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Erschienen in: Journal of Religion and Health 2/2017

06.05.2016 | Original Paper

Prevalence and Nature of Spiritual Distress Among Palliative Care Patients in India

verfasst von: Joris Gielen, Sushma Bhatnagar, Santosh K. Chaturvedi

Erschienen in: Journal of Religion and Health | Ausgabe 2/2017

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Abstract

In palliative care research, little attention has been paid to the empirical study of spirituality in patients in non-Western countries. This study describes the prevalence and nature of spiritual distress among Indian palliative care patients. Data from 300 adult cancer patients who had completed a questionnaire with 36 spirituality items were analyzed. Spirituality was shaped by the Indian religious and economic context. A latent class analysis resulted in three clusters: trustful patients (46.4 %), spiritually distressed patients (17.4 %), and patients clinging to divine support (36.2 %). After regression, the clusters were found to be associated with pain scores (p < .001), gender (p = .034), and educational level (p < .006). More than half of the patients would benefit from spiritual counselling. More research and education on spirituality in Indian palliative care is urgently required.
Literatur
Zurück zum Zitat Banerjee, B., Vadiraj, H. S., Ram, A., Rao, R., Jayapal, M., Gopinath, K. S., et al. (2007). Effects of an integrated yoga program in modulating psychological stress and radiation-induced genotoxic stress in breast cancer patients undergoing radiotherapy. Integrative Cancer Therapies, 6(3), 242–250.CrossRefPubMed Banerjee, B., Vadiraj, H. S., Ram, A., Rao, R., Jayapal, M., Gopinath, K. S., et al. (2007). Effects of an integrated yoga program in modulating psychological stress and radiation-induced genotoxic stress in breast cancer patients undergoing radiotherapy. Integrative Cancer Therapies, 6(3), 242–250.CrossRefPubMed
Zurück zum Zitat Bhatnagar, S., Noble, S., Chaturvedi, S. K., & Gielen, J. (2016). Development and psychometric assessment of a spirituality questionnaire for Indian Palliative Care Patients. Indian Journal of Palliative Care, 22(1), 9–18.CrossRefPubMedPubMedCentral Bhatnagar, S., Noble, S., Chaturvedi, S. K., & Gielen, J. (2016). Development and psychometric assessment of a spirituality questionnaire for Indian Palliative Care Patients. Indian Journal of Palliative Care, 22(1), 9–18.CrossRefPubMedPubMedCentral
Zurück zum Zitat Bhattacharya, G. (2004). Health care seeking for HIV/AIDS among South Asians in the United States. Health and Social Work, 29(2), 106–115.CrossRefPubMed Bhattacharya, G. (2004). Health care seeking for HIV/AIDS among South Asians in the United States. Health and Social Work, 29(2), 106–115.CrossRefPubMed
Zurück zum Zitat Bottorff, J. L., Grewal, S. K., Balneaves, L. G., Naidu, P., Johnson, J. L., & Sawhney, R. (2007). Punjabi women’s stories of breast cancer symptoms: Gulti (lumps), bumps, and Darad (pain). Cancer Nursing, 30(4), E36–E45.CrossRefPubMed Bottorff, J. L., Grewal, S. K., Balneaves, L. G., Naidu, P., Johnson, J. L., & Sawhney, R. (2007). Punjabi women’s stories of breast cancer symptoms: Gulti (lumps), bumps, and Darad (pain). Cancer Nursing, 30(4), E36–E45.CrossRefPubMed
Zurück zum Zitat Bradshaw, A. (1996). The spiritual dimension of hospice. The secularization of an ideal. Social Science and Medicine, 43(3), 409–419.CrossRefPubMed Bradshaw, A. (1996). The spiritual dimension of hospice. The secularization of an ideal. Social Science and Medicine, 43(3), 409–419.CrossRefPubMed
