI is a reliable and valid measure to assess spiritual distress in research among Hindi speaking palliative care patients in India.
Collapse
Affiliation(s)
- Joris Gielen
- Center for Global Health Ethics, Duquesne University, Pitsburgh, PA, United States,
| | - Komal Kashyap
- Department of Onco-anesthesia and Palliative Medicine, Dr. B.R. Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India,
| | - Suraj Pal Singh
- Department of Onco-anesthesia and Palliative Medicine, Dr. B.R. Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India,
| | - Sushma Bhatnagar
- Department of Onco-anesthesia and Palliative Medicine, Dr. B.R. Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India,
| | - Santosh K. Chaturvedi
- Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India,
| |
Collapse
|
16
|
Borges CC, Dos Santos PR, Alves PM, Borges RCM, Lucchetti G, Barbosa MA, Porto CC, Fernandes MR. Association between spirituality/religiousness and quality of life among healthy adults: a systematic review. Health Qual Life Outcomes 2021; 19:246. [PMID: 34674713 PMCID: PMC8529786 DOI: 10.1186/s12955-021-01878-7] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Accepted: 10/04/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Health-related quality of life (HRQoL) is determined by multiple factors that include components such as spirituality and religiousness (S/R). Even though various systematic reviews have investigated the association between S/R and improved health outcomes in the most different groups, healthy young individuals are seldom addressed. OBJECTIVE To assess the association between S/R and HRQoL among young, healthy individuals. METHODS Systematic review of papers published in the last ten years and indexed in four academic research databases (PubMed, Web of Science, Cochrane Library, and Scopus) and two gray literature databases. Inclusion criteria were studies assessing S/R and HRQoL using validated instruments and assessing healthy adults (i.e., non-clinical patients, not belonging to any specific group of chronic diseases), aged between 18 and 64 years old. RESULTS Ten out of 1,952 studies met the inclusion criteria: nine cross-sectional and one longitudinal cohort study, in which 89% of the participants were college students. Nine studies report a positive association between S/R and HRQoL, while one study did not report any significant association. The main HRQoL domains associated with S/R were the psychological, social relationships, and environment domains, while the S/R most influent facets/components were optimism, inner strength, peace, high control, hope, and happiness. CONCLUSIONS Higher S/R levels among healthy adult individuals were associated with higher HRQoL levels, suggesting the S/R can be an important strategy to deal with adverse environmental situations even among those without chronic diseases, enhancing the wellbeing of individuals. Registration of systematic review: PROSPERO-CRD42018104047.
Collapse
Affiliation(s)
- Cezimar Correia Borges
- Faculdade de Medicina, Programa Ciências da Saúde, Universidade Federal de Goiás, Secretaria - 1ª Av. s/n - Setor Universitário, Goiânia, Goiás, CEP: 74605-020, Brazil. .,Unicerrado, Centro Universitário de Goiatuba, Rod. GO-320 s/n - Jardim Santa Paula, Goiatuba, Goiás, CEP: 75600-000, Brazil. .,Universidade Estadual de Goiás, Unidade Universitária de Itumbiara, Av. Modesto de Carvalho s/n - Distrito Agroindustrial, Itumbiara, Goiás, Brazil.
