Type | Journal Article |
---|---|
Author | Shelley R. Adler |
Abstract | The legacy of 19th-century social theories applied to the study of non-mainstream treatment use continues to affect contemporary research into complementary and alternative medicine (CAM). Quantitatively based studies of CAM use have been hindered by the lack of an adequate lexicon, inaccurate characterizations of the people who use CAM, and underestimates of the prevalence of usage. Results from a qualitative prospective cohort study challenge previous stereotypes by indicating that CAM usage does not increase dramatically with the initial diagnosis of cancer and that younger women are more likely to use CAM than older women. Qualitative research methods are uniquely appropriate for obtaining accurate information about health practices that, despite growing acceptance in some areas of society, are still viewed as outside of the mainstream. |
Publication | Medical Anthropology Quarterly |
Volume | 13 |
Issue | 2 |
Pages | 214-222 |
Date | Jun., 1999 |
Series | New Series |
ISSN | 07455194 |
URL | http://www.jstor.org.ezproxy.bu.edu/stable/649645 |
Accessed | Mon Oct 12 23:56:49 2009 |
Library Catalog | JSTOR |
Extra | ArticleType: primary_article / Full publication date: Jun., 1999 / Copyright © 1999 American Anthropological Association |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
Results from a qualitative prospective cohort study challenge previous stereotypes by indicating that CAM usage does not increase dramatically with the initial diagnosis of cancer and that younger women are more likely to use CAM than older women.
Type | Journal Article |
---|---|
Author | Farizah Ahmad |
Author | Mazanah binti Muhammad |
Author | Amini Amir Abdullah |
Abstract | This article is part of a larger study on the role of spirituality in coping with breast cancer among Malaysian Muslim women. The study seeks to reveal the meaning of the experience through the stories of three Muslim women surviving advanced breast cancer, to better understand the deep meanings that inform their experiences with spirituality and transformation as they cope with the challenges of breast cancer. Data were gathered using in-depth interview. Qualitative methods were used in identifying two themes--illness as an awakening and hope and freedom comes from surrendering to God. The themes were discussed in the context of two broad areas: (1) what are the new meanings these women discovered in their experiences with cancer; and (2) how did the new meanings change their lives? The study suggests that cancer survivors' experiences with cancer and their learning processes must be understood within the appropriate cultural context. This is especially so for spirituality. The common emphasis of spirituality on relationship with God, self and others, may significantly influence how people learn to live with cancer. |
Publication | Journal of Religion and Health |
Volume | 50 |
Issue | 1 |
Pages | 36-45 |
Date | Mar 2011 |
Journal Abbr | J Relig Health |
DOI | 10.1007/s10943-010-9401-4 |
ISSN | 1573-6571 |
Short Title | Religion and spirituality in coping with advanced breast cancer |
URL | http://www.ncbi.nlm.nih.gov/pubmed/20924683 |
Accessed | Mon Apr 4 19:48:36 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 20924683 |
Date Added | Thu Sep 29 08:56:31 2011 |
Modified | Thu Sep 29 08:56:31 2011 |
This article is part of a larger study on the role of spirituality in coping with breast cancer among Malaysian Muslim women. The study seeks to reveal the meaning of the experience through the stories of three Muslim women surviving advanced breast cancer, to better understand the deep meanings that inform their experiences with spirituality and transformation as they cope with the challenges of breast cancer. Data were gathered using in-depth interview. Qualitative methods were used in identifying two themes--illness as an awakening and hope and freedom comes from surrendering to God. The themes were discussed in the context of two broad areas: (1) what are the new meanings these women discovered in their experiences with cancer; and (2) how did the new meanings change their lives? The study suggests that cancer survivors' experiences with cancer and their learning processes must be understood within the appropriate cultural context. This is especially so for spirituality. The common emphasis of spirituality on relationship with God, self and others, may significantly influence how people learn to live with cancer.
Type | Journal Article |
---|---|
Author | Sara R Alcorn |
Author | Michael J Balboni |
Author | Holly G Prigerson |
Author | Amy Reynolds |
Author | Andrea C Phelps |
Author | Alexi A Wright |
Author | Susan D Block |
Author | John R Peteet |
Author | Lisa A Kachnic |
Author | Tracy A Balboni |
Abstract | BACKGROUND: This study sought to inductively derive core themes of religion and/or spirituality (R/S) active in patients' experiences of advanced cancer to inform the development of spiritual care interventions in the terminally ill cancer setting. METHODS: This is a multisite, cross-sectional, mixed-methods study of randomly-selected patients with advanced cancer (n = 68). Scripted interviews assessed the role of R/S and R/S concerns encountered in the advanced cancer experience. Qualitative and quantitative data were analyzed. Theme extraction was performed with interdisciplinary input (sociology of religion, medicine, theology), utilizing grounded theory. Spearman correlations determined the degree of association between R/S themes. Predictors of R/S concerns were assessed using linear regression and analysis of variance. RESULTS: Most participants (n = 53, 78%) stated that R/S had been important to the cancer experience. In descriptions of how R/S was related to the cancer experience, five primary R/S themes emerged: coping, practices, beliefs, transformation, and community. Most interviews (75%) contained two or more R/S themes, with 45% mentioning three or more R/S themes. Multiple significant subtheme interrelationships were noted between the primary R/S themes. Most participants (85%) identified 1 or more R/S concerns, with types of R/S concerns spanning the five R/S themes. Younger, more religious, and more spiritual patients identified R/S concerns more frequently (beta = -0.11, p < 0.001; beta = 0.83, p = 0.03; and beta = 0.89, p = 0.04, respectively). CONCLUSIONS: R/S plays a variety of important and inter-related roles for most advanced cancer patients. Future research is needed to determine how spiritual care can incorporate these five themes and address R/S concerns. |
Publication | Journal of Palliative Medicine |
Volume | 13 |
Issue | 5 |
Pages | 581-588 |
Date | May 2010 |
Journal Abbr | J Palliat Med |
DOI | 10.1089/jpm.2009.0343 |
ISSN | 1557-7740 |
Short Title | "If God wanted me yesterday, I wouldn't be here today" |
Accessed | Fri Jun 4 09:28:33 2010 |
Library Catalog | NCBI PubMed |
Extra | PMID: 20408763 |
Date Added | Thu Sep 29 09:04:35 2011 |
Modified | Thu Sep 29 09:04:35 2011 |
This study sought to inductively derive core themes of religion and/or spirituality (R/S) active in patients' experiences of advanced cancer to inform the development of spiritual care interventions in the terminally ill cancer setting. The authors concluded that R/S plays a variety of important and inter-related roles for most advanced cancer patients. Future research is needed to determine how spiritual care can incorporate these five themes and address R/S concerns.
Type | Journal Article |
---|---|
Author | Michiyo Ando |
Author | Tatsuya Morita |
Author | Tatsuo Akechi |
Author | Sayoko Ito |
Author | Masaya Tanaka |
Author | Yuka Ifuku |
Author | Toshimichi Nakayama |
Abstract | Abstract Objective: The primary goal of the study was to assess the efficacy of mindfulness-based meditation therapy on anxiety, depression, and spiritual well-being of Japanese patients undergoing anticancer treatment. A secondary goal was to assess the relationships among anxiety, depression, spiritual well-being, growth, appreciation, pain, and symptoms. Methods: The subjects were 28 patients who were receiving anticancer treatment. The subjects participated in two sessions of mindfulness-based meditation therapy, including breathing, yoga movement and meditation. Each patient was taught the program in the first session, then exercised at home with a CD, and subsequently met the interviewer in a second session after 2 weeks. Primary physicians recruited the patients and interviews were conducted individually by nurses or psychologists with training in the program. Patients completed preintervention and postintervention questionnaires on anxiety and depression (Hospital Anxiety and Depression Scale [HADS]), spiritual well-being (Functional Assessment of Chronic Illness Therapy-Spiritual [FACIT-Sp]), and appreciation, growth, pain, and symptoms. Results: HADS scores significantly decreased from 12 +/- 5.3 to 8.6 +/- 6.3 (p = 0.004) after the intervention, and FACIT-Sp increased from 32 +/- 6.5 to 33 +/- 6.9 (p = 0.69), but the change was not significant. There were significant associations between FACIT-Sp and HADS (r = -0.78, p = 000), FACIT-Sp and growth (r = -0.35, p = 0.04), FACIT-Sp and pain (r = -0.41, p = 0.02), and growth and appreciation (r = 0.45, p = 0.009). Conclusions: Mindfulness-based meditation therapy may be effective for anxiety and depression in Japanese cancer patients, and spiritual well-being is related to anxiety and depression, growth, and pain. The negative correlation of spirituality with growth differs from the results of previous studies and the mechanism of this effect needs to be investigated further. |
Publication | Journal of Palliative Medicine |
Date | Aug 28, 2009 |
Journal Abbr | J Palliat Med |
DOI | 10.1089/jpm.2009.0143 |
ISSN | 1557-7740 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19715397 |
Accessed | Fri Sep 18 18:31:38 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19715397 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
The primary goal of the study was to assess the efficacy of mindfulness-based meditation therapy on anxiety, depression, and spiritual well-being of Japanese patients undergoing anticancer treatment. Conclusions: Mindfulness-based meditation therapy may be effective for anxiety and depression in Japanese cancer patients, and spiritual well-being is related to anxiety and depression, growth, and pain.
Type | Journal Article |
---|---|
Author | Michiyo Ando |
Author | Tatsuya Morita |
Author | Tatsuo Akechi |
Author | Takuya Okamoto |
Abstract | CONTEXT: There is a little information about effective psychotherapies to enhance the spiritual well-being of terminally ill cancer patients. OBJECTIVES: The primary aim of the study was to examine the efficacy of a one-week Short-Term Life Review for the enhancement of spiritual well-being, using a randomized controlled trial. The secondary aim was to assess the effect of this therapy on anxiety and depression, suffering, and elements of a good death. METHODS: The subjects were 68 terminally ill cancer patients randomly allocated to a Short-Term Life-Review interview group or a control group. The patients completed questionnaires pre- and post-treatment, including the meaning of life domain from the Functional Assessment of Chronic Illness Therapy-Spiritual (FACIT-Sp) scale, the Hospital Anxiety and Depression Scale (HADS), a numeric scale for psychological suffering, and items from the Good Death Inventory (Hope, Burden, Life Completion, and Preparation). RESULTS: The FACIT-Sp, Hope, Life Completion, and Preparation scores in the intervention group showed significantly greater improvement compared with those of the control group (FACIT-Sp, P<0.001; Hope, P<0.001; Life Completion, P<0.001; and Preparation, P<0.001). HADS, Burden, and Suffering scores in the intervention group also had suggested greater alleviation of suffering compared with the control group (HADS, P<0.001; Burden, P<0.007; Suffering, P<0.001). CONCLUSION: We conclude that the Short-Term Life Review is effective in improving the spiritual well-being of terminally ill cancer patients, and alleviating psychosocial distress and promoting a good death. |
Publication | Journal of Pain and Symptom Management |
Volume | 39 |
Issue | 6 |
Pages | 993-1002 |
Date | Jun 2010 |
Journal Abbr | J Pain Symptom Manage |
DOI | 10.1016/j.jpainsymman.2009.11.320 |
ISSN | 1873-6513 |
Accessed | Wed Jul 7 10:19:26 2010 |
Library Catalog | NCBI PubMed |
Extra | PMID: 20538183 |
Date Added | Thu Sep 29 09:04:02 2011 |
Modified | Thu Sep 29 09:04:02 2011 |
The primary aim of the study was to examine the efficacy of a one-week Short-Term Life Review for the enhancement of spiritual well-being, using a randomized controlled trial. The secondary aim was to assess the effect of this therapy on anxiety and depression, suffering, and elements of a good death.
Type | Journal Article |
---|---|
Author | Konstantinos Assimakopoulos |
Author | Katerina Karaivazoglou |
Author | Amalia A Ifanti |
Author | Miltiadis K Gerolymos |
Author | Haralabos P Kalofonos |
Author | Gregoris Iconomou |
Abstract | OBJECTIVES The first objective of the current observational study was to assess the levels of religiosity in Greek Christian Orthodox cancer patients receiving chemotherapy. The second objective was to evaluate the associations between religiosity and quality of life (QoL), an endpoint of considerable importance in clinical cancer research and practice. METHOD One hundred eighteen adult outpatients with solid tumors, who consented to participate, were administered the Systems of Belief Inventory (SBI-15R) and the European Organisation for Research and Treatment of Cancer (EORTC QLQ-C30) questionnaire. RESULTS The analysis revealed high scores on religiosity, especially among female patients, who reported significantly higher levels of religious beliefs and practices as well as perceived social support provided by the religious community than did their male counterparts. Of all EORTC QOL-C30 subscales, only global QoL was found to be significantly associated with the SBI-15R religious beliefs subscale. The analysis revealed no significant correlations between the SBI-15R social support subscale and all QoL subscales. CONCLUSIONS The current study reported high levels of religiosity among Greek Christian Orthodox cancer patients. However, levels of religiosity were only weakly associated with patients' QoL. The SBI-15R appeared to be a well-accepted and reliable tool, potentially useful for future research in Greek settings. Wide-scale studies from the same and diverse religious and cultural backgrounds are needed to clarify further the connections between religiosity, QoL, coping, and other health outcomes with the aim to devise appropriate multicomponent interventions to enhance patients' QoL. |
Publication | Psycho-Oncology |
Volume | 18 |
Issue | 3 |
Pages | 284-289 |
Date | Mar 2009 |
Journal Abbr | Psychooncology |
DOI | 10.1002/pon.1402 |
ISSN | 1099-1611 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18702046 |
Accessed | Mon Mar 28 18:29:00 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 18702046 |
Date Added | Thu Sep 29 09:06:18 2011 |
Modified | Thu Sep 29 09:06:18 2011 |
The first objective of the current observational study was to assess the levels of religiosity in Greek Christian Orthodox cancer patients receiving chemotherapy. The second objective was to evaluate the associations between religiosity and quality of life (QoL), an endpoint of considerable importance in clinical cancer research and practice.
Type | Journal Article |
---|---|
Author | Branka Aukst-Margetić |
Author | Miro Jakovljević |
Author | Dragutin Ivanec |
Author | Branimir Margetić |
Author | Duliano Ljubicić |
Author | Mirko Samija |
Abstract | Our aim was to assess relations between the quality of life and religiosity in breast cancer patients. The participants were 115 consecutively admitted female in-patients with breast cancer in the radiotherapy unit in the course of six months. The measures used were Santa Clara Strength of Religious Faith Questionnaire (SCSORF), World Health Organisation Well-Being Index Five (WHO-WBI 5) and International Breast Cancer Study Group Quality of Life (IBCSG-QL) Questionnaire. The participants responded on three statements relating to religious coping with cancer. Moderate religiosity was associated with perception of worse physical health. The statement "the illness decreased my faith" was associated with worse quality of life (QOL) domains: less well-being, more pain, poor physical health, more effort to cope, worse fatigue and less general satisfaction. The statement "the faith helps me in illness" was associated with higher social support. |
Publication | Collegium Antropologicum |
Volume | 33 |
Issue | 4 |
Pages | 1265-1271 |
Date | Dec 2009 |
Journal Abbr | Coll Antropol |
ISSN | 0350-6134 |
Accessed | Sat Feb 20 12:14:08 2010 |
Library Catalog | NCBI PubMed |
Extra | PMID: 20102080 |
Date Added | Thu Sep 29 09:04:02 2011 |
Modified | Thu Sep 29 09:04:02 2011 |
Type | Journal Article |
---|---|
Author | Michael J Balboni |
Author | Amenah Babar |
Author | Jennifer Dillinger |
Author | Andrea C Phelps |
Author | Emily George |
Author | Susan D Block |
Author | Lisa Kachnic |
Author | Jessica Hunt |
Author | John Peteet |
Author | Holly G Prigerson |
Author | Tyler J Vanderweele |
Author | Tracy A Balboni |
Abstract | CONTEXT Although prayer potentially serves as an important practice in offering religious/spiritual support, its role in the clinical setting remains disputed. Few data exist to guide the role of patient-practitioner prayer in the setting of advanced illness. OBJECTIVES To inform the role of prayer in the setting of life-threatening illness, this study used mixed quantitative-qualitative methods to describe the viewpoints expressed by patients with advanced cancer, oncology nurses, and oncology physicians concerning the appropriateness of clinician prayer. METHODS This is a cross-sectional, multisite, mixed-methods study of advanced cancer patients (n=70), oncology physicians (n=206), and oncology nurses (n=115). Semistructured interviews were used to assess respondents' attitudes toward the appropriate role of prayer in the context of advanced cancer. Theme extraction was performed based on interdisciplinary input using grounded theory. RESULTS Most advanced cancer patients (71%), nurses (83%), and physicians (65%) reported that patient-initiated patient-practitioner prayer was at least occasionally appropriate. Furthermore, clinician prayer was viewed as at least occasionally appropriate by the majority of patients (64%), nurses (76%), and physicians (59%). Of those patients who could envision themselves asking their physician or nurse for prayer (61%), 86% would find this form of prayer spiritually supportive. Most patients (80%) viewed practitioner-initiated prayer as spiritually supportive. Open-ended responses regarding the appropriateness of patient-practitioner prayer in the advanced cancer setting revealed six themes shaping respondents' viewpoints: necessary conditions for prayer, potential benefits of prayer, critical attitudes toward prayer, positive attitudes toward prayer, potential negative consequences of prayer, and prayer alternatives. CONCLUSION Most patients and practitioners view patient-practitioner prayer as at least occasionally appropriate in the advanced cancer setting, and most patients view prayer as spiritually supportive. However, the appropriateness of patient-practitioner prayer is case specific, requiring consideration of multiple factors. |
Publication | Journal of Pain and Symptom Management |
Volume | 41 |
Issue | 5 |
Pages | 836-847 |
Date | May 2011 |
Journal Abbr | J Pain Symptom Manage |
DOI | 10.1016/j.jpainsymman.2010.07.008 |
ISSN | 1873-6513 |
Short Title | "It depends" |
URL | http://www.ncbi.nlm.nih.gov/pubmed/21276700 |
Accessed | Wed Jun 8 18:32:39 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 21276700 |
Date Added | Thu Sep 29 08:55:16 2011 |
Modified | Thu Sep 29 08:55:16 2011 |
Although prayer potentially serves as an important practice in offering religious/spiritual support, its role in the clinical setting remains disputed. Few data exist to guide the role of patient-practitioner prayer in the setting of advanced illness. The aim of the study was to inform the role of prayer in the setting of life-threatening illness, this study used mixed quantitative-qualitative methods to describe the viewpoints expressed by patients with advanced cancer, oncology nurses, and oncology physicians concerning the appropriateness of clinician prayer.
Type | Journal Article |
---|---|
Author | Tracy Anne Balboni |
Author | Mary Elizabeth Paulk |
Author | Michael J Balboni |
Author | Andrea C Phelps |
Author | Elizabeth Trice Loggers |
Author | Alexi A Wright |
Author | Susan D Block |
Author | Eldrin F Lewis |
Author | John R Peteet |
Author | Holly Gwen Prigerson |
Abstract | PURPOSE: To determine whether spiritual care from the medical team impacts medical care received and quality of life (QoL) at the end of life (EoL) and to examine these relationships according to patient religious coping. PATIENTS AND METHODS: Prospective, multisite study of patients with advanced cancer from September 2002 through August 2008. We interviewed 343 patients at baseline and observed them (median, 116 days) until death. Spiritual care was defined by patient-rated support of spiritual needs by the medical team and receipt of pastoral care services. The Brief Religious Coping Scale (RCOPE) assessed positive religious coping. EoL outcomes included patient QoL and receipt of hospice and any aggressive care (eg, resuscitation). Analyses were adjusted for potential confounders and repeated according to median-split religious coping. RESULTS: Patients whose spiritual needs were largely or completely supported by the medical team received more hospice care in comparison with those not supported (adjusted odds ratio [AOR] = 3.53; 95% CI, 1.53 to 8.12, P = .003). High religious coping patients whose spiritual needs were largely or completely supported were more likely to receive hospice (AOR = 4.93; 95% CI, 1.64 to 14.80; P = .004) and less likely to receive aggressive care (AOR = 0.18; 95% CI, 0.04 to 0.79; P = .02) in comparison with those not supported. Spiritual support from the medical team and pastoral care visits were associated with higher QOL scores near death (20.0 [95% CI, 18.9 to 21.1] v 17.3 [95% CI, 15.9 to 18.8], P = .007; and 20.4 [95% CI, 19.2 to 21.1] v 17.7 [95% CI, 16.5 to 18.9], P = .003, respectively). CONCLUSION: Support of terminally ill patients' spiritual needs by the medical team is associated with greater hospice utilization and, among high religious copers, less aggressive care at EoL. Spiritual care is associated with better patient QoL near death. |
Publication | Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology |
Volume | 28 |
Issue | 3 |
Pages | 445-452 |
Date | Jan 20, 2010 |
Journal Abbr | J. Clin. Oncol |
DOI | 10.1200/JCO.2009.24.8005 |
ISSN | 1527-7755 |
Short Title | Provision of spiritual care to patients with advanced cancer |
Accessed | Sat Jan 23 22:42:58 2010 |
Library Catalog | NCBI PubMed |
Extra | PMID: 20008625 |
Date Added | Thu Sep 29 09:04:35 2011 |
Modified | Thu Sep 29 09:04:35 2011 |
To determine whether spiritual care from the medical team impacts medical care received and quality of life (QoL) at the end of life (EoL) and to examine these relationships according to patient religious coping.
Type | Journal Article |
---|---|
Author | Tracy Balboni |
Author | Michael Balboni |
Author | M. Elizabeth Paulk |
Author | Andrea Phelps |
Author | Alexi Wright |
Author | John Peteet |
Author | Susan Block |
Author | Chris Lathan |
Author | Tyler VanderWeele |
Author | Holly Prigerson |
Abstract | Objectives 1. Recognize spiritual care as a key domain of palliative care with known implications for patient well-being and medical care intensity at the end of life. 2. Recognize the association of spiritual care with medical care costs at the end of life. 3. Discuss the study design and limitations, and future study directions implicated by the study findings. Background. Spiritual care is associated with better patient well-being and less intensive end-of-life (EOL) medical care. It remains unclear if spiritual care is associated with lower EOL costs, particularly among groups predisposed to receive aggressive care. Research objectives. Determine the relationship of spiritual care to EOL costs. Methods. Prospective, multi-site study of 339 terminal cancer patients accrued September 2002–August 2008 and followed until death. Spiritual care was measured by patients’ reports that the healthcare team supported their religious/spiritual needs. EOL care and costs in the last week were compared among patients whose spiritual needs were well-supported versus those not. Analyses were adjusted for confounders and repeated among racial/ethnic minority and high religious coping patients. Results. In comparison to patients receiving less spiritual care, patients whose religious/spiritual needs were well-supported by clinic staff were more likely to receive a week or more of hospice (54% versus 72.8%; p = 0.01) and less likely to die in an ICU (5.1% versus 1.0%, p = 0.03). Among racial/ethnic minorities and high religious coping patients, those with well-supported R/S needs received less ICU care (11.3% versus 1.2%, p = 0.03 and 13.1% versus 1.6%, p = 0.02), more hospice care (43% versus 75.3%, p = 0.01 and 45.3% versus 73.1%, p = 0.007) and had fewer ICU deaths (11.2% versus 1.2%, p = .03 and 7.7% versus 0.6%, p = .009). EOL costs were lower when clinicians supported patients’ spiritual needs ($4,947 versus $2,833, p = 0.03), particularly among racial/ethnic minorities ($6,533 versus $2,276, p = 0.02) and high religious coping patients ($6,344 versus $,2431, p = 0.005). Conclusion. Cancer patients whose spiritual needs are well-supported by the healthcare team have lower EOL costs, particularly among racial/ethnic minorities and high religious coping patients. Implications for research, policy, or practice. Further research to define spiritual care and spiritual care education are required. |
Publication | Journal of Pain and Symptom Management |
Volume | 41 |
Issue | 1 |
Pages | 243-244 |
Date | January 2011 |
DOI | 10.1016/j.jpainsymman.2010.10.131 |
ISSN | 0885-3924 |
Accessed | Tue Feb 15 19:00:24 2011 |
Library Catalog | ScienceDirect |
Date Added | Thu Sep 29 08:57:52 2011 |
Modified | Thu Sep 29 08:57:52 2011 |
Determine the relationship of spiritual care to end of life costs.
Type | Journal Article |
---|---|
Author | Jacquelyn Banasik |
Author | Holly Williams |
Author | Mel Haberman |
Author | Sally E Blank |
Author | Robert Bendel |
Abstract | In this study of the effect of regular Iyengar yoga practice on measures of self-perceived psychosocial function and diurnal salivary cortisol secretion in stage II-IV breast cancer survivors, women were randomly assigned to attend yoga practice for 90 min twice weekly for 8 weeks (n = 9) or to a wait-listed, noninterventional control group (n = 9). Traditional Iyengar yoga routines that progressively increased in difficulty as participants gained strength and flexibility were used. After 8 weeks, the yoga group had lower morning and 5 p.m. salivary cortisol and improved emotional well-being and fatigue scores. |
Publication | Journal of the American Academy of Nurse Practitioners |
Volume | 23 |
Issue | 3 |
Pages | 135-142 |
Date | Mar 2011 |
Journal Abbr | J Am Acad Nurse Pract |
DOI | 10.1111/j.1745-7599.2010.00573.x |
ISSN | 1745-7599 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/21355946 |
Accessed | Mon Apr 4 19:46:40 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 21355946 |
Date Added | Thu Sep 29 08:56:10 2011 |
Modified | Thu Sep 29 08:56:10 2011 |
This study examines the effect of regular lyengar yoga practice on measures of self-perceived psychosocial function and diurnal salivary cortisol secretion in stage II-IV breast cancer survivors.
Type | Journal Article |
---|---|
Author | N Boscaglia |
Author | D M Clarke |
Author | T W Jobling |
Author | M A Quinn |
Abstract | The objective of this study was to determine whether, after accounting for illness and demographic variables, spiritual involvement and beliefs and positive and negative spiritual coping could account for any of the variation in anxiety and depression among women within 1 year's diagnosis of gynecological cancer (GC). One hundred patients from outpatient GC clinics at two Melbourne-based hospitals completed a brief structured interview and self-report measures of anxiety, depression, spirituality, and spiritual coping. Using two sequential regression analyses, we found that younger women with more advanced disease, who used more negative spiritual coping, had a greater tendency towards depression and that the use of negative spiritual coping was associated with greater anxiety scores. Although not statistically significant, patients with lower levels of generalized spirituality also tended to be more depressed. The site of disease and phase of treatment were not predictive of either anxiety or depression. We conclude that spirituality and spiritual coping are important to women with GC and that health professionals in the area should consider these issues. |
Publication | International Journal of Gynecological Cancer: Official Journal of the International Gynecological Cancer Society |
Volume | 15 |
Issue | 5 |
Pages | 755-761 |
Date | 2005 Sep-Oct |
Journal Abbr | Int. J. Gynecol. Cancer |
DOI | 10.1111/j.1525-1438.2005.00248.x |
ISSN | 1048-891X |
URL | http://www.ncbi.nlm.nih.gov/pubmed/16174220 |
Accessed | Fri Nov 13 15:26:18 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 16174220 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
The objective of this study was to determine whether, after accounting for illness and demographic variables, spiritual involvement and beliefs and positive and negative spiritual coping could account for any of the variation in anxiety and depression among women within 1 year’s diagnosis of gynecological cancer (GC).
Type | Journal Article |
---|---|
Author | Julienne E Bower |
Author | Deborah Garet |
Author | Beth Sternlieb |
Abstract | Approximately one-third of breast cancer survivors experiences persistent fatigue for months or years after successful treatment completion. There is a lack of evidence-based treatments for cancer-related fatigue, particularly among cancer survivors. This single-arm pilot study evaluated the feasibility and preliminary efficacy of a yoga intervention for fatigued breast cancer survivors based on the Iyengar tradition. Iyengar yoga prescribes specific poses for individuals with specific medical problems and conditions; this trial emphasized postures believed to be effective for reducing fatigue among breast cancer survivors, including inversions and backbends performed with the support of props. Twelve women were enrolled in the trial, and 11 completed the full 12-week course of treatment. There was a significant improvement in fatigue scores from pre- to post-intervention that was maintained at the 3-month post-intervention followup. Significant improvements were also observed in measures of physical function, depressed mood, and quality of life. These results support the acceptability of this intervention and suggest that it may have beneficial effects on persistent post-treatment fatigue. However, results require replication in a larger randomized controlled trial. |
Publication | Evidence-Based Complementary and Alternative Medicine: eCAM |
Volume | 2011 |
Pages | 623168 |
Date | 2011 |
Journal Abbr | Evid Based Complement Alternat Med |
DOI | 10.1155/2011/623168 |
ISSN | 1741-4288 |
Short Title | Yoga for persistent fatigue in breast cancer survivors |
Accessed | Sun Feb 13 10:14:00 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 21274288 |
Date Added | Thu Sep 29 08:57:35 2011 |
Modified | Thu Sep 29 08:57:35 2011 |
Approximately one-third of breast cancer survivors experiences persistent fatigue for months or years after successful treatment completion. There is a lack of evidence-based treatments for cancer-related fatigue, particularly among cancer survivors. This single-arm pilot study evaluated the feasibility and preliminary efficacy of a yoga intervention for fatigued breast cancer survivors based on the Iyengar tradition. Iyengar yoga prescribes specific poses for individuals with specific medical problems and conditions; this trial emphasized postures believed to be effective for reducing fatigue among breast cancer survivors, including inversions and backbends performed with the support of props. Twelve women were enrolled in the trial, and 11 completed the full 12-week course of treatment. There was a significant improvement in fatigue scores from pre- to post-intervention that was maintained at the 3-month post-intervention followup. Significant improvements were also observed in measures of physical function, depressed mood, and quality of life. These results support the acceptability of this intervention and suggest that it may have beneficial effects on persistent post-treatment fatigue. However, results require replication in a larger randomized controlled trial.
Type | Journal Article |
---|---|
Author | Janice Bowie |
Author | Kim Dobson Sydnor |
Author | Michal Granot |
Abstract | PURPOSE: To explore the integration of spirituality into medical care for African-American men coping with prostate cancer. PROCEDURES: A total of 14 African-American prostate cancer patients completed a self-administered quantitative survey examining the dimension of spirituality as a resource for coping. FINDINGS: A high proportion of survivors reported a general religious orientation as expressed through church affiliation and frequent church attendance. A majority (67%) had spoken with their doctors about their spiritual and religious beliefs and more than half the physicians had solicited their patients' spiritual beliefs as part of their handling of prostate cancer. While one-third of the men reported their doctors had been in contact with their clergy, two-thirds would like their doctor and clergy to be in contact with one another. CONCLUSIONS: This is a pilot study that incorporated both qualitative and quantitative data collection but with the small sample, has limited generalizability. However, this work does suggest that integrating spirituality and religion into medical care may be beneficial to prostate cancer patients. Physicians and physician organizations should engage in future research in this area. |
Publication | Journal of the National Medical Association |
Volume | 95 |
Issue | 10 |
Pages | 951-954 |
Date | Oct 2003 |
Journal Abbr | J Natl Med Assoc |
ISSN | 0027-9684 |
Short Title | Spirituality and care of prostate cancer patients |
URL | http://www.ncbi.nlm.nih.gov/pubmed/14620707 |
Accessed | Thu Nov 12 23:31:57 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 14620707 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
Purpose: To explore the integration of spirituality into medical care for African-American men coping with prostate cancer. Findings: A high proportion of survivors reported a general religious orientation as expressed through church affiliation and frequent church attendance. While one-third of the men reported their doctors had been in contact with their clergy, two-thirds would like their doctor and clergy to be in contact with one another.
Type | Journal Article |
---|---|
Author | Elizabeth S. Bowman |
Author | James A. Beitman |
Author | Oxana Palesh |
Author | John E. Pérez |
Author | Cheryl Koopman |
Abstract | We evaluated a new measure, the Cancer and Deity Questionnaire (CDQ), which assesses perceived relations with God after a cancer diagnosis. Based on object relations theory, the 12-item CDQ assesses benevolent and abandoning God representations. Sixty-one older participants with recent cancer diagnoses completed the questionnaire at baseline, and 52 of these participants completed the same questionnaire at follow-up. Internal consistency was excellent for the Benevolence scale (agr = .97) and good for the Abandonment scale (agr = .80). Moderate correlations with the Spiritual Well-Being Scale support divergent validity. Correlations between CDQ scales and the Styles of Religious Coping scales support convergent validity. The CDQ is brief, easily scored, practical for psycho-oncology research, and adaptable for use with other illnesses. |
Publication | Journal of Psychosocial Oncology |
Volume | 27 |
Issue | 4 |
Pages | 435-453 |
Date | October 2009 |
DOI | 10.1080/07347330903181913 |
ISSN | 0734-7332 |
Short Title | The Cancer and Deity Questionnaire |
URL | http://www.informaworld.com.ezproxy.bu.edu/10.1080/07347330903181913 |
Accessed | Mon Nov 2 20:23:22 2009 |
Library Catalog | Informaworld |
Date Added | Thu Sep 29 09:05:21 2011 |
Modified | Thu Sep 29 09:05:21 2011 |
We evaluated a new measure, the Cancer and Deity Questionnaire (CDQ), which assesses perceived relations with God after a cancer diagnosis. Based on object relations theory, the 12-item CDQ assesses benevolent and abandoning God representations. Sixty-one older participants with recent cancer diagnoses completed the questionnaire at baseline, and 52 of these participants completed the same questionnaire at follow-up. Internal consistency was excellent for the Benevolence scale (α = .97) and good for the Abandonment scale (α = .80). Moderate correlations with the Spiritual Well-Being Scale support divergent validity. Correlations between CDQ scales and the Styles of Religious Coping scales support convergent validity. The CDQ is brief, easily scored, practical for psycho-oncology research, and adaptable for use with other illnesses.
