• Complementary and Alternative Medicine Use among Women with Breast Cancer

    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

    Notes:

    • 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.

  • Religion and spirituality in coping with advanced breast cancer: perspectives from Malaysian Muslim 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

    Notes:

    • 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.

  • "If God wanted me yesterday, I wouldn't be here today": religious and spiritual themes in patients' experiences of advanced 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

    Notes:

    • 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.

  • The Efficacy of Mindfulness-Based Meditation Therapy on Anxiety, Depression, and Spirituality in Japanese Patients with Cancer

    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

    Tags:

    • prepub

    Notes:

    • 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.

  • Efficacy of short-term life-review interviews on the spiritual well-being of terminally ill cancer patients

    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

    Notes:

    • 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.

  • Religiosity and its relation to quality of life in Christian Orthodox cancer patients undergoing chemotherapy

    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

    Tags:

    • Antineoplastic Combined Chemotherapy Protocols
    • Christianity
    • Female
    • Humans
    • Male
    • Middle Aged
    • Neoplasms
    • Quality of Life
    • Questionnaires
    • religion

    Notes:

    • 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.

  • Religiosity and quality of life in breast cancer patients

    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
  • "It depends": viewpoints of patients, physicians, and nurses on patient-practitioner prayer in the setting of advanced cancer

    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

    Notes:

    • 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.

  • Provision of spiritual care to patients with advanced cancer: associations with medical care and quality of life near death

    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

    Notes:

    • 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.

  • Support of Cancer Patients' Spiritual Needs and Associations with Medical Care Costs at the End of Life (419-C)

    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

    Notes:

    • Determine the relationship of spiritual care to end of life costs.

  • Effect of Iyengar yoga practice on fatigue and diurnal salivary cortisol concentration in breast cancer survivors

    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

    Notes:

    • 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.

  • The contribution of spirituality and spiritual coping to anxiety and depression in women with a recent diagnosis of gynecological cancer

    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

    Tags:

    • Adaptation, Psychological
    • Adult
    • Aged
    • Anxiety
    • depression
    • Female
    • Genital Neoplasms, Female
    • Humans
    • Middle Aged
    • spirituality

    Notes:

    • 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).

  • Yoga for persistent fatigue in breast cancer survivors: results of a pilot study

    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

    Tags:

    • breast cancer
    • Fatigue
    • Iyengar
    • yoga

    Notes:

    • 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.

  • Spirituality and care of prostate cancer patients: a pilot study

    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

    Tags:

    • Adaptation, Psychological
    • Aged
    • Humans
    • Male
    • Middle Aged
    • Physician-Patient Relations
    • Pilot Projects
    • Prostatic Neoplasms
    • spirituality

    Notes:

    • 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.

  • The Cancer and Deity Questionnaire: A New Religion and Cancer Measure

    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

    Notes:

    • 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.

  • Spirituality and meaning in supportive care: spirituality- and meaning-centered group psychotherapy interventions in advanced cancer

    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

    Tags:

    • Attitude to Health
    • Humans
    • Neoplasms
    • Palliative Care
    • Psychotherapy
    • Psychotherapy, Group
    • Quality of Life
    • Religion and Medicine
    • Self Concept
    • Terminal Care

    Notes:

    • 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.

  • Meaning-centered group psychotherapy for patients with advanced cancer: a pilot randomized controlled trial

    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

    Notes:

    • 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.

  • Mindfulness-Based Cancer Recovery: A Step-by-step MBSR Approach to Help You Cope With Treatment and Reclaim Your 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

    Notes:

    • 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

  • Yoga of Awareness program for menopausal symptoms in breast cancer survivors: results from a randomized trial

    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

    Tags:

    • prepub

    Notes:

    • 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).

  • Yoga improves quality of life and benefit finding in women undergoing radiotherapy for breast cancer

    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
  • Religion and spirituality in coping with breast cancer: perspectives of Chilean women

    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

    Tags:

    • Adaptation, Psychological
    • Adult
    • Aged
    • Aged, 80 and over
    • Breast Neoplasms
    • Chile
    • Female
    • Humans
    • Middle Aged
    • religion
    • Religion and Psychology
    • spirituality

    Notes:

    • 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.

  • Exploring Spiritual Well-Being Among Survivors of Colorectal and Lung 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

    Notes:

    • 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.

  • Case Study of a Chaplain's Spiritual Care for a Patient with Advanced Metastatic Breast Cancer

    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

    Notes:

    • 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.

  • Religion and Cancer: Examining the Possible Connections

    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

    Notes:

    • 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.