| | - Patrícia Roberta Dos Santos
- Faculdade de Medicina, Programa Ciências da Saúde, Universidade Federal de Goiás, Secretaria - 1ª Av. s/n - Setor Universitário, Goiânia, Goiás, CEP: 74605-020, Brazil
| | - Polissandro Mortoza Alves
- Faculdade de Medicina, Programa Ciências da Saúde, Universidade Federal de Goiás, Secretaria - 1ª Av. s/n - Setor Universitário, Goiânia, Goiás, CEP: 74605-020, Brazil.,Universidade Estadual de Goiás, Unidade Universitária de Itumbiara, Av. Modesto de Carvalho s/n - Distrito Agroindustrial, Itumbiara, Goiás, Brazil
| | - Renata Custódio Maciel Borges
- Universidade Estadual de Goiás, Unidade Universitária de Itumbiara, Av. Modesto de Carvalho s/n - Distrito Agroindustrial, Itumbiara, Goiás, Brazil
| | - Giancarlo Lucchetti
- Faculdade de Medicina, Universidade Federal de Juiz de Fora, Av. Eugênio do Nascimento, s/n° - Dom Bosco, Juiz de Fora, Minas Gerais, CEP: 36038-330, Brazil
| | - Maria Alves Barbosa
- Faculdade de Medicina, Programa Ciências da Saúde, Universidade Federal de Goiás, Secretaria - 1ª Av. s/n - Setor Universitário, Goiânia, Goiás, CEP: 74605-020, Brazil
| | - Celmo Celeno Porto
- Faculdade de Medicina, Programa Ciências da Saúde, Universidade Federal de Goiás, Secretaria - 1ª Av. s/n - Setor Universitário, Goiânia, Goiás, CEP: 74605-020, Brazil
| | - Marcos Rassi Fernandes
- Faculdade de Medicina, Programa Ciências da Saúde, Universidade Federal de Goiás, Secretaria - 1ª Av. s/n - Setor Universitário, Goiânia, Goiás, CEP: 74605-020, Brazil
| |
Collapse
|
17
|
Afrasiabifar A, Mosavi A, Jahromi AT, Hosseini N. Randomized Controlled Trial Study of the Impact of a Spiritual Intervention on Hope and Spiritual Well-Being of Persons with Cancer. INVESTIGACION Y EDUCACION EN ENFERMERIA 2021; 39:e08. [PMID: 34822235 PMCID: PMC8912157 DOI: 10.17533/udea.iee.v39n3e08] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Accepted: 09/03/2021] [Indexed: 05/11/2023]
Abstract
OBJECTIVES To determine the impact of spiritual intervention on hope and spiritual well-being of persons with cancer. METHODS Randomized controlled trial in which 74 patients with cancer referring to a chemotherapy ward of Shahid Rajaie Hospital in Yasuj city, Iran, were participated. The eligible patients were randomly assigned to either intervention or control group. Spiritual-based intervention was performed based on the protocol in four main fields namely; religious, existence, emotional and social over 5 sessions before chemotherapy. The participants in the control group had received usual cares. Data were collected using Snyder's Hope Scale and Ellison's Scale Spiritual Well-Being Scale on a week before and after intervention. RESULTS The total mean scores of the scales of hope and spiritual well-being in both groups did not present statistical differences in the pre-intervention assessment. In contrast, at the post assessment, significant differences (p<0.001) were found in the mean scores between the intervention and control groups on the hope scale (60.9 versus 39.8) and on the spiritual well-being scale (94.3 versus 71.6). CONCLUSIONS Spiritual intervention could promote hope and spiritual well-being of persons with cancer.
Collapse
|
18
|
Vitorino LM, Yoshinari Júnior GH, Gonzaga G, Dias IF, Pereira JPL, Ribeiro IMG, França AB, Al-Zaben F, Koenig HG, Trzesniak C. Factors associated with mental health and quality of life during the COVID-19 pandemic in Brazil. BJPsych Open 2021; 7:e103. [PMID: 33988122 PMCID: PMC8129679 DOI: 10.1192/bjo.2021.62] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/26/2020] [Revised: 04/22/2021] [Accepted: 04/23/2021] [Indexed: 02/08/2023] Open
Abstract
BACKGROUND Although mental distress and quality of life (QoL) impairments because of the pandemic have increased worldwide, the way that each community has been affected has varied. AIMS This study evaluated the impact of social distancing imposed by coronavirus disease-2019 (COVID-19) on Brazilians' mental health and QoL. METHOD In this cross-sectional community-based online survey, data from 1156 community-dwelling adults were gathered between 11 May and 3 June 2020. We examined independent correlates of depression, anxiety and QoL, including sociodemographic and clinical characteristics, optimism/pessimism and spiritual/religious coping. Dependent variables were assessed using the 9-item Patient Health Questionnaire for depressive symptoms, the 7-item Generalized Anxiety Disorder Scale for anxiety symptoms, and the World Health Organization Quality of Life-BREF for QoL. Correlates of depressive and anxiety disorder were estimated using logistic regression. RESULTS There were high levels of depressive symptoms (41.9%) and anxiety symptoms (29.0%) in participants. Negative spiritual/religious coping was positively correlated with depressive disorder (odds ratio (OR) = 2.14 95% CI 1.63-2.80; P < 0.001) and with anxiety disorder (OR = 2.46 95% CI 1.90-3.18; P < 0.001), and associated with worse social and environmental QoL (P < 0.001). Healthcare professionals were less likely to have depressive symptoms (OR = 0.71, 95% CI 0.55-0.93; P < 0.001). Participants with friend/family with COVID-19 scored lower on psychological and environmental QoL (P < 0.05). Participants with a longer duration of social isolation were less likely to experience anxiety disorder (OR = 0.99, 95% CI 0.98-0.99; P = 0.004). CONCLUSIONS We found high levels of depressive and anxiety symptoms and low levels of QoL in Brazil, which has become a pandemic epicentre. Several characteristics were associated with negative mental health symptoms in this study. This information may contribute to local health policies in dealing with the mental health consequences of COVID-19.