Type | Journal Article |
---|---|
Author | William Breitbart |
Abstract | Existential and spiritual issues are at the frontier of new clinical and research focus in palliative and supportive care of cancer patients. As concepts of adequate supportive care expand beyond a focus on pain and physical symptom control, existential and spiritual issues such as meaning, hope and spirituality in general have received increased attention from supportive care clinicians and clinical researchers. This paper reviews the topics of spirituality and end-of-life care, defines spirituality, and suggests measures of spirituality that deal with two of its main components: faith/religious beliefs and meaning/spiritual well-being. These two constructs of spirituality are reviewed in terms of their role in supportive care. Finally, a review of existing psychotherapeutic interventions for spiritual suffering are reviewed and a novel meaning-centered group psychotherapy for advanced cancer patients is described. |
Publication | Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer |
Volume | 10 |
Issue | 4 |
Pages | 272-280 |
Date | May 2002 |
Journal Abbr | Support Care Cancer |
DOI | 10.1007/s005200100289 |
ISSN | 0941-4355 |
Short Title | Spirituality and meaning in supportive care |
URL | http://www.ncbi.nlm.nih.gov/pubmed/12029426 |
Accessed | Thu Nov 12 21:37:37 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 12029426 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
This paper reviews the topics of spirituality and end-of-life care, defines spirituality, and suggests measures of spirituality that deal with two of its main components: faith/religious beliefs and meaning/spiritual well-being.
Type | Journal Article |
---|---|
Author | William Breitbart |
Author | Barry Rosenfeld |
Author | Christopher Gibson |
Author | Hayley Pessin |
Author | Shannon Poppito |
Author | Christian Nelson |
Author | Alexis Tomarken |
Author | Anne Kosinski Timm |
Author | Amy Berg |
Author | Colleen Jacobson |
Author | Brooke Sorger |
Author | Jennifer Abbey |
Author | Megan Olden |
Abstract | OBJECTIVES: An increasingly important concern for clinicians who care for patients at the end of life is their spiritual well-being and sense of meaning and purpose in life. In response to the need for short-term interventions to address spiritual well-being, we developed Meaning Centered Group Psychotherapy (MCGP) to help patients with advanced cancer sustain or enhance a sense of meaning, peace and purpose in their lives, even as they approach the end of life. METHODS: Patients with advanced (stage III or IV) solid tumor cancers (N=90) were randomly assigned to either MCGP or a supportive group psychotherapy (SGP). Patients were assessed before and after completing the 8-week intervention, and again 2 months after completion. Outcome assessment included measures of spiritual well-being, meaning, hopelessness, desire for death, optimism/pessimism, anxiety, depression and overall quality of life. RESULTS: MCGP resulted in significantly greater improvements in spiritual well-being and a sense of meaning. Treatment gains were even more substantial (based on effect size estimates) at the second follow-up assessment. Improvements in anxiety and desire for death were also significant (and increased over time). There was no significant improvement on any of these variables for patients participating in SGP. CONCLUSIONS: MCGP appears to be a potentially beneficial intervention for patients' emotional and spiritual suffering at the end of life. Further research, with larger samples, is clearly needed to better understand the potential benefits of this novel intervention. |
Publication | Psycho-Oncology |
Volume | 19 |
Issue | 1 |
Pages | 21-28 |
Date | Jan 2010 |
Journal Abbr | Psychooncology |
DOI | 10.1002/pon.1556 |
ISSN | 1099-1611 |
Short Title | Meaning-centered group psychotherapy for patients with advanced cancer |
Accessed | Sun Jan 24 17:22:37 2010 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19274623 |
Date Added | Thu Sep 29 09:04:02 2011 |
Modified | Thu Sep 29 09:04:02 2011 |
An increasingly important concern for clinicians who care for patients at the end of life is their spiritual well-being and sense of meaning and purpose in life. In response to the need for short-term interventions to address spiritual well-being, the authors developed Meaning Centered Group Psychotherapy (MCGP) to help patients with advanced cancer sustain or enhance a sense of meaning, peace and purpose in their lives, even as they approach the end of life.
Type | Book |
---|---|
Author | Linda E. Carlson |
Author | Michael Speca |
Place | Oakland, Calif. |
Publisher | New Harbinger Publications |
Date | 2011-02-03 |
ISBN | 1572248874 |
Short Title | Mindfulness-Based Cancer Recovery |
Library Catalog | Amazon.com |
Date Added | Thu Sep 29 08:57:14 2011 |
Modified | Thu Sep 29 08:57:14 2011 |
This is a book about the Mindfulness-Based Cancer Recovery program based on mindfulness-based stress reduction (MBSR), a therapeutic combination of mindfulness meditation and gentle yoga now offered to cancer survivors and their loved ones in hundreds of medical centers, hospitals, and clinics worldwide
Type | Journal Article |
---|---|
Author | James W Carson |
Author | Kimberly M Carson |
Author | Laura S Porter |
Author | Francis J Keefe |
Author | Victoria L Seewaldt |
Abstract | GOAL OF WORK: Breast cancer survivors have limited options for the treatment of hot flashes and related symptoms. Further, therapies widely used to prevent recurrence in survivors, such as tamoxifen, tend to induce or exacerbate menopausal symptoms. The aim of this preliminary, randomized controlled trial was to evaluate the effects of a yoga intervention on menopausal symptoms in a sample of survivors of early-stage breast cancer (stages IA-IIB). MATERIALS AND METHODS: Thirty-seven disease-free women experiencing hot flashes were randomized to the 8-week Yoga of Awareness program (gentle yoga poses, meditation, and breathing exercises) or to wait-list control. The primary outcome was daily reports of hot flashes collected at baseline, posttreatment, and 3 months after treatment via an interactive telephone system. Data were analyzed by intention to treat. MAIN RESULTS: At posttreatment, women who received the yoga program showed significantly greater improvements relative to the control condition in hot-flash frequency, severity, and total scores and in levels of joint pain, fatigue, sleep disturbance, symptom-related bother, and vigor. At 3 months follow-up, patients maintained their treatment gains in hot flashes, joint pain, fatigue, symptom-related bother, and vigor and showed additional significant gains in negative mood, relaxation, and acceptance. CONCLUSIONS: This pilot study provides promising support for the beneficial effects of a comprehensive yoga program for hot flashes and other menopausal symptoms in early-stage breast cancer survivors. |
Publication | Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer |
Volume | 17 |
Issue | 10 |
Pages | 1301-1309 |
Date | Oct 2009 |
Journal Abbr | Support Care Cancer |
DOI | 10.1007/s00520-009-0587-5 |
ISSN | 1433-7339 |
Short Title | Yoga of Awareness program for menopausal symptoms in breast cancer survivors |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19214594 |
Accessed | Sat Sep 26 15:29:26 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19214594 |
Date Added | Thu Sep 29 09:04:55 2011 |
Modified | Thu Sep 29 09:04:55 2011 |
Breast cancer survivors have limited options for the treatment of hot flashes and related symptoms. Further, therapies widely used to prevent recurrence in survivors, such as tamoxifen, tend to induce or exacerbate menopausal symptoms. The aim of this preliminary, randomized controlled trial was to evaluate the effects of a yoga intervention on menopausal symptoms in a sample of survivors of early-stage breast cancer (stages IA-IIB).
Type | Journal Article |
---|---|
Author | Kavita D Chandwani |
Author | Bob Thornton |
Author | George H Perkins |
Author | Banu Arun |
Author | N V Raghuram |
Author | H R Nagendra |
Author | Qi Wei |
Author | Lorenzo Cohen |
Abstract | This study examined the effects of yoga on quality of life (QOL) and psychosocial outcomes in women with breast cancer undergoing radiotherapy. Sixty-one women were randomly assigned to either a yoga or a wait-list group. Yoga classes were taught biweekly during the 6 weeks of radiotherapy. Participants completed measures of QOL, fatigue, benefit finding (finding meaning in the cancer experience), intrusive thoughts, sleep disturbances, depressive symptoms, and anxiety before radiotherapy and then again 1 week, 1 month, and 3 months after the end of radiotherapy. General linear model analyses revealed that compared to the control group, the yoga group reported significantly better general health perception (p = .005) and physical functioning scores (p = .04) 1 week postradiotherapy; higher levels of intrusive thoughts 1 month postradiotherapy (p = .01); and greater benefit finding 3 months postradiotherapy (p = .01). There were no other group differences in other QOL subscales for fatigue, depression, or sleep scores. Exploratory analyses indicated that intrusive thoughts 1 month after radiotherapy were significantly positively correlated with benefit finding 3 months after radiotherapy (r = .36, p = .011). Our results indicated that the yoga program was associated with statistically and clinically significant improvements in aspects of QOL. |
Publication | Journal of the Society for Integrative Oncology |
Volume | 8 |
Issue | 2 |
Pages | 43-55 |
Date | 2010 |
Journal Abbr | J Soc Integr Oncol |
ISSN | 1715-894X |
Accessed | Sun Apr 25 17:36:24 2010 |
Library Catalog | NCBI PubMed |
Extra | PMID: 20388445 |
Date Added | Thu Sep 29 09:04:02 2011 |
Modified | Thu Sep 29 09:04:02 2011 |
Type | Journal Article |
---|---|
Author | Ivanka Choumanova |
Author | Stan Wanat |
Author | Ronald Barrett |
Author | Cheryl Koopman |
Abstract | This study examined the roles of religion and spirituality in relation to coping with breast cancer in Chilean women. Specifically, the purpose of the study was to examine how these patients used religion and spirituality to cope with their illness; how their illness changed the roles of religion and spirituality in their lives; and their views regarding whether, and if so how, spiritual faith can help patients recuperate from breast cancer. Twenty-seven women with breast cancer who were patients at a clinic in Santiago, Chile were recruited to participate in one-on-one interviews. The transcribed interviews were analyzed using the "constant comparative method" to seek patterns and organize the content into specific themes. Women viewed religion and spirituality as primary resources for themselves and others to use in coping with breast cancer. Women's use of religion and spirituality was manifested in praying, in their perceived dependence on God to intercede and guide them through their illness, and in obtaining social support from other persons in their faith community. Half (13/26) of the women reported that their cancer prompted an increased emphasis on religion and spirituality in their lives by deepening their faith in God. Almost all (26/27) participants endorsed the belief that spiritual faith can help cancer patients to recuperate. These findings suggest that health care providers working should be aware of the culturally dependent roles that religion and spirituality play in women's coping with breast cancer. |
Publication | The Breast Journal |
Volume | 12 |
Issue | 4 |
Pages | 349-352 |
Date | 2006 Jul-Aug |
Journal Abbr | Breast J |
DOI | 10.1111/j.1075-122X.2006.00274.x |
ISSN | 1075-122X |
Short Title | Religion and spirituality in coping with breast cancer |
URL | http://www.ncbi.nlm.nih.gov/pubmed/16848845 |
Accessed | Fri Nov 13 16:42:09 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 16848845 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
This study examined the roles of religion and spirituality in relation to coping with breast cancer in Chilean women. Specifically, the purpose of the study was to examine how these patients used religion and spirituality to cope with their illness; how their illness changed the roles of religion and spirituality in their lives; and their views regarding whether, and if so how, spiritual faith can help patients recuperate from breast cancer.
Type | Journal Article |
---|---|
Author | Kimberly S. Clay |
Author | Costellia Talley |
Author | Karen B. Young |
Abstract | This descriptive, exploratory study is part of a larger observational study of the quality of cancer care delivered to population-based cohorts of newly diagnosed patients with lung and colorectal cancer. The current study explores the role of spiritual well-being in adjustment to life after the cancer diagnosis, utilizing the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being-Expanded (FACIT-Sp-Ex) Scale. Survey data collected from 304 newly diagnosed cancer survivors were analyzed to explore important aspects of spirituality, such as sense of meaning in one's life, harmony, peacefulness, and a sense of strength and comfort from one's faith. Spiritual well-being scores, particularly meaning/peace, were statistically significant for African Americans, women, and colorectal cancer survivors. These findings amplify a need for oncology social workers and other practitioners to assess spiritual well-being in cancer survivors in an effort to strengthen psychosocial treatment plans. Implications for social work practice and research are discussed. |
Publication | Journal of Religion & Spirituality in Social Work: Social Thought |
Volume | 29 |
Issue | 1 |
Pages | 14-32 |
Date | 2010 |
DOI | 10.1080/15426430903479247 |
ISSN | 1542-6432 |
URL | http://www.informaworld.com/10.1080/15426430903479247 |
Accessed | Tue Jul 27 11:52:40 2010 |
Library Catalog | Informaworld |
Date Added | Thu Sep 29 09:03:23 2011 |
Modified | Thu Sep 29 09:03:23 2011 |
This descriptive, exploratory study is part of a larger observational study of the quality of cancer care delivered to population‐based cohorts of newly diagnosed patients with lung and colorectal cancer. The current study explores the role of spiritual well‐being in adjustment to life after the cancer diagnosis, utilizing the Functional Assessment of Chronic Illness Therapy–Spiritual Well‐Being–Expanded (FACIT‐Sp‐Ex) Scale. Survey data collected from 304 newly diagnosed cancer survivors were analyzed to explore important aspects of spirituality, such as sense of meaning in one's life, harmony, peacefulness, and a sense of strength and comfort from one's faith. Spiritual well‐being scores, particularly meaning/peace, were statistically significant for African Americans, women, and colorectal cancer survivors. These findings amplify a need for oncology social workers and other practitioners to assess spiritual well‐being in cancer survivors in an effort to strengthen psychosocial treatment plans. Implications for social work practice and research are discussed.
Type | Journal Article |
---|---|
Author | Rhonda S Cooper |
Abstract | The case study seeks to describe an oncology chaplain's pastoral relationship with a 64-year-old woman with advanced metastatic breast cancer. The patient's distress was complicated by a history of anxiety and other chronic medical conditions. Approximately 16 pastoral encounters occurred during the last year of the patient's life. The patient, chaplain, and the pastoral conversations are presented as well as a retrospective assessment of them. The chaplain's interventions were appropriate for the patient's spiritual needs, particularly in regard to her fear of death, loneliness, grief that her life was "too short" and estrangement from her inherited faith tradition, with observable benefits for the patient. The oncology chaplain has a distinctive role in the healthcare team as one who can meet the patient at the point of their spiritual need, provide appropriate interventions and, thereby, ameliorate the distress, particularly in regard to death anxiety, peace of mind, and issues of meaning. |
Publication | Journal of Health Care Chaplaincy |
Volume | 17 |
Issue | 1 |
Pages | 19-37 |
Date | Jan 2011 |
Journal Abbr | J Health Care Chaplain |
DOI | 10.1080/08854726.2011.559832 |
ISSN | 1528-6916 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/21534064 |
Accessed | Wed Jun 8 18:55:06 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 21534064 |
Date Added | Thu Sep 29 08:55:16 2011 |
Modified | Thu Sep 29 08:55:16 2011 |
The case study seeks to describe an oncology chaplain's pastoral relationship with a 64-year-old woman with advanced metastatic breast cancer. The patient's distress was complicated by a history of anxiety and other chronic medical conditions. Approximately 16 pastoral encounters occurred during the last year of the patient's life. The patient, chaplain, and the pastoral conversations are presented as well as a retrospective assessment of them. The chaplain's interventions were appropriate for the patient's spiritual needs, particularly in regard to her fear of death, loneliness, grief that her life was "too short" and estrangement from her inherited faith tradition, with observable benefits for the patient. The oncology chaplain has a distinctive role in the healthcare team as one who can meet the patient at the point of their spiritual need, provide appropriate interventions and, thereby, ameliorate the distress, particularly in regard to death anxiety, peace of mind, and issues of meaning.
Type | Journal Article |
---|---|
Author | Jacquelyn N. Crane |
Abstract | Numerous sound scientific studies (cross-sectional and longitudinal) have found a positive correlation between religion and physical and mental health. In particular, there is evidence that demonstrates that religion helps cancer patients better adjust to and cope with their disease, at least psychologically. However, some research suggests that mediating factors associated with religion may explain the positive effects of religion on health. This article argues that even if this is the case, there is still intrinsic value to religion in that the mediators themselves are strongly connected to religion, and therefore religion is important to the patient in terms of coping, support, hope, and meaning. This has possible important implications for clinical practice. |
Publication | Journal of Psychosocial Oncology |
Volume | 27 |
Issue | 4 |
Pages | 469-486 |
Date | October 2009 |
DOI | 10.1080/07347330903182010 |
ISSN | 0734-7332 |
Short Title | Religion and Cancer |
URL | http://www.informaworld.com.ezproxy.bu.edu/10.1080/07347330903182010 |
Accessed | Mon Nov 2 20:20:36 2009 |
Library Catalog | Informaworld |
Date Added | Thu Sep 29 09:04:55 2011 |
Modified | Thu Sep 29 09:04:55 2011 |
Numerous sound scientific studies (cross-sectional and longitudinal) have found a positive correlation between religion and physical and mental health. In particular, there is evidence that demonstrates that religion helps cancer patients better adjust to and cope with their disease, at least psychologically. However, some research suggests that mediating factors associated with religion may explain the positive effects of religion on health. This article argues that even if this is the case, there is still intrinsic value to religion in that the mediators themselves are strongly connected to religion, and therefore religion is important to the patient in terms of coping, support, hope, and meaning. This has possible important implications for clinical practice.
Type | Journal Article |
---|---|
Author | Suzanne C Danhauer |
Author | Shannon L Mihalko |
Author | Gregory B Russell |
Author | Cassie R Campbell |
Author | Lynn Felder |
Author | Kristin Daley |
Author | Edward A Levine |
Abstract | OBJECTIVES: Restorative yoga (RY) is a gentle type of yoga that may be beneficial for cancer patients and post-treatment survivors. Study goals were: to determine the feasibility of implementing a RY intervention for women with breast cancer; and to examine group differences in self-reported emotional, health-related quality of life, and symptom outcomes. METHODS: Women with breast cancer (n=44; mean age 55.8 years) enrolled in this study; 34% were actively undergoing cancer treatment. Study participants were randomized to the intervention (10 weekly 75-minute RY classes) or a waitlist control group. Participants completed questionnaires at Week 0 (baseline) and Week 10 (immediately post-intervention for the yoga group). RESULTS: Group differences favoring the yoga group were seen for mental health, depression, positive affect, and spirituality (peace/meaning). Significant baseline*group interactions were observed for negative affect and emotional well-being. Women with higher negative affect and lower emotional well-being at baseline derived greater benefit from the yoga intervention compared to those with similar values at baseline in the control group. The yoga group demonstrated a significant within-group improvement in fatigue; no significant difference was noted for the control group. CONCLUSIONS: Although limited by sample size, these pilot data suggest potential benefit of RY on emotional outcomes and fatigue in cancer patients. This study demonstrates that a RY intervention is feasible for women with breast cancer; implications for study design and implementation are noted with an emphasis on program adoption and participant adherence. |
Publication | Psycho-Oncology |
Volume | 18 |
Issue | 4 |
Pages | 360-368 |
Date | Apr 2009 |
Journal Abbr | Psychooncology |
DOI | 10.1002/pon.1503 |
ISSN | 1099-1611 |
Short Title | Restorative yoga for women with breast cancer |
Accessed | Tue Feb 22 19:47:07 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19242916 |
Date Added | Thu Sep 29 09:06:18 2011 |
Modified | Thu Sep 29 09:06:18 2011 |
Study goals of this study were to determine the feasibility of implementing a RY intervention for women with breast cancer; and to examine group differences in self-reported emotional, health-related quality of life, and symptom outcomes.
Type | Journal Article |
---|---|
Author | Marvin O. Delgado-Guay |
Author | David Hui |
Author | Henrique A. Parsons |
Author | Kathy Govan |
Author | Maxine De la Cruz |
Author | Steven Thorney |
Author | Eduardo Bruera |
Abstract | <p>Context<br/>Spirituality, religiosity, and spiritual pain may affect advanced cancer patients' symptom expression, coping strategies, and quality of life.Objectives<br/>To examine the prevalence and intensity of spirituality, religiosity, and spiritual pain, and how spiritual pain was associated with symptom expression, coping, and spiritual quality of life.Methods<br/>We interviewed 100 advanced cancer patients at the M.D. Anderson palliative care outpatient clinic in Houston, TX. Self-rated spirituality, religiosity, and spiritual pain were assessed using numeric rating scales (0 = lowest, 10 = highest). Patients also completed validated questionnaires assessing symptoms (Edmonton Symptom Assessment Scale [ESAS] and Hospital Anxiety and Depression Scale), coping (Brief COPE and Brief R-COPE), the value attributed by the patient to spirituality/religiosity in coping with cancer (Systems of Belief Inventory-15R), and spiritual quality of life (Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being-Expanded [FACIT-Sp-Ex]).Results<br/>The median age was 53 years (range 21-85) and 88% were Christians. Almost all patients considered themselves spiritual (98%) and religious (98%), with a median intensity of 9 (interquartile range 7-10) of 10 and 9 (range 5-10) of 10, respectively. Spiritual pain was reported in 40 (44%) of 91 patients, with a median score of 3 (1-6) among those with spiritual pain. Spiritual pain was significantly associated with lower self-perceived religiosity (7 vs. 10, P = 0.002) and spiritual quality of life (FACIT-Sp-Ex 68 vs. 81, P = 0.001). Patients with spiritual pain reported that it contributed adversely to their physical/emotional symptoms (P < 0.001). There was a trend toward increased depression, anxiety, anorexia, and drowsiness, as measured by the ESAS, among patients with spiritual pain (P < 0.05), although this was not significant after Bonferroni correction.Conclusion<br/>A vast majority of advanced cancer patients receiving palliative care considered themselves spiritual and religious. Spiritual pain was common and was associated with lower self-perceived religiosity and spiritual quality of life.</p> |
Publication | Journal of Pain and Symptom Management |
Volume | 41 |
Issue | 6 |
Pages | 986-994 |
Date | June 2011 |
DOI | 16/j.jpainsymman.2010.09.017 |
ISSN | 0885-3924 |
URL | http://www.sciencedirect.com/science/article/pii/S0885392411000200 |
Accessed | Wed Jul 13 19:02:37 2011 |
Library Catalog | ScienceDirect |
Date Added | Thu Sep 29 08:54:25 2011 |
Modified | Thu Sep 29 08:54:25 2011 |
Spirituality, religiosity, and spiritual pain may affect advanced cancer patients’ symptom expression, coping strategies, and quality of life.The object of this study was to examine the prevalence and intensity of spirituality, religiosity, and spiritual pain, and how spiritual pain was associated with symptom expression, coping, and spiritual quality of life.
Type | Journal Article |
---|---|
Author | Krupali Desai |
Author | Marjorie A. Bowman |
Author | Mary Lou Galantino |
Author | Chanita Hughes-Halbert |
Author | Neha Vapiwala |
Author | Angela DeMichele |
Author | Jun J. Mao |
Abstract | Objective Emerging research suggests that yoga may be beneficial for reducing symptoms and improving quality of life among breast cancer patients. However, very little is known about the characteristics of breast cancer patients who use yoga; thus, this study seeks to identify the sociodemographic and clinical characteristics of yoga users among this population.Design A cross-sectional survey study was conducted.Setting The study was conducted at an outpatient breast oncology clinic at a large university hospital.Participants Three hundred postmenopausal breast cancer patients currently receiving aromatase inhibitors were included in this study.Main outcome measurement Self-reported use of yoga following the cancer diagnosis was collected along with sociodemographic and clinical data. Multivariate logistic regression was used to identify independent predictors of yoga use among breast cancer patients.Results Of 300 participants, 53 (17.7%) reported having used yoga following cancer diagnosis. White patients were significantly more likely to use yoga than nonwhite patients (P = .02). Higher education level, lower BMI (body mass index), part-time employment status, previous chemotherapy, and radiation therapy were all associated with greater yoga use (all P < .05). Controlling for other factors, greater yoga use was independently associated with higher education level (adjusted odds ratio [AOR] 2.72, 95% confidence interval [CI], 1.15-6.46), and lower BMI (AOR 0.25, 95% CI, 0.09-0.66).Conclusion Yoga use following breast cancer diagnosis was substantially higher for white patients and those with lower BMI and higher education levels. Considering its potential benefits for symptom management in cancer, more research is needed to understand the attitudes and barriers to yoga use among individuals with nonwhite race, lower education, and higher BMI level. Such investigation will help design yoga programs that are aligned to the needs of these populations. |
Publication | EXPLORE: The Journal of Science and Healing |
Volume | 6 |
Issue | 6 |
Pages | 359-363 |
Date | November |
DOI | 10.1016/j.explore.2010.08.002 |
ISSN | 1550-8307 |
URL | http://www.sciencedirect.com/science/article/B7MF9-51BY623-8/2/82c6a90f180d89bb3b0e06d1e07a70b5 |
Accessed | Mon Dec 13 20:35:30 2010 |
Date Added | Thu Sep 29 08:59:00 2011 |
Modified | Thu Sep 29 08:59:00 2011 |
Emerging research suggests that yoga may be beneficial for reducing symptoms and improving quality of life among breast cancer patients. However, very little is known about the characteristics of breast cancer patients who use yoga; thus, this study seeks to identify the sociodemographic and clinical characteristics of yoga users among this population.
Type | Journal Article |
---|---|
Author | M D Duncan |
Author | A Leis |
Author | J W Taylor-Brown |
Abstract | BACKGROUND: Individuals have increasingly sought complementary therapies to enhance health and well-being during cancer, although little evidence of their effect is available. OBJECTIVES: We investigated how an Iyengar yoga program affects the self-identified worst symptom in a group of participants. whether quality of life, spiritual well-being, and mood disturbance change over the Iyengar yoga program and at 6 weeks after the program. how, from a participant's perspective, the Iyengar yoga program complements conventional cancer treatment. PATIENTS AND METHODS: This pre-post instrumental collective case study used a mixed methods design and was conducted at a private Iyengar yoga studio. The sample consisted of 24 volunteers (23 women, 1 man; 88% Caucasian; mean age: 49 years) who were currently on treatment or who had been treated for cancer within the previous 6 months, and who participated in ten 90-minute weekly Iyengar yoga classes. The main outcome measures were most-bothersome symptom (Measure Your Medical Outcome Profile 2 instrument), quality of life and spiritual well-being (Functional Assessment of Chronic Illness Therapy-General subscale and Spiritual subscale), and mood disturbance (Profile of Mood States-Short Form). Participant perspectives were obtained in qualitative interviews. RESULTS: Statistically significant improvements were reported in most-bothersome symptom (t((23)) = 5.242; p < 0.001), quality of life (F((2,46)) = 14.5; p < 0.001), spiritual well-being (F((2,46)) = 14.4; p < 0.001), and mood disturbance (F((2,46)) = 10.8; p < 0.001) during the program. At follow-up, quality of life (t((21)) = -3.7; p = 0.001) and mood disturbance (t((21)) = 2.4; p = 0.025) significantly improved over time. Categorical aggregation of the interview data showed that participants felt the program provided them with various benefits not included on the outcomes questionnaires. CONCLUSIONS: Over the course of the Iyengar Yoga for Cancer program, participants reported an improvement in overall well-being. The program was also found to present participants with a holistic approach to care and to provide tools to effectively manage the demands of living with cancer and its treatment. |
Publication | Current Oncology (Toronto, Ont.) |
Volume | 15 Suppl 2 |
Pages | s109.es72-78 |
Date | Aug 2008 |
Journal Abbr | Curr Oncol |
ISSN | 1198-0052 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/18769575 |
Accessed | Mon Nov 9 00:42:45 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 18769575 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
Objectives We investigated how an Iyengar yoga program affects the self-identified worst symptom in a group of participants. whether quality of life, spiritual well-being, and mood disturbance change over the Iyengar yoga program and at 6 weeks after the program. Conclusions: Over the course of the Iyengar Yoga for Cancer program, participants reported an improvement in overall well-being.
Type | Journal Article |
---|---|
Author | Jeffrey W. Dwyer |
Author | Leslie L. Clarke |
Author | Michael K. Miller |
Abstract | Previous research has documented lower cancer mortality rates among religious groups characterized by doctrinal orthodoxy and behavioral conformity. In addition, there is evidence that the general population in an area with a high concentration of religious participants may experience health benefits resulting from diminished exposure to or increased social disapproval of behaviors related to cancer mortality. This research examines the effect of religious concentration and denominational affiliation on county cancer mortality rates. Our findings suggest that religion has a significant impact on mortality rates for all malignancies combined, for digestive cancer, and for respiratory cancer when we control for demographic, environmental, and regional factors known to affect cancer mortality. These results provide new insight into the relationship between religion and health at the macro or community level and suggest that the influence of religion on social structure warrants further attention. |
Publication | Journal of Health and Social Behavior |
Volume | 31 |
Issue | 2 |
Pages | 185-202 |
Date | Jun., 1990 |
ISSN | 00221465 |
URL | http://www.jstor.org.ezproxy.bu.edu/stable/2137172 |
Accessed | Fri Sep 25 12:09:51 2009 |
Library Catalog | JSTOR |
Extra | ArticleType: primary_article / Full publication date: Jun., 1990 / Copyright © 1990 American Sociological Association |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
Our findings suggest that religion has a significant impact on mortality rates for all malignancies combined, for digestive cancer, and for respiratory cancer when we control for demographic, environmental, and regional factors known to affect cancer mortality.
Type | Journal Article |
---|---|
Author | Donald Edmondson |
Author | Crystal L Park |
Author | Thomas O Blank |
Author | Juliane R Fenster |
Author | Mary Alice Mills |
Abstract | We demonstrate the utility of partitioning the spiritual well-being (SpWB) construct into spiritual and religious components using results from a study of the relationship of existential well-being to health-related quality of life (HRQOL) in a sample of 237 cancer survivors. Existential and religious well-being were measured using the FACIT-Sp-12 and HRQOL was measured using the mental and physical component scores of the SF-12. In hierarchical linear regression analyses, existential well-being fully mediated religious well-being's effect on HRQOL and explained unique variance in both the mental and physical HRQOL domains, controlling for demographic, disease, and psychosocial variables previously shown to impact HRQOL. Religious well-being was not predictive of HRQOL. |
Publication | Psycho-Oncology |
Volume | 17 |
Issue | 2 |
Pages | 161-169 |
Date | Feb 2008 |
Journal Abbr | Psychooncology |
DOI | 10.1002/pon.1197 |
ISSN | 1057-9249 |
Short Title | Deconstructing spiritual well-being |
URL | http://www.ncbi.nlm.nih.gov/pubmed/17506077 |
Accessed | Fri Nov 13 17:43:37 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 17506077 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
We demonstrate the utility of partitioning the spiritual well-being (SpWB) construct into spiritual and religious components using results from a study of the relationship of existential well-being to health-related quality of life (HRQOL) in a sample of 237 cancer survivors.
Type | Journal Article |
---|---|
Author | Megan Eide |
Author | Ann Milliken Pederson |
Abstract | To write about the disease of breast cancer from both scientific and spiritual perspectives is to reflect upon our genetic and spiritual ancestry. We examine the issues involved in breast cancer at the intersections of spirituality, technology, and science, using the fundamental thing we know about being human: our bodies. Our goal in this essay is to offer close readings of women's spiritual and bodily journeys through the disease of breast cancer. We have discovered that both illness and health come within the stories of particular people and particular disciplines. And to learn more about breast cancer, both scientific and spiritual aspects, one must be attentive to such particularities. Medicine and religion are bodily experiences, and being a body-self is what it means to be human. |
Publication | Zygon |
Volume | 44 |
Issue | 1 |
Pages | 85-96 |
Date | 2009 |
DOI | 10.1111/j.1467-9744.2009.00987.x |
Short Title | God, Disease, and Spiritual Dilemmas |
URL | http://dx.doi.org/10.1111/j.1467-9744.2009.00987.x |
Accessed | Mon Aug 17 18:42:30 2009 |
Library Catalog | Wiley InterScience |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
Our goal in this essay is to offer close readings of women’s spiritual and bodily journeys through the disease of breast cancer.