  • Restorative yoga for women with breast cancer: findings from a randomized pilot study

    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

    Tags:

    • Adult
    • Aged
    • Breast Neoplasms
    • Feasibility Studies
    • Female
    • Health promotion
    • Health Status
    • Humans
    • Middle Aged
    • Neoplasm Staging
    • Pilot Projects
    • Quality of Life
    • Questionnaires
    • yoga

    Notes:

    • 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.

  • Spirituality, Religiosity, and Spiritual Pain in Advanced Cancer Patients

    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

    Tags:

    • Cancer
    • Coping
    • Palliative Care
    • Quality of Life
    • religiosity
    • spiritual pain
    • spirituality

    Notes:

    • 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.

  • Predictors of Yoga Use Among Patients With Breast Cancer

    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

    Tags:

    • breast cancer
    • complementary and alternative medicine
    • Mind-Body Therapies
    • yoga

    Notes:

    • 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.

  • Impact and outcomes of an iyengar yoga program in a cancer centre

    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

    Notes:

    • 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.

  • The Effect of Religious Concentration and Affiliation on County Cancer Mortality Rates

    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

    Notes:

    • 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.

  • Deconstructing spiritual well-being: existential well-being and HRQOL in cancer survivors

    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

    Tags:

    • Adult
    • existentialism
    • Female
    • Humans
    • Male
    • Middle Aged
    • Neoplasms
    • Quality of Life
    • Questionnaires
    • spirituality
    • Survivors

    Notes:

    • 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.

  • God, Disease, and Spiritual Dilemmas: Reading the Lives of Women with Breast Cancer

    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

    Notes:

    • Our goal in this essay is to offer close readings of women’s spiritual and bodily journeys through the disease of breast cancer.

  • Jewish ethnicity and pancreatic cancer mortality in a large u.s. Cohort

    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

    Notes:

    • 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).

  • Mind-body therapies in integrative oncology

    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

    Notes:

    • 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.

  • Cancer mortality among Mormons

    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

    Notes:

    • 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.

  • Mindfulness-based cognitive therapy for individuals whose lives have been affected by cancer: a randomized controlled trial

    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

    Notes:

    • This study evaluated the effectiveness of mindfulness-based cognitive therapy (MBCT) for individuals with a diagnosis of cancer.

  • Breast Cancer Screening Adherence: Does Church Attendance Matter?

    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

    Notes:

    • 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.

  • Relationship with God and the Quality of Life of Prostate Cancer Survivors

    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

    Notes:

    • 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.

  • The trajectory of religious coping across time in response to the diagnosis of breast cancer

    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

    Notes:

    • 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.

  • A longitudinal study on the role of spirituality in response to the diagnosis and treatment of breast cancer

    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

    Tags:

    • Adult
    • Aged
    • Aged, 80 and over
    • Breast Neoplasms
    • Cross-Sectional Studies
    • Emotions
    • Female
    • Humans
    • Longitudinal Studies
    • Middle Aged
    • Models, Psychological
    • Questionnaires
    • religion
    • Spiritualism

    Notes:

    • 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.

  • Cancer in Utah Mormon men by lay priesthood level

    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

    Tags:

    • Adolescent
    • Adult
    • Aged
    • Alcohol Drinking
    • Child
    • Child, Preschool
    • Christianity
    • Epidemiologic Methods
    • Humans
    • Infant
    • Life Style
    • Male
    • Middle Aged
    • Neoplasms
    • Religion and Medicine
    • Smoking
    • UTAH

    Notes:

    • 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.

  • Cancer in Utah Mormon Men by Church Activity Level

    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

    Notes:

    • 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.

  • Psycho-spiritual integrative therapy for women with primary breast cancer

    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

    Notes:

    • A study of twenty four women who completed Psycho-Spiritual Integrative Therapy treatment. 

  • Associations between breast cancer risk factors and religiousness in American women in a national health survey

    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

    Tags:

    • Adult
    • Age Distribution
    • Age Factors
    • Alcohol Drinking
    • Breast Feeding
    • Breast Neoplasms
    • Contraceptives, Oral
    • Ethnic Groups
    • Female
    • Humans
    • Interviews as Topic
    • Menarche
    • Odds Ratio
    • Population Surveillance
    • religion
    • Religion and Medicine
    • Risk Factors
    • Smoking
    • Socioeconomic Factors
    • United States

    Notes:

    • 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

  • Spirituality and quality of life in gynecologic oncology patients

    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

    Tags:

    • Activities of Daily Living
    • Adaptation, Psychological
    • Adult
    • Aged
    • Analysis of Variance
    • Female
    • Genital Neoplasms, Female
    • Humans
    • Middle Aged
    • NEEDS assessment
    • Nursing Methodology Research
    • Oncologic Nursing
    • Pastoral Care
    • Quality of Life
    • Questionnaires
    • Religion and Psychology

    Notes:

    • 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.