Collapse
Affiliation(s)
| | | | | | | | | | | | - Alex Bacadini França
- Federal University of São Carlos – UFSCar, Laboratory of Human Development and Cognition – LADHECO, Brazil
| | - Faten Al-Zaben
- Division of Psychiatry, Department of Medicine, King Abdulaziz University, Saudi Arabia
| | - Harold G. Koenig
- Psychiatry & Behavioral Sciences, Duke University Medical Center, USA; and Department of Medicine, King Abdulaziz University, Saudi Arabia
| | | |
Collapse
|
19
|
Myrcik D, Statowski W, Trzepizur M, Paladini A, Corli O, Varrassi G. Influence of Physical Activity on Pain, Depression and Quality of Life of Patients in Palliative Care: A Proof-of-Concept Study. J Clin Med 2021; 10:jcm10051012. [PMID: 33801357 PMCID: PMC7958598 DOI: 10.3390/jcm10051012] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2021] [Revised: 02/18/2021] [Accepted: 02/22/2021] [Indexed: 12/26/2022] Open
Abstract
Introduction: Palliative care not only focuses on physical ailments associated with the disease, but also considers the psychological, social and spiritual needs of the patients. The aim of this study is to assess the impact of physical activity on palliative care patients, with special regard to the subjective assessment of severity of total pain and quality of life. Materials and methods: The study was conducted on 92 palliative care patients either in a hospice or at home. The tool used to assess the patients was an original questionnaire focusing on the area of their independence and motor abilities. The study attempted to understand whether an appropriate physical activity and the instruction of palliative care patients and their families in the field of independence would improve the quality of life and reduce the intensity of total pain in the patients. Results: All of the patients were at an advanced stage of cancer. The survey at time “0”, conducted before the start of the instructions for patients and their relatives, showed that a majority of patients (47, 51.09%) often experienced limitations during the performance of daily activities. In the fourth visit, conducted one week after the fourth educational session, there was a significant increase in patients who did not experience any limitations in performing their daily activities or experienced them just sometimes. Conclusions: The ultimate effect of the proposed educational program on physical activity was an increase in the quality of life, a reduction in pain and a mood improvement. These results would need confirmation with more extensive studies.
Collapse
Affiliation(s)
- Dariusz Myrcik
- Emergency Medicine, Department of Internal Medicine, Faculty of Health Sciences in Bytom, Medical University of Silesia in Katowice, Piekarska 18, 42-600 Bytom, Poland; (D.M.); (M.T.)
| | - Wojciech Statowski
- Chair and Department of Medical and Molecular Biology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Jordana 19, 41-808 Zabrze, Poland;
- Faculty of Health Sciences, Jan Długosz University in Częstochowa, Armii Krajowej 13/15, 42-200 Częstochowa, Poland
| | - Magdalena Trzepizur
- Emergency Medicine, Department of Internal Medicine, Faculty of Health Sciences in Bytom, Medical University of Silesia in Katowice, Piekarska 18, 42-600 Bytom, Poland; (D.M.); (M.T.)
