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Supportive Care in Cancer

Erschienen in:

06.07.2021 | Original Article

The role of spirituality in symptom experiences among adults with cancer

verfasst von: Megan Miller, Kristine Kwekkeboom, Catherine Cherwin

Erschienen in: Supportive Care in Cancer | Ausgabe 1/2022

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Abstract

Purpose

Adults with cancer experience symptoms such as pain, fatigue, depression, and sleep disturbance, which can impede quality of life. Research suggests that addressing spirituality may be one route to support holistic symptom management. The purpose of this study is to explore how spirituality relates to common cancer-related symptoms (including severity, distress, and interference) among a sample of adults with cancer.

Methods

This is a secondary analysis of data from N = 200 solid tumor cancer patients undergoing chemotherapy. Symptom experiences were assessed with a modified version of the Memorial Symptom Assessment Scale and the M. D. Anderson Symptom Inventory—Interference Subscale. Spirituality was assessed using a subset of items from the Fox Simple Quality of Life Scale. A series of ordinal and linear regressions were used to examine the relationship between spirituality and symptom severity, symptom-related distress, and symptom interference across four cancer-related symptoms (pain, fatigue, depression, and sleep disturbance).

Results

Higher spirituality trended toward an association with lower pain severity, although results were not significant (p < .058). Higher spirituality was significantly associated with lower severity of fatigue (p < .003), depression (p < .006), and sleep disturbance (p < .004). Spirituality was not significantly associated with any of the four symptom-related distress outcomes. Higher spirituality was significantly associated with lower overall symptom interference (p < .004).

Discussion

This study highlights the role of spirituality in the experience of cancer-related symptoms. Additional research is needed among more diverse samples of people with cancer. This foundational work could lead to the development of symptom management interventions that incorporate aspects of spirituality.

Kwekkeboom K (2016) Cancer symptom cluster management. Semin Oncol Nurs 32(4):373–382. https://doi.org/10.1016/j.soncn.2016.08.004CrossRefPubMedPubMedCentral

Al-Shahri MZ, Eldali AM, Al-Zahrani O (2012) Prevalence and severity of suffering among patients with advanced cancer. Support Care Cancer 20:3137–3140. https://doi.org/10.1007/s00520-012-1443-6CrossRefPubMed

Chang VT, Hwang SS, Feuerman M, Kasimis BS (2000) Symptom and quality of life survey of medical oncology patients at a Veterans Affairs medical center. Cancer 88(5):1175–1183. https://doi.org/10.1002/(SICI)1097-0142(20000301)88:5<1175::AID-CNCR30<3.0.CO;2-N

Miaskowski C, Barsevick A, Berger A, Casagrande R, Grady P, et al. (2017) Advancing symptom science through symptom cluster research: expert panel proceedings and recommendations. J Natl Cancer Inst 109(4): djw253. https://doi.org/10.1093/jnci/djw253

Reilly CM, Bruner DW, Mitchell SA, Minasian LM, Basch E et al (2013) A literature synthesis of symptom prevalence and severity in persons receiving active cancer treatment. Support Care Cancer 21(6):1525–1550. https://doi.org/10.1007/s00520-012-1688-0CrossRefPubMedPubMedCentral

Dodd M, Cho MH, Cooper BA, Miaskowski C (2019) The effect of symptom clusters on functional status and quality of life in women with breast cancer. Eur J Oncol Nurs 14(2):101–110. https://doi.org/10.1016/j.ejon.2009.09.005CrossRef

Rha S, Lee J (2017) Symptom clusters during palliative chemotherapy and their influence on functioning and quality of life. Support Care Cancer 25(5):1519–1527. https://doi.org/10.1007/s00520-016-3545-zCrossRefPubMed

Wyatt G, Sikorskii A, Tesnjak I, Victorson I, Srkalovic G (2015) Chemotherapy interruptions in relation to symptom severity in advanced breast cancer. Support Care Cancer 23(11):3183–3191. https://doi.org/10.1007/s00520-015-2698-5CrossRefPubMedPubMedCentral

Miller M, Greenwalt K, Lehto R, Wu H-S, Moser J et al (2021) Pain and spirituality among women with advanced breast cancer: insights from a phenomenological study. Cancer Care Research Online 1(1):1–7. https://doi.org/10.1097/CR9.0000000000000001CrossRef

10.