Type | Journal Article |
---|---|
Author | Ronald C. Eldridge |
Author | Susan M. Orsillo |
Author | Christina C. Newton |
Author | Michael Goodman |
Author | Alpa V. Patel |
Author | Eric J. Jacobs |
Abstract | BACKGROUND An association between Jewish ethnicity and pancreatic cancer risk was suggested by analyses comparing pancreatic cancer mortality rates between Jews and non-Jews in New York in the 1950s. These analyses lacked information on potential confounding factors and the association between Jewish ethnicity and pancreatic cancer has not been examined in any contemporary U.S. population or in any cohort study. METHODS We examined the association between Jewish ethnicity and pancreatic cancer mortality among approximately 1 million participants in the Cancer Prevention Study II cohort. Participants completed a questionnaire at enrollment in 1982 which included information on religion, smoking, obesity, and diabetes. During follow-up through 2006, there were 6,727 pancreatic cancer deaths, including 480 among Jewish participants. Proportional hazards modeling was used to calculate multivariable rate ratios (RR). RESULTS After adjusting for age, sex, smoking, body mass index, and diabetes, pancreatic cancer mortality was higher among Jewish participants than among non-Jewish whites (RR = 1.43; 95% CI, 1.30-1.57). In analyses by birthplace, RRs were 1.59 (95% CI, 1.31-1.93) for North American-born Jews with North American-born parents, 1.43 (95% CI, 1.27-1.61) for North American-born Jews with 1 or more parents born outside North America, and 1.03 (0.73, 1.44) for Jews born outside North America (P(heterogeneity) = 0.07). CONCLUSIONS These results support a higher risk of developing pancreatic cancer among U.S. Jews that is not explained by established risk factors. Impact: Future studies may clarify the role of specific environmental or genetic factors responsible for higher risk among U.S. Jews. Cancer Epidemiol Biomarkers Prev; 20(4); 691-8. ©2011 AACR. |
Publication | Cancer Epidemiology, Biomarkers & Prevention |
Volume | 20 |
Issue | 4 |
Pages | 691-698 |
Date | Apr 2011 |
Journal Abbr | Cancer Epidemiol. Biomarkers Prev |
DOI | 10.1158/1055-9965.EPI-10-1196 |
ISSN | 1538-7755 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/21278327 |
Accessed | Mon May 9 19:02:13 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 21278327 |
Date Added | Thu Sep 29 08:55:31 2011 |
Modified | Thu Sep 29 08:55:31 2011 |
A study to examine the association between Jewish ethnicity and pancreatic cancer mortality among approximately 1 million participants in the Cancer Prevention Study II cohort. Participants completed a questionnaire at enrollment in 1982 which included information on religion, smoking, obesity, and diabetes. During follow-up through 2006, there were 6,727 pancreatic cancer deaths, including 480 among Jewish participants. Proportional hazards modeling was used to calculate multivariable rate ratios (RR).
Type | Journal Article |
---|---|
Author | Gary Elkins |
Author | William Fisher |
Author | Aimee Johnson |
Abstract | There is growing interest in mind-body therapies as adjuncts to mainstream cancer treatment, and an increasing number of patients turn to these interventions for the control of emotional stress associated with cancer. Increased research funding has enabled many such interventions to be evaluated for their efficacy, including studies of mind-body interventions to reduce pain, anxiety, insomnia, anticipatory, and treatment-related nauseas, hot flashes, and improved mood. Mind-body treatments evaluated for their utility in oncology include relaxation therapies, biofeedback, meditation and hypnosis, yoga, art and music therapy, tai chi, and qigong. Although studies are not always methodologically sound and results mixed, a growing number of well-designed studies provide convincing evidence that mind-body techniques are beneficial adjuncts to cancer treatment. The evidence is sufficient to recommend further investigation and adoption of these techniques in mainstream oncology care. |
Publication | Current Treatment Options in Oncology |
Volume | 11 |
Issue | 3-4 |
Pages | 128-140 |
Date | Dec 2010 |
Journal Abbr | Curr Treat Options Oncol |
DOI | 10.1007/s11864-010-0129-x |
ISSN | 1534-6277 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/21116746 |
Accessed | Tue Jan 18 18:58:52 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 21116746 |
Date Added | Thu Sep 29 08:58:27 2011 |
Modified | Thu Sep 29 08:58:27 2011 |
There is growing interest in mind-body therapies as adjuncts to mainstream cancer treatment, and an increasing number of patients turn to these interventions for the control of emotional stress associated with cancer. Increased research funding has enabled many such interventions to be evaluated for their efficacy, including studies of mind-body interventions to reduce pain, anxiety, insomnia, anticipatory, and treatment-related nauseas, hot flashes, and improved mood. Mind-body treatments evaluated for their utility in oncology include relaxation therapies, biofeedback, meditation and hypnosis, yoga, art and music therapy, tai chi, and qigong. Although studies are not always methodologically sound and results mixed, a growing number of well-designed studies provide convincing evidence that mind-body techniques are beneficial adjuncts to cancer treatment. The evidence is sufficient to recommend further investigation and adoption of these techniques in mainstream oncology care.
Type | Journal Article |
---|---|
Author | James E. Enstrom |
Abstract | Preliminary results show that the 1970-72 cancer mortality rate among California Mormon adults is about one-half to three-fourths that of the general California population for most cancer sites, including many sites with an unclear etiology. Furthermore, the cancer death rate in the predominately Mormon state of Utah is about two-thirds to three-fourths of the United States rate, and the lowest in the entire country. Mormons are a large, health-conscious religious group whose Church doctrine forbids the use of tobacco, alcohol, coffee, and tea, and recommends a nutritious diet. Initial indications are that Mormons as a whole smoke and drink about half as much as the general population, and that active Mormons abstain almost completely from tobacco and alcohol. However, they appear to be fairly similar to the general white population in other respects, such as socioeconomic status and urbanization. The significance of these findings is discussed. |
Publication | Cancer |
Volume | 36 |
Issue | 3 |
Pages | 825-841 |
Date | 1975 |
DOI | 10.1002/1097-0142(197509)36:3<825::AID-CNCR2820360302>3.0.CO;2-Q |
URL | http://dx.doi.org/10.1002/1097-0142(197509)36:3<825::AID-CNCR2820360302>3.0.CO;2-Q |
Accessed | Fri Oct 30 22:50:32 2009 |
Library Catalog | Wiley InterScience |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
The 1970-72 cancer mortality rate among California Mormon adults is about one-half to three-fourths that of the general California population for most cancer sites. Furthermore, the cancer death rate in the predominately Mormon state of Utah is the lowest in the entire country. Mormons are a large, health-conscious religious group whose Church doctrine forbids the use of tobacco, alcohol, coffee, and tea, and recommends a nutritious diet.
Type | Journal Article |
---|---|
Author | Elizabeth Foley |
Author | Andrew Baillie |
Author | Malcolm Huxter |
Author | Melanie Price |
Author | Emma Sinclair |
Abstract | OBJECTIVE: This study evaluated the effectiveness of mindfulness-based cognitive therapy (MBCT) for individuals with a diagnosis of cancer. METHOD: Participants (N = 115) diagnosed with cancer, across site and stage, were randomly allocated to either the treatment or the wait-list condition. Treatment was conducted at 1 site, by a single therapist, and involved participation in 8 weekly 2-hr sessions that focused on mindfulness. Participants meditated for up to 1 hr daily and attended an additional full-day session during the course. Participants were assessed before treatment and 10 weeks later; this second assessment occurred immediately after completion of the program for the treatment condition. The treatment condition was also assessed at 3 months postintervention. All postinitial assessments were completed by assessors who were blind to treatment allocation. RESULTS: There were large and significant improvements in mindfulness (effect size [ES] = 0.55), depression (ES = 0.83), anxiety (ES = 0.59), and distress (ES = 0.53) as well as a trend for quality of life (ES = 0.30) for MBCT participants compared to those who had not received the training. The wait-list group was assessed before and after receiving the intervention and demonstrated similar change. CONCLUSIONS: These improvements represent clinically meaningful change and provide evidence for the provision of MBCT within oncology settings. |
Publication | Journal of Consulting and Clinical Psychology |
Volume | 78 |
Issue | 1 |
Pages | 72-79 |
Date | Feb 2010 |
Journal Abbr | J Consult Clin Psychol |
DOI | 10.1037/a0017566 |
ISSN | 1939-2117 |
Short Title | Mindfulness-based cognitive therapy for individuals whose lives have been affected by cancer |
Accessed | Sat Feb 20 12:14:52 2010 |
Library Catalog | NCBI PubMed |
Extra | PMID: 20099952 |
Date Added | Thu Sep 29 09:04:02 2011 |
Modified | Thu Sep 29 09:04:02 2011 |
This study evaluated the effectiveness of mindfulness-based cognitive therapy (MBCT) for individuals with a diagnosis of cancer.
Type | Journal Article |
---|---|
Author | Sarah A. Fox |
Author | Kathryn Pitkin |
Author | Christopher Paul |
Author | Sally Carson |
Author | Naihua Duan |
Abstract | Little is known about the health behaviors of church attendees. This article reviewed telephone interview data of 1,517 women who were church members from 45 churches located in Los Angeles County to determine their breast cancer screening status and to identify the key predictors of screening. Almost all of this sample (96%) reported attending church at least once a month. Key predictors of screening included physician-patient communication, ethnic background, and having medical insurance. Although church-related predictors were not significantly related to screening adherence, the authors compared community-based screening rates from another sample to their sample rates and found that, when controlling for income and education, church members fared better on mammography screening than women who were community residents. This finding suggests that frequent church attendance contributes to better mammography screening status and that the relationship between religious involvement and health behaviors needs further explanation. |
Publication | Health Educ Behav |
Volume | 25 |
Issue | 6 |
Pages | 742-758 |
Date | December 1, 1998 |
DOI | 10.1177/109019819802500605 |
Short Title | Breast Cancer Screening Adherence |
URL | http://heb.sagepub.com/cgi/content/abstract/25/6/742 |
Accessed | Fri Oct 30 15:09:00 2009 |
Library Catalog | Sage Journals Online |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
This article reviewed telephone interview data of 1,517 women who were church members from 45 churches located in Los Angeles County to determine their breast cancer screening status and to identify the key predictors of screening.
Type | Journal Article |
---|---|
Author | Terry Lynn Gall |
Abstract | This study explored the role of relationship with God with respect to the quality of life of men with prostate cancer. Thirty-four men with prostate cancer completed questionnaires on demographic and illness factors, aspects of relationship with God (e.g., God image), nonreligious resources (e.g., optimism) and physical, social and emotion functioning. Results showed that relationship with God was a significant factor in the prediction of role, emotional and social functioning for these men after controlling for age, reported severity of treatment reactions and nonreligious resources. Notably, different aspects of relationship with God (e.g., causal attribution) evidenced different associations with functioning and the nonreligious resource of perceived health control. Such results suggest that relationship with God may function in a complex manner as a resource in coping with prostate cancer. Longitudinal research is needed to clarify the role of religious/spiritual resources in the short- and long-term quality of life of men with prostate cancer. |
Publication | Quality of Life Research |
Volume | 13 |
Issue | 8 |
Pages | 1357-1368 |
Date | Oct., 2004 |
ISSN | 09629343 |
URL | http://www.jstor.org.ezproxy.bu.edu/stable/4038209 |
Accessed | Fri Sep 25 13:11:20 2009 |
Library Catalog | JSTOR |
Extra | ArticleType: primary_article / Full publication date: Oct., 2004 / Copyright © 2004 Springer |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
This study explored the role of relationship with God with respect to the quality of life of men with prostate cancer. Notably, different aspects of relationship with God (e.g., causal attribution) evidenced different associations with functioning and the nonreligious resource of perceived health control.
Type | Journal Article |
---|---|
Author | Terry Lynn Gall |
Author | Manal Guirguis-Younger |
Author | Claire Charbonneau |
Author | Peggy Florack |
Abstract | OBJECTIVES: This study investigates the mobilization of religious coping in women's response to breast cancer. METHODS: Ninety-three breast cancer patients and 160 women with a benign diagnosis participated. Breast cancer patients were assessed on their use of religious coping strategies and their level of emotional distress and well-being at pre-diagnosis, 1 week pre-surgery, and 1 month, 6 months, 1 year, and 2 years post-surgery. RESULTS: In general, breast cancer patients used religious strategies more frequently than women with a benign diagnosis; however, the patterns of use were similar across time for the majority of strategies. Results showed that religious coping strategies are mobilized early on in the process of adjustment to breast cancer. Breast cancer patients' use of support or comfort-related strategies peaked around surgery and then declined, while the use of strategies that reflected more a process of meaning-making remained elevated or increased into the long-term. Positive and negative forms of religious coping were predictive of concurrent distress and emotional well-being. As well, there was evidence that the mobilization of religious coping was predictive of changes in distress and well-being across time. For example, women's increased use of active surrender coping from 1 to 6 months post-surgery was related to a concomitant decrease in emotional distress and increase in emotional well-being. CONCLUSIONS: Notably the nature of the relationship between religious coping and emotional adjustment depended on the type of religious coping strategy as well as the specific time of assessment. Specificity of information in the use of religious coping can allow health-care professionals to better identify resources and address potential points of difficulty during the process of women's adjustment to breast cancer. |
Publication | Psycho-Oncology |
Volume | 18 |
Issue | 11 |
Pages | 1165-1178 |
Date | Nov 2009 |
Journal Abbr | Psychooncology |
DOI | 10.1002/pon.1495 |
ISSN | 1099-1611 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19214984 |
Accessed | Mon Nov 23 20:17:17 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19214984 |
Date Added | Thu Sep 29 09:04:55 2011 |
Modified | Thu Sep 29 09:04:55 2011 |
This study investigates the mobilization of religious coping in women's response to breast cancer. Ninety-three breast cancer patients and 160 women with a benign diagnosis participated. Breast cancer patients were assessed on their use of religious coping strategies and their level of emotional distress and well-being at pre-diagnosis, 1 week pre-surgery, and 1 month, 6 months, 1 year, and 2 years post-surgery.
Type | Journal Article |
---|---|
Author | Terry Lynn Gall |
Author | Elizabeth Kristjansson |
Author | Claire Charbonneau |
Author | Peggy Florack |
Abstract | This longitudinal study addressed the role of spirituality in women's response to breast cancer. Ninety-three women diagnosed with breast cancer were assessed on various measures of image of God, positive attitude, social well-being and emotional distress at pre-diagnosis, 6 months post-surgery and 1 year post-surgery. As compared to women who dropped out of the study, this sample reported religion to be less important in their daily lives. Path analyses showed evidence of direct and indirect effects of positive and negative images of God on emotional distress in cross-sectional but not longitudinal data. A positive image of God was related to greater concurrent distress while a negative image of God was indirectly related to greater distress through the pathways of social well-being and positive attitude. In the longitudinal path model, a pre-diagnosis measure of religious salience was the only aspect of spirituality that predicted an increase in distress at 1 year post-surgery. The cross-sectional analyses provided limited support for the "religious/spiritual mobilization" hypothesis as put forth by Pargament (The psychology of religion and coping. New York: Guilford Press, 1997). There was also limited support for the mediator variables of positive attitude and social well-being as mechanisms through which spirituality influences adjustment. Finally, there was no support that spirituality acted in a protective manner rather the negative elements of spirituality were more prominent in relation to various aspects of women's adjustment to breast cancer. Such results suggest that women who were less spiritually/religiously involved prior to the onset of breast cancer and who attempt to mobilize these resources under the stress of diagnosis may experience a negative process of spiritual struggle and doubt that, in turn, has implications for their long-term adjustment. |
Publication | Journal of Behavioral Medicine |
Volume | 32 |
Issue | 2 |
Pages | 174-186 |
Date | Apr 2009 |
Journal Abbr | J Behav Med |
DOI | 10.1007/s10865-008-9182-3 |
ISSN | 1573-3521 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18982441 |
Accessed | Mon Mar 28 18:23:36 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 18982441 |
Date Added | Thu Sep 29 09:06:18 2011 |
Modified | Thu Sep 29 09:06:18 2011 |
This longitudinal study addressed the role of spirituality in women's response to breast cancer. Ninety-three women diagnosed with breast cancer were assessed on various measures of image of God, positive attitude, social well-being and emotional distress at pre-diagnosis, 6 months post-surgery and 1 year post-surgery. As compared to women who dropped out of the study, this sample reported religion to be less important in their daily lives. Path analyses showed evidence of direct and indirect effects of positive and negative images of God on emotional distress in cross-sectional but not longitudinal data. A positive image of God was related to greater concurrent distress while a negative image of God was indirectly related to greater distress through the pathways of social well-being and positive attitude. In the longitudinal path model, a pre-diagnosis measure of religious salience was the only aspect of spirituality that predicted an increase in distress at 1 year post-surgery. The cross-sectional analyses provided limited support for the "religious/spiritual mobilization" hypothesis as put forth by Pargament (The psychology of religion and coping. New York: Guilford Press, 1997). There was also limited support for the mediator variables of positive attitude and social well-being as mechanisms through which spirituality influences adjustment. Finally, there was no support that spirituality acted in a protective manner rather the negative elements of spirituality were more prominent in relation to various aspects of women's adjustment to breast cancer. Such results suggest that women who were less spiritually/religiously involved prior to the onset of breast cancer and who attempt to mobilize these resources under the stress of diagnosis may experience a negative process of spiritual struggle and doubt that, in turn, has implications for their long-term adjustment.
Type | Journal Article |
---|---|
Author | J W Gardner |
Author | J L Lyon |
Abstract | Mormons have been shown to have low cancer rates at several common sites, particularly those associated with tobacco and alcohol use. This likely reflects adherence to their Church doctrines advocating abstention from the use of these substances. All Mormons, however, do not adhere to the health practices of their Church, and this study classifies Utah Mormon men by their lay priesthood offices, which reflect degree of adherence to Church doctrines. Follow-up cancer rates for 1966-1970 indicate that the most devout group (Seventies and High Priests) have lung cancer rates 80% lower than those of the least devout group. The same was seen for all smoking- and alcohol-associated cancer sites combined. Cancer of the stomach and the leukemias and lymphomas also had lower rates in the most devout group. Cancers of the colon-rectum, prostate, and pancreas showed little difference in rates when classified by lay priesthood office. These data provide a demonstration of the effects of a healthy lifestyle on cancer occurrence in men. |
Publication | American Journal of Epidemiology |
Volume | 116 |
Issue | 2 |
Pages | 243-257 |
Date | Aug 1982 |
Journal Abbr | Am. J. Epidemiol |
ISSN | 0002-9262 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/7114035 |
Accessed | Sat Oct 17 15:19:02 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 7114035 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
Mormons have been shown to have low cancer rates at several common sites, particularly those associated with tobacco and alcohol use. This likely reflects adherence to their Church doctrines advocating abstention from the use of these substances. All Mormons, however, do not adhere to the health practices of their Church, and this study classifies Utah Mormon men by their lay priesthood offices, which reflect degree of adherence to Church doctrines.
Type | Journal Article |
---|---|
Author | JOHN W. GARDNER |
Author | JOSEPH L. LYON |
Abstract | In light of iow cancer rates in Mormons which may be due to specific heaith practices advocated by the Mormon Church, this study classifies female Mormon cancer patients in Utah according to measures of adherence to Church doctrines. The distribution by Church activity level is compared for each site to a group of other cancer sites felt to represent the overall activity level distribution of Utah Mormon women. Mormon women classified as having the strongest adherence to Church doctrines had lung cancer rates during 1966-1970 much lower than did women with the weakest adherence. The relationship was not as strong, however, as that seen in Mormon men when classified by lay priesthood office. Cancer of the uterine cervix also showed lower rates in the more active groups, but this finding was not statistically significant. Cancers of the breast and ovary did not show consistent associations with Church activity level, nor did most of the gastrointestinal cancers. These data suggest that some of the differences in cancer incidence between Mormons and non-Mormons may not be explained by adherence to specific Church doctrines. |
Publication | Am. J. Epidemiol. |
Volume | 116 |
Issue | 2 |
Pages | 258-265 |
Date | August 1, 1982 |
URL | http://aje.oxfordjournals.org/cgi/content/abstract/116/2/258 |
Accessed | Fri Oct 30 15:35:18 2009 |
Library Catalog | HighWire |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
This study classifies female Mormon cancer patients in Utah according to measures of adherence to Church doctrines. Mormon women classified as having the strongest adherence to Church doctrines had lung cancer rates during 1966-1970 much lower than did women with the weakest adherence.
Type | Journal Article |
---|---|
Author | Max Garlick |
Author | Kathleen Wall |
Author | Diana Corwin |
Author | Cheryl Koopman |
Abstract | Breast cancer presents physical and psychological challenges, but can also result in posttraumatic growth (PTG). Twenty-four women completed Psycho-Spiritual Integrative Therapy (PSIT) treatment and completed assessments for PTG and QOL before, immediately following, and 1 month after treatment. Women showed improvement (p < .01) on the FACT-B (Functional Assessment of Cancer Therapy-Breast) Physical Well-being, Emotional Well-being, and Functional Well-being subscales, on the Profile of Mood States (POMS) Depression, Anger, and Fatigue subscales (p < .05), and on their POMS Tension, Vigor and Total Mood Disturbance (TMD) scores (p < .01). Also, women showed improvement on the FACIT-Sp-Ex (Functional Assessment of Chronic Illness Therapy-Spiritual) Meaning/Peace subscale, the Spiritual Well-being total scale (p < .01), and on the New Possibilities (p < .01) and Personal Strength (p < .05) subscales of the Posttraumatic Growth Inventory (PTGI). This preliminary study suggests that PSIT may improve well being and stimulate PTG in breast cancer patients. |
Publication | Journal of Clinical Psychology in Medical Settings |
Volume | 18 |
Issue | 1 |
Pages | 78-90 |
Date | Mar 2011 |
Journal Abbr | J Clin Psychol Med Settings |
DOI | 10.1007/s10880-011-9224-9 |
ISSN | 1573-3572 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/21344265 |
Accessed | Mon Apr 4 19:46:40 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 21344265 |
Date Added | Thu Sep 29 08:56:10 2011 |
Modified | Thu Sep 29 08:56:10 2011 |
A study of twenty four women who completed Psycho-Spiritual Integrative Therapy treatment.
Type | Journal Article |
---|---|
Author | F Gillum |
Author | Carla Williams |
Abstract | Breast cancer is a leading cause of death in American women. Data are lacking from representative samples of total populations on the association of risk factors for breast cancer and religiousness. The sixth cycle of the National Survey of Family Growth (NSFG VI) included 3,766 women aged 30-44 years with complete data on self-reported religiousness, and selected breast cancer risk factors. Of women in the analysis, 1,008 reported having four or more breast cancer risk factors. Women who never attended services were over seven times more likely to report having four or more risk factors than those who attended more than weekly (P < 0.0001). After adjusting for age, race, Hispanic ethnicity, nativity, education and marital status by logistic regression, women who never attended services were still over six times more likely to report having four or more risk factors (P < 0.0001). The combination of frequent attendance at religious services, very high importance of religion in daily life, and self-identification as a Protestant evangelical was particularly protective. Multiple dimensions of religiousness are independently associated with multiple breast cancer risk factors. |
Publication | Journal of Religion and Health |
Volume | 48 |
Issue | 2 |
Pages | 178-188 |
Date | Jun 2009 |
Journal Abbr | J Relig Health |
DOI | 10.1007/s10943-008-9187-9 |
ISSN | 1573-6571 |
Accessed | Tue Feb 22 19:12:02 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19421868 |
Date Added | Thu Sep 29 09:06:18 2011 |
Modified | Thu Sep 29 09:06:18 2011 |
A study on breast cancer on the association of risk factors for breast cancer and religiousness. After adjusting for age, race, Hispanic ethnicity, nativity, education and marital status by logistic regression, women who never attended services were still over six times more likely to report having four or more risk factors
Type | Journal Article |
---|---|
Author | M E Gioiella |
Author | B Berkman |
Author | M Robinson |
Abstract | PURPOSE: The inclusion of spiritual well-being in healthcare assessments can provide insight into patients' needs and coping resources. This study explored the relationship between spiritual well-being and quality of life (QOL) in gynecologic oncology patients in an attempt to clarify the significance of spiritual well-being in the assessment process. DESCRIPTION OF STUDY: Eighteen women with gynecologic cancer completed a self-administered questionnaire that obtained sociodemographic, medical, spiritual, and functional information. The Spiritual Well-being Scale was used to assess spiritual well-being, and the Functional Living Index: Cancer (FLIC) measured QOL. Data were analyzed using descriptive statistics, comparison of means, and analysis of variance. RESULTS: Patients with gynecologic cancers other than ovarian reported a better QOL and a higher degree of spiritual, existential, and religious well-being. Older patients consistently reported higher degrees of spiritual well-being and QOL than did younger patients. Married patients consistently reported higher degrees of spiritual well-being than patients who were not married (never married or separated). Catholic patients scored higher in degrees of religious and spiritual well-being as well as in FLIC scores than other patients. CLINICAL IMPLICATIONS: Health professionals do not generally assess spiritual well-being in their evaluations of patients' needs. The findings from this study support the inclusion of spirituality as part of routine patient assessment and intervention. Clinical intervention that would increase a patient's level of spiritual awareness and his or her level of comfort associated with a personal perspective on death could help decrease the patient's level of psychosocial distress. Despite the medical establishment's bias to the contrary, religion and spirituality are positively associated with both physical and mental health and may be particularly significant to terminally ill patients. The curricula of medical, nursing, and other health schools should be redesigned appropriately. |
Publication | Cancer Practice |
Volume | 6 |
Issue | 6 |
Pages | 333-338 |
Date | 1998 Nov-Dec |
Journal Abbr | Cancer Pract |
ISSN | 1065-4704 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/9824424 |
Accessed | Thu Nov 12 19:37:57 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 9824424 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
This study explored the relationship between spiritual well-being and quality of life (QOL) in gynecologic oncology patients in an attempt to clarify the significance of spiritual well-being in the assessment process.
Type | Journal Article |
---|---|
Author | Heather Greenlee |
Author | Marilyn L Kwan |
Author | Isaac Joshua Ergas |
Author | Karen J Sherman |
Author | Sarah E Krathwohl |
Author | Christine Bonnell |
Author | Marion M Lee |
Author | Lawrence H Kushi |
Abstract | Many women use complementary and alternative medicine (CAM) to maintain or improve their health. We describe CAM use among the first 1,000 participants enrolled in the Pathways Study, an ongoing prospective cohort study of women diagnosed with breast cancer (BC). Participants, identified by rapid case ascertainment in Kaiser Permanente Northern California, are women > or = 21 years diagnosed with first invasive BC. Comprehensive baseline data are collected on CAM use through in-person interviews. Study participants include 70.9% non-Hispanic whites, 10.2% Hispanics, 9.0% Asians, 6.5% African-Americans, and 3.4% others. Most women (82.2%) were diagnosed with AJCC stage I/II BC at average (+/-SD) age 59.5 (+/-12.0) years and reported prior use of at least one form of CAM (96.5% of participants). In the 5 years before diagnosis, CAM therapies used at least weekly by >20% of women included green tea, glucosamine, omega-3 fatty acids, prayer and religion. CAM use was high (86.1% of participants) in the period immediately following diagnosis; 47.5% used botanical supplements, 47.2% used other natural products, 28.8% used special diets, 64.2% used mind-body healing, and 26.5% used body/energy/other treatments. In multivariable analyses, frequent use of each CAM modality before and after diagnosis was associated with use of other CAM modalities and other health behaviors (i.e., high fruit/vegetable intake, lower BMI). CAM use before and after BC diagnosis is common in this diverse group of women. Our results emphasize the need for clinicians to discuss CAM use with all BC patients. |
Publication | Breast Cancer Research and Treatment |
Volume | 117 |
Issue | 3 |
Pages | 653-665 |
Date | Oct 2009 |
Journal Abbr | Breast Cancer Res. Treat |
DOI | 10.1007/s10549-009-0315-3 |
ISSN | 1573-7217 |
Short Title | Complementary and alternative therapy use before and after breast cancer diagnosis |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19184414 |
Accessed | Mon Sep 28 22:34:46 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19184414 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
Many women use complementary and alternative medicine (CAM) to maintain or improve their health. We describe CAM use among the first 1,000 participants enrolled in the Pathways Study, an ongoing prospective cohort study of women diagnosed with breast cancer (BC).
Type | Journal Article |
---|---|
Author | Elżbieta Greszta |
Author | Maria J Siemińska |
Abstract | A cross-sectional study investigated changes in patients' value systems following a diagnosis of cancer. Fifty patients at 1 to 6 months following cancer diagnosis, were asked to compare their current values with their recollection of past values. Using the Rokeach Value Survey we obtained statistically significant results showing that twenty-seven out of thirty-six values changed their importance from the patients' perspective: 16 values significantly increased, while 11 values significantly decreased in importance. Changes with respect to nine values were insignificant. We indentified clusters of values increasing in importance the most: Religious morality (Salvation, Forgiving, Helpful, Clean), Personal orientation (Self-Respect, True Friendship, Happiness), Self-constriction (Self-Controlled, Obedient, Honest), Family security (Family Security, Responsible), and Delayed gratification (Wisdom, Inner Harmony). We also observed that the following value clusters decreased in importance: Immediate gratification (An Exciting Life, Pleasure, A Comfortable Life); Self-expansion (Capable, Ambitious, Broadminded), Competence (A Sense of Accomplishment, Imaginative, Intellectual). The remaining values belonged to clusters that as a group changed slightly or not at all. Practical implications of the study are discussed. |
Publication | Journal of Clinical Psychology in Medical Settings |
Volume | 18 |
Issue | 1 |
Pages | 55-64 |
Date | Mar 2011 |
Journal Abbr | J Clin Psychol Med Settings |
DOI | 10.1007/s10880-011-9221-z |
ISSN | 1573-3572 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/21373853 |
Accessed | Mon Apr 4 19:46:40 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 21373853 |
Date Added | Thu Sep 29 08:56:31 2011 |
Modified | Thu Sep 29 08:56:31 2011 |
A cross-sectional study investigated changes in patients' value systems following a diagnosis of cancer.
Type | Journal Article |
---|---|
Author | Mary Magee Gullatte |
Author | Otis Brawley |
Author | Anita Kinney |
Author | Barbara Powe |
Author | Kathi Mooney |
Abstract | African American women are more likely than any other racial or ethnic group to present with a later stage of breast cancer at initial diagnosis. Delay in breast cancer detection is a critical factor in diagnosis at a later stage. Available data indicate a delay of 3 months or more is a significant factor in breast cancer mortalty. Numerous factors have been reported as contributing to delay in time to seek medical care including religiosity, spirituality, and fatalistic beliefs. This study examined the influence of religiosity, spirituality, and cancer fatalism on delay in diagnosis and breast cancer stage in African American women with self-detected breast symptoms. A descriptive correlation, retrospective methodology using an open-ended questionnaire and three validated measurement scales were used: the Religious Problem Solving Scale (RPSS), the Religious Coping Activity Scale (RCAS) subscale measuring spiritually based coping, and the modified Powe Fatalism Inventory (mPFI). A convenience sample of 129 women ages between 30 and 84 years who self-reported detecting a breast symptom before diagnosis of breast cancer within the preceding 12 months were included in the study. Outcome variables were time to seek medical care and breast cancer stage. Other variables of interest included marital status, income, education, insurance status, and to whom the women spoke about their breast symptoms. Data were analyzed using descriptive statistics, logistic regression analysis, Pearson r correlations, Mann-Whitney U analysis, and Chi Square analysis. Participants were found to be highly religious and spiritual but not fatalistic. While most women delayed more than 3 months in seeking medical care, no associations were found between the three predictor variables and time to seek medical care. The median delay in time from self detection of a breast symptom to seeking medical care was 5.5 months. Women who were less educated, unmarried, and talked to God only about their breast change were significantly more likely to delay seeking medical care. An association was found between disclosing a breast symptom to God only and delay in seeking medical care. In contrast, women who had told a person about their breast symptom were more likely to seek medical care sooner. African American women who delayed seeking medical care for longer than 3 months were more likely to present with a later stage of breast cancer than women who sought care within 3 months of symptom discovery. |
Publication | Journal of Religion and Health |
Volume | 49 |
Issue | 1 |
Pages | 62-72 |
Date | Mar 2010 |
Journal Abbr | J Relig Health |
DOI | 10.1007/s10943-008-9232-8 |
ISSN | 1573-6571 |
Accessed | Tue Feb 22 19:55:57 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19184437 |
Date Added | Thu Sep 29 09:06:18 2011 |
Modified | Thu Sep 29 09:06:18 2011 |
African American women are more likely than any other racial or
ethnic group to present with a later stage of breast cancer at initial
diagnosis. Delay in breast cancer detection is a critical factor in
diagnosis at a later stage. Available data indicate a delay of 3
months
or more is a significant factor in breast cancer mortalty. Numerous
factors have been reported as contributing to delay in time to seek
medical care including religiosity, spirituality, and fatalistic
beliefs. This study examined the influence of religiosity, spirituality,
and cancer fatalism on delay in diagnosis and breast cancer stage in
African American women with self-detected breast symptoms. A descriptive
correlation, retrospective methodology using an open-ended
questionnaire and three validated measurement scales were used: the
Religious Problem Solving Scale (RPSS), the Religious Coping Activity
Scale (RCAS) subscale measuring spiritually based coping, and the
modified Powe Fatalism Inventory (mPFI). A convenience sample of 129
women ages between 30 and 84 years who self-reported detecting a breast
symptom before diagnosis of breast cancer within the preceding 12 months
were included in the study. Outcome variables were time to seek medical
care and breast cancer stage. Other variables of interest included.