| | | | - Oscar Corli
- Mario Negri Institute for Pharmacological Research IRCCS, 20156 Milano, Italy;
| | - Giustino Varrassi
- Paolo Procacci Foundation, Via Tacito 7, 00193 Roma, Italy
- Correspondence: ; Tel.: +39-3486068472
| |
Collapse
|
20
|
Banerjee D. Loneliness in older people: Spiritual practices as an alternative pathway to action, a treatise from India. JOURNAL OF GERIATRIC MENTAL HEALTH 2021. [DOI: 10.4103/jgmh.jgmh_37_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
21
|
Gabriel I, Creedy D, Coyne E. A systematic review of psychosocial interventions to improve quality of life of people with cancer and their family caregivers. Nurs Open 2020; 7:1299-1312. [PMID: 32802350 PMCID: PMC7424465 DOI: 10.1002/nop2.543] [Citation(s) in RCA: 31] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2019] [Revised: 03/23/2020] [Accepted: 05/27/2020] [Indexed: 11/30/2022] Open
Abstract
Aims To review the characteristics and effectiveness of psychosocial interventions on quality of life of adult people with cancer and their family caregivers. Design A systematic review using PRISMA guidelines. Methods Seven databases were searched from 2009-2019 using key terms. Included studies were assessed using the Quality Assessment Tool for Quantitative Studies. Results 1909 studies were retrieved with 12 studies included, involving 3,390 patients/caregivers. Interventions aimed to improve communication, behaviour change and setting short-term goals. Duration of interventions varied from 4-17 weeks. Highest benefit was gained from telephone interventions. Interventions based on interpersonal counselling appeared more effective than other approaches. Studies predominantly focused on psychological, physical and social domains of quality of life. Spiritual well-being received relatively little attention. A paradigm shift is needed to develop psychosocial interventions that incorporate spiritual well-being. More research is needed in developing countries.
Collapse
Affiliation(s)
- Israel Gabriel
- School of Nursing and MidwiferyGriffith UniversityLogan CampusQueenslandAustralia
| | - Debra Creedy
- School of Nursing and MidwiferyGriffith UniversityLogan CampusQueenslandAustralia
| | - Elisabeth Coyne
- School of Nursing and MidwiferyGriffith UniversityLogan CampusQueenslandAustralia
| |
Collapse
|
22
|
Neris RR, Nascimento LC, Leite ACAB, de Andrade Alvarenga W, Polita NB, Zago MMF. The experience of health-related quality of life in extended and permanent cancer survivors: A qualitative systematic review. Psychooncology 2020; 29:1474-1485. [PMID: 32658362 DOI: 10.1002/pon.5472] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2020] [Revised: 05/31/2020] [Accepted: 06/30/2020] [Indexed: 01/22/2023]
Abstract
OBJECTIVE This qualitative systematic review aims to synthesize qualitative evidence from primary studies on experiencing health-related quality of life (HRQoL) in extended and permanent cancer survivors. METHODS A systematic literature search was performed in PubMed, CINAHL, LILACS, PsycINFO, Scopus, and Web of Science. It followed guidelines from the statement in the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ). A quality appraisal of each study was undertaken using the Critical Appraisal Skills Programme. Data synthesis was conducted according to the thematic synthesis approach. Confidence in each review finding was assessed using the Confidence in the Evidence from Reviews of Qualitative research (Grade-CERQual). RESULTS Twenty-four studies from nine countries were selected for the final sample. Analysis of the studies' results allowed for the construction of nine descriptive themes that were interpreted into three analytical themes: "The body as a representation of HRQoL," "Living through and beyond cancer: the re-signification of HRQoL," and "Employing resources to improve HRQoL." According to the CERQual approach, moderate confidence estimations were achieved for the results. CONCLUSIONS The themes reflect that the HRQoL experience is re-signified by survivors from the privilege of being alive. This process happens with the support of social resources, family, hope, and spirituality. Based on the findings, it is suggested that health staff should be able to recognize the impact that cancer survival has on HRQoL and develop a care plan that addresses needs to sustain health in these survivors.