Zurück zum Zitat Caldeira, S., Carvalho, E. C., & Vieira, M. (2013). Spiritual distress-proposing a new definition and defining characteristics. International Journal of Nursing Knowledge, 24(2), 77–84.CrossRefPubMed Caldeira, S., Carvalho, E. C., & Vieira, M. (2013). Spiritual distress-proposing a new definition and defining characteristics. International Journal of Nursing Knowledge, 24(2), 77–84.CrossRefPubMed
Zurück zum Zitat Chandra, P. S., Gandhi, C., Satishchandra, P., Kamat, A., Desai, A., Ravi, V., & Kumar, M. (2006). Quality of life in HIV subtype C infection among asymptomatic subjects and its association with CD4 counts and viral loads: A study from South India. Quality of Life Research, 15(10), 1597–1605.CrossRefPubMed Chandra, P. S., Gandhi, C., Satishchandra, P., Kamat, A., Desai, A., Ravi, V., & Kumar, M. (2006). Quality of life in HIV subtype C infection among asymptomatic subjects and its association with CD4 counts and viral loads: A study from South India. Quality of Life Research, 15(10), 1597–1605.CrossRefPubMed
Zurück zum Zitat Chaturvedi, S. K., Strohschein, F. J., Saraf, G., & Loiselle, C. G. (2014). Communication in cancer care: psycho-social, interactional, and cultural issues. A general overview and the example of India. Frontiers in Psychology, 5, 1332.CrossRefPubMedPubMedCentral Chaturvedi, S. K., Strohschein, F. J., Saraf, G., & Loiselle, C. G. (2014). Communication in cancer care: psycho-social, interactional, and cultural issues. A general overview and the example of India. Frontiers in Psychology, 5, 1332.CrossRefPubMedPubMedCentral
Zurück zum Zitat Clark, D. (2001). Religion, medicine, and community in the early origins of St. Christopher’s Hospice. Journal of Palliative Medicine, 4(3), 353–360.CrossRefPubMed Clark, D. (2001). Religion, medicine, and community in the early origins of St. Christopher’s Hospice. Journal of Palliative Medicine, 4(3), 353–360.CrossRefPubMed
Zurück zum Zitat Cobb, M., Dowrick, C., & Lloyd-Williams, M. (2012). What can we learn about the spiritual needs of palliative care patients from the research literature? Journal of Pain and Symptom Management, 43(6), 1105–1119.CrossRefPubMed Cobb, M., Dowrick, C., & Lloyd-Williams, M. (2012). What can we learn about the spiritual needs of palliative care patients from the research literature? Journal of Pain and Symptom Management, 43(6), 1105–1119.CrossRefPubMed
Zurück zum Zitat Deshpande, O., Reid, M. C., & Rao, A. S. (2005). Attitudes of Asian-Indian Hindus toward end-of-life care. Journal of the American Geriatrics Society, 53(1), 131–135.CrossRefPubMed Deshpande, O., Reid, M. C., & Rao, A. S. (2005). Attitudes of Asian-Indian Hindus toward end-of-life care. Journal of the American Geriatrics Society, 53(1), 131–135.CrossRefPubMed
Zurück zum Zitat El Nawawi, N. M., Balboni, M. J., & Balboni, T. A. (2012). Palliative care and spiritual care: the crucial role of spiritual care in the care of patients with advanced illness. Current Opinion in Supportive and Palliative Care, 6(2), 269–274.CrossRefPubMed El Nawawi, N. M., Balboni, M. J., & Balboni, T. A. (2012). Palliative care and spiritual care: the crucial role of spiritual care in the care of patients with advanced illness. Current Opinion in Supportive and Palliative Care, 6(2), 269–274.CrossRefPubMed
Zurück zum Zitat Gielen, J. (2014). Why does spirituality matter in end of life care. In R. Das & S. Nayak (Eds.), Concepts of palliative care (pp. 72–80). Cuttack: A.K. Mishra Publishers. Gielen, J. (2014). Why does spirituality matter in end of life care. In R. Das & S. Nayak (Eds.), Concepts of palliative care (pp. 72–80). Cuttack: A.K. Mishra Publishers.