Type | Journal Article |
---|---|
Author | Randy Hebert |
Author | Bozena Zdaniuk |
Author | Richard Schulz |
Author | Michael Scheier |
Abstract | BACKGROUND: Although religions is important to many people with cancer, few studies have explored the relationship between religious coping and well-being in a prospective manner, using validated measures, while controlling for important covariates. METHODS: One hundred ninety-eight women with stage I or II and 86 women with stage IV stage breast cancer were recruited. Standardized assessment instruments and structured questions were used to collect data at study entry and 8 to 12 months later. Religious coping was measured with validated measures of positive and negative religious coping. Linear regression models were used to explore the relationships between positive and negative religious coping and overall physical and mental well-being, depression, and life satisfaction. RESULTS: The percentage of women who used positive religious coping (i.e., partnering with God or looking to God for strength, support, or guidance) "a moderate amount" or "a lot" was 76%. Negative religious coping (i.e., feeling abandoned by or anger at God) was much less prevalent; 15% of women reported feeling abandoned by or angry at God at least "a little." Positive religious coping was not associated with any measures of well-being. Negative religious coping predicted worse overall mental health, depressive symptoms, and lower life satisfaction after controlling for sociodemographics and other covariates. In addition, changes in negative religious coping from study entry to follow-up predicted changes in these well-being measures over the same time period. Cancer stage did not moderate the relationships between religious coping and well-being. CONCLUSIONS: Negative religious coping methods predict worse mental heath and life satisfaction in women with breast cancer. |
Publication | Journal of Palliative Medicine |
Volume | 12 |
Issue | 6 |
Pages | 537-545 |
Date | Jun 2009 |
Journal Abbr | J Palliat Med |
DOI | 10.1089/jpm.2008.0250 |
ISSN | 1557-7740 |
Accessed | Tue Feb 22 18:55:49 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19508140 |
Date Added | Thu Sep 29 09:06:18 2011 |
Modified | Thu Sep 29 09:06:18 2011 |
A study that explores the relationship between religious coping and well-being in a prospective manner, using validated measures, while controlling for important covariates.
Type | Journal Article |
---|---|
Author | Cheryl L. Holt |
Author | Lee Caplan |
Author | Emily Schulz |
Author | Victor Blake |
Author | Penny Southward |
Author | Ayanna Buckner |
Author | Hope Lawrence |
Abstract | The present study used qualitative methods to examine if and how African Americans with cancer use religiosity in coping. Patients (N = 23) were recruited from physician offices and completed 1-1½ hour interviews. Themes that emerged included but were not limited to control over one's illness, emotional response, importance of social support, role of God as a healer, relying on God, importance of faith for recovery, prayer and scripture study, and making sense of the illness. Participants had a great deal to say about the role of religion in coping. These themes may have utility for development of support interventions if they can be operationalized and intervened upon. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract) |
Publication | Journal of Psychosocial Oncology |
Volume | 27 |
Issue | 2 |
Pages | 248-273 |
Date | April 2009 |
DOI | 10.1080/07347330902776028 |
ISSN | 0734-7332 |
Short Title | Role of religion in cancer coping among African Americans |
Library Catalog | EBSCOhost |
Date Added | Thu Sep 29 09:06:18 2011 |
Modified | Thu Sep 29 09:06:18 2011 |
The present study used qualitative methods to examine if and how African Americans with cancer use religiosity in coping. Patients (N = 23) were recruited from physician offices and completed 1–1½ hour interviews. Themes that emerged included but were not limited to control over one's illness, emotional response, importance of social support, role of God as a healer, relying on God, importance of faith for recovery, prayer and scripture study, and making sense of the illness. Participants had a great deal to say about the role of religion in coping. These themes may have utility for development of support interventions if they can be operationalized and intervened upon.
Type | Journal Article |
---|---|
Author | Cheryl L. Holt |
Author | Lee Caplan |
Author | Emily Schulz |
Author | Victor Blake |
Author | Vivian L. Southward |
Author | Ayanna V. Buckner |
Abstract | Research indicates that African Americans diagnosed with cancer tend to use religion in coping. However less is known about the specific role that religion plays in the coping process. Based on previous qualitative work, five instruments were developed to assess the role of religious involvement in cancer coping: God as helper, God as healer, Faith in healing, Control over cancer and New perspective. The instruments were administered to 100 African Americans with cancer. Each exhibited high internal reliability, and concurrent and discriminant validity. These instruments may have applied value for the development of church based cancer support/survivorship interventions. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract) |
Publication | Journal of Health Psychology |
Volume | 14 |
Issue | 4 |
Pages | 525-535 |
Date | May 2009 |
DOI | 10.1177/1359105309103572 |
ISSN | 1359-1053 |
Library Catalog | EBSCOhost |
Date Added | Thu Sep 29 09:06:18 2011 |
Modified | Thu Sep 29 09:06:18 2011 |
Research indicates that African Americans diagnosed with cancer tend to use religion in coping. However less is known about the specific role that religion plays in the coping process. Based on previous qualitative work, five instruments were developed to assess the role of religious involvement in cancer coping: God as helper, God as healer, Faith in healing, Control over cancer and New perspective. The instruments were administered to 100 African Americans with cancer. Each exhibited high internal reliability, and concurrent and discriminant validity. These instruments may have applied value for the development of church-based cancer support/survivorship interventions.
Type | Journal Article |
---|---|
Author | Szu-Mei Hsiao |
Author | Meei-Ling Gau |
Author | Christine Ingleton |
Author | Tony Ryan |
Author | Fu-Jin Shih |
Abstract | AIMS AND OBJECTIVES This study explores the spiritual needs of patients with advanced cancer during their therapeutic process in Taiwan and analyses the influence of Chinese culture in addressing their spiritual needs. BACKGROUND Many nurse clinicians have concerns about the difficulties of providing spiritual care for ethnic-Chinese cancer clients within their cultural context, possibly as a result of lack of knowledge and training. There has been little research exploring the potential impact of Chinese cultural values on the spiritual needs of patients with advanced cancer. DESIGN Explorative qualitative enquiry was used. METHODS Data were collected through participant observation and in-depth face-to-face interviews. Transcribed interview data were analysed by using qualitative content analysis. The purposive sample (n = 33) was drawn from a leading medical center (n = 19) with 3000 beds in the capital and a community-based rural teaching hospital (n = 14) with 581 beds in Taiwan. RESULTS Four spiritual needs emerged from the analysis: the need to foster hope for survival and obtain a peaceful mindset, to fulfil the meanings of life and preserve one's dignity, to experience more reciprocal human love and finally, to receive assistance in facing death peacefully. CONCLUSION This research has shown that patients with advanced cancer need caregivers, friends and the help of their religion to meet their spiritual needs during the therapeutic processes. RELEVANCE TO CLINICAL PRACTICE The findings of this study could assist health professionals to detect the unmet spiritual needs of ethnic-Chinese patients with cancer in the context of their cultural or religious background as early as possible. |
Publication | Journal of Clinical Nursing |
Volume | 20 |
Issue | 7-8 |
Pages | 950-959 |
Date | Apr 2011 |
Journal Abbr | J Clin Nurs |
DOI | 10.1111/j.1365-2702.2010.03278.x |
ISSN | 1365-2702 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/21044187 |
Accessed | Mon May 9 19:04:27 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 21044187 |
Date Added | Thu Sep 29 08:55:49 2011 |
Modified | Thu Sep 29 08:55:49 2011 |
This study explores the spiritual needs of patients with advanced cancer during their therapeutic process in Taiwan and analyses the influence of Chinese culture in addressing their spiritual needs.
Type | Journal Article |
---|---|
Author | An-Fu Hsiao |
Author | Mitchell D Wong |
Author | Melissa F Miller |
Author | Anita H Ambs |
Author | Michael S Goldstein |
Author | Ashley Smith |
Author | Rachel Ballard-Barbash |
Author | Lida S Becerra |
Author | Eric M Cheng |
Author | Neil S Wenger |
Abstract | OBJECTIVES: Cancer survivors often turn to religion, spirituality, and complementary and alternative medicine (CAM) because they perceive these areas as being more holistic and patient-centered than conventional medicine. Because increased religiosity and spirituality have been found to be associated with higher CAM use in the general population, it was hypothesized that these factors would be important predictors of CAM use in cancer survivors. DESIGN AND SUBJECTS: The study included a subsample of 1844 people with cancer or a history of cancer from the 2003 California Health Interview Survey of CAM, a cross-sectional survey of a population-based sample of adults in California. Prevalence and predictors of religious/spiritual forms of CAM (R/S CAM) and nonreligious/nonspiritual forms of CAM (non-R/S CAM) were compared. Multivariate logistic regression was used to identify the predictors of R/S CAM and non-R/S CAM. RESULTS: Nearly two thirds of participants reported using at least 1 type of R/S CAM, and 85% reported ever using non-R/S CAM. The majority of cancer survivors reported that they were very/moderately religious or spiritual. Both religiosity and spirituality were strongly related to non-R/S CAM use, but in opposite directions. Very or moderately religious cancer survivors were less likely (odds ratio=0.30; 95% confidence interval, 0.12-0.40) than nonreligious cancer survivors to use non-R/S CAM. In contrast, very or moderately spiritual cancer survivors were more likely (odds ratio=2.42; 95% confidence interval, 1.16-6.02) than nonspiritual cancer survivors to use non-R/S CAM. CONCLUSIONS: The use of R/S CAM and non-R/S CAM is very high in cancer survivors. It may be helpful for clinicians to ascertain their patients' use of these types of CAM to integrate all forms of care used to managing their cancer. |
Publication | Integrative Cancer Therapies |
Volume | 7 |
Issue | 3 |
Pages | 139-146 |
Date | Sep 2008 |
Journal Abbr | Integr Cancer Ther |
DOI | 10.1177/1534735408322847 |
ISSN | 1534-7354 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18815145 |
Accessed | Fri Nov 13 19:29:02 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 18815145 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
Because increased religiosity and spirituality have been found to be associated with higher CAM use in the general population, it was hypothesized that these factors would be important predictors of CAM use in cancer survivors. Conclusions: The use of R/S CAM and non-R/S CAM is very high in cancer survivors.
Type | Journal Article |
---|---|
Author | ME Kaplar |
Author | AB Wachholtz |
Author | WH O'Brien |
Abstract | In addition to biomedical forms of treatment, many cancer patients have elected to use complementary and alternative medicine (CAM) of a spiritual or religious nature. However, the effectiveness of such spiritual and religious interventions is uncertain. Using a meta-analytic approach, the present study synthesized available treatment-outcome studies on spiritual and religious interventions for cancer patients to determine the efficacy of such interventions. Effect sizes were calculated for three types of outcome measures: biological, psychological, and spiritual. The authors found that nondrug spiritual and religious interventions produced small to moderate effect sizes for treatment versus control comparisons and small effect sizes for pre- versus posttreatment comparisons. Studies that used psychedelic drugs to promote spiritual experiences produced large effect sizes for both treatment versus control and pre- versus posttreatment comparisons. Finally, they found that, overall, treatment versus control comparisons produced larger effect sizes than did pre- versus posttreatment comparisons. Limitations of the studies discussed in the present meta-analysis included the lack of control groups, randomization, and a large number of participants. The results suggest that there is a shortage of sufficiently detailed, high-quality treatment outcome studies examining the efficacy of spiritual and religious interventions for oncology patients. (C) 2004 by The Haworth Press, Inc. All rights reserved. |
Publication | Journal of Psychosocial Oncology |
Volume | 22 |
Issue | 1 |
Pages | 39-49 |
Date | 2004 |
DOI | 10.1300/J077v2201_03 |
ISSN | 0734-7332 |
Short Title | The effect of religious and spiritual interventions on the biological, psychological, and spiritual outcomes of oncology patients |
URL | http://apps.isiknowledge.com.ezproxy.bu.edu/full_record.do? product=WOS&search_mode=GeneralSearch&qid=1&… |
Accessed | Sun Sep 6 11:17:45 2009 |
Library Catalog | ISI Web of Knowledge |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
In addition to biomedical forms of treatment, many cancer patients have elected to use complementary and alternative medicine (CAM) of a spiritual or religious nature. However, the effectiveness of such spiritual and religious interventions is uncertain. Using a meta-analytic approach, the present study synthesized available treatment-outcome studies on spiritual and religious interventions for cancer patients to determine the efficacy of such interventions.
Type | Journal Article |
---|---|
Author | Maria Karekla |
Author | Marios Constantinou |
Abstract | A cancer diagnosis is one of the most difficult diagnoses for any person to receive and cope with. Numerous individuals turn to religion or their spiritual beliefs to find meaning through the process of coping with such a serious illness. Therefore, in recent years research on religious coping has received increased attention. The aim of the present paper is to examine the area of religious coping, along with its dimensions and ways to assess it, as it relates to cancer. Moreover, this paper presents a relatively new approach to the psychological treatment of individuals with cancer. Namely, Acceptance and Commitment Therapy (ACT) is a spiritually and religiously sensitive treatment. This approach aims to first explore a person's values (including spiritual and religious values), to subsequently help the person accept any experience that the person has no control over in light of these values, and to then commit and take actions consistent with these values. Recent evidence providing initial support for this approach is discussed. Finally, a case example is presented to illustrate how ACT may be carried out to address religious coping in outpatient clinical practice with cancer patients. |
Publication | Cognitive and Behavioral Practice |
Volume | 17 |
Issue | 4 |
Pages | 371-381 |
Date | November 2010 |
DOI | 10.1016/j.cbpra.2009.08.003 |
ISSN | 1077-7229 |
URL | http://www.sciencedirect.com/science/article/B7XMX-4YK2FC0-1/2/d9a5c824b787a48cf92031437619a893 |
Accessed | Mon Dec 13 20:33:37 2010 |
Date Added | Thu Sep 29 08:59:19 2011 |
Modified | Thu Sep 29 08:59:19 2011 |
This paper presents a relatively new approach to the psychological treatment of individuals with cancer. Namely, Acceptance and Commitment Therapy (ACT) is a spiritually and religiously sensitive treatment. This approach aims to first explore a person's values (including spiritual and religious values), to subsequently help the person accept any experience that the person has no control over in light of these values, and to then commit and take actions consistent with these values. Recent evidence providing initial support for this approach is discussed. Finally, a case example is presented to illustrate how ACT may be carried out to address religious coping in outpatient clinical practice with cancer patients.
Type | Journal Article |
---|---|
Author | Tracey L Krupski |
Author | Lorna Kwan |
Author | Arlene Fink |
Author | Geoffrey A Sonn |
Author | Sally Maliski |
Author | Mark S Litwin |
Abstract | Spirituality is interdependent with the biological, psychological, and interpersonal aspects of life. Although spirituality has been studied in breast cancer survivors, little work has been done in men with prostate cancer. We sought to determine whether lower spirituality in men with early stage prostate cancer is associated with worse general health-related quality of life (HRQOL), disease-specific HRQOL, or psychosocial health. Two hundred and twenty-two subjects were drawn from a state-funded program providing free prostate cancer treatment to indigent men. Validated instruments captured spirituality, general and disease-specific HRQOL, anxiety, symptom distress, and emotional well-being. We found a consistent relationship between spirituality and the outcomes assessed. Low spirituality was associated with significantly worse physical and mental health, sexual function and more urinary bother after controlling for covariates. All of the psychosocial variables studied reflected worse adjustment in the men with low spirituality. Because the likelihood of prostate cancer survivorship is high, interventions targeting spirituality could impact the physical and psychosocial health of many men. |
Publication | Psycho-Oncology |
Volume | 15 |
Issue | 2 |
Pages | 121-131 |
Date | Feb 2006 |
Journal Abbr | Psychooncology |
DOI | 10.1002/pon.929 |
ISSN | 1057-9249 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/15880458 |
Accessed | Fri Nov 13 15:00:25 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 15880458 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
We sought to determine whether lower spirituality in men with early stage prostate cancer is associated with worse general health-related quality of life (HRQOL), disease-specific HRQOL, or psychosocial health. We found a consistent relationship between spirituality and the outcomes assessed. Low spirituality was associated with significantly worse physical and mental health, sexual function and more urinary bother after controlling for covariates.
Type | Journal Article |
---|---|
Author | Kristine L. Kwekkeboom |
Author | Catherine H. Cherwin |
Author | Jun W. Lee |
Author | Britt Wanta |
Abstract | Context Co-occurring pain, fatigue, and sleep disturbance comprise a common symptom cluster in patients with cancer. Treatment approaches that target the cluster of symptoms rather than just a single symptom need to be identified and tested.Objectives To synthesize evidence regarding mind-body interventions that have shown efficacy in treating two or more symptoms in the pain-fatigue-sleep disturbance cancer symptom cluster.Methods A literature search was conducted using CINAHL, Medline, and PsychInfo databases through March 2009. Studies were categorized based on the type of mind-body intervention (relaxation, imagery/hypnosis, cognitive-behavioral therapy/coping skills training [CBT/CST], meditation, music, and virtual reality), and a preliminary review was conducted with respect to efficacy for pain, fatigue, and sleep disturbance. Mind-body interventions were selected for review if there was evidence of efficacy for at least two of the three symptoms. Forty-three studies addressing five types of mind-body interventions met criteria and are summarized in this review.Results Imagery/hypnosis and CBT/CST interventions have produced improvement in all the three cancer-related symptoms individually: pain, fatigue, and sleep disturbance. Relaxation has resulted in improvements in pain and sleep disturbance. Meditation interventions have demonstrated beneficial effects on fatigue and sleep disturbance. Music interventions have demonstrated efficacy for pain and fatigue. No trials were found that tested the mind-body interventions specifically for the pain-fatigue-sleep disturbance symptom cluster.Conclusion Efficacy studies are needed to test the impact of relaxation, imagery/hypnosis, CBT/CST, meditation, and music interventions in persons with cancer experiencing concurrent pain, fatigue, and sleep disturbance. These mind-body interventions could help patients manage all the symptoms in the cluster with a single treatment strategy. |
Publication | Journal of Pain and Symptom Management |
Volume | 39 |
Issue | 1 |
Pages | 126-138 |
Date | January 2010 |
DOI | 10.1016/j.jpainsymman.2009.05.022 |
ISSN | 0885-3924 |
Accessed | Fri Jan 29 12:39:58 2010 |
Library Catalog | ScienceDirect |
Date Added | Thu Sep 29 09:04:02 2011 |
Modified | Thu Sep 29 09:04:02 2011 |
This study aimed to synthesize evidence regarding mind-body interventions that have shown efficacy in treating two or more symptoms in the pain-fatigue-sleep disturbance cancer symptom cluster.
Type | Journal Article |
---|---|
Author | Megan E. Lavery |
Author | Erin L. O’Hea |
Abstract | Thune-Boyle, Stygall, Keshtgar, and Newman's (2006) literature review generated inconclusive findings regarding the relationship between religious coping and illness adjustment in cancer patients. This paper aims to review studies following Thune-Boyle et al. (2006), as well as to categorise trends not previously addressed. Increasingly, current research conceptualises religious coping multidimensionally. Separating religious coping into positive and negative dimensions, negative religious coping appears negatively associated with illness adjustment, while the relationship between positive religious coping and adjustment is unclear. Findings are mixed when examining whether religious coping affects adjustment directly, with nonreligious coping and stage of cancer as potential mediators and moderators. Research suggests that religious needs assessments, as well as spiritually focused therapy may positively impact illness adjustment. Further, causal conclusions are generally curtailed by universal limitations in the design and methods of the religious coping research. |
Publication | Mental Health, Religion & Culture |
Volume | 13 |
Issue | 1 |
Pages | 55-65 |
Date | January 2010 |
DOI | 10.1080/13674670903131850 |
ISSN | 1367-4676 |
Short Title | Religious/spiritual coping and adjustment in individuals with cancer |
URL | http://www.informaworld.com/10.1080/13674670903131850 |
Accessed | Mon Jan 11 15:25:01 2010 |
Library Catalog | Informaworld |
Date Added | Thu Sep 29 09:04:35 2011 |
Modified | Thu Sep 29 09:04:35 2011 |
Thune-Boyle, Stygall, Keshtgar, and Newman's (2006) literature review generated inconclusive findings regarding the relationship between religious coping and illness adjustment in cancer patients. This paper aims to review studies following Thune-Boyle et al. (2006), as well as to categorise trends not previously addressed. Increasingly, current research conceptualises religious coping multidimensionally. Separating religious coping into positive and negative dimensions, negative religious coping appears negatively associated with illness adjustment, while the relationship between positive religious coping and adjustment is unclear. Findings are mixed when examining whether religious coping affects adjustment directly, with nonreligious coping and stage of cancer as potential mediators and moderators. Research suggests that religious needs assessments, as well as spiritually focused therapy may positively impact illness adjustment. Further, causal conclusions are generally curtailed by universal limitations in the design and methods of the religious coping research.
Type | Journal Article |
---|---|
Author | Dianne Ledesma |
Author | Hiroaki Kumano |
Abstract | OBJECTIVE: This meta-analysis was conducted to investigate the effects of mindfulness-based stress reduction (MBSR) on the mental and physical health status of various cancer patients. METHODS: Ten studies (randomized-controlled trials and observational studies) were found to be eligible for meta-analysis. Individual study results were categorized into mental and physical variables and Cohen's effect size d was computed for each category. RESULTS: MBSR may indeed be helpful for the mental health of cancer patients (Cohen's effect size d=0.48); however, more research is needed to show convincing evidence of the effect on physical health (Cohen's effect size d=0.18). CONCLUSION: The results suggest that MBSR may improve cancer patients' psychosocial adjustment to their disease. |
Publication | Psycho-Oncology |
Volume | 18 |
Issue | 6 |
Pages | 571-579 |
Date | Jun 2009 |
Journal Abbr | Psychooncology |
DOI | 10.1002/pon.1400 |
ISSN | 1099-1611 |
Short Title | Mindfulness-based stress reduction and cancer |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19023879 |
Accessed | Sat Sep 26 15:20:12 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19023879 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
This meta-analysis was conducted to investigate the effects of mindfulness-based stress reduction (MBSR) on the mental and physical health status of various cancer patients. Results: MBSR may indeed be helpful for the mental health of cancer patients (Cohen’s effect size d=0.48); however, more research is needed to show convincing evidence of the effect on physical health (Cohen’s effect size d=0.18). Conclusion: The results suggest that MBSR may improve cancer patients’ psychosocial adjustment to their disease.
Type | Journal Article |
---|---|
Author | Dianne Ledesma |
Author | Hiroaki Kumano |
Abstract | OBJECTIVE This meta-analysis was conducted to investigate the effects of mindfulness-based stress reduction (MBSR) on the mental and physical health status of various cancer patients. METHODS Ten studies (randomized-controlled trials and observational studies) were found to be eligible for meta-analysis. Individual study results were categorized into mental and physical variables and Cohen's effect size d was computed for each category. RESULTS MBSR may indeed be helpful for the mental health of cancer patients (Cohen's effect size d=0.48); however, more research is needed to show convincing evidence of the effect on physical health (Cohen's effect size d=0.18). CONCLUSION The results suggest that MBSR may improve cancer patients' psychosocial adjustment to their disease. |
Publication | Psycho-Oncology |
Volume | 18 |
Issue | 6 |
Pages | 571-579 |
Date | Jun 2009 |
Journal Abbr | Psychooncology |
DOI | 10.1002/pon.1400 |
ISSN | 1099-1611 |
Short Title | Mindfulness-based stress reduction and cancer |
URL | http://www.ncbi.nlm.nih.gov/pubmed/19023879 |
Accessed | Mon Mar 28 18:23:36 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19023879 |
Date Added | Thu Sep 29 09:06:18 2011 |
Modified | Thu Sep 29 09:06:18 2011 |
This meta-analysis was conducted to investigate the effects of mindfulness-based stress reduction (MBSR) on the mental and physical health status of various cancer patients.
Type | Journal Article |
---|---|
Author | Myeong Soo Lee |
Author | Kevin W Chen |
Author | Kenneth M Sancier |
Author | Edzard Ernst |
Abstract | Qigong is a mind-body integrative exercise or intervention from traditional Chinese medicine used to prevent and cure ailments, to improve health and energy levels through regular practice. The aim of this systematic review is to summarize and critically evaluate the effectiveness of qigong used as a stand-alone or additional therapy in cancer care. We have searched the literature using the following databases from their respective inceptions through November 2006: MEDLINE, AMED, British Nursing Index, CINAHL, EMBASE, PsycInfo, The Cochrane Library 2006, Issue 4, four Korean Medical Databases, Qigong and Energy Medicine Database from Qigong Institute and four Chinese Databases. Randomised and non-randomised clinical trials including patients with cancer or past experience of cancer receiving single or combined qigong interventions were included. All clinical endpoints were considered. The methodological quality of the trials was assessed using the Jadad score. Nine studies met our inclusion criteria (four were randomised trials and five were non-randomised studies). Eight of these trials tested internal qigong and one trial did not reported details. The methodological quality of these studies varies greatly and was generally poor. All trials related to palliative/supportive cancer care and none to qigong as a curative treatment. Two trials suggested effectiveness in prolonging life of cancer patients and one failed to do so. We conclude that the effectiveness of qigong in cancer care is not yet supported by the evidence from rigorous clinical trials. |
Publication | Acta Oncologica (Stockholm, Sweden) |
Volume | 46 |
Issue | 6 |
Pages | 717-722 |
Date | 2007 |
Journal Abbr | Acta Oncol |
DOI | 10.1080/02841860701261584 |
ISSN | 0284-186X |
Short Title | Qigong for cancer treatment |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/17653892 |
Accessed | Tue Oct 20 21:28:53 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 17653892 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
The aim of this systematic review is to summarize and critically evaluate the effectiveness of qigong used as a stand-alone or additional therapy in cancer care. We conclude that the effectiveness of qigong in cancer care is not yet supported by the evidence from rigorous clinical trials.
Type | Journal Article |
---|---|
Author | Myeong Soo Lee |
Author | Tae-Young Choi |
Author | Edzard Ernst |
Abstract | The objective of this review was to assess the effectiveness of tai chi for supportive breast cancer care. Eleven databases were searched from inception through December 2009. Controlled trials testing tai chi in patients with breast cancer that assessed clinical outcome measures were considered. The selection of studies, data extraction, and validations were performed independently by two reviewers. Risk of bias was assessed using Cochrane criteria. Three randomized clinical trials (RCTs) and four non-randomized controlled clinical trials (CCTs) met our inclusion criteria. The three RCTs tested the effects of tai chi on breast cancer care compared with walking exercise, psychological support therapy, or spiritual growth or standard health care and showed no significant differences between tai chi and these control procedures in quality of life and psychological and physical outcome measures. The meta-analysis also failed to demonstrate significant effects of tai chi compared with control interventions (n = 38, SMD, 0.45, 95% CI −0.25 to 1.14, P = 0.21; heterogeneity: χ2 = 0.23, P = 0.63; I 2 = 0%). All of the four CCTs showed favorable effects of tai chi. Three trials suggested effectiveness in psychological and physical outcome measures, whereas one study was too poorly reported to be evaluated in detail. All of the CCTs had a high risk of bias. Collectively, the existing trial evidence does not show convincingly that tai chi is effective for supportive breast cancer care. Future studies should be of high methodological quality, with a particular emphasis on including an adequate control intervention. |
Publication | Breast Cancer Research and Treatment |
Volume | 120 |
Issue | 2 |
Pages | 309-316 |
Date | 2/2010 |
Journal Abbr | Breast Cancer Res Treat |
DOI | 10.1007/s10549-010-0741-2 |
ISSN | 0167-6806 |
URL | http://www.springerlink.com/index/10.1007/s10549-010-0741-2 |
Date Added | Thu Sep 29 09:03:23 2011 |
Modified | Thu Sep 29 09:03:23 2011 |
The objective of this review was to assess the
effectiveness of tai chi for supportive breast cancer care.
Eleven databases were searched from inception through
December 2009. Controlled trials testing tai chi in patients
with breast cancer that assessed clinical outcome measures
were considered.
Type | Journal Article |
---|---|
Author | Cecile A. Lengacher |
Author | Versie Johnson-Mallard |
Author | Janice Post-White |
Author | Manolete S. Moscoso |
Author | Paul B. Jacobsen |
Author | Thomas W. Klein |
Author | Raymond H. Widen |
Author | Shirley G. Fitzgerald |
Author | Melissa M. Shelton |
Author | Michelle Barta |
Author | Matthew Goodman |
Author | Charles E. Cox |
Author | Kevin E. Kip |
Abstract | Objectives: Considerable morbidity persists among survivors of breast cancer (BC) including high levels of psychological stress, anxiety, depression, fear of recurrence, and physical symptoms including pain, fatigue, and sleep disturbances, and impaired quality of life. Effective interventions are needed during this difficult transitional period.Methods: We conducted a randomized controlled trial of 84 female BC survivors (Stages 0-III) recruited from the H. Lee Moffitt Cancer and Research Institute. All subjects were within 18 months of treatment completion with surgery and adjuvant radiation and/or chemotherapy. Subjects were randomly assigned to a 6-week Mindfulness-Based Stress Reduction (MBSR) program designed to self-regulate arousal to stressful circumstances or symptoms (n=41) or to usual care (n=43). Outcome measures compared at 6 weeks by random assignment included validated measures of psychological status (depression, anxiety, perceived stress, fear of recurrence, optimism, social support) and psychological and physical subscales of quality of life (SF-36).Results: Compared with usual care, subjects assigned to MBSR(BC) had significantly lower (two-sided p<0.05) adjusted mean levels of depression (6.3 vs 9.6), anxiety (28.3 vs 33.0), and fear of recurrence (9.3 vs 11.6) at 6 weeks, along with higher energy (53.5 vs 49.2), physical functioning (50.1 vs 47.0), and physical role functioning (49.1 vs 42.8). In stratified analyses, subjects more compliant with MBSR tended to experience greater improvements in measures of energy and physical functioning.Conclusions: Among BC survivors within 18 months of treatment completion, a 6-week MBSR(BC) program resulted in significant improvements in psychological status and quality of life compared with usual care. Copyright © 2009 John Wiley & Sons, Ltd |
Publication | Psycho-Oncology |
Volume | 18 |
Issue | 12 |
Pages | 1261-1272 |
Date | Dec 2009 |
DOI | 10.1002/pon.1529 |
URL | http://dx.doi.org.ezproxy.bu.edu/10.1002/pon.1529 |
Accessed | Thu Dec 17 13:43:14 2009 |
Library Catalog | Wiley InterScience |
Date Added | Thu Sep 29 09:04:55 2011 |
Modified | Thu Sep 29 09:04:55 2011 |
We conducted a randomized controlled trial of 84 female BC survivors (Stages 0–III) recruited from the H. Lee Moffitt Cancer and Research Institute. All subjects were within 18 months of treatment completion with surgery and adjuvant radiation and/or chemotherapy. Subjects were randomly assigned to a 6-week Mindfulness-Based Stress Reduction (MBSR) program designed to self-regulate arousal to stressful circumstances or symptoms (n=41) or to usual care (n=43). Outcome measures compared at 6 weeks by random assignment included validated measures of psychological status (depression, anxiety, perceived stress, fear of recurrence, optimism, social support) and psychological and physical subscales of quality of life (SF-36).
Type | Journal Article |
---|---|
Author | Jung-won Lim |
Author | Jaehee Yi |
Abstract | PURPOSE/OBJECTIVES: To examine the differences in religiosity, spirituality, and quality of life (QOL) between Korean American and Korean breast and gynecologic cancer survivors and investigate the effect of religiosity, spirituality, and social support on QOL. DESIGN: Cross-sectional design. SETTING: Participants were recruited from hospitals and community-based support groups in the areas of Southern California and Seoul, Korea. SAMPLE: 161 women diagnosed with breast and gynecologic cancer (110 Koreans and 51 Korean Americans). METHODS: Participants completed a mailed questionnaire. To identify the QOL outcomes, religiosity, spirituality, and social support, four standardized measures were used. MAIN RESEARCH VARIABLES: QOL outcomes, religiosity, spirituality, religious involvement, and social support. FINDINGS: Religiosity and spirituality were related to some QOL outcomes in different patterns in Korean American and Korean breast and gynecologic cancer survivors. The effect on QOL, however, was not strong after controlling for covariates. Social support partially mediated the effect of spirituality on QOL but only among the Korean American cancer survivors. CONCLUSIONS: The findings provide evidence that the effect of religiosity and spirituality on QOL varied between Korean American and Korean survivors. The mediating effect of social support between spirituality and QOL for Korean Americans also was demonstrated. IMPLICATIONS FOR NURSING: The results present nursing practice and research implications that religiosity, spirituality, and social support need to be considered in developing services for enhancing QOL of immigrant cancer survivors. |
Publication | Oncology Nursing Forum |
Volume | 36 |
Issue | 6 |
Pages | 699-708 |
Date | Nov 2009 |
Journal Abbr | Oncol Nurs Forum |
DOI | 10.1188/09.ONF.699-708 |
ISSN | 1538-0688 |
Short Title | The effects of religiosity, spirituality, and social support on quality of life |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19887358 |
Accessed | Mon Nov 23 19:35:10 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19887358 |
Date Added | Thu Sep 29 09:04:55 2011 |
Modified | Thu Sep 29 09:04:55 2011 |
This study examines the differences in religiosity, spirituality, and quality of life (QOL) between Korean American and Korean breast and gynecologic cancer survivors and investigate the effect of religiosity, spirituality, and social support on QOL.