Jim H, Pustejovsky J, Park C, Danhauer S, Sherman A et al (2015) Religion, spirituality, and physical health in cancer patients: a meta-analysis. Cancer 121(21):3760–3768. https://doi.org/10.1002/cncr.29353CrossRefPubMed

11.

Delgado-Guay, M, Palma A, Duarte E, Grez M, Tupper L, Liu D & Bruera E (2021) Association between spirituality, religiosity, spiritual pain, symptom distress, and quality of life among Latin American patients with advanced cancer: a multicenter study. Journal of Palliative Medicine. [e-pub ahead of print]. doi:https://doi.org/10.1089/jpm.2020.0776

12.

Steinhauser K, Fitchett G, Handzo G, Johnson K, Koenig H et al (2017) State of the science of spirituality and palliative care research part I: definitions, measurement, and outcomes. J Pain Symptom Manage 54(3):428–440. https://doi.org/10.1016/j.jpainsymman.2017.07.028CrossRefPubMed

13.

Sun K, So Young C, Jin Sook K (2017) Evolutionary concept analysis of spirituality. J Korean Acad Nurs 47(2):242–256. https://doi.org/10.4040/jkan.2017.47.2.242CrossRef

14.

Weathers E, McCarthy G, Coffey A (2016) Concept analysis of spirituality: an evolutionary approach. Nurs Forum 51(2):79–96. https://doi.org/10.1111/nuf.12128CrossRefPubMed

15.

Peterman A, Fitchett G, Brady M, Hernandez L, Cella D (2002) Measuring spiritual well-being in people with cancer: the functional assessment of chronic illness therapy—Spiritual Well-Being Scale (FACIT-Sp). Ann Behav Med 24(1):49–58. https://doi.org/10.1207/S15324796ABM2401_06CrossRefPubMed

16.

Balducci L (2019) Geriatric oncology, spirituality, and palliative care. J Pain Symptom Manage 57(1):171–175. https://doi.org/10.1016/j.jpainsymman.2018.05.009CrossRefPubMed

17.

Renz M, Reichmuth O, Bueche D, Traichel B, Schuett Mao M et al (2018) Fear, pain, denial, and spiritual experiences in dying processes. Am J Hosp Palliat Med 35(3):478–449. https://doi.org/10.1177/1049909117725271CrossRef

18.

Cheng Q, Liu X, Li X, Wang Y, Mao T et al (2019) Improving spiritual well-being among cancer patients: implications for clinical care. Support Care Cancer 27(9):3403–3409. https://doi.org/10.1007/s00520-019-4636-4CrossRefPubMed

19.

Yeager K, Sterk C, Quest T, Dilorio C, Vena C et al (2016) Managing one’s symptoms: a qualitative study of low-income African Americans with advanced cancer. Cancer Nurs 39(4):303–312. https://doi.org/10.1097/NCC.0000000000000284CrossRefPubMedPubMedCentral

20.

Miller M, Xu D, Lehto R, Moser J, Wu H-S et al (2021) Pain and spirituality outcomes among women with advanced breast cancer participating in a randomized controlled trial of foot reflexology. Oncol Nurs Forum 48(1):31–43. https://doi.org/10.1188/21.ONF.31-43CrossRefPubMed

21.

Gonzalez P, Castañeda SF, Dale J, Medeiros EA, Buelna C et al (2014) Spiritual well-being and depressive symptoms among cancer survivors. Support Care Cancer 22(9):2393–2400. https://doi.org/10.1007/s00520-014-2207-2CrossRefPubMedPubMedCentral

22.