Zurück zum Zitat Howard, A. F., Bottorff, J. L., Balneaves, L. G., & Grewal, S. K. (2007). Punjabi immigrant women’s breast cancer stories. Journal of Immigrant and Minority Health, 9(4), 269–279.CrossRefPubMed Howard, A. F., Bottorff, J. L., Balneaves, L. G., & Grewal, S. K. (2007). Punjabi immigrant women’s breast cancer stories. Journal of Immigrant and Minority Health, 9(4), 269–279.CrossRefPubMed
Zurück zum Zitat Jagannathan, A., & Juvva, S. (2009). Life after cancer in India: coping with side effects and cancer pain. Journal of Psychosocial Oncology, 27(3), 344–360.CrossRefPubMed Jagannathan, A., & Juvva, S. (2009). Life after cancer in India: coping with side effects and cancer pain. Journal of Psychosocial Oncology, 27(3), 344–360.CrossRefPubMed
Zurück zum Zitat Jagannathan, A., & Juvva, S. (2011). Palliative care: An Indian perspective. In T. Altilio & S. Otis-Green (Eds.), Oxford textbook of palliative social work (pp. 561–565). New York, NY: Oxford University Press.CrossRef Jagannathan, A., & Juvva, S. (2011). Palliative care: An Indian perspective. In T. Altilio & S. Otis-Green (Eds.), Oxford textbook of palliative social work (pp. 561–565). New York, NY: Oxford University Press.CrossRef
Zurück zum Zitat Kandasamy, A., Chaturvedi, S. K., & Desai, G. (2011). Spirituality, distress, depression, anxiety, and quality of life in patients with advanced cancer. Indian Journal of Cancer, 48(1), 55–59.CrossRefPubMed Kandasamy, A., Chaturvedi, S. K., & Desai, G. (2011). Spirituality, distress, depression, anxiety, and quality of life in patients with advanced cancer. Indian Journal of Cancer, 48(1), 55–59.CrossRefPubMed
Zurück zum Zitat Kudla, D., Kujur, J., Tigga, S., Tirkey, P., Rai, P., & Fegg, M. J. (2015). Meaning in life experience at the end of life: Validation of the Hindi version of the Schedule for Meaning in Life Evaluation and a cross-cultural comparison between Indian and German palliative care patients. Journal of Pain and Symptom Management, 49(1), 79–88.CrossRefPubMed Kudla, D., Kujur, J., Tigga, S., Tirkey, P., Rai, P., & Fegg, M. J. (2015). Meaning in life experience at the end of life: Validation of the Hindi version of the Schedule for Meaning in Life Evaluation and a cross-cultural comparison between Indian and German palliative care patients. Journal of Pain and Symptom Management, 49(1), 79–88.CrossRefPubMed
Zurück zum Zitat Lewis, S., Salins, N., Rao, M. R., & Kadam, A. (2014). Spiritual well-being and its influence on fatigue in patients undergoing active cancer directed treatment: A correlational study. Journal of Cancer Research and Therapeutics, 10(3), 676–680.PubMed Lewis, S., Salins, N., Rao, M. R., & Kadam, A. (2014). Spiritual well-being and its influence on fatigue in patients undergoing active cancer directed treatment: A correlational study. Journal of Cancer Research and Therapeutics, 10(3), 676–680.PubMed
Zurück zum Zitat Linzer, D. A., & Lewis, J. (2011). poLCA: An R package for polytomous variable latent class analysis. Journal of Statistical Software, 42(10), 1–29.CrossRef Linzer, D. A., & Lewis, J. (2011). poLCA: An R package for polytomous variable latent class analysis. Journal of Statistical Software, 42(10), 1–29.CrossRef
Zurück zum Zitat Mako, C., Galek, K., & Poppito, S. R. (2006). Spiritual pain among patients with advanced cancer in palliative care. Journal of Palliative Medicine, 9(5), 1106–1113.CrossRefPubMed Mako, C., Galek, K., & Poppito, S. R. (2006). Spiritual pain among patients with advanced cancer in palliative care. Journal of Palliative Medicine, 9(5), 1106–1113.CrossRefPubMed
Zurück zum Zitat McDermott, E., Selman, L., Wright, M., & Clark, D. (2008). Hospice and palliative care development in India. A multi-method review of services and experiences. Journal of Pain and Symptom Management, 35(6), 583–593.CrossRefPubMed McDermott, E., Selman, L., Wright, M., & Clark, D. (2008). Hospice and palliative care development in India. A multi-method review of services and experiences. Journal of Pain and Symptom Management, 35(6), 583–593.CrossRefPubMed
Zurück zum Zitat Mehta, J. B. (2011). Spirituality and medicine: Dying with grace. Southern Medical Journal, 104(4), 294.CrossRefPubMed Mehta, J. B. (2011). Spirituality and medicine: Dying with grace. Southern Medical Journal, 104(4), 294.CrossRefPubMed