Type | Journal Article |
---|---|
Author | Kuan-Yin Lin |
Author | Yu-Ting Hu |
Author | King-Jen Chang |
Author | Heui-Fen Lin |
Author | Jau-Yih Tsauo |
Abstract | Yoga is one of the most widely used complementary and alternative medicine therapies to manage illness. This meta-analysis aimed to determine the effects of yoga on psychological health, quality of life, and physical health of patients with cancer. Studies were identified through a systematic search of seven electronic databases and were selected if they used a randomized controlled trial design to examine the effects of yoga in patients with cancer. The quality of each article was rated by two of the authors using the PEDro Scale. Ten articles were selected; their PEDro scores ranged from 4 to 7. The yoga groups compared to waitlist control groups or supportive therapy groups showed significantly greater improvements in psychological health: anxiety (P = .009), depression (P = .002), distress (P = .003), and stress (P = .006). However, due to the mixed and low to fair quality and small number of studies conducted, the findings are preliminary and limited and should be confirmed through higher-quality, randomized controlled trials. |
Publication | Evidence-Based Complementary and Alternative Medicine: eCAM |
Volume | 2011 |
Pages | 659876 |
Date | 2011 |
Journal Abbr | Evid Based Complement Alternat Med |
DOI | 10.1155/2011/659876 |
ISSN | 1741-4288 |
Short Title | Effects of yoga on psychological health, quality of life, and physical health of patients with cancer |
URL | http://www.ncbi.nlm.nih.gov/pubmed/21437197 |
Accessed | Mon Apr 4 19:40:12 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 21437197 |
Date Added | Thu Sep 29 08:56:10 2011 |
Modified | Thu Sep 29 08:56:10 2011 |
Yoga is one of the most widely used complementary and alternative medicine therapies to manage illness. This meta-analysis aimed to determine the effects of yoga on psychological health, quality of life, and physical health of patients with cancer. Studies were identified through a systematic search of seven electronic databases and were selected if they used a randomized controlled trial design to examine the effects of yoga in patients with cancer. The quality of each article was rated by two of the authors using the PEDro Scale. Ten articles were selected; their PEDro scores ranged from 4 to 7. The yoga groups compared to waitlist control groups or supportive therapy groups showed significantly greater improvements in psychological health: anxiety (P = .009), depression (P = .002), distress (P = .003), and stress (P = .006). However, due to the mixed and low to fair quality and small number of studies conducted, the findings are preliminary and limited and should be confirmed through higher-quality, randomized controlled trials.
Type | Journal Article |
---|---|
Author | Joseph J Loizzo |
Author | Janey C Peterson |
Author | Mary E Charlson |
Author | Emily J Wolf |
Author | Margaret Altemus |
Author | William M Briggs |
Author | Linda T Vahdat |
Author | Thomas A Caputo |
Abstract | Stress-related symptoms-intense fear, avoidance, intrusive thoughts--are common among breast and gynecologic cancer patients after chemotherapy and radiation. The objective of this pilot study was to determine the impact of a 20-week contemplative self-healing program among breast and gynecologic cancer survivors on self-reported quality of life (QOL), the main outcome. Assessments were performed at the first session and at 20 weeks, including QOL (FACIT-G, FACIT subscales, SF-36), anxiety, and depression (HADS). Biologic markers of immune function were obtained. A 20-week program was implemented: the initial 8 weeks addressed open-mindfulness, social-emotional self-care, visualization, and deep breathing followed by 12 weeks of exposing stress-reactive habits and developing self-healing insights. Daily practice involved CD-guided meditation and manual contemplations. Sixty-eight women were enrolled, and 46 (68%) completed the program. Participants had significant within-patient changes on FACIT-G, improving by a mean of 6.4 points. In addition, they reported clinically important improvement in emotional and functional domains and social, role-emotional, and mental health status domains on SF-36. Biologic data revealed significant improvement in maximum AM cortisol and a reduction in resting heart rate at 20 weeks. These findings suggest a contemplative self-healing program can be effective in significantly improving QOL and reducing distress and disability among female breast and gynecologic cancer survivors. |
Publication | Alternative Therapies in Health and Medicine |
Volume | 16 |
Issue | 3 |
Pages | 30-37 |
Date | 2010 May-Jun |
Journal Abbr | Altern Ther Health Med |
ISSN | 1078-6791 |
Accessed | Sun May 30 11:48:29 2010 |
Library Catalog | NCBI PubMed |
Extra | PMID: 20486622 |
Date Added | Thu Sep 29 09:04:02 2011 |
Modified | Thu Sep 29 09:04:02 2011 |
Type | Journal Article |
---|---|
Author | Ava Lorenc |
Author | Brenda Peace |
Author | Chandrika Vaghela |
Author | Nicola Robinson |
Abstract | Healing encompasses Reiki, therapeutic touch and healing touch, and is often used by cancer patients to supplement their health care, but the extent of healing provision in conventional cancer care is unknown. This study used snowball sampling to map the healing provision in UK conventional cancer care settings. Sixty-seven individuals at 38 centres were identified who provided healing within conventional care, 16 NHS-based. Less than half were paid or had specialist cancer training. Self-referral was the usual route to healing, followed by hospital nurse referral. Healing was perceived as well accepted and useful by healers. Providing healing in conventional cancer care may improve patient empowerment and choice. Despite the value to patients, staff and healers, many services receive little financial support. Exchange of information and communication on referral possibilities between healers and conventional staff needs to be improved. Voluntary healer self-regulation will facilitate the safe incorporation of healing into conventional care. |
Publication | Complementary Therapies in Clinical Practice |
Volume | 16 |
Issue | 4 |
Pages | 222-228 |
Date | November 2010 |
DOI | 10.1016/j.ctcp.2010.03.001 |
ISSN | 1744-3881 |
URL | http://www.sciencedirect.com/science/article/B7MFN-4YVP1DH-1/2/0f9e3598f7bbbde6d0aff5fdf1014296 |
Accessed | Mon Dec 13 20:35:12 2010 |
Date Added | Thu Sep 29 08:59:19 2011 |
Modified | Thu Sep 29 08:59:19 2011 |
Healing encompasses Reiki, therapeutic touch and healing touch, and is often used by cancer patients to supplement their health care, but the extent of healing provision in conventional cancer care is unknown. This study used snowball sampling to map the healing provision in UK conventional cancer care settings.
Type | Journal Article |
---|---|
Author | Jun J Mao |
Author | Steve C Palmer |
Author | Joseph B Straton |
Author | Peter F Cronholm |
Author | Shimrit Keddem |
Author | Kathryn Knott |
Author | Marjorie A Bowman |
Author | Frances K Barg |
Abstract | PURPOSE: Despite advancements in cancer care, cancer survivors continue to experience a substantial level of physical and emotional unmet needs (UMN). This study aims to determine the relationship between patients' perceived UMN and their use of complementary and alternative medicine (CAM) to help with cancer problems during and after treatment. METHODS: A mailed, cross-sectional survey was completed by 614 cancer survivors identified through the Pennsylvania Cancer Registry 3.5 to 4 years from initial diagnosis. Relationships among UMN and CAM use along with clinical and socio-demographic factors were examined. RESULTS: Respondents who identified any UMN were 63% more likely to report CAM use than those without UMN (58% vs. 36%), p < 0.001. UMN remained the only independent predictor (adjusted odds ratio = 2.30, 95% confidence interval = 1.57-3.36, p < 0.001) of CAM use in a multivariate logistic regression model that included age, sex, marital status, education, previous chemotherapy and radiotherapy. Adjusted for covariates, UMN in domains of emotional, physical, nutritional, financial, informational, treatment-related, employment-related, and daily living activities were all related to CAM use, whereas UMN in transportation, home care, medical staff, family and spirituality were not related to CAM use. Patients who experienced multiple types of unmet needs were also more likely to use multiple types of CAM (p < 0.001 for model). CONCLUSIONS: Cancer survivors who experienced unmet needs within the existing cancer treatment and support system were more likely to use CAM to help with cancer problems. Research is needed to determine if appropriate CAM use decreases unmet needs among cancer survivors. |
Publication | Journal of Cancer Survivorship: Research and Practice |
Volume | 2 |
Issue | 2 |
Pages | 116-124 |
Date | Jun 2008 |
Journal Abbr | J Cancer Surviv |
DOI | 10.1007/s11764-008-0052-3 |
ISSN | 1932-2267 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18648980 |
Accessed | Fri Nov 13 19:05:59 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 18648980 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
Purpose: Despite advancements in cancer care, cancer survivors continue to experience a substantial level of physical and emotional unmet needs (UMN). This study aims to determine the relationship between patients’ perceived UMN and their use of complementary and alternative medicine (CAM) to help with cancer problems during and after treatment.
Type | Journal Article |
---|---|
Author | Yaowarat Matchim |
Author | Jane M Armer |
Author | Bob R Stewart |
Abstract | Purpose/Objectives: To evaluate and discuss existing studies of mindfulness-based stress reduction (MBSR) among breast cancer survivors.Data Sources: Articles published from 1987-2009 were retrieved using MEDLINE®, CINAHL®, Ovid, and Scopus. Key words, including mindfulness-based stress reduction and mindfulness meditation, were combined with breast cancer.Data Synthesis: The search resulted in 26 articles that were narrowed down to 16 by selecting only quantitative studies of MBSR conducted with breast cancer (n = 7) or heterogeneous types of cancer in which the predominant cancer was breast cancer (n = 9). Most studies were one-group pre- and post-test design and examined the effect of MBSR on psychological outcomes. Overall, the studies had large effect sizes on perceived stress and state anxiety and medium effect sizes on symptoms of stress and mood disturbance. Four studies measured biologic outcomes and had small effect sizes, except cytokine production, which showed a large effect size at 6- and 12-month follow-ups.Conclusions: Future studies using randomized, control trials and longitudinal, repeated-measures designs are needed. Studies conducted with heterogeneous types of cancer and gender should be analyzed and the results reported separately. Implications for Nursing: The comprehensive summary and critical discussion of existing studies of MBSR usage among breast cancer survivors provide essential information that can be used by nurses and others working in the healthcare setting. |
Publication | Oncology Nursing Forum |
Volume | 38 |
Issue | 2 |
Pages | E61-71 |
Date | Mar 1, 2011 |
Journal Abbr | Oncol Nurs Forum |
DOI | 10.1188/11.ONF.E61-E71 |
ISSN | 1538-0688 |
Short Title | Mindfulness-based stress reduction among breast cancer survivors |
URL | http://www.ncbi.nlm.nih.gov/pubmed/21356643 |
Accessed | Mon Apr 4 19:46:40 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 21356643 |
Date Added | Thu Sep 29 08:56:10 2011 |
Modified | Thu Sep 29 08:56:10 2011 |
Purpose of study is to evaluate and discuss existing studies of mindfulness-based stress reduction (MBSR) among breast cancer survivors.
Type | Journal Article |
---|---|
Author | Rose H. Matousek |
Author | Jens C. Pruessner |
Author | Patricia L. Dobkin |
Abstract | <p>Background<br/>Changes in the cortisol awakening response (CAR) were studied in women participating in a Mindfulness-Based Stress Reduction (MBSR) program after completion of their medical treatment for breast cancer.Method<br/>Thirty-three women completed questionnaires pre- and post-MBSR pertaining to: stress, depressive symptomatology, and medical symptoms. The CAR was assessed on 3 days pre- and 3 days post-MBSR as a biological marker of stress.Results<br/>A significant effect on the CAR was found, with cortisol levels showing a prolonged increase after awakening at the post-MBSR assessment period. This was accompanied by significant improvements in self-reported stress levels, depressive symptomatology, and medical symptoms. Furthermore, the change in medical symptoms was negatively correlated with the area under the curve (AUC) at study onset (r = -.52, p < .002); i.e., the greater the AUC of the CAR before MBSR, the greater the reduction in medical symptoms after the program.Conclusions<br/>These results suggest the potential usefulness of employing the CAR as a biological marker in women with breast cancer participating in an MBSR program.</p> |
Publication | Complementary Therapies in Clinical Practice |
Volume | 17 |
Issue | 2 |
Pages | 65-70 |
Date | May 2011 |
DOI | 16/j.ctcp.2010.10.005 |
ISSN | 1744-3881 |
URL | http://www.sciencedirect.com/science/article/pii/S1744388110000940 |
Accessed | Thu Jun 9 17:57:30 2011 |
Library Catalog | ScienceDirect |
Date Added | Thu Sep 29 08:54:49 2011 |
Modified | Thu Sep 29 08:54:49 2011 |
A study looking at changes in the cortisol awakening response in women participating in a Mindfulness-Based Stress Reduction program after completion of their medical treatment for breast cancer.
Type | Journal Article |
---|---|
Author | M B McIllmurray |
Author | B Francis |
Author | J C Harman |
Author | S M Morris |
Author | K Soothill |
Author | C Thomas |
Abstract | In a study of psychosocial needs amongst cancer patients, the possession of a religious faith has been identified as a significant factor in determining a range of psychosocial needs. Of the 354 respondents to a questionnaire, which included a comprehensive psychosocial needs inventory, 83% said they had a religious faith, and in general these patients were less reliant on health professionals, had less need for information, attached less importance to the maintenance of independence and had less need for help with feelings of guilt, with their sexuality or with some practical matters than those who said they had no religious faith. In addition, they had fewer unmet needs overall (32% compared with 52%). The knowledge of a patient's spirituality should help service providers to predict aspects of psychosocial need and to respond sensitively and appropriately to a patient's experience of cancer. |
Publication | Palliative Medicine |
Volume | 17 |
Issue | 1 |
Pages | 49-54 |
Date | Jan 2003 |
Journal Abbr | Palliat Med |
ISSN | 0269-2163 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/12597466 |
Accessed | Thu Nov 12 23:12:07 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 12597466 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
Type | Journal Article |
---|---|
Author | Giuseppina Messina |
Author | Paolo Lissoni |
Author | Paolo Marchiori |
Author | Erio Bartolacelli |
Author | Fernando Brivio |
Author | Luciano Magotti |
Abstract | BACKGROUND The anti-oxidant and immunomodulating natural agents may enhance the efficacy of cancer chemotherapy. One of the most important agents is the pineal hormone melatonin (MLT) which may exert both anti-oxidant and antiproliferative immunostimulating anticancer effects. This study was performed to evaluate the efficacy of a biochemotherapeutic regimen in metastatic cancer patients, and its therapeutic activity in relation to the psychospiritual status of patients. METHODS The study included 50 metastatic non-small cell lung cancer (NSCLC) patients and a control group of 100 patients. Chemotherapy consisted of cisplatin plus gemcitabine. MLT was given orally at 20 mg/day in the evening. Patients were subdivided into 5 psychic profiles, as follows: spiritual faith, rationale faith, anxiety, apathy, and accusation behavior. RESULTS Tumor response rate was significantly higher in patients treated by chemotherapy plus MLT than in those treated by chemotherapy alone (21/50 vs. 24/100, p < 0.001). However, the percentage of objective tumor regressions obtained in patients with spiritual faith was significantly higher than that found in the overall other patients concomitantly treated by chemotherapy plus MLT (6/8 vs. 15/42, p < 0.01). CONCLUSIONS In conclusion, the efficacy of chemotherapy may be enhanced by the pineal hormone MLT, by representing a new promising biochemotherapeutic combination; also despite its objective ability to enhance chemotherapy efficacy, the activity of MLT is depending at least in part on the psychospiritual status of cancer patients, and it is maximal in the presence of a real spiritual faith. |
Publication | Journal of Research in Medical Sciences: The Official Journal of Isfahan University of Medical Sciences |
Volume | 15 |
Issue | 4 |
Pages | 225-228 |
Date | Jul 2010 |
Journal Abbr | J Res Med Sci |
ISSN | 1735-7136 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/21526086 |
Accessed | Wed Jun 8 18:56:22 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 21526086 |
Date Added | Thu Sep 29 08:54:49 2011 |
Modified | Thu Sep 29 08:54:49 2011 |
This study was performed to evaluate the efficacy of a biochemotherapeutic regimen in metastatic cancer patients, and its therapeutic activity in relation to the psychospiritual status of patients. In conclusion, the efficacy of chemotherapy may be enhanced by the pineal hormone MLT, by representing a new promising biochemotherapeutic combination; also despite its objective ability to enhance chemotherapy efficacy, the activity of MLT is depending at least in part on the psychospiritual status of cancer patients, and it is maximal in the presence of a real spiritual faith.
Type | Journal Article |
---|---|
Author | Alyson B Moadel |
Author | Chirag Shah |
Author | Judith Wylie-Rosett |
Author | Melanie S Harris |
Author | Sapana R Patel |
Author | Charles B Hall |
Author | Joseph A Sparano |
Abstract | PURPOSE: This study examines the impact of yoga, including physical poses, breathing, and meditation exercises, on quality of life (QOL), fatigue, distressed mood, and spiritual well-being among a multiethnic sample of breast cancer patients. PATIENTS AND METHODS: One hundred twenty-eight patients (42% African American, 31% Hispanic) recruited from an urban cancer center were randomly assigned (2:1 ratio) to a 12-week yoga intervention (n = 84) or a 12-week waitlist control group (n = 44). Changes in QOL (eg, Functional Assessment of Cancer Therapy) from before random assignment (T1) to the 3-month follow-up (T3) were examined; predictors of adherence were also assessed. Nearly half of all patients were receiving medical treatment. RESULTS: Regression analyses indicated that the control group had a greater decrease in social well-being compared with the intervention group after controlling for baseline social well-being and covariates (P < .0001). Secondary analyses of 71 patients not receiving chemotherapy during the intervention period indicated favorable outcomes for the intervention group compared with the control group in overall QOL (P < .008), emotional well-being (P < .015), social well-being (P < .004), spiritual well-being (P < .009), and distressed mood (P < .031). Sixty-nine percent of intervention participants attended classes (mean number of classes attended by active class participants = 7.00 +/- 3.80), with lower adherence associated with increased fatigue (P < .001), radiotherapy (P < .0001), younger age (P < .008), and no antiestrogen therapy (P < .02). CONCLUSION: Despite limited adherence, this intent-to-treat analysis suggests that yoga is associated with beneficial effects on social functioning among a medically diverse sample of breast cancer survivors. Among patients not receiving chemotherapy, yoga appears to enhance emotional well-being and mood and may serve to buffer deterioration in both overall and specific domains of QOL. |
Publication | Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology |
Volume | 25 |
Issue | 28 |
Pages | 4387-4395 |
Date | Oct 1, 2007 |
Journal Abbr | J. Clin. Oncol |
DOI | 10.1200/JCO.2006.06.6027 |
ISSN | 1527-7755 |
Short Title | Randomized controlled trial of yoga among a multiethnic sample of breast cancer patients |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/17785709 |
Accessed | Mon Nov 9 00:43:04 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 17785709 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
This study examines the impact of yoga, including physical poses, breathing, and meditation exercises, on quality of life (QOL), fatigue, distressed mood, and spiritual well-being among a multiethnic sample of breast cancer patients. Conclusion: Despite limited adherence, this intent-to-treat analysis suggests that yoga is associated with beneficial effects on social functioning among a medically diverse sample of breast cancer survivors.
Type | Journal Article |
---|---|
Author | Esther Mok |
Author | Ka-po Lau |
Author | Wai-man Lam |
Author | Lai-ngor Chan |
Author | Jeffrey S C Ng |
Author | Kin-sang Chan |
Abstract | AIM: This paper is a report of an exploration of the phenomenon of existential distress in patients with advanced cancer from the perspectives of healthcare professionals. BACKGROUND: Existential distress is an important concern in patients with advanced cancer; it affects their well-being and needs to be addressed in the provision of holistic care. METHOD: Focus groups were conducted from November 2008 to February 2009 with physicians, nurses, social workers, occupational therapists, physiotherapists, and chaplains working in a palliative care unit that served patients with advanced cancer in Hong Kong. Data collection and analysis were guided by the grounded theory approach. All categories were saturated when five focus groups had been held with a total number of 23 participants. FINDINGS: We found three causal conditions of existential distress: anticipation of a negative future, failure to engage in meaningful activities and relationships, and having regrets. Three basic (caring, relating and knowing) and six specific (positive feedback, religious support, new experiences, task setting, exploring alternatives and relationship reconciliation) intervening strategies were identified. Whether the intervening strategies would be effective would depend on patients' openness and readiness; healthcare professionals' self-awareness, hopefulness, and interest in knowing the patients; and a trusting relationship between patients and healthcare professionals. A sense of peace in patients was considered a consequence of successful interventions. CONCLUSION: This paper acknowledges the lack of an accepted conceptual framework of existential distress in patients with advanced cancer. It is based on healthcare professionals' views, and further studies from the perspectives of patients and their families are needed. |
Publication | Journal of Advanced Nursing |
Volume | 66 |
Issue | 7 |
Pages | 1510-1522 |
Date | Jul 2010 |
Journal Abbr | J Adv Nurs |
DOI | 10.1111/j.1365-2648.2010.05330.x |
ISSN | 1365-2648 |
Accessed | Tue Jul 27 12:19:28 2010 |
Library Catalog | NCBI PubMed |
Extra | PMID: 20492015 |
Date Added | Thu Sep 29 09:03:48 2011 |
Modified | Thu Sep 29 09:03:48 2011 |
This paper is a report of an exploration of the phenomenon of existential distress in patients with advanced cancer from the perspectives of healthcare professionals.
Type | Journal Article |
---|---|
Author | Guy H Montgomery |
Author | Michael N Hallquist |
Author | Julie B Schnur |
Author | Daniel David |
Author | Jeffrey H Silverstein |
Author | Dana H Bovbjerg |
Abstract | OBJECTIVE: The present study was designed to test the hypotheses that response expectancies and emotional distress mediate the effects of an empirically validated presurgical hypnosis intervention on postsurgical side effects (i.e., pain, nausea, and fatigue). METHOD: Women (n = 200) undergoing breast-conserving surgery (mean age = 48.50 years; 63% White, 15% Hispanic, 13% African American, and 9% other) were randomized to a hypnosis or to an attention control group. Prior to surgery, patients completed assessments of hypothesized mediators (response expectancies and emotional distress), and following surgery, patients completed assessments of outcome variables (pain, nausea, and fatigue). RESULTS: Structural equation modeling revealed the following: (a) Hypnotic effects on postsurgical pain were partially mediated by pain expectancy (p < .0001) but not by distress (p = .12); (b) hypnotic effects on postsurgical nausea were partially mediated by presurgical distress (p = .02) but not by nausea expectancy (p = .10); and (c) hypnotic effects on postsurgical fatigue were partially mediated by both fatigue expectancy (p = .0001) and presurgical distress (p = .02). CONCLUSIONS: The results demonstrate the mediational roles of response expectancies and emotional distress in clinical benefits associated with a hypnotic intervention for breast cancer surgical patients. More broadly, the results improve understanding of the underlying mechanisms responsible for hypnotic phenomena and suggest that future hypnotic interventions target patient expectancies and distress to improve postsurgical recovery. |
Publication | Journal of Consulting and Clinical Psychology |
Volume | 78 |
Issue | 1 |
Pages | 80-88 |
Date | Feb 2010 |
Journal Abbr | J Consult Clin Psychol |
DOI | 10.1037/a0017392 |
ISSN | 1939-2117 |
Short Title | Mediators of a brief hypnosis intervention to control side effects in breast surgery patients |
Accessed | Fri Jan 29 11:43:04 2010 |
Library Catalog | NCBI PubMed |
Extra | PMID: 20099953 |
Date Added | Thu Sep 29 09:04:02 2011 |
Modified | Thu Sep 29 09:04:02 2011 |
The present study was designed to test the hypotheses that response expectancies and emotional distress mediate the effects of an empirically validated presurgical hypnosis intervention on postsurgical side effects (i.e., pain, nausea, and fatigue).
Type | Journal Article |
---|---|
Author | Tatsuya Morita |
Author | Hisayuki Murata |
Author | Emi Kishi |
Author | Mitsunori Miyashita |
Author | Takuhiro Yamaguchi |
Author | Yosuke Uchitomi |
Abstract | Although recent empirical studies reveal that fostering patients' perception of meaning in their lives is an essential task for palliative care clinicians, few studies have reported the effects of training programs for nurses specifically aimed at improving these skills. The primary aim of this randomized controlled trial was to determine the effects of an educational workshop focusing on patients' feelings of meaninglessness on nurses' confidence, self-reported practice, and attitudes toward caring for such patients, in addition to burnout and meaning of life. The study was designed as a single-institution, randomized controlled trial using a waiting list control. The intervention consisted of eight 180-minute training sessions over four months, including lectures and exercises using structured assessment. A total of 41 nurses were randomly allocated to three groups, which were separately trained, and all were evaluated four times at three-month intervals (before intervention, between each intervention, and after the last intervention). Assessments included validated Confidence and Self-Reported Practice scales, the Attitudes Toward Caring for Patients Feeling Meaningless Scale (including willingness to help, positive appraisal, and helplessness items), the Maslach Burnout Scale, job satisfaction, and the Functional Assessment of Chronic Illness Therapy-Spiritual (FACIT-Sp). One participant withdrew from the study before the baseline evaluation, and the remaining 40 nurses completed the study. The nurses were all female and had a mean age of 31+/-6.4, and mean clinical experience of 8.9+/-5.5 years. There were no significant differences in background among the groups. The intervention effects were statistically significant on the Confidence Scale, the Self-Reported Practice Scale, and the willingness to help, positive appraisal, and helplessness subscales, in addition to the overall levels of burnout, emotional exhaustion, personal accomplishment, job satisfaction, and the FACIT-Sp. The change ratio of each parameter ranged from 5.6% (willingness to help) to 37% for the helplessness score and 51% on the Confidence Scale. The percentages of nurses who evaluated this program as "useful" or "very useful" were 85% (to understand the conceptual framework in caring for terminally ill patients with meaninglessness), 80% (to foster nurses' personal values), and 88% (to know how to provide care for patients with meaninglessness). This educational intervention had a significant beneficial effect on nurse-perceived confidence, practice, and attitudes in providing care for patients feeling meaninglessness, in addition to the levels of burnout and spiritual well-being of nurses. |
Publication | Journal of Pain and Symptom Management |
Volume | 37 |
Issue | 4 |
Pages | 649-658 |
Date | Apr 2009 |
Journal Abbr | J Pain Symptom Manage |
DOI | 10.1016/j.jpainsymman.2008.04.017 |
ISSN | 1873-6513 |
Short Title | Meaninglessness in terminally ill cancer patients |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18834700 |
Accessed | Mon Mar 28 18:29:00 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 18834700 |
Date Added | Thu Sep 29 09:06:18 2011 |
Modified | Thu Sep 29 09:06:18 2011 |
The primary aim of this randomized controlled trial was to determine the effects of an educational workshop focusing on patients' feelings of meaninglessness on nurses' confidence, self-reported practice, and attitudes toward caring for such patients, in addition to burnout and meaning of life. The study was designed as a single-institution, randomized controlled trial using a waiting list control.
Type | Journal Article |
---|---|
Author | Elizabeth E Morse |
Author | Kathleen O'Rourke |
Abstract | With the survival rates for childhood cancer growing, studies point to both the challenges and possible opportunities for personal growth that children with cancer may experience throughout their life journey. Examined in this review, research on the spirituality of childhood cancer survivors has provided insight into their overall spiritual journeys, their strategies to promote well-being, and the dynamics of hope and meaning within their lives. In an area that is in the early stages of research, the qualitative and exploratory research of the spirituality of childhood cancer survivors also contributes to the generation of future hypotheses. Finally, future research in this area should provide us with an enhanced understanding of spiritual paradigms that will assist us in making provisions for optimal support of children and their families. |
Publication | Journal of the Society for Integrative Oncology |
Volume | 7 |
Issue | 4 |
Pages | 146-154 |
Date | 2009 Fall 01 |
Journal Abbr | J Soc Integr Oncol |
ISSN | 1715-894X |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19883530 |
Accessed | Wed Nov 4 22:03:52 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19883530 |
Date Added | Thu Sep 29 09:05:21 2011 |
Modified | Thu Sep 29 09:05:21 2011 |
With the survival rates for childhood cancer growing, studies point to both the challenges and possible opportunities for personal growth that children with cancer may experience throughout their life journey. Examined in this review, research on the spirituality of childhood cancer survivors has provided insight into their overall spiritual journeys, their strategies to promote well-being, and the dynamics of hope and meaning within their lives. In an area that is in the early stages of research, the qualitative and exploratory research of the spirituality of childhood cancer survivors also contributes to the generation of future hypotheses. Finally, future research in this area should provide us with an enhanced understanding of spiritual paradigms that will assist us in making provisions for optimal support of children and their families
Type | Journal Article |
---|---|
Author | Kyriaki Mystakidou |
Author | Eleni Tsilika |
Author | Efi Prapa |
Author | Marilena Smyrnioti |
Author | Anna Pagoropoulou |
Author | Vlahos Lambros |
Abstract | OBJECTIVE: To assess the relationship between spirituality and hopelessness, desire for hastened death, and clinical and disease-related characteristics among patients with advanced cancer, and to investigate predictors of spirituality. Spiritual well-being is thought to have a beneficial effect on patients' response to illness. DESIGN: Patients were asked to complete 4 questionnaires: the Greek version of the Spiritual Involvement and Beliefs Scale, the Greek version of the Schedule of Attitudes toward Hastened Death, the Beck Hopelessness Scale, and a questionnaire on demographics. SETTING: A palliative care unit in Athens, Greece. PARTICIPANTS: A total of 91 patients with advanced cancer. MAIN OUTCOME MEASURES: Associations between scores on the Spiritual Involvement and Beliefs scale and scores on the Schedule of Attitudes toward Hastened Death scale and the Beck Hopelessness scale, and demographic characteristics. RESULTS: Statistically significant associations were found between spirituality and sex of patients (P = .001) and spirituality and stronger hopelessness (r = 0.252, P = .016). In multivariate analyses, stronger hopelessness, male sex, younger age, and receiving chemotherapy were found to be the strongest predictors of being spiritual. CONCLUSION: Demographic and clinical characteristics and stronger hopelessness appeared to have statistically significant relationships with spirituality. Interventions to improve patients' spiritual well-being should take these relationships into account. |
Publication | Canadian Family Physician Médecin De Famille Canadien |
Volume | 54 |
Issue | 12 |
Pages | 1720-1721.e5 |
Date | Dec 2008 |
Journal Abbr | Can Fam Physician |
ISSN | 1715-5258 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/19074719 |
Accessed | Fri Nov 13 19:41:50 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19074719 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
Objective: To assess the relationship between spirituality and hopelessness, desire for hastened death, and clinical and disease-related characteristics among patients with advanced cancer, and to investigate predictors of spirituality. Conclusion: Demographic and clinical characteristics and stronger hopelessness appeared to have statistically significant relationships with spirituality.
Type | Journal Article |
---|---|
Author | Kyriaki Mystakidou |
Author | Eleni Tsilika |
Author | Efi Parpa |
Author | Ioanna Hatzipli |
Author | Marilena Smyrnioti |
Author | Antonis Galanos |
Author | Lambros Vlahos |
Abstract | AIM: To study the influence of cancer patients' sociodemographic and clinical characteristics in their spiritual beliefs and attitudes. BACKGROUND: Patients' sociodemographic and clinical characteristics may have an important role in their spirituality. Failure to control these factors can lead to a false estimation on patients' spiritual beliefs. Previous studies have found that age, gender and health status associate with spiritual attitudes and beliefs.Design. Survey. METHODS: The Spiritual Involvement and Beliefs Scale was administered to 82 cancer patients. Demographic characteristics, disease status and treatment regimen were recorded. RESULTS: Among the most significant correlations were those between gender and all the subscales, cancer diagnosis, existential/meditative subscale, radiotherapy treatment and external/ritual, internal/fluid and existential meditative. In the prediction of spirituality, the contribution of gender, age, years of education, performance status and radiotherapy is high. CONCLUSION: Acknowledging the specific patients' demographic and medical characteristics, such as female gender, old age, years of education, performance status and radiotherapy treatment, contributes to the prediction of patients' spiritual beliefs and attitudes. RELEVANCE TO CLINICAL PRACTICE: Addressing spiritual needs in palliative care among the dying needs to be a priority and could be a crucial aspect of psychological functioning, especially when considering certain demographic and clinical characteristics. |
Publication | Journal of Clinical Nursing |
Volume | 17 |
Issue | 13 |
Pages | 1779-1785 |
Date | Jul 2008 |
Journal Abbr | J Clin Nurs |
ISSN | 1365-2702 |
Short Title | Demographic and clinical predictors of spirituality in advanced cancer patients |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18592623 |
Accessed | Fri Nov 13 19:03:07 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 18592623 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
In the prediction of spirituality, the contribution of gender, age, years of education, performance status and radiotherapy is high. Acknowledging the specific patients’ demographic and medical characteristics, such as female gender, old age, years of education, performance status and radiotherapy treatment, contributes to the prediction of patients’ spiritual beliefs and attitudes.