Collapse
Affiliation(s)
- Rhyquelle Rhibna Neris
- Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, São Paulo, Brazil
| | | | | | - Willyane de Andrade Alvarenga
- Centro Universitário Santo Agostinho, Teresina, Piauí, Brazil.,Faculdade de Educação São Francisco, Pedreiras, Maranhã, Brazil
| | - Naiara Barros Polita
- Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, São Paulo, Brazil.,Universidade Estadual do Norte do Paraná, Bandeirantes, Paraná, Brazil
| | - Márcia Maria Fontão Zago
- Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, São Paulo, Brazil
| |
Collapse
|
23
|
Cruz JP, Alquwez N, Mesde JH, Almoghairi AMA, Altukhays AI, Colet PC. Spiritual climate in hospitals influences nurses’ professional quality of life. J Nurs Manag 2020; 28:1589-1597. [DOI: 10.1111/jonm.13113] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2020] [Accepted: 07/25/2020] [Indexed: 12/12/2022]
Affiliation(s)
- Jonas Preposi Cruz
- Nursing Department College of Applied Medical Sciences Shaqra University Al Dawadmi Saudi Arabia
| | - Nahed Alquwez
- Nursing Department College of Applied Medical Sciences Shaqra University Al Dawadmi Saudi Arabia
| | - Jennifer H. Mesde
- Nursing Department College of Applied Medical Sciences Shaqra University Al Dawadmi Saudi Arabia
| | | | | | - Paolo C. Colet
- School of Medicine Nazarbayev University Nur‐Sultan Kazakhstan
| |
Collapse
|
24
|
Özdemir F, Doğan S, Timuçin Atayoğlu A. Psychosocial problems of family caregivers of palliative care patients and their spiritual coping styles. Perspect Psychiatr Care 2020; 56:636-641. [PMID: 32017126 DOI: 10.1111/ppc.12479] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/21/2019] [Revised: 01/14/2020] [Accepted: 01/16/2020] [Indexed: 11/27/2022] Open
Abstract
PURPOSE The aim of the study was to examine the psychosocial problems and spiritual coping styles of the family caregivers related to patients receiving palliative care. DESIGN AND METHODS The research sample consisted of 76 family caregivers related to palliative care patients. The data collection method used were questionnaire forms. The two forms used were Hospital Anxiety Depression Scale and Religious Coping Methods Scale. FINDINGS The mean anxiety score of the participants was 10.86 ± 4.30, mean depression score was 9.38 ± 3.66, mean positive coping scale score was 25.31 ± 3.85, and mean negative coping scale score was 10.32 ± 3.38. PRACTICE IMPLICATIONS Healthcare professionals involved in palliative care are encouraged to evaluate the spiritual experiences of family caregiver to support their wellbeing.
Collapse
Affiliation(s)
| | - Sibel Doğan
- Department of Psychiatric Nursing, Faculty of Health Science, Istanbul Medipol University, Istanbul, Turkey
| | - Ali Timuçin Atayoğlu
- Department of Family Medicine, Medical Faculty, Istanbul Medipol University, Istanbul, Turkey
| |
Collapse
|
25
|
Zaki-Nejad M, Nikbakht-Nasrabadi A, Manookian A, Shamshiri A. The Effect of Dignity Therapy on the Quality of Life of Patients with Cancer Receiving Palliative Care. IRANIAN JOURNAL OF NURSING AND MIDWIFERY RESEARCH 2020; 25:286-290. [PMID: 33014739 PMCID: PMC7494160 DOI: 10.4103/ijnmr.ijnmr_51_19] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/28/2019] [Revised: 04/15/2020] [Accepted: 04/27/2020] [Indexed: 11/19/2022]
Abstract
BACKGROUND Patients with cancer deal with physical, psychosocial, spiritual, and existential problems that impact on their quality of life. This study aimed to assess the effect of dignity therapy on the quality of life of mentioned patients. MATERIALS AND METHODS In this quasi-experimental study, 50 patients with cancer hospitalized in a palliative care center in Tehran, Iran, in 2017-18 who fulfilled inclusion criteria were selected through convenience sampling. The European Organization for Research and Treatment of Cancer Quality of Life-C15-Palliative (EORTC-QLQ-C15-PAl) questionnaire was filled by patients before and 2 weeks after dignity therapy. Data were analyzed using descriptive statistics such as frequency, mean, and standard deviation, as well as inferential statistics, including independent t-test and Chi-square test. RESULTS Results showed that dignity-therapy led to more improvement in the quality of life of the intervention group (t35,18= 4.82, p = 0.001). There was also a significant difference between the two groups in terms of the physical functioning scale (t32,96= -2.60,p = 0.01) and emotional functioning (t 45,69= 6.54, p < 0.001). We also found that dignity-therapy led to more improvement in nausea and vomiting (χ2 = 5.71, p = 0.02), insomnia (χ2 = 15.78, p < 0.001), appetite (χ2 = 5.09, p = 0.02), and constipation (χ2 = 12.50, p < 0.001). CONCLUSIONS The application of new approaches like-dignity therapy could benefit patients with cancer in terms of reducing their distress, improving symptom severity, physical and emotional functioning, and total quality of life.