Zurück zum Zitat Mishra, S., Bhatnagar, S., Philip, F. A., Singhal, V., Singh Rana, S. P., Upadhyay, S. P., & Chauhan, G. (2010). Psychosocial concerns in patients with advanced cancer: An observational study at regional cancer centre, India. American Journal of Hospice and Palliative Medicine, 27(5), 316–319.CrossRefPubMed Mishra, S., Bhatnagar, S., Philip, F. A., Singhal, V., Singh Rana, S. P., Upadhyay, S. P., & Chauhan, G. (2010). Psychosocial concerns in patients with advanced cancer: An observational study at regional cancer centre, India. American Journal of Hospice and Palliative Medicine, 27(5), 316–319.CrossRefPubMed
Zurück zum Zitat Pahwa, M., Babu, N., & Bhatnagar, S. (2005). Fighting cancer is half the battle… living life is the other half. Journal of Cancer Research and Therapeutics, 1(2), 98–102.CrossRefPubMed Pahwa, M., Babu, N., & Bhatnagar, S. (2005). Fighting cancer is half the battle… living life is the other half. Journal of Cancer Research and Therapeutics, 1(2), 98–102.CrossRefPubMed
Zurück zum Zitat Paley, J. (2008). Spirituality and secularization: Nursing and the sociology of religion. Journal of Clinical Nursing, 17(2), 175–186.PubMed Paley, J. (2008). Spirituality and secularization: Nursing and the sociology of religion. Journal of Clinical Nursing, 17(2), 175–186.PubMed
Zurück zum Zitat Puchalski, C., Ferrell, B., Virani, R., Otis-Green, S., Baird, P., Bull, J., et al. (2009). Improving the quality of spiritual care as a dimension of palliative care: The report of the Consensus Conference. Journal of Palliative Medicine, 12(10), 885–904.CrossRefPubMed Puchalski, C., Ferrell, B., Virani, R., Otis-Green, S., Baird, P., Bull, J., et al. (2009). Improving the quality of spiritual care as a dimension of palliative care: The report of the Consensus Conference. Journal of Palliative Medicine, 12(10), 885–904.CrossRefPubMed
Zurück zum Zitat Rajagopal, M. R., & Palat, G. (2002). Kerala, India: status of cancer pain relief and palliative care. Journal of Pain and Symptom Management, 24(2), 191–193.CrossRefPubMed Rajagopal, M. R., & Palat, G. (2002). Kerala, India: status of cancer pain relief and palliative care. Journal of Pain and Symptom Management, 24(2), 191–193.CrossRefPubMed
Zurück zum Zitat Ramanakumar, A. V., Balakrishna, Y., & Ramarao, G. (2005). Coping mechanisms among long-term survivors of breast and cervical cancers in Mumbai, India. Asian Pacific Journal of Cancer Prevention, 6(2), 189–194.PubMed Ramanakumar, A. V., Balakrishna, Y., & Ramarao, G. (2005). Coping mechanisms among long-term survivors of breast and cervical cancers in Mumbai, India. Asian Pacific Journal of Cancer Prevention, 6(2), 189–194.PubMed
Zurück zum Zitat Selman, L., & Higginson, I. J. (2010). ‘A softening of edges’: A comparison of yoga classes at palliative care services in New Delhi and London. International Journal of Palliative Nursing, 16(11), 548–554.CrossRefPubMed Selman, L., & Higginson, I. J. (2010). ‘A softening of edges’: A comparison of yoga classes at palliative care services in New Delhi and London. International Journal of Palliative Nursing, 16(11), 548–554.CrossRefPubMed
Zurück zum Zitat Shanmugasundaram, S., Chapman, Y., & O’Connor, M. (2006). Development of palliative care in India: An overview. International Journal of Nursing Practice, 12(4), 241–246.CrossRefPubMed Shanmugasundaram, S., Chapman, Y., & O’Connor, M. (2006). Development of palliative care in India: An overview. International Journal of Nursing Practice, 12(4), 241–246.CrossRefPubMed
Zurück zum Zitat Simha, S., Noble, S., & Chaturvedi, S. K. (2013). Spiritual concerns in hindu cancer patients undergoing palliative care: A qualitative study. Indian Journal of Palliative Care, 19(2), 99–105.CrossRefPubMedPubMedCentral Simha, S., Noble, S., & Chaturvedi, S. K. (2013). Spiritual concerns in hindu cancer patients undergoing palliative care: A qualitative study. Indian Journal of Palliative Care, 19(2), 99–105.CrossRefPubMedPubMedCentral
Zurück zum Zitat UNESCAP-SSWA. (2015). India and the MDGs: Towards a sustainable future for all: United Nations. UNESCAP-SSWA. (2015). India and the MDGs: Towards a sustainable future for all: United Nations.