Type | Journal Article |
---|---|
Author | Aline Nixon |
Author | Aru Narayanasamy |
Abstract | Keywords: * family support; * neuro-oncology; * spiritual care; * spiritual needs; * spirituality Aims. This study aimed to identify the spiritual needs of neuro-oncology patients from a patient perspective and how nurses currently support patients with spiritual needs. Background. Spiritual needs of cancer patients should be assessed and discussed by healthcare professionals from diagnosis. Nurses should assess and support neuro-oncology patients with their spiritual needs during their hospital stay. Design. Qualitative research. Methods. Data were collected through a Critical Incident Technique questionnaire from neuro-oncology patients and were subjected to thematic content analysis. Results. Some patients with brain tumours do report spiritual needs during their hospital stay and some of these needs are not met by nurses. Conclusions. There is clearly a need for healthcare professionals to provide spiritual care for neuro-oncology patients and their relatives. Further research is required to explore how effective nurses are at delivering spiritual care and if nurses are the most appropriate professionals to support neuro-oncology patients with spiritual care. Relevance to clinical practice. The study illuminates that some neuro-oncology patients’ have spiritual needs that could be met by nurses. Spiritual needs include supportive family relationships, emotional support, loneliness, religious needs, need to talk, reassurance, anxiety, solitude, denial, plans for the future, thoughts about meaning of life, end of life decisions and discussion of beliefs. The implications of the findings of this study are that nurses need to be aware and respond to these spiritual needs. |
Publication | Journal of Clinical Nursing |
Volume | 19 |
Issue | 15-16 |
Pages | 2259-2370 |
Date | 2010-08 |
DOI | 10.1111/j.1365-2702.2009.03112.x |
ISSN | 09621067 |
URL | http://blackwell-synergy.com/doi/abs/10.1111/j.1365-2702.2009.03112.x |
Date Added | Thu Sep 29 09:02:43 2011 |
Modified | Thu Sep 29 09:02:43 2011 |
This study aimed to identify the spiritual needs of neuro-oncology patients from a patient perspective and how nurses currently support patients with spiritual needs. Spiritual needs of cancer patients should be assessed and discussed by healthcare professionals from diagnosis. Nurses should assess and support neuro-oncology patients with their spiritual needs during their hospital stay.
Type | Journal Article |
---|---|
Author | Wataru Noguchi |
Author | Satoshi Morita |
Author | Tatsuya Ohno |
Author | Okihiko Aihara |
Author | Hirohiko Tsujii |
Author | Kojiro Shimozuma |
Author | Eisuke Matsushima |
Abstract | BACKGROUND: The suitability of Frankl's logotherapy for the spiritual care (psychotherapy) of cancer patients in Japan is suggested. Using Functional Assessment of Chronic Illness Therapy-Spiritual (FACIT-Sp, Japanese version), the Purpose in Life test (PIL test, Japanese version), and WHO-Subjective Inventory (WHO-SUBI, Japanese version), we attempted to elucidate the complicated structure of spirituality in cancer patients in order to identify possible approaches to their spiritual care and means of evaluating such care. MATERIALS: Two hundred and ninety-eight cancer patients participated in the study. All three tests were taken at the same time, and the results were evaluated by principal component analysis. RESULTS: It was demonstrated that all the subscales employed in the present study could be represented by a two-dimensional structure (two principal components), and that the FACIT-Sp and PIL tests have similar contents. DISCUSSION: FACIT-Sp (Japanese version) is very similar in conception to the PIL test, which was prepared in accordance with logotherapy. The results suggest that this test can serve as an adequate evaluation scale for measuring the effectiveness of spiritual care based on Frankl's logotherapy. |
Publication | Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer |
Volume | 14 |
Issue | 1 |
Pages | 65-70 |
Date | Jan 2006 |
Journal Abbr | Support Care Cancer |
DOI | 10.1007/s00520-005-0827-2 |
ISSN | 0941-4355 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/15856331 |
Accessed | Fri Nov 13 14:59:31 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 15856331 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
We attempted to elucidate the complicated structure of spirituality in cancer patients in order to identify possible approaches to their spiritual care and means of evaluating such care.
Type | Journal Article |
---|---|
Author | Byeongsang Oh |
Author | Phyllis Butow |
Author | Barbara Mullan |
Author | Stephen Clarke |
Abstract | Quality of life (QOL) of cancer patients is often diminished due to the side effects of treatment and symptoms of the disease itself. Medical Qigong (coordination of gentle exercise and relaxation through meditation and breathing exercise based on Chinese medicine theory of energy channels) may be an effective therapy for improving QOL, symptoms and side effects, and longevity of cancer patients. In this pilot study, the feasibility, acceptability, and impact of Medical Qigong (MQ) were evaluated on outcomes in cancer patients. Thirty patients diagnosed with heterogeneous cancers, were randomly assigned to two groups: a control group that received usual medical care and an intervention group who participated in a MQ program for 8 weeks in addition to receiving usual medical care. Randomization was stratified by completion of cancer treatment (n = 14) or under chemotherapy (n = 16). Patients completed measures before and after the program. Quality of life and symptoms were measured by the EORTC QLQ-C 30 and progress of disease by the inflammation biomarker (CRP: c-reactive protein) via a blood test was assessed. The MQ intervention group reported clinically significant improved global QOL scores pre- and post-intervention. The MQ intervention also reduced the symptoms of side effects of cancer treatment and inflammation biomarker (CRP) compare to the control group. Due to the small sample size, however, the results were not statistically significant between treatment and the control groups. Data from the pilot study suggest that MQ with usual medical treatment can enhance the QOL of cancer patients and reduce inflammation. This study needs a further investigation with a larger sample size. |
Publication | The American Journal of Chinese Medicine |
Volume | 36 |
Issue | 3 |
Pages | 459-472 |
Date | 2008 |
Journal Abbr | Am. J. Chin. Med |
ISSN | 0192-415X |
Short Title | Medical Qigong for cancer patients |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/18543381 |
Accessed | Mon Nov 2 13:05:54 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 18543381 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
In this pilot study, the feasibility, acceptability, and impact of Medical Qigong (MQ) were evaluated on outcomes in cancer patients. The MQ intervention group reported clinically significant improved global QOL scores pre- and post-intervention. The MQ intervention also reduced the symptoms of side effects of cancer treatment and inflammation biomarker (CRP) compare to the control group. Due to the small sample size, however, the results were not statistically significant between treatment and the control groups.
Type | Journal Article |
---|---|
Author | Crystal Park |
Author | Donald Edmondson |
Author | Amy Hale-Smith |
Author | Thomas Blank |
Abstract | Positive health behaviors are crucial to cancer survivors' well-being, yet little is known about the personal factors that may facilitate positive health behaviors. The current study focuses on the association of religion/spirituality (R/S) and health behaviors, examining links between health behaviors and religious attendance, daily spiritual experiences, and religious struggle in a sample of 167 younger adult survivors of a variety of cancers. The extent to which positive affect (self-assurance) and negative affect (guilt/shame) mediate these links was also investigated. Results revealed that religious attendance had little impact on health behaviors, but that daily spiritual experiences were related to greater performance of health behaviors, while religious struggle was related to less. Self-assurance partially mediated the effects of daily spiritual experiences, while guilt/shame partially mediated the effects of religious struggle. The findings suggest that aspects of R/S may play important and different roles in the lifestyle choices of cancer survivors. |
Publication | Journal of Behavioral Medicine |
Date | Jul 29, 2009 |
Journal Abbr | J Behav Med |
DOI | 10.1007/s10865-009-9223-6 |
ISSN | 1573-3521 |
Short Title | Religiousness/spirituality and health behaviors in younger adult cancer survivors |
URL | http://www.ncbi.nlm.nih.gov/pubmed/19639404 |
Accessed | Fri Nov 13 20:10:01 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19639404 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
The current study focuses on the association of religion/spirituality (R/S) and health behaviors, examining links between health behaviors and religious attendance, daily spiritual experiences, and religious struggle in a sample of 167 younger adult survivors of a variety of cancers. Results revealed that religious attendance had little impact on health behaviors, but that daily spiritual experiences were related to greater performance of health behaviors, while religious struggle was related to less.
Type | Journal Article |
---|---|
Author | Crystal L. Park |
Author | Donald Edmondson |
Author | Amy Hale-Smith |
Author | Thomas O. Blank |
Abstract | Positive health behaviors are crucial to cancer survivors’ well-being, yet little is known about the personal factors that may facilitate positive health behaviors. The current study focuses on the association of religion/spirituality (R/S) and health behaviors, examining links between health behaviors and religious attendance, daily spiritual experiences, and religious struggle in a sample of 167 younger adult survivors of a variety of cancers. The extent to which positive affect (self-assurance) and negative affect (guilt/shame) mediate these links was also investigated. Results revealed that religious attendance had little impact on health behaviors, but that daily spiritual experiences were related to greater performance of health behaviors, while religious struggle was related to less. Self-assurance partially mediated the effects of daily spiritual experiences, while guilt/shame partially mediated the effects of religious struggle. The findings suggest that aspects of R/S may play important and different roles in the lifestyle choices of cancer survivors. [ABSTRACT FROM AUTHOR] |
Publication | Journal of Behavioral Medicine |
Volume | 32 |
Issue | 6 |
Pages | 582-591 |
Date | December 2009 |
DOI | 10.1007/s10865-009-9223-6 |
ISSN | 01607715 |
Short Title | Religiousness/spirituality and health behaviors in younger adult cancer survivors |
URL | http://search.ebscohost.com.ezproxy.bu.edu/login.aspx? direct=true&db=pbh&AN=45362476&… |
Accessed | Thu Dec 31 11:20:56 2009 |
Library Catalog | EBSCOhost |
Date Added | Thu Sep 29 09:04:55 2011 |
Modified | Thu Sep 29 09:04:55 2011 |
Positive health behaviors are crucial to cancer survivors’ well-being, yet little is known about the personal factors that may facilitate positive health behaviors. The current study focuses on the association of religion/spirituality (R/S) and health behaviors, examining links between health behaviors and religious attendance, daily spiritual experiences, and religious struggle in a sample of 167 younger adult survivors of a variety of cancers. The extent to which positive affect (self-assurance) and negative affect (guilt/shame) mediate these links was also investigated. Results revealed that religious attendance had little impact on health behaviors, but that daily spiritual experiences were related to greater performance of health behaviors, while religious struggle was related to less. Self-assurance partially mediated the effects of daily spiritual experiences, while guilt/shame partially mediated the effects of religious struggle. The findings suggest that aspects of R/S may play important and different roles in the lifestyle choices of cancer survivors.
Type | Journal Article |
---|---|
Author | Stephen Patterson |
Author | Lodovico Balducci |
Author | Russell Meyer |
Abstract | GOALS: To establish the role of ancient literature and religious tradition to the modern practice of oncology; foster awareness of practicing in a historical context resulting from different traditions; and propose a spiritual context for the practice of oncology and explore methods to highlight this perspective in cancer education. METHOD: Contextual and content analysis of a religious text shared by the most common religious traditions of the West (Christianity, Judaism, and Islam). RESULTS: The origin of suffering eludes all logical explanations. All religious traditions affirm that the sufferer should be heard, cared for, and kept part of the human consortium, and under no circumstances blamed for the disease. In terms of oncology practice this means that the treatment should be negotiated with the patient according to his or her need; that physicians' obligations for care continues after the treatment fails, and that patients' lifestyles or poor compliance should not be blamed for poor outcomes. CONCLUSIONS: The Book of Job supports a spiritual perspective in oncology practice, indicating that patient care is a holistic endeavor. This perspective is the key to dealing with common interactive problems, such as adversarial relations between patient and provider in face of death and suffering, and more important, may promote care beyond treatment of the disease. |
Publication | Journal of Cancer Education: The Official Journal of the American Association for Cancer Education |
Volume | 17 |
Issue | 4 |
Pages | 237-240 |
Date | 2002 |
Journal Abbr | J Cancer Educ |
ISSN | 0885-8195 |
Short Title | The Book of Job |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/12556063 |
Accessed | Mon Nov 2 13:46:14 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 12556063 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
GOALS: To establish the role of ancient literature and religious tradition to the modern practice of oncology; foster awareness of practicing in a historical context resulting from different traditions; and propose a spiritual context for the practice of oncology and explore methods to highlight this perspective in cancer education. Conclusions: The Book of Job supports a spiritual perspective in oncology practice, indicating that patient care is a holistic endeavor.
Type | Journal Article |
---|---|
Author | Amy H Peterman |
Author | George Fitchett |
Author | Marianne J Brady |
Author | Lesbia Hernandez |
Author | David Cella |
Abstract | A significant relation between religion and better health has been demonstrated in a variety of healthy and patient populations. In the past several years, there has been a focus on the role of spirituality, as distinctfrom religion, in health promotion and coping with illness. Despite the growing interest, there remains a dearth of well-validated, psychometrically sound instruments to measure aspects of spirituality. In this article we report on the development and testing of a measure of spiritual well-being, the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp), within two samples of cancer patients. The instrument comprises two subscales--one measuring a sense of meaning and peace and the other assessing the role offaith in illness. A total score for spiritual well-being is also produced. Study 1 demonstrates good internal consistency reliability and a significant relation with quality of life in a large, multiethnic sample. Study 2 examines convergent validity with 5 other measures of religion and spirituality in a sample of individuals with mixed early stage and metastatic cancer diagnoses. Results of the two studies demonstrate that the FACIT-Sp is a psychometrically sound measure of spiritual well-being for people with cancer and other chronic illnesses. |
Publication | Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine |
Volume | 24 |
Issue | 1 |
Pages | 49-58 |
Date | 2002 |
Journal Abbr | Ann Behav Med |
ISSN | 0883-6612 |
Short Title | Measuring spiritual well-being in people with cancer |
URL | http://www.ncbi.nlm.nih.gov/pubmed/12008794 |
Accessed | Thu Nov 12 21:29:41 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 12008794 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
In this article we report on the development and testing of a measure of spiritual well-being, the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp), within two samples of cancer patients. The instrument comprises two subscales--one measuring a sense of meaning and peace and the other assessing the role of faith in illness.
Type | Journal Article |
---|---|
Author | Andrea C Phelps |
Author | Paul K Maciejewski |
Author | Matthew Nilsson |
Author | Tracy A Balboni |
Author | Alexi A Wright |
Author | M Elizabeth Paulk |
Author | Elizabeth Trice |
Author | Deborah Schrag |
Author | John R Peteet |
Author | Susan D Block |
Author | Holly G Prigerson |
Abstract | CONTEXT: Patients frequently rely on religious faith to cope with cancer, but little is known about the associations between religious coping and the use of intensive life-prolonging care at the end of life. OBJECTIVE: To determine the way religious coping relates to the use of intensive life-prolonging end-of-life care among patients with advanced cancer. DESIGN, SETTING, AND PARTICIPANTS: A US multisite, prospective, longitudinal cohort of 345 patients with advanced cancer, who were enrolled between January 1, 2003, and August 31, 2007. The Brief RCOPE assessed positive religious coping. Baseline interviews assessed psychosocial and religious/spiritual measures, advance care planning, and end-of-life treatment preferences. Patients were followed up until death, a median of 122 days after baseline assessment. MAIN OUTCOME MEASURES: Intensive life-prolonging care, defined as receipt of mechanical ventilation or resuscitation in the last week of life. Analyses were adjusted for demographic factors significantly associated with positive religious coping and any end-of-life outcome at P < .05 (ie, age and race/ethnicity). The main outcome was further adjusted for potential psychosocial confounders (eg, other coping styles, terminal illness acknowledgment, spiritual support, preference for heroics, and advance care planning). RESULTS: A high level of positive religious coping at baseline was significantly associated with receipt of mechanical ventilation compared with patients with a low level (11.3% vs 3.6%; adjusted odds ratio [AOR], 2.81 [95% confidence interval {CI}, 1.03-7.69]; P = .04) and intensive life-prolonging care during the last week of life (13.6% vs 4.2%; AOR, 2.90 [95% CI, 1.14-7.35]; P = .03) after adjusting for age and race. In the model that further adjusted for other coping styles, terminal illness acknowledgment, support of spiritual needs, preference for heroics, and advance care planning (do-not-resuscitate order, living will, and health care proxy/durable power of attorney), positive religious coping remained a significant predictor of receiving intensive life-prolonging care near death (AOR, 2.90 [95% CI, 1.07-7.89]; P = .04). CONCLUSIONS: Positive religious coping in patients with advanced cancer is associated with receipt of intensive life-prolonging medical care near death. Further research is needed to determine the mechanisms for this association. |
Publication | JAMA: The Journal of the American Medical Association |
Volume | 301 |
Issue | 11 |
Pages | 1140-1147 |
Date | Mar 18, 2009 |
Journal Abbr | JAMA |
DOI | 10.1001/jama.2009.341 |
ISSN | 1538-3598 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/19293414 |
Accessed | Fri Nov 13 19:58:01 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19293414 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
Type | Journal Article |
---|---|
Author | Andrea C Phelps |
Author | Paul K Maciejewski |
Author | Matthew Nilsson |
Author | Tracy A Balboni |
Author | Alexi A Wright |
Author | M Elizabeth Paulk |
Author | Elizabeth Trice |
Author | Deborah Schrag |
Author | John R Peteet |
Author | Susan D Block |
Author | Holly G Prigerson |
Abstract | <AbstractText Label="CONTEXT" NlmCategory="BACKGROUND">Patients frequently rely on religious faith to cope with cancer, but little is known about the associations between religious coping and the use of intensive life-prolonging care at the end of life.</AbstractText> <AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To determine the way religious coping relates to the use of intensive life-prolonging end-of-life care among patients with advanced cancer.</AbstractText> <AbstractText Label="DESIGN, SETTING, AND PARTICIPANTS" NlmCategory="METHODS">A US multisite, prospective, longitudinal cohort of 345 patients with advanced cancer, who were enrolled between January 1, 2003, and August 31, 2007. The Brief RCOPE assessed positive religious coping. Baseline interviews assessed psychosocial and religious/spiritual measures, advance care planning, and end-of-life treatment preferences. Patients were followed up until death, a median of 122 days after baseline assessment.</AbstractText> <AbstractText Label="MAIN OUTCOME MEASURES" NlmCategory="METHODS">Intensive life-prolonging care, defined as receipt of mechanical ventilation or resuscitation in the last week of life. Analyses were adjusted for demographic factors significantly associated with positive religious coping and any end-of-life outcome at P < .05 (ie, age and race/ethnicity). The main outcome was further adjusted for potential psychosocial confounders (eg, other coping styles, terminal illness acknowledgment, spiritual support, preference for heroics, and advance care planning).</AbstractText> <AbstractText Label="RESULTS" NlmCategory="RESULTS">A high level of positive religious coping at baseline was significantly associated with receipt of mechanical ventilation compared with patients with a low level (11.3% vs 3.6%; adjusted odds ratio [AOR], 2.81 [95% confidence interval {CI}, 1.03-7.69]; P = .04) and intensive life-prolonging care during the last week of life (13.6% vs 4.2%; AOR, 2.90 [95% CI, 1.14-7.35]; P = .03) after adjusting for age and race. In the model that further adjusted for other coping styles, terminal illness acknowledgment, support of spiritual needs, preference for heroics, and advance care planning (do-not-resuscitate order, living will, and health care proxy/durable power of attorney), positive religious coping remained a significant predictor of receiving intensive life-prolonging care near death (AOR, 2.90 [95% CI, 1.07-7.89]; P = .04).</AbstractText> <AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Positive religious coping in patients with advanced cancer is associated with receipt of intensive life-prolonging medical care near death. Further research is needed to determine the mechanisms for this association.</AbstractText> |
Publication | JAMA: The Journal of the American Medical Association |
Volume | 301 |
Issue | 11 |
Pages | 1140-1147 |
Date | Mar 18, 2009 |
Journal Abbr | JAMA |
DOI | 10.1001/jama.2009.341 |
ISSN | 1538-3598 |
Accessed | Tue Feb 22 19:34:49 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19293414 |
Date Added | Thu Sep 29 09:06:18 2011 |
Modified | Thu Sep 29 09:06:18 2011 |
The objective of this study is to determine the way religious coping relates to the use of intensive life-prolonging end-of-life care among patients with advanced cancer.
Type | Journal Article |
---|---|
Author | R.L. Phillips |
Author | L. Garfinkel |
Author | J.W. Kuzma |
Author | W.L. Beeson |
Author | T. Lotz |
Author | B. Brin |
Abstract | In previous reports concerning cancer among Seventh-Day Adventists (SDA), comparisons were made only with the general population. This report compared California SDA to a sample of non-SDA who were demographically similar to SDA. The study consisted of 17 years of follow-up (1960--76) on 22,940 white California SDA and 13 years of follow-up (1960--72) on 112,725 white California non-SDA. Both groups completed the same base-line questionnaire in 1960. Deaths were ascertained by annual contacts with each study member and by computer-assisted record linkage with the California State death certificate file. Results indicated that, with the exception of colon-rectal cancer and smoking-related cancers, the difference in risk of fatal cancer between SDA and non-SDA was substantially reduced when SDA were compared with a more socioeconomically similar population. The persistence of the low risk for colon-rectal cancer can probably be attributed to some aspect of the diet or life-style of the SDA. |
Publication | Journal of the National Cancer Institute |
Volume | 65 |
Issue | 5 |
Pages | 1097-1107 |
Date | Nov. 1980 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
This report compared California SDA to a sample of non-SDA who were demographically similar to SDA. Results indicated that, with the exception of colon-rectal cancer and smoking-related cancers, the difference in risk of fatal cancer between SDA and non-SDA was substantially reduced when SDA were compared with a more socioeconomically similar population. The persistence of the low risk for colon-rectal cancer can probably be attributed to some aspect of the diet or life-style of the SDA.
Type | Journal Article |
---|---|
Author | Jason Q Purnell |
Author | Barbara L Andersen |
Author | James P Wilmot |
Abstract | Religion and spirituality are resources regularly used by patients with cancer coping with diagnosis and treatment, yet there is little research that examines these factors separately. This study investigated the relationships between religious practice and spirituality and quality of life (QoL) and stress in survivors of breast cancer. The sample included 130 women assessed 2 years following diagnosis. Using hierarchical multiple regression analysis, the authors found that spiritual well-being was significantly associated with QoL and traumatic stress, whereas religious practice was not significantly associated with these variables. The results suggest that it may be helpful for clinicians to address spirituality, in particular with survivors of breast cancer. |
Publication | Counseling and Values |
Volume | 53 |
Issue | 3 |
Pages | 165 |
Date | Apr 1, 2009 |
Journal Abbr | Couns Values |
ISSN | 0160-7960 |
Accessed | Tue Feb 22 18:32:00 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 20098664 |
Date Added | Thu Sep 29 09:06:18 2011 |
Modified | Thu Sep 29 09:06:18 2011 |
Type | Journal Article |
---|---|
Author | Lois Ramondetta |
Author | Alaina Brown |
Author | Gwyn Richardson |
Author | Diana Urbauer |
Author | Premal H Thaker |
Author | Harold G Koenig |
Author | Jacalyn B Gano |
Author | Charlotte Sun |
Abstract | BACKGROUND Religious (R) and spiritual (S) beliefs often affect patients' health care decisions, particularly with regard to care at the end of life. Furthermore, patients desire more R/S involvement by the medical community; however, physicians typically do not incorporate R/S assessment into medical interviews with patients. The effects of physicians' R/S beliefs on willingness to participate in controversial clinical practices such as medical abortions and physician-assisted suicide has been evaluated, but how a physician's R/S beliefs may affect other medical decision-making is unclear. METHODS Using SurveyMonkey, an online survey tool, we surveyed 1972 members of the International Gynecologic Oncologists Society and the Society of Gynecologic Oncologists to determine the R/S characteristics of gynecologic oncologists and whether their R/S beliefs affected their clinical practice. Demographics, religiosity, and spirituality data were collected. Physicians were also asked to evaluate 5 complex case scenarios. RESULTS : Two hundred seventy-three (14%) physicians responded. Sixty percent "agreed" or "somewhat agreed" that their R/S beliefs were a source of personal comfort. Forty-five percent reported that their R/S beliefs ("sometimes," "frequently," or "always") play a role in the medical options they offered patients, but only 34% "frequently" or "always" take a R/S history from patients. Interestingly, 90% reported that they consider patients' R/S beliefs when discussing end-of-life issues. Responses to case scenarios largely differed by years of experience, although age and R/S beliefs also had influence. CONCLUSIONS Our results suggest that gynecologic oncologists' R/S beliefs may affect patient care but that most physicians fail to take an R/S history from their patients. More work needs to be done to evaluate possible barriers that prevent physicians from taking a spiritual history and engaging in discussions over these matters with patients. |
Publication | International Journal of Gynecological Cancer: Official Journal of the International Gynecological Cancer Society |
Volume | 21 |
Issue | 3 |
Pages | 573-581 |
Date | Apr 2011 |
Journal Abbr | Int. J. Gynecol. Cancer |
DOI | 10.1097/IGC.0b013e31820ba507 |
ISSN | 1525-1438 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/21436706 |
Accessed | Mon May 9 19:02:13 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 21436706 |
Date Added | Thu Sep 29 08:55:49 2011 |
Modified | Thu Sep 29 08:55:49 2011 |
A study on how a physician's religious and spiritual beliefs may affect other medical decision-making. The study surveyed 1972 members of the International Gynecologic Oncologists Society and the Society of Gynecologic Oncologists to determine the religious/spirituality characteristics of gynecologic oncologists and whether their religious/spiritual beliefs affected their clinical practice. Demographics, religiosity, and spirituality data were collected.
Type | Journal Article |
---|---|
Author | M Raghavendra Rao |
Author | Nagarathna Raghuram |
Author | H R Nagendra |
Author | K S Gopinath |
Author | B S Srinath |
Author | Ravi B Diwakar |
Author | Shekar Patil |
Author | S Ramesh Bilimagga |
Author | Nalini Rao |
Author | S Varambally |
Abstract | OBJECTIVES This study compares the anxiolytic effects of a yoga program and supportive therapy in breast cancer outpatients undergoing conventional treatment at a cancer centre. METHODS Ninety-eight stage II and III breast cancer outpatients were randomly assigned to receive yoga (n=45) or brief supportive therapy (n=53) prior to their primary treatment i.e., surgery. Only those subjects who received surgery followed by adjuvant radiotherapy and six cycles of chemotherapy were chosen for analysis following intervention (yoga, n=18, control, n=20). Intervention consisted of yoga sessions lasting 60min daily while the control group was imparted supportive therapy during their hospital visits as a part of routine care. Assessments included Speilberger's State Trait Anxiety Inventory and symptom checklist. Assessments were done at baseline, after surgery, before, during, and after radiotherapy and chemotherapy. RESULTS A GLM-repeated measures ANOVA showed overall decrease in both self-reported state anxiety (p<0.001) and trait anxiety (p=0.005) in yoga group as compared to controls. There was a positive correlation between anxiety states and traits with symptom severity and distress during conventional treatment intervals. CONCLUSION The results suggest that yoga can be used for managing treatment-related symptoms and anxiety in breast cancer outpatients. |
Publication | Complementary Therapies in Medicine |
Volume | 17 |
Issue | 1 |
Pages | 1-8 |
Date | Jan 2009 |
Journal Abbr | Complement Ther Med |
DOI | 10.1016/j.ctim.2008.05.005 |
ISSN | 1873-6963 |
Short Title | Anxiolytic effects of a yoga program in early breast cancer patients undergoing conventional treatment |
URL | http://www.ncbi.nlm.nih.gov/pubmed/19114222 |
Accessed | Mon Mar 28 18:18:24 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19114222 |
Date Added | Thu Sep 29 09:06:18 2011 |
Modified | Thu Sep 29 09:06:18 2011 |
This study compares the anxiolytic effects of a yoga program and supportive therapy in breast cancer outpatients undergoing conventional treatment at a cancer centre.
Type | Journal Article |
---|---|
Author | Gary Rodin |
Author | Christopher Lo |
Author | Mario Mikulincer |
Author | Allan Donner |
Author | Lucia Gagliese |
Author | Camilla Zimmermann |
Abstract | We tested a model in which psychosocial and disease-related variables act as multiple protective and risk factors for psychological distress in patients with metastatic cancer. We hypothesized that depression and hopelessness constitute common pathways of distress, which mediate the effects of psychosocial and disease-related factors on the desire for hastened death. This model was tested on a cross-sectional sample of 406 patients with metastatic gastrointestinal or lung cancer recruited at outpatient clinics of a Toronto cancer hospital, using structural equation modeling. The results supported the model. High disease burden, insecure attachment, low self-esteem, and younger age were risk factors for depression. Low spiritual well-being was a risk factor for hopelessness. Depression and hopelessness were found to be mutually reinforcing, but distinct constructs. Both depression and hopelessness independently predicted the desire for hastened death, and mediated the effects of psychosocial and disease-related variables on this outcome. The identified risk factors support a holistic approach to palliative care in patients with metastatic cancer, which attends to physical, psychological, and spiritual factors to prevent and treat distress in patients with advanced disease. |
Publication | Social Science & Medicine (1982) |
Volume | 68 |
Issue | 3 |
Pages | 562-569 |
Date | Feb 2009 |
Journal Abbr | Soc Sci Med |
DOI | 10.1016/j.socscimed.2008.10.037 |
ISSN | 0277-9536 |
Short Title | Pathways to distress |
URL | http://www.ncbi.nlm.nih.gov/pubmed/19059687 |
Accessed | Fri Nov 13 19:40:20 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19059687 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
We tested a model in which psychosocial and disease-related variables act as multiple protective and risk factors for psychological distress in patients with metastatic cancer. We hypothesized that depression and hopelessness constitute common pathways of distress, which mediate the effects of psychosocial and disease-related factors on the desire for hastened death. The results supported the model. High disease burden, insecure attachment, low self-esteem, and younger age were risk factors for depression. Low spiritual well-being was a risk factor for hopelessness.
Type | Journal Article |
---|---|
Author | Louie E Ross |
Author | Ingrid J Hall |
Author | Temeika L Fairley |
Author | Yhenneko J Taylor |
Author | Daniel L Howard |
Abstract | OBJECTIVES: At least 10.8 million living Americans have been diagnosed with cancer, and about 1.5 million new cancer cases are expected to be diagnosed in 2008. The purpose of this study was to examine prayer for health and self-reported health among a sample of men and women with a personal history of cancer. METHODS: We used data from the 2002 National Health Interview Survey, which collected information on complementary and alternative medicine practices. RESULTS: Among 2262 men and women with a history of cancer, 68.5% reported having prayed for their own health and 72% reported good or better health status. Among cancer survivors, praying for one's own health was associated with several sociodemographic variables including being female, non-Hispanic black, and married. Compared to persons with a history of skin cancer, persons with a history of breast cancer, colorectal cancer, a cancer with a short survival period (e.g., pancreatic cancer), or other cancers were more likely to pray for their health. Persons who reported good or better health were more likely to be female, younger, have higher levels of education and income, and have no history of additional chronic disease. Overall, praying for one's own health was inversely associated with good or better health status. CONCLUSIONS: Data from this nationally representative sample indicate that prayer for health is commonly used among people with a history of cancer and that use of prayer varies by cancer site. The findings should add to the current body of literature that debates issues around spirituality, decision-making about treatment, and physician care. |
Publication | Journal of Alternative and Complementary Medicine (New York, N.Y.) |
Volume | 14 |
Issue | 8 |
Pages | 931-938 |
Date | Oct 2008 |
Journal Abbr | J Altern Complement Med |
DOI | 10.1089/acm.2007.0788 |
ISSN | 1557-7708 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18925865 |
Accessed | Fri Nov 13 19:30:41 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 18925865 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
The purpose of this study was to examine prayer for health and self-reported health among a sample of men and women with a personal history of cancer. Conclusions: Data indicate that prayer for health is commonly used among people with a history of cancer and that use of prayer varies by cancer site.