Collapse
Affiliation(s)
- Mahsa Zaki-Nejad
- MS of Medical-Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Alireza Nikbakht-Nasrabadi
- Professor, Medical-Surgical Nursing Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Arpi Manookian
- Assistant Professor, Medical-Surgical Nursing Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Ahmadreza Shamshiri
- Assistant Professor, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
| |
Collapse
|
26
|
Littman-Ovadia H, David A. Character Strengths as Manifestations of Spiritual Life: Realizing the Non-Dual From the Dual. Front Psychol 2020; 11:960. [PMID: 32528371 PMCID: PMC7265242 DOI: 10.3389/fpsyg.2020.00960] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2020] [Accepted: 04/17/2020] [Indexed: 11/13/2022] Open
Abstract
There is a noticeable increase in interest in the study of spirituality within the context of positive psychology. A review of the literature shows several parallels between dimensions of spirituality as explored within psychology of religion and spirituality and those of the VIA model of character strengths (CSs) as developed in positive psychology. However, coming from the domain of psychology rather than theology, these studies do not go deeply into the paradoxes that exist at the heart of various traditions regarding the nature of the spiritual or non-dual. Moreover, these studies lack a more comprehensive view of the nature of CSs and virtues. Our suggestion is to expand CS science to a wider context, extend the perspective from the individual to the transcendent, and understand the actualization of the capacity of CSs to be pathways to spiritual life. We argue that the actualization of all CSs allows for microcosms of a realization of unity. We believe that framing VIA's CSs as a classification of the positive human spirit, and therefore rightfully placing it in the domain of human spirituality, holds great potential for both domains. We start by considering common basic assumptions emerging from various spiritual traditions and continue with a suggestion that CSs be seen as various pathways from duality to non-duality and by illustrating ways in which spirituality can be understood and practiced by the use of CSs.
Collapse
|
27
|
Hamzaoui S, Merzouk N, Bentahar O. La prise en charge psychologique des patients en prothèse maxillofaciale : rôle de l’approche spirituelle. PSYCHO-ONCOLOGIE 2020. [DOI: 10.3166/pson-2019-0096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Le visage constitue une charnière de l’individu et de la société, il est la partie visible du corps, et c’est à travers le visage que s’expriment les sentiments et que s’instaure la communication entre les humains. C’est pour cela que toute perte de substance accidentelle ou chirurgicale cause des atteintes, certes physiques, mais aussi psychiques, puisque l’apparence du visage cesse d’être le miroir rassurant de l’individu, au contraire elle devient embarrassante et implique plusieurs perturbations psychologiques au patient. La prise en charge psychologique du patient qui reçoit une prothèse maxillofaciale (PMF) se fait à tous les moments de la réhabilitation maxillofaciale, dès l’annonce de la maladie, pendant l’hospitalisation, après l’hospitalisation, à la consultation de PMF jusqu’à la pose de la prothèse d’usage restauratrice. Cette prise en charge implique plusieurs intervenants, elle inclut l’équipe médicale pluridisciplinaire, la famille du patient qui doit être omniprésente à toutes les étapes du traitement. Les ressources personnelles et spirituelles, familiales et sociales dont dispose le patient doivent être évaluées afin de prévoir un éventuel soutien psychologique.