Chaar EA, Hallit S, Hajj A, Aaraj R, Kattan J et al (2018) Evaluating the impact of spirituality on the quality of life, anxiety, and depression among patients with cancer: an observational transversal study. Support Care Cancer 88(5):2581–2590. https://doi.org/10.1007/s00520-018-4089-1CrossRef

23.

Visser A, de Jager ME, Garssen B (2018) Does spirituality reduce the impact of somatic symptoms on distress in cancer patients? Cross-sectional and longitudinal findings. Soc Sci Med 214:57–66. https://doi.org/10.1016/j.socscimed.2018.08.012CrossRefPubMed

24.

Kwekkeboom K, Wieben A, Stevens J, Tostrud L, Montgomery K (2020) Guideline-recommended symptom management strategies that cross over two or more cancer symptoms. Oncol Nurs Forum 47(5):498–511. https://doi.org/10.1188/20.ONF.498-511CrossRefPubMed

25.

Kwekkeboom K, Tostrud L, Costanzo E, Coe C, Serlin R et al (2018) The role of inflammation in the pain, fatigue, and sleep disturbance symptom custer in advanced cancer. J Pain Symptom Manage 55(5):1286–1295. https://doi.org/10.1016/j.jpainsymman.2018.01.008CrossRefPubMedPubMedCentral

26.

Brant J, Beck S, Miaskowski C (2009) Building dynamic models and theories to advance the science of symptom management research. J Adv Nurs 66(1):228–240. https://doi.org/10.1111/j.1365-2648.2009.05179.xCrossRef

27.

Brant J, Dudley W, Beck S, Miaskowski C (2016) Evolution of the dynamic symptoms model. Oncol Nurs Forum 43(5):651–654. https://doi.org/10.1188/16.ONF.651-654CrossRefPubMed

28.

Saeidzadeh S, Perkhounkova Y, Gilbertson-White S, Cherwin C (2021) The influence of multiple chronic conditions on symptom clusters in people with solid tumor cancers. Cancer Nurs [Online ahead of print]. https://doi.org/10.1097/NCC.0000000000000915

29.

Charlson ME, Pompei P, Ales KL, MacKenzie CR (1987) A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 40(5):373–383. https://doi.org/10.1016/0021-9681(87)90171-8CrossRef

30.

Portenoy RK, Thaler HT, Kornblith AB, Lepore JM, Freidlander-Klar H et al (1994) The memorial symptom assessment scale: an instrument for the evaluation of symptom prevalence, characteristics and distress. Eur J Cancer 30(9):1326–1336. https://doi.org/10.1016/0959-8049(94)90182-1CrossRef

31.

Cherwin C, Kwekkeboom K (2016) Prevalence, duration, severity, and distress of chemotherapy-related gastrointestinal symptoms in patients with a hematologic malignancy. Oncol Nurs Forum 43(5):561–571. https://doi.org/10.1188/16.ONF.43-05APCrossRefPubMed

32.

Kirkova J, Davis M, Walsh D, Tiernan E, O’Leary N et al (2006) Cancer symptom assessment instruments: a systematic review. J Clin Oncol 24(9):1459–1473. https://doi.org/10.1200/JCO.2005.02.8332CrossRefPubMed

33.

Cleeland CS, Mendoza TR, Wang XS, Chou X, Harle S, et al. (2000) Assessing symptom distress in cancer patients: the M.D. Anderson symptom inventory. Cancer 89(7): 1634–1646. https://doi.org/10.1002/1097-0142(20001001)89:7<1634::aid-cncr29<3.0.co;2-v

34.

Fox S (2004) Preliminary psychometric testing of the fox simple quality-of-life scale. J Neurosci Nurs 36(6):157–166. https://doi.org/10.1097/01376517-200406000-00007CrossRefPubMed

35.