Type | Journal Article |
---|---|
Author | B.T. Samuelson |
Author | E.K. Fromme |
Author | T.L. McDonald |
Author | J.G. Waller |
Author | C.D. Fuller |
Author | C.R. Thomas |
Abstract | Purpose/Objective(s) Spirituality is important but poorly understood. This study evaluates the impact of radiation therapy (RT) on spiritual well-being and quality of life (QOL). Materials/Methods A retrospective, IRB-approved chart review was performed of 722 patients receiving RT for any cancer diagnosis between 1/1/2006 and 12/31/2008. Subjects completed the Functional Assessment of Cancer Therapy General (FACT-G) and Spirituality (Sp-12) questionnaires before and after radiation therapy as part of the department's efforts to incorporate Patient Reported Outcomes into clinical care. Pre- and immediately post-RT course scores were compared using student t-tests with Bonferroni correction for multiple comparisons (8 comparisons, alpha = .00625). Results A total of 722 of 1369 (52.7%) possible patients participated in the PRO database. Of these, complete pre and post RT spirituality data were available for 406 (56.2%). Of these patients, 270 (66.5%) were male and 136 (33.5%) were female, 340 (83.7%) received definitive treatment and 64 (15.8) received palliative treatment. The average age was 61.1 years. Global QOL declined between pre and post-RT (81.3 to 78.9 (p < .001). This was caused largely by declines in physical wellbeing (22.1 to 19.4 (p < .001) while emotional well being (18.4 to 19.3 (p < .001) improved and social/family wellbeing (22.7 to 22.6, p = .544) and functional (18.1 to 17.63 (p = 0.063) wellbeing remained constant. Overall spirituality remained constant (35.7 to 36.5, p = .023) including both the faith and meaning/peace subscales. In exploratory subgroup analyses, women's scores on the faith subscale increased significantly (10.92 to 11.87, p = .001) although their meaning/peace subscale increase was not significant. Conclusions Spiritual wellbeing, like social/family wellbeing and functional wellbeing, did not change between pre and post RT, while physical wellbeing worsened and emotional wellbeing improved. Patient reported outcomes like QOL and spirituality should be routinely embedded into therapeutic-based clinical trials involving RT, including emerging technologies, in order to better understand their true impact. |
Publication | International Journal of Radiation Oncology*Biology*Physics |
Volume | 78 |
Issue | 3, Supplement 1 |
Pages | S604-S605 |
Date | November 1, 2010 |
DOI | 10.1016/j.ijrobp.2010.07.1407 |
ISSN | 0360-3016 |
URL | http://www.sciencedirect.com/science/article/B6T7X-514GTCR-1P6/2/facb478bd5fbf49c1339494208d257de |
Accessed | Mon Dec 13 20:42:00 2010 |
Date Added | Thu Sep 29 08:59:00 2011 |
Modified | Thu Sep 29 08:59:00 2011 |
This study evaluates the impact of radiation therapy on spiritual well-being and quality of life.
Type | Journal Article |
---|---|
Author | R A Schnoll |
Author | L L Harlow |
Author | L Brower |
Abstract | PURPOSE: The purpose of this study was to examine the relationship between demographic-disease variables, spirituality, and psychosocial adjustment in a heterogeneous sample of patients with cancer. DESCRIPTION OF STUDY: Participants (N = 83) accrued through the Rhode Island Hospital and the American Cancer Society completed questionnaires, and structural equation modeling was used to examine the relationships among disease and demographic factors, spirituality, and psychosocial adjustment to cancer. RESULTS: Of five models tested, a mediational model received the strongest support (chi-square(35)-66.61; P = .005; comparative fix index = .90; root mean square error of approximation = .09), explaining 64% of the variance in psychosocial adjustment. Being a woman, having a longer illness duration, and having a lower disease stage were related to greater levels of purpose in life and religious beliefs, which, in turn, were associated with higher levels of family and social adjustment and psychological health. CLINICAL IMPLICATIONS: The results indicate that spirituality can influence how patients with cancer adjust to their diagnosis and treatment and, thus, support the need for interventions that target spirituality to promote psychosocial adjustment in this population. |
Publication | Cancer Practice |
Volume | 8 |
Issue | 6 |
Pages | 298-304 |
Date | 2000 Nov-Dec |
Journal Abbr | Cancer Pract |
ISSN | 1065-4704 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/11898147 |
Accessed | Thu Nov 12 21:17:26 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 11898147 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
The purpose of this study was to examine the relationship between demographic-disease variables, spirituality, and psychosocial adjustment in a heterogeneous sample of patients with cancer.
Type | Journal Article |
---|---|
Author | Nancy E Schoenberg |
Author | Jennifer Hatcher |
Author | Mark B Dignan |
Author | Brent Shelton |
Author | Sherry Wright |
Author | Kaye F Dollarhide |
Abstract | OBJECTIVE: To provide a conceptual description of Faith Moves Mountains (FMM), an intervention designed to reduce the disproportionate burden of cervical cancer among Appalachian women. METHODS: FMM, a community-based participatory research program designed and implemented in collaboration with churches in rural, southeastern Kentucky, aims to increase cervical cancer screening (Pap tests) through a multiphase process of educational programming and lay health counseling. RESULTS: We provide a conceptual overview to key elements of the intervention, including programmatic development, theoretical basis, intervention approach and implementation, and evaluation procedures. CONCLUSIONS: After numerous modifications, FMM has recruited and retained over 400 women, 30 churches, and has become a change agent in the community. |
Publication | American Journal of Health Behavior |
Volume | 33 |
Issue | 6 |
Pages | 627-638 |
Date | 2009 Nov-Dec |
Journal Abbr | Am J Health Behav |
ISSN | 1945-7359 |
Short Title | Faith Moves Mountains |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19320612 |
Accessed | Mon Nov 23 19:58:30 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19320612 |
Date Added | Thu Sep 29 09:05:21 2011 |
Modified | Thu Sep 29 09:05:21 2011 |
To provide a conceptual description of Faith Moves Mountains (FMM), an intervention designed to reduce the disproportionate burden of cervical cancer among Appalachian women.
Type | Journal Article |
---|---|
Author | Judith A Schreiber |
Abstract | Purpose/Objectives: To examine the effect of breast cancer survivors' views of God on religious coping strategies, depression, anxiety, stress, concerns about recurrence, and psychological well-being.Design: Exploratory, cross-sectional, comparative survey.Setting: Outpatients from community and university oncology practices in the southeastern United States.Sample: 130 early breast cancer survivors (6-30 months postdiagnosis).Methods: Self-report written survey packets were mailed to practice-identified survivors.Main Research Variables: Image of God, religious coping strategies, depression, anxiety, stress, concerns about recurrence, and psychological well-being.Findings: Women who viewed God as highly engaged used more coping strategies to promote spiritual conservation in proportion to coping strategies that reflect spiritual struggle. Women who viewed God as highly engaged maintained psychological well-being when either spiritual conservation or spiritual struggle coping styles were used. No differences in variables were noted for women who viewed God as more or less angry.Conclusions: The belief in an engaged God is significantly related to increased psychological well-being, decreased psychological distress, and decreased concern about recurrence.Implications for Nursing: Addressing survivors' issues related to psychological adjustment and concern about recurrence within their world view would allow for more personalized and effective interventions. Future research should be conducted to establish how the view that God is engaged affects coping and psychological adjustment across diverse groups of cancer survivors and groups with monotheistic, polytheistic, and naturalistic world views. This could lead to a practical method for examining the influence of these world views on individuals' responses to cancer diagnosis, treatment, and survivorship. |
Publication | Oncology Nursing Forum |
Volume | 38 |
Issue | 3 |
Pages | 293-301 |
Date | May 1, 2011 |
Journal Abbr | Oncol Nurs Forum |
DOI | 10.1188/11.ONF.293-301 |
ISSN | 1538-0688 |
Short Title | Image of god |
URL | http://www.ncbi.nlm.nih.gov/pubmed/21531680 |
Accessed | Wed Jun 8 18:32:39 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 21531680 |
Date Added | Thu Sep 29 08:54:49 2011 |
Modified | Thu Sep 29 08:54:49 2011 |
To examine the effect of breast cancer survivors' views of God on religious coping strategies, depression, anxiety, stress, concerns about recurrence, and psychological well-being.
Type | Journal Article |
---|---|
Author | Shaouli Shahid |
Author | Ryan Bleam |
Author | Dawn Bessarab |
Author | Sandra C Thompson |
Abstract | ABSTRACT: BACKGROUND: Little is known about the use of bush medicine and traditional healing among Aboriginal Australians for their treatment of cancer and the meanings attached to it. A qualitative study that explored Aboriginal Australians' perspectives and experiences of cancer and cancer services in Western Australia provided an opportunity to analyse the contemporary meanings attached and use of bush medicine by Aboriginal people with cancer in Western Australia METHODS: Data collection occurred in Perth, both rural and remote areas and included individual in-depth interviews, observations and field notes. Of the thirty-seven interviews with Aboriginal cancer patients, family members of people who died from cancer and some Aboriginal health care providers, 11 participants whose responses included substantial mention on the issue of bush medicine and traditional healing were selected for the analysis for this paper. RESULTS: The study findings have shown that as part of their healing some Aboriginal Australians use traditional medicine for treating their cancer. Such healing processes and medicines were preferred by some because it helped reconnect them with their heritage, land, culture and the spirits of their ancestors, bringing peace of mind during their illness. Spiritual beliefs and holistic health approaches and practices play an important role in the treatment choices for some patients. CONCLUSIONS: Service providers need to acknowledge and understand the existence of Aboriginal knowledge (epistemology) and accept that traditional healing can be an important addition to an Aboriginal person's healing complementing Western medical treatment regimes. Allowing and supporting traditional approaches to treatment reflects a commitment by modern medical services to adopting an Aboriginal-friendly approach that is not only culturally appropriate but assists with the cultural security of the service. |
Publication | Journal of Ethnobiology and Ethnomedicine |
Volume | 6 |
Issue | 1 |
Pages | 18 |
Date | Jun 23, 2010 |
Journal Abbr | J Ethnobiol Ethnomed |
DOI | 10.1186/1746-4269-6-18 |
ISSN | 1746-4269 |
Short Title | "If you don't believe it, it won't help you" |
Accessed | Wed Jul 7 09:42:04 2010 |
Library Catalog | NCBI PubMed |
Extra | PMID: 20569478 |
Date Added | Thu Sep 29 09:04:02 2011 |
Modified | Thu Sep 29 09:04:02 2011 |
A qualitative study that explored Aboriginal Australians' perspectives and experiences of cancer and cancer services in Western Australia provided an opportunity to analyse the contemporary meanings attached and use of bush medicine by Aboriginal people with cancer in Western Australia
Type | Journal Article |
---|---|
Author | Fu-Jin Shih |
Author | Hung-Ru Lin |
Author | Meei-Ling Gau |
Author | Ching-Huey Chen |
Author | Szu-Mei Hsiao |
Author | Shaw-Nin Shih |
Author | Shuh-Jen Sheu |
Abstract | PURPOSE/OBJECTIVES To explore the core constitutive patterns from the perspective of the older patient with terminal cancer, the major foci of spiritual needs, and professional actions that manifest tangibly as spiritual care. DESIGN Hermeneutic inquiry. SETTING Two leading teaching hospitals in Taiwan. SAMPLE 35 older patients with terminal cancer with a life expectancy of three months. METHODS Participatory observation and in-depth interviews were the major data collection strategies. Hermeneutic inquiry was used to disclose, document, and interpret participants' lived experiences. MAIN RESEARCH VARIABLES The perceptions of older Taiwanese patients with terminal cancer and their particular healthcare needs across various transition stages. FINDINGS Two constitutive patterns, "caring for the mortal body" and "transcending the worldly being," each with three themes and a related transformational process emerged from the data analysis. Two foci of spiritual needs were discovering patients' concerns about their dying bodies and their worldly being and facilitating the transcendence of the spiritual being from the physical realm. CONCLUSIONS Caring for older Taiwanese patients with terminal cancer and helping them transcend the fear of the unknown when they give up worldly being can produce insights into patients' primary concerns, perceptions, and spiritual needs to help them achieve a "good" death. IMPLICATIONS FOR NURSING The knowledge gained in this study and the six major spiritual care actions identified may empower oncology nurse educators to develop culturally valid spiritual care courses. Research-based guidance for nurse clinicians who are taking care of older Taiwanese patients with terminal cancer will be provided. |
Publication | Oncology Nursing Forum |
Volume | 36 |
Issue | 1 |
Pages | E31-38 |
Date | Jan 2009 |
Journal Abbr | Oncol Nurs Forum |
DOI | 10.1188/09.ONF.E31-E38 |
ISSN | 1538-0688 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/19136329 |
Accessed | Mon Mar 28 18:09:28 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19136329 |
Date Added | Thu Sep 29 09:06:18 2011 |
Modified | Thu Sep 29 09:06:18 2011 |
To explore the core constitutive patterns from the perspective of the older patient with terminal cancer, the major foci of spiritual needs, and professional actions that manifest tangibly as spiritual care.
Type | Journal Article |
---|---|
Author | Shane Sinclair |
Author | Marlene Mysak |
Author | Neil A Hagen |
Abstract | OBJECTIVE:Tending to the spiritual needs of patients has begun to be formally recognized by professional spiritual care providers, health care councils, and health delivery systems over the last 30 years. Recognition of these programs has coincided with evidence-based research on the effect of spirituality on health. Palliative care has served as a forerunner to an integrated professional spiritual care approach, recognizing the importance of addressing the spiritual needs of the dying from its inauguration within Western medicine almost 50 years ago. Oncology programs have also begun to recognize the importance of spirituality to patients along the cancer continuum, especially those who are approaching the end of life. Although standards and best practice guidelines have been established and incorporated into practice, little is known about the actual factors affecting the practice of spiritual care programs or professional chaplains working within an oncology setting.METHODS:Participant observation and interactive interviews occurred at five cancer programs after we conducted a literature search.RESULTS:This study identified underlying organizational challenges, cultural and professional issues, academic program development challenges, administrative duties, and therapeutic interventions that determined the success of oncology spiritual care programs in practice.SIGNIFICANCE OF RESULTS:Although spiritual care services have developed as a profession and become recognized as a service within oncology and palliative care, organizational and operational issues were underrecognized yet significant factors in the success of oncology spiritual care programs. Spiritual care programs that were centrally located within the cancer care center, reported and provided guidance to senior leaders, reflected a multifaith approach, and had an academic role were better resourced, utilized more frequently, and seen to be integral members of an interdisciplinary care team than those services who did not reflect these characteristics. |
Publication | Palliative & Supportive Care |
Volume | 7 |
Issue | 4 |
Pages | 415-422 |
Date | Dec 2009 |
Journal Abbr | Palliat Support Care |
DOI | 10.1017/S1478951509990423 |
ISSN | 1478-9523 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19939304 |
Accessed | Mon Dec 28 14:59:18 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19939304 |
Date Added | Thu Sep 29 09:05:21 2011 |
Modified | Thu Sep 29 09:05:21 2011 |
Tending to the spiritual needs of patients has begun to be formally recognized by professional spiritual care providers, health care councils, and health delivery systems over the last 30 years. Recognition of these programs has coincided with evidence-based research on the effect of spirituality on health. Palliative care has served as a forerunner to an integrated professional spiritual care approach, recognizing the importance of addressing the spiritual needs of the dying from its inauguration within Western medicine almost 50 years ago. Oncology programs have also begun to recognize the importance of spirituality to patients along the cancer continuum, especially those who are approaching the end of life. Although standards and best practice guidelines have been established and incorporated into practice, little is known about the actual factors affecting the practice of spiritual care programs or professional chaplains working within an oncology setting. Participant observation and interactive interviews occurred at five cancer programs after we conducted a literature search
Type | Journal Article |
---|---|
Author | Kelly B Smith |
Author | Caroline F Pukall |
Abstract | OBJECTIVE To conduct an evidence-based review of yoga as an intervention for patients with cancer. Specifically, this paper reviewed the impact of yoga on psychological adjustment among cancer patients. METHODS A systematic literature search was conducted between May 2007 and April 2008. Data from each identified study were extracted by two independent raters; studies were included if they assessed psychological functioning and focused on yoga as a main intervention. Using a quality rating scale (range = 9-45), the raters assessed the methodological quality of the studies, and CONSORT guidelines were used to assess randomized controlled trials (RCTs). Effect sizes were calculated when possible. In addition, each study was narratively reviewed with attention to outcome variables, the type of yoga intervention employed, and methodological strengths and limitations. RESULTS Ten studies were included, including six RCTs. Across studies, the majority of participants were women, and breast cancer was the most common diagnosis. Methodological quality ranged greatly across studies (range = 15.5-42), with the average rating (M = 33.55) indicating adequate quality. Studies also varied in terms of cancer populations and yoga interventions sampled. CONCLUSIONS This study provided a systematic evaluation of the yoga and cancer literature. Although some positive results were noted, variability across studies and methodological drawbacks limit the extent to which yoga can be deemed effective for managing cancer-related symptoms. However, further research in this area is certainly warranted. Future research should examine what components of yoga are most beneficial, and what types of patients receive the greatest benefit from yoga interventions. |
Publication | Psycho-Oncology |
Volume | 18 |
Issue | 5 |
Pages | 465-475 |
Date | May 2009 |
Journal Abbr | Psychooncology |
DOI | 10.1002/pon.1411 |
ISSN | 1099-1611 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18821529 |
Accessed | Mon Mar 28 18:29:00 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 18821529 |
Date Added | Thu Sep 29 09:06:18 2011 |
Modified | Thu Sep 29 09:06:18 2011 |
A evidence-based study review of yoga as an intervention for patients with cancer. Specifically, this paper reviewed the impact of yoga on psychological adjustment among cancer patients.
Type | Journal Article |
---|---|
Author | Michael Stefanek |
Author | Paige Green McDonald |
Author | Stephanie A. Hess |
Abstract | The role of religion and spirituality in health has received increasing attention in the scientific and lay literature. While the scientific attention to this issue has expanded, there continue to be methodological and measurement concerns that often prevent firm conclusions about health and adjustment benefits.Limited attention has been provided to the role of spirituality and religion in cancer. This is true when both disease outcome and adjustment are considered. A recent "levels of evidence" review examining the link between physical health and religion or spirituality found little overall support for the hypotheses that religion or spirituality impact cancer progression or mortality. Studies examining their impact on quality of life and adjustment are decidedly mixed. In sum, research specifically focusing on the role of religion or spirituality on cancer outcomes has been surprisingly sparse. Such research presents a number of methodological and measurement challenges. Due to these unmet challenges in the literature to date, it is premature to determine what role religion and spirituality play in disease, adjustment, or quality of life outcomes in cancer. A number of suggestions are made for continued research in this area. |
Publication | Psycho-Oncology |
Volume | 14 |
Issue | 6 |
Pages | 450-463 |
Date | 2005 |
DOI | 10.1002/pon.861 |
Short Title | Religion, spirituality and cancer |
URL | http://dx.doi.org/10.1002/pon.861 |
Accessed | Mon Sep 7 10:57:22 2009 |
Library Catalog | Wiley InterScience |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
Research specifically focusing on the role of religion or spirituality on cancer outcomes has been surprisingly sparse. Such research presents a number of methodological and measurement challenges. Due to these unmet challenges in the literature to date, it is premature to determine what role religion and spirituality play in disease, adjustment, or quality of life outcomes in cancer.
Type | Journal Article |
---|---|
Author | Daniel P Sulmasy |
Author | Alan B Astrow |
Author | M Kai He |
Author | Damon M Seils |
Author | Neal J Meropol |
Author | Ellyn Micco |
Author | Kevin P Weinfurt |
Abstract | BACKGROUND: Patients' estimates of their chances of therapeutic benefit from participation in early phase trials greatly exceed historical data. Ethicists worry that this therapeutic misestimation undermines the validity of informed consent. METHODS: The authors interviewed 45 patients enrolled in phase 1 or 2 oncology trials about their expectations of therapeutic benefit and their reasons for those expectations. They used a phenomenological, qualitative approach with 1 primary coder to identify emergent themes, verified by 2 independent coders. RESULTS: Median expectations of therapeutic benefit varied from 50% to 80%, depending on how the question was asked. Justifications universally invoked hope and optimism, and 27 of 45 participants used 1 of these words. Three major themes emerged: 1) optimism as performative, that is, the notion that positive thoughts and expressions improve chances of benefit; 2) fighting cancer as a battle; and 3) faith in God, science, or both. Many participants described a culture in which optimism was encouraged and expected, such that trial enrollment became a way of reflecting this expectation. Many reported they had been told few patients would benefit and appeared to understand the uncertainties of clinical research, yet expressed high expected personal therapeutic benefit. More distressed participants were less likely to invoke performative justifications for their expectations (50% vs 84%; P=.04). CONCLUSIONS: Expressions of high expected therapeutic benefit had little to do with reporting knowledge and more to do with expressing optimism. These results have implications for understanding how to obtain valid consent from participants in early phase clinical trials. |
Publication | Cancer |
Volume | 116 |
Issue | 15 |
Pages | 3702-3711 |
Date | Aug 1, 2010 |
Journal Abbr | Cancer |
DOI | 10.1002/cncr.25201 |
ISSN | 0008-543X |
Short Title | The culture of faith and hope |
Accessed | Mon Sep 13 21:00:32 2010 |
Library Catalog | NCBI PubMed |
Extra | PMID: 20564120 |
Date Added | Thu Sep 29 09:02:43 2011 |
Modified | Thu Sep 29 09:02:43 2011 |
Patients' estimates of their chances of therapeutic benefit from participation in early phase trials greatly exceed historical data. Ethicists worry that this therapeutic misestimation undermines the validity of informed consent. The authors interviewed 45 patients enrolled in phase 1 or 2 oncology trials about their expectations of therapeutic benefit and their reasons for those expectations. They used a phenomenological, qualitative approach with 1 primary coder to identify emergent themes, verified by 2 independent coders.
Type | Journal Article |
---|---|
Author | Antonella Surbone |
Author | Lea Baider |
Abstract | Spirituality is more about constant questioning than about providing fixed or final answers. Cancer patients do not expect spiritual solutions from oncology team members, but they wish to feel comfortable enough to raise spiritual issues and not be met with fear, judgmental attitudes, or dismissive comments. Spiritual needs may not be explicit in all illness phases, yet spirituality is not only confined to the areas of palliative or end-of-life care. Sensitive and effective methods to assess and address spiritual needs of cancer patients are being developed and qualitative research on the topic is underway. In addition, formal education and training in communication about cancer patients' spiritual issues and in how to assess and address them in the clinical context is being increasingly provided. Spirituality can be a major resource for both patients and physicians, yet it can never be imposed but only shared. Those oncology professionals who are familiar with their own spirituality will be better at recognizing, understanding and attending to their patients' spiritual needs and concerns. |
Publication | Critical Reviews in Oncology/Hematology |
Volume | 73 |
Issue | 3 |
Pages | 228-235 |
Date | Mar 2010 |
Journal Abbr | Crit. Rev. Oncol. Hematol |
DOI | 10.1016/j.critrevonc.2009.03.011 |
ISSN | 1879-0461 |
Accessed | Tue Feb 22 19:13:59 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19406661 |
Date Added | Thu Sep 29 09:06:18 2011 |
Modified | Thu Sep 29 09:06:18 2011 |
Spirituality is more about constant questioning than about providing fixed or final answers. Cancer patients do not expect spiritual solutions from oncology team members, but they wish to feel comfortable enough to raise spiritual issues and not be met with fear, judgmental attitudes, or dismissive comments. Spiritual needs may not be explicit in all illness phases, yet spirituality is not only confined to the areas of palliative or end-of-life care. Sensitive and effective methods to assess and address spiritual needs of cancer patients are being developed and qualitative research on the topic is underway. In addition, formal education and training in communication about cancer patients’ spiritual issues and in how to assess and address them in the clinical context is being increasingly provided. Spirituality can be a major resource for both patients and physicians, yet it can never be imposed but only shared. Those oncology professionals who are familiar with their own spirituality will be better at recognizing, understanding and attending to their patients’ spiritual needs and concerns.
Type | Journal Article |
---|---|
Author | Brandon Switzer |
Author | Guy A. Boysen |
Abstract | Little is known about the relation between religiosity and illness stigma. This study examined the relationship between religiosity and stigmatizing attitudes toward the mental illness of addiction and the physical illness of cancer. Participants (N = 120) completed a measure of religiosity and evaluated a vignette describing either a person with addiction or cancer. The results indicated that attitudes were more negative toward a person with addiction than a person with cancer, which is consistent with attribution theory. However, religiosity was generally unrelated to stigmatizing attitudes. These results suggest that religiosity may be a less powerful determinant of stigmatizing attitudes than attributions about the illness. [ABSTRACT FROM AUTHOR] |
Publication | Mental Health, Religion & Culture |
Volume | 12 |
Issue | 3 |
Pages | 241-245 |
Date | April 2009 |
DOI | 10.1080/13674670802428449 |
ISSN | 13674676 |
Library Catalog | EBSCOhost |
Date Added | Thu Sep 29 09:06:18 2011 |
Modified | Thu Sep 29 09:06:18 2011 |
Little is known about the relation between religiosity and illness stigma. This study examined the relationship between religiosity and stigmatizing attitudes toward the mental illness of addiction and the physical illness of cancer. Participants (N = 120) completed a measure of religiosity and evaluated a vignette describing either a person with addiction or cancer. The results indicated that attitudes were more negative toward a person with addiction than a person with cancer, which is consistent with attribution theory. However, religiosity was generally unrelated to stigmatizing attitudes. These results suggest that religiosity may be a less powerful determinant of stigmatizing attitudes than attributions about the illness.
Type | Journal Article |
---|---|
Author | Anna M Tacón |
Author | Jacalyn McComb |
Abstract | BACKGROUND: The purpose of this article is to describe the rationale and protocol for a pilot study in women with breast cancer that integrates the two complementary therapies of mindfulness and exercise. DESIGN: A sample of 30 women diagnosed with breast cancer within the previous 12 months who have completed initial treatment for their disease will be recruited from oncology physicians' offices. The pilot will be a pre-post design, and the study will occur within a hospital counseling center for 2 h one day/week for 8 weeks. Participants will complete pre-and post-questionnaires on anxiety, depression, quality of life, and the post-traumatic stress disorder (PTSD) checklist. Patients will receive audiotapes and pedometers and will keep detailed logs of their weekly homework assignments. OUTCOME: Appropriate statistical analyses will be carried out to arrive at data-driven results. If results show significant benefit for the participants, the program will be revised as needed for improvement. DIRECTIONS: Future directions will be based on findings of the proposed pilot, which will dictate how to proceed after completion of the pilot study. A future goal, if preliminary findings and a replication study are encouraging, will be the development of a Mindfulness-based Exercise Program Manual for dissemination and use by researchers and clinicians to help empower patients with cancer. |
Publication | Journal of Alternative and Complementary Medicine (New York, N.Y.) |
Volume | 15 |
Issue | 1 |
Pages | 41-46 |
Date | Jan 2009 |
Journal Abbr | J Altern Complement Med |
DOI | 10.1089/acm.2008.0255 |
ISSN | 1557-7708 |
Short Title | Mindful exercise, quality of life, and survival |
Accessed | Tue Feb 22 18:38:48 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19769475 |
Date Added | Thu Sep 29 09:06:18 2011 |
Modified | Thu Sep 29 09:06:18 2011 |
The purpose of this article is to describe the rationale and protocol for a pilot study in women with breast cancer that integrates the two complementary therapies of mindfulness and exercise.
Type | Journal Article |
---|---|
Author | Nalini Tarakeshwar |
Author | Lauren C Vanderwerker |
Author | Elizabeth Paulk |
Author | Michelle J Pearce |
Author | Stanislav V Kasl |
Author | Holly G Prigerson |
Abstract | BACKGROUND: For patients confronting a life-threatening illness such as advanced cancer, religious coping can be an important factor influencing their quality of life (QOL). OBJECTIVE: The study's main purpose was to examine the association between religious coping and QOL among 170 patients with advanced cancer. Both positive religious coping (e.g., benevolent religious appraisals) and negative religious coping (e.g., anger at God) and multiple dimensions of QOL (physical, physical symptom, psychological, existential, and support) were studied. DESIGN: Structured interviews were conducted with 170 patients recruited as part of an ongoing multi-institutional longitudinal evaluation of the prevalence of mental illness and patterns of mental health service utilization in advanced cancer patients and their primary informal caregivers. MEASUREMENTS: Patients completed measures of QOL (McGill QOL questionnaire), religious coping (Brief Measure of Religious Coping [RCOPE] and Multidimensional Measure of Religion/ Spirituality), self-efficacy (General Self-Efficacy Scale), and sociodemographic variables. RESULTS: Linear regression analyses revealed that after controlling for sociodemographic variables, lifetime history of depression and self-efficacy, greater use of positive religious coping was associated with better overall QOL as well as higher scores on the existential and support QOL dimensions. Greater use of positive religious coping was also related to more physical symptoms. In contrast, greater use of negative religious coping was related to poorer overall QOL and lower scores on the existential and psychological QOL dimensions. CONCLUSIONS: Findings show that religious coping plays an important role for the QOL of patients and the types of religious coping strategies used are related to better or poorer QOL. |
Publication | Journal of Palliative Medicine |
Volume | 9 |
Issue | 3 |
Pages | 646-657 |
Date | Jun 2006 |
Journal Abbr | J Palliat Med |
DOI | 10.1089/jpm.2006.9.646 |
ISSN | 1096-6218 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/16752970 |
Accessed | Fri Nov 13 16:34:36 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 16752970 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
Objective: The study’s main purpose was to examine the association between religious coping and quality of life (QOL) among 170 patients with advanced cancer. Conclusions: Findings show that religious coping plays an important role for the QOL of patients and the types of religious coping strategies used are related to better or poorer QOL.
Type | Journal Article |
---|---|
Author | Jeani C Thomas |
Author | Mattie Burton |
Author | Mary T Quinn Griffin |
Author | Joyce J Fitzpatrick |
Abstract | As women recover from the experience of breast cancer and its treatment, it is important for them to find meaning in their lives and to understand their experiences from a holistic perspective. Purpose: This study was designed to provide additional information about how women and their experiences recovering from breast cancer. The specific purpose was to describe the relationship between self-transcendence and spiritual well-being, and to identify the spiritual practices used by older women recovering from breast cancer. The theoretical framework for this study was Reed's theory of self-transcendence. Sample: A total of 87 community-residing women who had been diagnosed with breast cancer within the past 5 years participated in the study. Results: There was a significant positive relationship between self-transcendence and spiritual well-being. The women used a mean of 9.72 spiritual practices with the most frequent being exercise, visiting a house of worship, and praying alone. Conclusions: The study results provide further support for the theory of self-transcendence. Future research recommendations are to expand the research to include a larger, more diverse group of women of all ages and backgrounds who have been diagnosed with breast cancer. |
Publication | Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association |
Volume | 28 |
Issue | 2 |
Pages | 115-122 |
Date | Jun 2010 |
Journal Abbr | J Holist Nurs |
DOI | 10.1177/0898010109358766 |
ISSN | 1552-5724 |
Accessed | Tue Jul 27 11:46:56 2010 |
Library Catalog | NCBI PubMed |
Extra | PMID: 20644178 |
Date Added | Thu Sep 29 09:03:34 2011 |
Modified | Thu Sep 29 09:03:34 2011 |
This study was designed to provide additional information about how women and their experiences recovering from breast cancer. The specific purpose was to describe the relationship between self-transcendence and spiritual well-being, and to identify the spiritual practices used by older women recovering from breast cancer. The theoretical framework for this study was Reed’s theory of self-transcendence.
Type | Journal Article |
---|---|
Author | Luzia Travado |
Author | Luigi Grassi |
Author | Francisco Gil |
Author | Cristina Martins |
Author | Cidália Ventura |
Author | Joana Bairradas |
Abstract | OBJECTIVE: In the last decade, some attention has been given to spirituality and faith and their role in cancer patients' coping. Few data are available about spirituality among cancer patients in Southern European countries, which have a big tradition of spirituality, namely, the Catholic religion. As part of a more general investigation (Southern European Psycho-Oncology Study--SEPOS), the aim of this study was to examine the effect of spirituality in molding psychosocial implications in Southern European cancer patients. METHOD: A convenience sample of 323 outpatients with a diagnosis of cancer between 6 to 18 months, a good performance status (Karnofsky Performance Status > 80), and no cognitive deficits or central nervous system (CNS) involvement by disease were approached in university and affiliated cancer centers in Italy, Spain, Portugal, and Switzerland (Italian speaking area). Each patient was evaluated for spirituality (Visual Analog Scale 0-10), psychological morbidity (Hospital Anxiety and Depression Scale--HADS), coping strategies (Mini-Mental Adjustment to Cancer--Mini-MAC) and concerns about illness (Cancer Worries Inventory--CWI). RESULTS. The majority of patients (79.3%) referred to being supported by their spirituality/faith throughout their illness. Significant differences were found between the spirituality and non-spirituality groups (p ≤ 0.01) in terms of education, coping styles, and psychological morbidity. Spirituality was significantly correlated with fighting spirit (r = -0.27), fatalism (r = 0.50), and avoidance (r = 0.23) coping styles and negatively correlated with education (r = -0.25), depression (r = -0.22) and HAD total (r = -0.17). SIGNIFICANCE OF RESULTS: Spirituality is frequent among Southern European cancer patients with lower education and seems to play some protective role towards psychological morbidity, specifically depression. Further studies should examine this trend in Southern European cancer patients. |
Publication | Palliative & Supportive Care |
Volume | 8 |
Issue | 4 |
Pages | 405-413 |
Date | Dec 2010 |
Journal Abbr | Palliat Support Care |
DOI | 10.1017/S147895151000026X |
ISSN | 1478-9523 |
Short Title | Do spirituality and faith make a difference? |
Accessed | Tue Jan 18 19:05:24 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 20875203 |
Date Added | Thu Sep 29 08:58:27 2011 |
Modified | Thu Sep 29 08:58:27 2011 |
The aim of this study was to examine the effect of spirituality in molding psychosocial implications in Southern European cancer patients.