Collapse
|
28
|
Counted V, Possamai A, McAuliffe C, Meade T. Attachment to Australia, attachment to God, and quality of life outcomes among African Christian diasporas in New South Wales: A cross-sectional study. JOURNAL OF SPIRITUALITY IN MENTAL HEALTH 2020. [DOI: 10.1080/19349637.2018.1499165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- Victor Counted
- School of Social Sciences and Psychology, Western Sydney University, Penrith, Australia
| | - Adam Possamai
- School of Social Sciences and Psychology, Western Sydney University, Penrith, Australia
| | - Cameron McAuliffe
- School of Social Sciences and Psychology, Western Sydney University, Penrith, Australia
| | - Tanya Meade
- School of Social Sciences and Psychology, Western Sydney University, Penrith, Australia
| |
Collapse
|
29
|
MATOS DR, NAVES JF, ARAUJO TCCFD. Quality of life of patients with lower limb amputation with prostheses. ESTUDOS DE PSICOLOGIA (CAMPINAS) 2020. [DOI: 10.1590/1982-0275202037e190047] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract Quality of life is often acknowledged as an important outcome of rehabilitation programs for people with amputation. Despite the importance of the subject, the number of studies focusing on the multiplicity of factors influencing this matter is still limited. These assessments are increasingly needed to demonstrate changes related to intervention over time. In order to evaluate the quality of life of patients with lower limb amputation and wearing prostheses, a study was conducted with 49 patients followed in a rehabilitation hospital in the Midwest region of Brazil. A generic instrument (Medical Outcomes Study 36-Item Short-Form Health Survey) for quality of life assessment and Trinity Amputation and Prosthesis Experience Scale-Revised that is specific for people with amputation were used in addition to a functional assessment measure. The results showed that the time since amputation, male gender and below-knee amputations were predictors of a better perception of quality of life and better adjustment to amputation.
Collapse
|
30
|
Pereira MG, Vilaça M, Pedras S, Vieira S, Lima S. Validation of the spiritual and religious attitudes in dealing with illness (SpREUK) in Portuguese Alzheimer‘s patients. JOURNAL OF RELIGION SPIRITUALITY & AGING 2019. [DOI: 10.1080/15528030.2019.1610989] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
| | - M. Vilaça
- Universirty of Minho, Braga, Portugal
| | - S. Pedras
- Universirty of Minho, Braga, Portugal
| | - S. Vieira
- Universirty of Minho, Braga, Portugal
| | - S. Lima
- CESPU, Institute of Research and Advanced Training in Health Technologies Resarch Centre, Gandra, Portugal
| |
Collapse
|
31
|
Paglione HB, Oliveira PCD, Mucci S, Roza BDA, Schirmer J. Quality of life, religiosity, and anxiety and depressive symptoms in liver transplantation candidates. Rev Esc Enferm USP 2019; 53:e03459. [PMID: 30942299 DOI: 10.1590/s1980-220x2018010203459] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2018] [Accepted: 09/24/2018] [Indexed: 12/17/2022] Open
Abstract
OBJECTIVE To evaluate quality of life, religiosity and anxiety and depressive symptoms in liver transplant candidates. METHOD An epidemiological and cross-sectional study carried out with liver transplant candidates attended at the outpatient clinic of a University Hospital from 2014 to 2016. RESULTS Fifty (50) patients with a mean age of 52.5 years old participated in the study, predominantly male (58.0%), having access to primary education (48.0%), Model for End-Stage Liver Disease between 10-19 and having viral hepatitis as the main etiology. They presented an average quality of life score (4.1), high intrinsic religiosity index (5.6) and the presence of anxiety (52.0%) and depressive symptoms (48.0%). It was possible to observe an association between religiosity and quality of life in the worry domain, with higher non-organizational religiosity leading to higher quality of life; anxiety and depressive symptoms were not associated with quality of life and religiosity. However, patients with higher levels of education were more likely to present depressive symptoms. CONCLUSION The analysis of quality of life and religiosity was significant, reinforcing the need for the care team to consider religiosity as a coping strategy for the disease.