Zurück zum Zitat Van den Branden, S., & Broeckaert, B. (2008). Medication and God at interplay: End-of-life decision-making in practicing male Moroccan migrants living in Antwerp, Flanders, Belgium. In J. E. Brockopp & T. Eich (Eds.), Muslim medical ethics: From theory to practice (pp. 194–208). Columbia: University of South Carolina Press. Van den Branden, S., & Broeckaert, B. (2008). Medication and God at interplay: End-of-life decision-making in practicing male Moroccan migrants living in Antwerp, Flanders, Belgium. In J. E. Brockopp & T. Eich (Eds.), Muslim medical ethics: From theory to practice (pp. 194–208). Columbia: University of South Carolina Press.
Zurück zum Zitat Wachholtz, A. B., & Pearce, M. J. (2009). Does spirituality as a coping mechanism help or hinder coping with chronic pain? Current Pain and Headache Reports, 13(2), 127–132.CrossRefPubMed Wachholtz, A. B., & Pearce, M. J. (2009). Does spirituality as a coping mechanism help or hinder coping with chronic pain? Current Pain and Headache Reports, 13(2), 127–132.CrossRefPubMed
Zurück zum Zitat Wachholtz, A. B., Pearce, M. J., & Koenig, H. (2007). Exploring the relationship between spirituality, coping, and pain. Journal of Behavioral Medicine, 30(4), 311–318.CrossRefPubMed Wachholtz, A. B., Pearce, M. J., & Koenig, H. (2007). Exploring the relationship between spirituality, coping, and pain. Journal of Behavioral Medicine, 30(4), 311–318.CrossRefPubMed
Zurück zum Zitat Walter, T. (2002). Spirituality in palliative care: Opportunity or burden? Palliative Medicine, 16(2), 133–139.CrossRefPubMed Walter, T. (2002). Spirituality in palliative care: Opportunity or burden? Palliative Medicine, 16(2), 133–139.CrossRefPubMed
Zurück zum Zitat WHOQOL HIV Group. (2004). WHOQOL-HIV for quality of life assessment among people living with HIV and AIDS: Results from the field test. AIDS Care, 16(7), 882–889.CrossRef WHOQOL HIV Group. (2004). WHOQOL-HIV for quality of life assessment among people living with HIV and AIDS: Results from the field test. AIDS Care, 16(7), 882–889.CrossRef
Zurück zum Zitat Wright, M., George, R., & Mingins, R. (2004). Exploring the meaning of spiritual care in the Indian context: Findings from a survey and interviews. Progress in Palliative Care, 12(5), 221–226.CrossRef Wright, M., George, R., & Mingins, R. (2004). Exploring the meaning of spiritual care in the Indian context: Findings from a survey and interviews. Progress in Palliative Care, 12(5), 221–226.CrossRef
Metadaten
Titel
Prevalence and Nature of Spiritual Distress Among Palliative Care Patients in India
verfasst von
Joris Gielen
Sushma Bhatnagar
Santosh K. Chaturvedi
Publikationsdatum
06.05.2016
Verlag
Springer US
Erschienen in
Journal of Religion and Health / Ausgabe 2/2017
Print ISSN: 0022-4197
Elektronische ISSN: 1573-6571
DOI
https://doi.org/10.1007/s10943-016-0252-5

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