Type | Journal Article |
---|---|
Author | Henry Troyer |
Abstract | The occurrence of various types of cancer have been reviewed and evaluated in 4 religious groups. These patterns have been critically assessed in light of the distinctive life-style features of these groups. All 4 religious groups considered in this paper have reduced overall rates of cancer, suggesting that the life-style of all 4 groups have merit in terms of reducing the overall risk of cancer. The rate of smoling among these groups is nearly nil, and the lung cancer rate in all 4 of these religious groups is strikingly low. Cancer of the oral structures, pharynx, larynx, and esophagus is also generally quite low. Amish and Hutterites have unusually high rates of breast cancer and juvenile leukemia. Reproductive factors frequently mentioned as risk factors for breast cancer cannot explain the excess breast cancer in the Amish and Hutterite women because they should have had the effect of reducing the rate. None of the numerous risk factors, normally suggested for leukemia, are consistent with this observation. The observations on ovarian cancer tend to confirm low parity and late age at first birth as risk factors, although the evidence is not entirely consistent. Also, contrary to common observations, the pattern of ovarian cancer contrasts greatly with the breast cancer pattern, suggesting dissimilar risk factors. Their low rate of cervical cancer is consistent with promiscuity being a strong risk factor, but other frequently suggested risk factors were generally inconsistent with the observations. Cancers of the stomach, colon, rectum, urinary bladder and prostate, in these 4 religious groups, are not readily explained by the risk factors commonly implicated in cancer of these sites. The patterns of a few types of cancers were consistent with the prevailing opinions of risk factors, but some cancers were poorly explained and, in some cases, the cancer patterns contradicted commonly held opinions concerning risk factors. Religions that provide strong directives for the personal lives of adherents result in distinctive life-style, reflecting multiple disease related factors (risk factors and protective factors). Disease related factors are related to each other in simple or more complex ways (e.g. additive, multiplicative or even more complex). Therefore, when dealing with distinctive life-styles, it may be unwarranted to attempt to isolate individual risk factors. |
Publication | Social Science & Medicine |
Volume | 26 |
Issue | 10 |
Pages | 1007-1017 |
Date | 1988 |
DOI | 10.1016/0277-9536(88)90218-3 |
ISSN | 0277-9536 |
Short Title | Review of cancer among 4 religious sects |
URL | http://www.sciencedirect.com.ezproxy.bu.edu/science/article/B6VBF-4665DPJ-S6/2/b5acdd5d982ce77577f04aa2220a83aa |
Accessed | Fri Oct 30 20:53:46 2009 |
Library Catalog | ScienceDirect |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
The occurrence of various types of cancer have been reviewed and evaluated in 4 religious groups. These patterns have been critically assessed in light of the distinctive life-style features of these groups. Religions that provide strong directives for the personal lives of adherents result in distinctive life-style, reflecting multiple disease related factors (risk factors and protective factors).
Type | Journal Article |
---|---|
Author | Tung-Sung Tseng |
Author | Cheryl L Holt |
Author | Michele Shipp |
Author | Mohamad Eloubeidi |
Author | Kristi Britt |
Author | Maria Norena |
Author | Mona N Fouad |
Abstract | This study examined colorectal cancer (CRC) knowledge and the relationship between knowledge, risk factors and screening behaviors among African Americans and Whites in the Deep South. One hundred and twenty three African Americans and Whites age-eligible for CRC screening were interviewed by telephone survey as part of a church-based CRC educational intervention. CRC knowledge was lower among those with less education, unemployed, Medicaid, Medicare, and less family income. Generally, participants who had more CRC knowledge were more likely to have engaged in screening behaviors. Participants who had a family history of CRC were more likely to have had a fecal occult blood test (OR = 2.55, 0.99-6.60) or barium enema (OR = 3.84, 1.44-10.24) than those without. Whites were more likely to have had a flexible sigmoidoscopy (OR = 4.17, 1.09-16.67), colonoscopy (OR = 7.14, 1.72-25) or barium enema (OR = 6.25, 1.67-25) than African Americans. Church-based CRC screening intervention programs should target African Americans, those with no family history of CRC, and those with less education. |
Publication | Journal of Community Health |
Volume | 34 |
Issue | 2 |
Pages | 90-97 |
Date | Apr 2009 |
Journal Abbr | J Community Health |
DOI | 10.1007/s10900-008-9128-2 |
ISSN | 1573-3610 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18941876 |
Accessed | Mon Mar 28 18:23:36 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 18941876 |
Date Added | Thu Sep 29 09:06:18 2011 |
Modified | Thu Sep 29 09:06:18 2011 |
This study examined colorectal cancer (CRC) knowledge and the relationship between knowledge, risk factors and screening behaviors among African Americans and Whites in the Deep South.
Type | Journal Article |
---|---|
Author | Özlem Ülger |
Author | Naciye Vardar Yağli |
Abstract | OBJECTIVE: This study sought to investigate the effects of yoga on the quality of life in patients with breast cancer. DESIGN: Twenty patients between 30 and 50 years of age presently under treatment for breast cancer were included in the study. The physical characteristics of the patients were recorded and general physiotherapy assessments performed. Eight sessions of a yoga program including warming and breathing exercises, asanas, relaxation in supine position, and meditation were applied to participants. MAIN OUTCOME MEASURES: The pre- and post-yoga quality of life assessments for the patients were conducted using the Nottingham Health Profile (NHP). Patients' stress levels were assessed using the STAI-I and STAI-II anxiety inventory. Their satisfaction levels about the yoga program was evaluated using the visual analog scale (VAS). RESULTS: It was found that patients' quality of life scores after the yoga program were better than scores obtained before the yoga program (p < 0.05). After sessions, there was a statistically significant decrease in their STAI-I (measuring the reactions of anxiety) scores and STAI-II (measuring the permanence of anxiety) scores (p < 0.05). It was found out that the satisfaction score concerning the yoga program was considerably increased after the yoga program (p < 0.05). CONCLUSIONS: It can be concluded that yoga is valuable in helping to achieve relaxation and diminish stress, helps cancer patients perform daily and routine activities, and increases the quality of life in cancer patients. This result was positively reflected in patients satisfaction with the yoga program. |
Publication | Complementary Therapies in Clinical Practice |
Volume | 16 |
Issue | 2 |
Pages | 60-63 |
Date | May 2010 |
Journal Abbr | Complement Ther Clin Pract |
DOI | 10.1016/j.ctcp.2009.10.007 |
ISSN | 1873-6947 |
Accessed | Sun Apr 25 18:12:26 2010 |
Library Catalog | NCBI PubMed |
Extra | PMID: 20347834 |
Date Added | Thu Sep 29 09:04:02 2011 |
Modified | Thu Sep 29 09:04:02 2011 |
This study sought to investigate the effects of yoga on the quality of life in patients with breast cancer.
Type | Journal Article |
---|---|
Author | S M Underwood |
Author | L Shaikha |
Author | D Bakr |
Abstract | OBJECTIVES: While multiple reports have been published in the literature that describe the effect of religion and spirituality on healthcare practices, few have been reported that attempt to describe the effect of the fundamental beliefs and customs of the followers of Islam. A qualitative study aimed toward gaining an understanding of the degree to which Islamic beliefs and customs influence followers' breast cancer screening practices was, therefore, undertaken. MATERIALS AND METHODS: The study was designed with semistructured focus groups as the primary means of gathering data. A purposefully selected sample of nine Muslim women were recruited to participate in the study. Throughout the focus group, attempts were made to engage the women in a manner that stimulated in-depth discussion of the beliefs and customs influencing breast cancer screening. RESULTS: Data revealed that the religious beliefs and customs of the Muslim women participating in the focus group significantly influenced their participation in breast cancer screening. Despite their knowledge of the benefits of regular breast cancer screening, the women indicated that they choose not to participate in available breast cancer screening programs, given that they were not structured in a manner that was consistent with the beliefs and customs of Islam. CONCLUSIONS: This study illustrates the manner and degree to which Islamic beliefs and customs can influence the breast cancer screening behavior of Muslim women and the importance of carefully designing breast health programs tailored to the needs of this population of women. |
Publication | Cancer Practice |
Volume | 7 |
Issue | 6 |
Pages | 285-290 |
Date | 1999 Nov-Dec |
Journal Abbr | Cancer Pract |
ISSN | 1065-4704 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/10732525 |
Accessed | Thu Nov 12 20:35:23 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 10732525 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
A qualitative study aimed toward gaining an understanding of the degree to which Islamic beliefs Data revealed that the religious beliefs and customs of the Muslim women participating in the focus group significantly influenced their participation in breast cancer screening.
Type | Journal Article |
---|---|
Author | H S Vadiraja |
Author | M Raghavendra Rao |
Author | Raghuram Nagarathna |
Author | H R Nagendra |
Author | M Rekha |
Author | N Vanitha |
Author | K S Gopinath |
Author | B S Srinath |
Author | M S Vishweshwara |
Author | Y S Madhavi |
Author | B S Ajaikumar |
Author | S Ramesh Bilimagga |
Author | Nalini Rao |
Abstract | OBJECTIVES: This study compares the effects of an integrated yoga program with brief supportive therapy in breast cancer outpatients undergoing adjuvant radiotherapy at a cancer centre. METHODS: Eighty-eight stage II and III breast cancer outpatients were randomly assigned to receive yoga (n = 44) or brief supportive therapy (n = 44) prior to their radiotherapy treatment. Intervention consisted of yoga sessions lasting 60 min daily while the control group was imparted supportive therapy once in 10 days. Assessments included European Organization for Research in the Treatment of Cancer-Quality of Life (EORTCQoL C30) functional scales and Positive and Negative Affect Schedule (PANAS). Assessments were done at baseline and after 6 weeks of radiotherapy treatment. RESULTS: An intention to treat GLM repeated measures ANOVA showed significant difference across groups over time for positive affect, negative affect and emotional function and social function. There was significant improvement in positive affect (ES = 0.59, p = 0.007, 95%CI 1.25 to 7.8), emotional function (ES = 0.71, p = 0.001, 95%CI 6.45 to 25.33) and cognitive function (ES = 0.48, p = 0.03, 95%CI 1.2 to 18.5), and decrease in negative affect (ES = 0.84, p<0.001, 95%CI -13.4 to -4.4) in the yoga group as compared to controls. There was a significant positive correlation between positive affect with role function, social function and global quality of life. There was a significant negative correlation between negative affect with physical function, role function, emotional function and social function. CONCLUSION: The results suggest a possible role for yoga to improve quality of life and affect in breast cancer outpatients. |
Publication | Complementary Therapies in Medicine |
Volume | 17 |
Issue | 5-6 |
Pages | 274-280 |
Date | 2009 Oct-Dec |
Journal Abbr | Complement Ther Med |
DOI | 10.1016/j.ctim.2009.06.004 |
ISSN | 1873-6963 |
Short Title | Effects of yoga program on quality of life and affect in early breast cancer patients undergoing adjuvant radiotherapy |
Accessed | Fri Jan 29 11:31:59 2010 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19942107 |
Date Added | Thu Sep 29 09:04:02 2011 |
Modified | Thu Sep 29 09:04:02 2011 |
This study compares the effects of an integrated yoga program with brief supportive therapy in breast cancer outpatients undergoing adjuvant radiotherapy at a cancer centre.The results suggest a possible role for yoga to improve quality of life and affect in breast cancer outpatients.
Type | Journal Article |
---|---|
Author | H S Vadiraja |
Author | Rao M Raghavendra |
Author | Raghuram Nagarathna |
Author | H R Nagendra |
Author | M Rekha |
Author | N Vanitha |
Author | K S Gopinath |
Author | B S Srinath |
Author | M S Vishweshwara |
Author | Y S Madhavi |
Author | B S Ajaikumar |
Author | Bilimagga S Ramesh |
Author | Rao Nalini |
Author | Vinod Kumar |
Abstract | <AbstractText Label="UNLABELLED">Objectives. This study compares the effects of an integrated yoga program with brief supportive therapy in breast cancer outpatients undergoing adjuvant radiotherapy at a cancer center.</AbstractText> <AbstractText Label="METHODS" NlmCategory="METHODS">Eighty-eight stage II and III breast cancer outpatients are randomly assigned to receive yoga (n = 44) or brief supportive therapy (n = 44) prior to radiotherapy treatment. Assessments include diurnal salivary cortisol levels 3 days before and after radiotherapy and self-ratings of anxiety, depression, and stress collected before and after 6 weeks of radiotherapy.</AbstractText> <AbstractText Label="RESULTS" NlmCategory="RESULTS">Analysis of covariance reveals significant decreases in anxiety (P < .001), depression (P = .002), perceived stress (P < .001), 6 a.m. salivary cortisol (P = .009), and pooled mean cortisol (P = .03) in the yoga group compared with controls. There is a significant positive correlation between morning salivary cortisol level and anxiety and depression.</AbstractText> <AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Yoga might have a role in managing self-reported psychological distress and modulating circadian patterns of stress hormones in early breast cancer patients undergoing adjuvant radiotherapy.</AbstractText> |
Publication | Integrative Cancer Therapies |
Volume | 8 |
Issue | 1 |
Pages | 37-46 |
Date | Mar 2009 |
Journal Abbr | Integr Cancer Ther |
DOI | 10.1177/1534735409331456 |
ISSN | 1534-7354 |
Short Title | Effects of a yoga program on cortisol rhythm and mood states in early breast cancer patients undergoing adjuvant radiotherapy |
Accessed | Tue Feb 22 19:53:16 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19190034 |
Date Added | Thu Sep 29 09:06:18 2011 |
Modified | Thu Sep 29 09:06:18 2011 |
This study compares the effects of an integrated yoga program with brief supportive therapy in breast cancer outpatients undergoing adjuvant radiotherapy at a cancer center. Methods. Eighty-eight stage II and III breast cancer outpatients are randomly assigned to receive yoga (n = 44) or brief supportive therapy (n = 44) prior to radiotherapy treatment. Assessments include diurnal salivary cortisol levels 3 days before and after radiotherapy and self-ratings of anxiety, depression, and stress collected before and after 6 weeks of radiotherapy. Results. Analysis of covariance reveals significant decreases in anxiety (P < .001), depression (P = .002), perceived stress (P < .001), 6 a.m. salivary cortisol (P = .009), and pooled mean cortisol (P = .03) in the yoga group compared with controls. There is a significant positive correlation between morning salivary cortisol level and anxiety and depression. Conclusion. Yoga might have a role in managing self-reported psychological distress and modulating circadian patterns of stress hormones in early breast cancer patients undergoing adjuvant radiotherapy.
Type | Journal Article |
---|---|
Author | Hanneke W. M. van Laarhoven |
Author | Johannes Schilderman |
Author | Kris C Vissers |
Author | Constans A H H V M Verhagen |
Author | Judith Prins |
Abstract | CONTEXT: Religious coping is important for end-of-life treatment preferences, advance care planning, adjustment to stress, and quality of life. The currently available religious coping instruments draw on a religious and spiritual background that presupposes a very specific image of God, namely God as someone who personally interacts with people. However, according to empirical research, people may have various images of God that may or may not exist simultaneously. It is unknown whether one's belief in a specific image of God is related to the way one copes with a life-threatening disease. OBJECTIVES: To examine the relation between adherence to a personal, a nonpersonal, and/or an unknowable image of God and coping strategies in a group of Dutch palliative cancer patients who were no longer receiving antitumor treatments. METHODS: In total, 68 palliative care patients completed and returned the questionnaires on Images of God and the COPE-Easy. RESULTS: In the regression analysis, a nonpersonal image of God was a significant positive predictor for the coping strategies seeking advice and information (?=0.339, P<0.01), seeking moral support (?=0.262, P<0.05), and denial (?=0.26, P<0.05), and a negative predictor for the coping strategy humor (?=-0.483, P<0.01). A personal image of God was a significant positive predictor for the coping strategy turning to religion (?=0.608, P<0.01). Age was the most important sociodemographic predictor for coping and had negative predictive value for seeking advice and information (?=-0.268, P<0.05) and seeking moral support (?=-0.247, P<0.05). CONCLUSION: A nonpersonal image of God is a more relevant predictor for different coping strategies in Dutch palliative cancer patients than a personal or an unknowable image of God. |
Publication | Journal of Pain and Symptom Management |
Volume | 40 |
Issue | 4 |
Pages | 495-501 |
Date | Oct 2010 |
Journal Abbr | J Pain Symptom Manage |
DOI | 10.1016/j.jpainsymman.2010.02.021 |
ISSN | 1873-6513 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/20678886 |
Accessed | Mon Nov 15 15:08:18 2010 |
Date Added | Thu Sep 29 08:59:31 2011 |
Modified | Thu Sep 29 08:59:31 2011 |
To examine the relation between adherence to a personal, a nonpersonal, and/or an unknowable image of God and coping strategies in a group of Dutch palliative cancer patients who were no longer receiving antitumor treatments.
Type | Journal Article |
---|---|
Author | Hanneke W.M. van Laarhoven |
Author | Johannes Schilderman |
Author | Constans A.H.H.V.M. Verhagen |
Author | Kris C. Vissers |
Author | Judith Prins |
Abstract | <p>Context<br/>It is unknown whether cancer patients with different life expectancies have different attitudes and emotions toward death and an afterlife. Also, it is unclear whether these attitudes and emotions toward death and afterlife influence patients' distress.Objectives<br/>To assess the relationship of attitudes and emotions towards death and an afterlife with quality of life, depression and hopelessness in cancer patients without evidence of disease and advanced cancer patients facing death.Methods<br/>Ninety-one cancer patients without evidence of disease and 57 advanced cancer patients completed the Dutch Attitudes Toward Death and Afterlife Scale. Emotions toward death were measured using the Self-Confrontation Method. Quality of life was measured with the Satisfaction with Life Scale and the European Organization for Research and Treatment of Cancer (EORTC) Quality-of-Life Questionnaire. Depression and hopelessness were measured with the Beck Depression Inventory for Primary Care and the Beck Hopelessness Scale.Results<br/>Average scores on attitudes and emotions toward death and an afterlife were not significantly different between the two groups. However, in the no evidence of disease group, a negative association between negative emotions and social functioning was observed, which was not present in the advanced cancer group. In the advanced cancer group, associations were observed that were not present in the no evidence of disease group: positive associations between an explicitly religious attitude and global health status and between reincarnation belief and role and cognitive functioning, and a negative association between other-directed emotions and social functioning.Conclusion<br/>Patients without evidence of disease and advanced cancer patients do not differ in attitudes or emotions toward death, but the relationship between these attitudes and emotions and aspects of quality of life varies. When there is no evidence of disease, negative emotions play the most important role, whereas in the advanced cancer situation, attitudes toward death and an afterlife, which may provide meaning and value, become more prominent.</p> |
Publication | Journal of Pain and Symptom Management |
Volume | 41 |
Issue | 6 |
Pages | 1048-1059 |
Date | June 2011 |
DOI | 16/j.jpainsymman.2010.08.015 |
ISSN | 0885-3924 |
URL | http://www.sciencedirect.com/science/article/pii/S0885392411000133 |
Accessed | Wed Jul 13 19:03:01 2011 |
Library Catalog | ScienceDirect |
Date Added | Thu Sep 29 08:54:25 2011 |
Modified | Thu Sep 29 08:54:25 2011 |
To assess the relationship of attitudes and emotions towards death and an afterlife with quality of life, depression and hopelessness in cancer patients without evidence of disease and advanced cancer patients facing death.
Type | Journal Article |
---|---|
Author | Anja Visser |
Author | Bert Garssen |
Author | Ad Vingerhoets |
Abstract | OBJECTIVE: Cancer places many demands on the patient and threatens the person's sense of meaning to life. It has been shown that cancer patients use their spirituality to cope with these experiences. The present literature review summarizes the research findings on the relationship between spirituality and emotional well-being. Special attention is given to the strength of the research findings. METHODS: A literature search was performed in Pubmed and Web of Science. Spirituality does not necessarily coincide with religiosity. Therefore, studies were excluded that focused on religiosity. Forty publications met the inclusion criteria: Twenty-seven studies that investigated the relationship between spirituality and well-being, and 13 publications that explored the relationship between meaning in life and well-being. RESULTS: The majority of the cross-sectional studies (31 of 36) found a positive association between spirituality and well-being. The four studies with a longitudinal design showed mixed results. The significance of the findings is challenged, because most spirituality questionnaires contain several items that directly refer to emotional well-being. CONCLUSIONS: Despite that the majority of the studies concluded that spirituality was associated with higher well-being, no definitive conclusions on this relationship can be drawn due to major methodological shortcomings of these studies. Longitudinal research utilizing spirituality and well-being measures that do not overlap in content is recommended. |
Publication | Psycho-Oncology |
Volume | 19 |
Issue | 6 |
Pages | 565-572 |
Date | Jun 2010 |
Journal Abbr | Psychooncology |
DOI | 10.1002/pon.1626 |
ISSN | 1099-1611 |
Short Title | Spirituality and well-being in cancer patients |
Accessed | Wed Jul 7 11:42:52 2010 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19916163 |
Date Added | Thu Sep 29 09:04:02 2011 |
Modified | Thu Sep 29 09:04:02 2011 |
The present literature review summarizes the research findings on the relationship between spirituality and emotional well-being. Special attention is given to the strength of the research findings.
Type | Journal Article |
---|---|
Author | Benita Weathers |
Author | Lisa Kessler |
Author | Aliya Collier |
Author | Jill E. Stopfer |
Author | Susan Domchek |
Author | Chanita Hughes Halbert |
Abstract | This observational study evaluated utilization of religious coping strategies among 95 African American women who were at increased risk for having a BRCA1/BRCA2 (BRCA1/2) mutation. Overall, women reported high levels of collaborative coping; however, women with fewer than 2 affected relatives (beta = -1.97, P = 0.04) and those who had a lower perceived risk of having a BRCA1/2 mutation (beta = -2.72, P = 0.01) reported significantly greater collaborative coping. These results suggest that African American women may be likely to use collaborative strategies to cope with cancer-related stressors. It may be important to discuss utilization of religious coping efforts during genetic counseling with African American women. |
Publication | Family & Community Health |
Volume | 32 |
Issue | 3 |
Pages | 218-227 |
Date | 2009 Jul-Sep |
Journal Abbr | Fam Community Health |
DOI | 10.1097/FCH.0b013e3181ab3b53 |
ISSN | 1550-5057 |
Accessed | Sat Sep 26 17:56:01 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19525703 |
Date Added | Thu Sep 29 09:05:38 2011 |
Modified | Thu Sep 29 09:05:38 2011 |
Type | Journal Article |
---|---|
Author | Kathleen M Wesa |
Author | Barrie R Cassileth |
Abstract | Paper lists complementary therapies appropriate for use by patients with leukemia, along with some treatments that may be risky. |
Publication | Expert Review of Anticancer Therapy |
Volume | 9 |
Issue | 9 |
Pages | 1241-1249 |
Date | 09/2009 |
Journal Abbr | Expert Rev Anticancer Ther |
DOI | 10.1586/era.09.100 |
ISSN | 1473-7140 |
URL | http://www.expert-reviews.com/doi/abs/10.1586/era.09.100 |
Date Added | Thu Sep 29 09:05:38 2011 |
Modified | Thu Sep 29 09:05:38 2011 |
Type | Journal Article |
---|---|
Author | Kathleen M Wesa |
Author | Barrie R Cassileth |
Abstract | Patients with leukemia often seek additional treatments not prescribed by their oncologist in an effort to improve their cancer treatment outcome or to manage symptoms. Complementary therapies are used in conjunction with traditional cancer treatments to decrease symptoms and side effects associated with cancer or cancer treatment, and to improve patients' overall quality of life. Complementary therapies are distinct from so-called 'alternative' therapies, which are unproven, ineffective and may postpone or interfere with mainstream cancer treatment. Complementary therapies are pleasant, inexpensive, nonpharmacologic and effective. For patients with leukemia, the complementary therapies that are always appropriate include mind-body interventions, such as self-hypnosis, meditation, guided imagery and breath awareness. Massage and reflexology (foot massage) decrease symptoms with effects lasting at least 2 days following treatment. Acupuncture is very beneficial for symptom management without adverse consequences. Physical fitness with regular exercise and healthy dietary habits can significantly decrease side effects of cancer treatments and may prolong survival. Botanical extracts and vitamin supplements may interfere with active cancer treatments, and should be discussed with the oncologist or pharmacist before use. |
Publication | Expert Review of Anticancer Therapy |
Volume | 9 |
Issue | 9 |
Pages | 1241-1249 |
Date | Sep 2009 |
Journal Abbr | Expert Rev Anticancer Ther |
DOI | 10.1586/era.09.100 |
ISSN | 1744-8328 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19761428 |
Accessed | Sat Sep 26 15:32:30 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19761428 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
Complementary therapies are distinct from so-called ‘alternative’ therapies, which are unproven, ineffective and may postpone or interfere with mainstream cancer treatment. Complementary therapies are pleasant, inexpensive, nonpharmacologic and effective. For patients with leukemia, the complementary therapies that are always appropriate include mind-body interventions, such as self-hypnosis, meditation, guided imagery and breath awareness. Massage and reflexology (foot massage) decrease symptoms with effects lasting at least 2 days following treatment.
Type | Journal Article |
---|---|
Author | G K Wyatt |
Author | L L Friedman |
Author | C W Given |
Author | B A Given |
Author | K C Beckrow |
Abstract | PURPOSE: The purpose of this study was to assess the use of complementary therapies among older cancer patients, to report patterns of use, and to understand who is more likely to use complementary therapies. DESCRIPTION OF STUDY: A survey was conducted of 699 older cancer patients at 4 weeks and 6 weeks into cancer treatment. All participants were 64 years of age or older, had received a diagnosis of breast, colorectal, prostate, or lung cancer, and were recruited from community cancer treatment centers throughout Michigan. Measures of interest included self-reported physical symptoms, depressive symptomatology, optimism, spirituality, and use of conventional and complementary health services. RESULTS: Approximately 33% of older cancer patients reported using complementary therapies. These individuals were more likely to be women, to be breast cancer patients, and to have a higher level of education. The three most frequently used therapies were exercise, herbal therapy, and spiritual healing. Complementary therapy users were significantly more optimistic than nonusers. Also, there were significant differences between users and nonusers on types of physical symptoms experienced, but no differences on reported depressive symptomatology or spirituality. CLINICAL IMPLICATIONS: Oncology providers need to be aware that one third of their older patients are likely to supplement conventional care with complementary therapies. Therefore, providers should be knowledgeable about the safety and efficacy, in particular, of various exercise programs, herbal and vitamin therapies, and spiritual healing. It would be beneficial to develop a system within cancer centers by which patients could easily report on their use of complementary therapies, allowing providers to work in partnership with their patients. |
Publication | Cancer Practice |
Volume | 7 |
Issue | 3 |
Pages | 136-144 |
Date | 1999 May-Jun |
Journal Abbr | Cancer Pract |
ISSN | 1065-4704 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/10352076 |
Accessed | Thu Nov 12 20:27:42 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 10352076 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
The purpose of this study was to assess the use of complementary therapies among older cancer patients, to report patterns of use, and to understand who is more likely to use complementary therapies. Approximately 33% of older cancer patients reported using complementary therapies. These individuals were more likely to be women, to be breast cancer patients, and to have a higher level of education.
Type | Journal Article |
---|---|
Author | Betina Yanez |
Author | Donald Edmondson |
Author | Annette L Stanton |
Author | Crystal L Park |
Author | Lorna Kwan |
Author | Patricia A Ganz |
Author | Thomas O Blank |
Abstract | Spirituality is a multidimensional construct, and little is known about how its distinct dimensions jointly affect well-being. In longitudinal studies (Study 1, n = 418 breast cancer patients; Study 2, n = 165 cancer survivors), the authors examined 2 components of spiritual well-being (i.e., meaning/peace and faith) and their interaction, as well as change scores on those variables, as predictors of psychological adjustment. In Study 1, higher baseline meaning/peace, as well as an increase in meaning/peace over 6 months, predicted a decline in depressive symptoms and an increase in vitality across 12 months in breast cancer patients. Baseline faith predicted an increase in perceived cancer-related growth. Study 2 revealed that an increase in meaning/peace was related to improved mental health and lower cancer-related distress. An increase in faith was related to increased cancer-related growth. Both studies revealed significant interactions between meaning/peace and faith in predicting adjustment. Findings suggest that the ability to find meaning and peace in life is the more influential contributor to favorable adjustment during cancer survivorship, although faith appears to be uniquely related to perceived cancer-related growth. |
Publication | Journal of Consulting and Clinical Psychology |
Volume | 77 |
Issue | 4 |
Pages | 730-741 |
Date | Aug 2009 |
Journal Abbr | J Consult Clin Psychol |
DOI | 10.1037/a0015820 |
ISSN | 1939-2117 |
Short Title | Facets of spirituality as predictors of adjustment to cancer |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19634965 |
Accessed | Fri Sep 18 18:31:46 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19634965 |
Date Added | Thu Sep 29 09:05:38 2011 |
Modified | Thu Sep 29 09:05:38 2011 |
The authors examined 2 components of spiritual well-being (i.e., meaning/peace and faith) and their interaction, as well as change scores on those variables, as predictors of psychological adjustment. In Study 1, higher baseline meaning/peace, as well as an increase in meaning/peace over 6 months, predicted a decline in depressive symptoms and an increase in vitality across 12 months in breast cancer patients. Baseline faith predicted an increase in perceived cancer-related growth. Study 2 revealed that an increase in meaning/peace was related to improved mental health and lower cancer-related distress. An increase in faith was related to increased cancer-related growth. Both studies revealed significant interactions between meaning/peace and faith in predicting adjustment. Findings suggest that the ability to find meaning and peace in life is the more influential contributor to favorable adjustment during cancer survivorship, although faith appears to be uniquely related to perceived cancer-related growth.
Type | Journal Article |
---|---|
Author | Mary Wassel Zavala |
Author | Sally L Maliski |
Author | Lorna Kwan |
Author | Arlene Fink |
Author | Mark S Litwin |
Abstract | OBJECTIVE: To determine how spirituality is associated with health-related quality of life (HRQOL) in an ethnically diverse cohort of low-income men with metastatic prostate cancer. METHODS: Eighty-six participants in a state-funded program that provides free prostate cancer treatment to uninsured, low-income men completed written surveys and telephone interviews containing validated measures of spirituality, and general and disease-specific HRQOL. Assessments were made following diagnosis of metastatic disease. We used multivariate analyses to assess the effect of spirituality and its two subscales, faith and meaning/peace, on HRQOL. RESULTS: African American and Latino men, and men with less than a high-school education had the highest spirituality scores. Spirituality was significantly associated with general and disease-specific HRQOL. We also found a significant interaction between faith and meaning/peace in the physical and pain domains. CONCLUSION: Greater spirituality was associated with better HRQOL and psychosocial function. Meaning/peace closely tracks with HRQOL. Higher faith scores, in the absence of high meaning/peace scores, are negatively associated with HRQOL. |
Publication | Psycho-Oncology |
Volume | 18 |
Issue | 7 |
Pages | 753-761 |
Date | Jul 2009 |
Journal Abbr | Psychooncology |
DOI | 10.1002/pon.1460 |
ISSN | 1099-1611 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19061194 |
Accessed | Fri Sep 18 18:31:22 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19061194 |
Date Added | Thu Sep 29 09:05:38 2011 |
Modified | Thu Sep 29 09:05:38 2011 |
To determine how spirituality is associated with health-related quality of life (HRQOL) in an ethnically diverse cohort of low-income men with metastatic prostate cancer.
Type | Journal Article |
---|---|
Author | Mary Wassel Zavala |
Author | Sally L Maliski |
Author | Lorna Kwan |
Author | Arlene Fink |
Author | Mark S Litwin |
Abstract | OBJECTIVE: To determine how spirituality is associated with health-related quality of life (HRQOL) in an ethnically diverse cohort of low-income men with metastatic prostate cancer. METHODS: Eighty-six participants in a state-funded program that provides free prostate cancer treatment to uninsured, low-income men completed written surveys and telephone interviews containing validated measures of spirituality, and general and disease-specific HRQOL. Assessments were made following diagnosis of metastatic disease. We used multivariate analyses to assess the effect of spirituality and its two subscales, faith and meaning/peace, on HRQOL. RESULTS: African American and Latino men, and men with less than a high-school education had the highest spirituality scores. Spirituality was significantly associated with general and disease-specific HRQOL. We also found a significant interaction between faith and meaning/peace in the physical and pain domains. CONCLUSION: Greater spirituality was associated with better HRQOL and psychosocial function. Meaning/peace closely tracks with HRQOL. Higher faith scores, in the absence of high meaning/peace scores, are negatively associated with HRQOL. |
Publication | Psycho-Oncology |
Volume | 18 |
Issue | 7 |
Pages | 753-761 |
Date | Jul 2009 |
Journal Abbr | Psychooncology |
DOI | 10.1002/pon.1460 |
ISSN | 1099-1611 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/19061194 |
Accessed | Fri Nov 13 19:40:34 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19061194 |
Date Added | Sat Oct 1 16:55:15 2011 |
Modified | Sat Oct 1 16:55:15 2011 |
Objective: To determine how spirituality is associated with health-related quality of life (HRQOL) in an ethnically diverse cohort of low-income men with metastatic prostate cancer. Results: African American and Latino men, and men with less than a high-school education had the highest spirituality scores. Spirituality was significantly associated with general and disease-specific HRQOL.