Collapse
Affiliation(s)
| | | | - Samantha Mucci
- Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, SP, Brazil
| | | | - Janine Schirmer
- Universidade Federal de São Paulo, Escola Paulista de Enfermagem, São Paulo, SP, Brazil
| |
Collapse
|
32
|
Gräske J, Schmidt A, Schmidt S, Laporte Uribe F, Thyrian JR, Michalowsky B, Schäfer-Walkmann S, Wolf-Ostermann K. Quality of life in persons with dementia using regional dementia care network services in Germany: a one-year follow-up study. Health Qual Life Outcomes 2018; 16:181. [PMID: 30217190 PMCID: PMC6137910 DOI: 10.1186/s12955-018-0990-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2017] [Accepted: 07/31/2018] [Indexed: 11/10/2022] Open
Abstract
Background The majority of individuals with dementia live in the community; thus, regional dementia care networks are becoming increasingly more important for the provision of care. To date, four different types of dementia care networks have been identified in Germany (stakeholder, organisation, hybrid, mission); however, the effect on the quality of life of persons with dementia using such network services has not yet been examined. Moreover, the possible differences in the effect on the quality of life among the four types of dementia care networks have not been investigated. Therefore, the aim of the present study was to describe the changes over time in the quality of life of persons with dementia, assessing the association with the different types of dementia care networks. Methods Within the DemNet-D study, face-to-face interviews with persons with dementia and their primary caregivers were conducted to collect data of typical outcome parameters, such as quality of life (Quality of Life Alzheimers Disease: QoL-AD), sociodemographic data, social index (Scheuch−Winkler), depression (Geriatric Depression Scale: GDS), challenging behaviour (Cohen−Mansfield Agitation Inventory: CMAI), capacities of daily living (Instrumental Activity of Daily Living: IADL), impairment due to dementia (FAST), and caregiver burden. In addition to these parameters, the differences in quality of life scores among the four types of dementia care networks were analysed using multi-level analysis. Results In total, 407 persons with dementia (79.1 years; 60.1% female) and their caregivers were included in the analysis. Over 75% of the persons with dementia showed moderate to (very) severe impairments of dementia and at least one challenging behaviour. At baseline, 60.6% had a low social index. Quality of life was stable over one-year on a level slightly above average (baseline 29.1; follow-up 28.7). Multi-level analyses (p < 0.001; R2 = 0.183) show that persons with dementia with higher QoL-AD scores at baseline were associated with a decline at follow-up. No significant differences among the types of dementia care networks were found. Conclusion Users of dementia care network services showed a stable QoL-AD score over time at a level slightly above average, indicating no decrease or worsening over time as expected. Therefore, dementia care network services can be considered as a beneficial model of care in terms of the quality of life of persons with dementia, regardless of their special organisational type.
Collapse
Affiliation(s)
- Johannes Gräske
- HTW des Saarlandes, Faculty of Social Sciences, Department of Health and Nursing, Goebenstr. 40, 66117, Saarbrücken, Germany
| | - Annika Schmidt
- Institute for Public Health and Nursing Research (IPP), University of Bremen, Grazer Str. 4, 28359, Bremen, Germany.
| | - Sylvia Schmidt
- Competence Centre for Clinical Studies, University of Bremen, Linzer Str. 4, 28359, Bremen, Germany
| | - Franziska Laporte Uribe
- German Centre for Neurodegenerative Diseases (DZNE) site Witten, Stockumer Str. 12, 58453, Witten, Germany
| | - Jochen René Thyrian
- German Centre for Neurodegenerative Diseases (DZNE), site Rostock / Greifswald, Ellernholzstr. 1-2, 17489, Greifswald, Germany.,Institute for Community Medicine, Department of Epidemiology of Health Care and Community Health, University Medicine, Greifswald, Germany
| | - Bernhard Michalowsky
- German Centre for Neurodegenerative Diseases (DZNE), site Rostock / Greifswald, Ellernholzstr. 1-2, 17489, Greifswald, Germany
| | - Susanne Schäfer-Walkmann
- Institute of Applied Social Sciences (IfaS) at DHBW Stuttgart, Rotebühlstraße 131, 70197, Stuttgart, Germany
| | - Karin Wolf-Ostermann
- Institute for Public Health and Nursing Research (IPP), University of Bremen, Grazer Str. 4, 28359, Bremen, Germany
| |
Collapse
|