Gaston-Johansson F, Haisfield-Wolfe M, Reddick B, Goldstein N, Lawal T (2013) The relationships among coping strategies, religious coping, and spirituality in African American women with breast cancer receiving chemotherapy. Oncol Nurs Forum 40(2):120–131. https://doi.org/10.1188/13.ONF.120-131CrossRefPubMed

36.

Bai J, Brubaker A, Meghani S, Bruner D, Yeager K (2018) Spirituality and quality of life in black patients with cancer pain. J Pain Symptom Manage 56(3):390–398. https://doi.org/10.1016/j.jpainsymman.2018.05.020CrossRefPubMed

37.

Delgado-Guay MO, Chisholm GB, Williams J, Frisbee-Hume S, Ferguson S et al (2016) Frequency, intensity, and correlates of spiritual pain in advanced cancer patients assessed in a supportive/palliative care clinic. Palliat Support Care 14(4):341–348. https://doi.org/10.1017/S147895151500108XCrossRefPubMed

38.

Wang Y, Lin C (2016) Spiritual well-being may reduce the negative impacts of cancer symptoms on the quality of life and the desire for hastened death in terminally ill cancer patients. Cancer Nurs 39(4):E43–E50. https://doi.org/10.1097/NCC.0000000000000298CrossRefPubMed

39.

Lewis S, Salins N, Rao R, Kadam A (2014) Spiritual well-being and its influence on fatigue in patients undergoing active cancer directed treatment: a correlational study. J Cancer Res Ther 10(3):676–680. https://doi.org/10.4103/0973-1482.138125CrossRefPubMed

40.

Nelson C, Rosenfeld B, Breitbart W, Galietta M (2002) Spirituality, religion, and depression in the terminally ill. Psychosomatics 43(3):213–220. https://doi.org/10.1176/appi.psy.43.3.213CrossRefPubMed

41.

Khoramirad A, Mousavi M, Dadkhahtehrani T, Pourmarzi D (2014) Relationship between sleep quality and spiritual well-being/religious activities in Muslim women with breast cancer. J Relig Health 54(6):2276–2285. https://doi.org/10.1007/s10943-014-9978-0CrossRef

42.

Sherman A, Merluzzi T, Pustejovsky J, Park C, George L et al (2015) A meta-analytic review of religious or spiritual involvement and social health among cancer patients. Cancer 121(21):3779–3788. https://doi.org/10.1002/cncr.29352CrossRefPubMed

43.

Alcorn S, Balboni M, Prigerson H, Reynolds A, Phelps A et al (2010) If God wanted me yesterday, I wouldn’t be here today”: religious and spiritual themes in patients’ experiences of advanced cncer. Journal of Palliative Med 13(5):581–588. https://doi.org/10.1089/jpm.2009.0343CrossRef

44.

Galloway S, Meadors D, Boselli D, Walsh D (2019) Anxiety, depression, pain, and social support in a large representative cancer population. In American Society for Clinical Oncology 2019 Annual Meeting.

45.

Taylor E (2003) Nurses caring for the spirit: patients with cancer and family caregiver expectations. Oncol Nurs Forum 30(4):585–590. https://doi.org/10.1188/03.ONF.585-590CrossRefPubMed

46.

Anderson J, Taylor A (2012) Use of complementary therapies for cancer symptom management: results of the 2007 National Health Interview Survey. J Altern Complement Med 18(3):235–241. https://doi.org/10.1089/acm.2011.0022CrossRefPubMedPubMedCentral

47.

Koenig HG (2008) Concerns about measuring “spirituality” in research. J Nerv Ment Dis 196(5):349–355. https://doi.org/10.1097/NMD.0b013e31816ff796CrossRefPubMed

Titel: The role of spirituality in symptom experiences among adults with cancer
verfasst von: Megan Miller
Kristine Kwekkeboom
Catherine Cherwin
Publikationsdatum: 06.07.2021
Verlag: Springer Berlin Heidelberg
Erschienen in: Supportive Care in Cancer / Ausgabe 1/2022
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-021-06399-z

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The role of spirituality in symptom experiences among adults with cancer

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