  • Complementary and alternative therapy use before and after breast cancer diagnosis: the Pathways Study

    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

    Notes:

    • 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).

  • Patient-perceived changes in the system of values after cancer diagnosis

    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

    Notes:

    • A cross-sectional study investigated changes in patients' value systems following a diagnosis of cancer.

  • Religiosity, spirituality, and cancer fatalism beliefs on delay in breast cancer diagnosis in African American women

    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

    Tags:

    • Adult
    • African Americans
    • Aged
    • Aged, 80 and over
    • Attitude to Health
    • Breast Neoplasms
    • Early Diagnosis
    • Female
    • Humans
    • Middle Aged
    • Neoplasms
    • Religion and Psychology
    • spirituality
    • Time Factors

    Notes:

    • 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.

  • Positive and negative religious coping and well-being in women with breast cancer

    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

    Tags:

    • Adaptation, Psychological
    • Adult
    • Breast Neoplasms
    • Female
    • Humans
    • Pennsylvania
    • Personal Satisfaction
    • Questionnaires
    • Religion and Medicine

    Notes:

    • A study that explores the relationship between religious coping and well-being in a prospective manner, using validated measures, while controlling for important covariates.

  • Role of religion in cancer coping among African Americans: A qualitative examination.

    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

    Tags:

    • African Americans
    • Blacks
    • cancer coping
    • Coping Behavior
    • faith role
    • God as healer
    • illness control
    • Neoplasms
    • Recovery
    • Recovery (Disorders)
    • religion
    • religion role
    • Religious Beliefs
    • social support

    Notes:

    • 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.

  • Development and validation of measures of religious involvement and the cancer experience among African Americans.

    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

    Tags:

    • African Americans
    • Blacks
    • cancer experience
    • Coping Behavior
    • Diagnosis
    • Neoplasms
    • religion
    • religious involvement
    • Religious Practices
    • Test Construction
    • test development
    • Test Reliability
    • Test Validity

    Notes:

    • 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.

  • An exploration of spiritual needs of Taiwanese patients with advanced cancer during the therapeutic processes

    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

    Notes:

    • 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.

  • Role of religiosity and spirituality in complementary and alternative medicine use among cancer survivors in California

    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

    Tags:

    • Adult
    • Aged
    • California
    • Complementary Therapies
    • Cross-Sectional Studies
    • Female
    • Health Surveys
    • Humans
    • Logistic Models
    • Male
    • Middle Aged
    • Multivariate Analysis
    • Neoplasms
    • Religion and Medicine
    • spirituality
    • Survivors
    • Young Adult

    Notes:

    • 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.

  • The effect of religious and spiritual interventions on the biological, psychological, and spiritual outcomes of oncology patients: A meta-analytic review

    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

    Notes:

    • 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.

  • Religious Coping and Cancer: Proposing an Acceptance and Commitment Therapy Approach

    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

    Notes:

    • 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.

  • Spirituality influences health related quality of life in men with prostate cancer

    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

    Tags:

    • Aged
    • Anxiety
    • DEMOGRAPHY
    • depression
    • Health Status
    • Humans
    • Interpersonal Relations
    • Male
    • Middle Aged
    • Prostatic Neoplasms
    • Quality of Life
    • Questionnaires
    • spirituality

    Notes:

    • 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.

  • Mind-Body Treatments for the Pain-Fatigue-Sleep Disturbance Symptom Cluster in Persons with Cancer

    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

    Tags:

    • Cancer
    • Fatigue
    • mind-body and relaxation techniques
    • Pain
    • sleep disturbance

    Notes:

    • 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.

  • Religious/spiritual coping and adjustment in individuals with cancer: unanswered questions, important trends, and future directions

    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

    Notes:

    • 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.

  • Mindfulness-based stress reduction and cancer: a meta-analysis

    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

    Tags:

    • Adaptation, Psychological
    • Aged
    • Arousal
    • Female
    • Humans
    • Male
    • Meditation
    • Middle Aged
    • Neoplasms
    • Prognosis
    • Randomized Controlled Trials as Topic
    • Sick Role
    • Stress, Psychological

    Notes:

    • 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.

  • Mindfulness-based stress reduction and cancer: a meta-analysis

    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

    Tags:

    • Adaptation, Psychological
    • Aged
    • Arousal
    • Female
    • Humans
    • Male
    • Meditation
    • Middle Aged
    • Neoplasms
    • Prognosis
    • Randomized Controlled Trials as Topic
    • Sick Role
    • Stress, Psychological

    Notes:

    • 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.

  • Qigong for cancer treatment: a systematic review of controlled clinical trials

    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

    Tags:

    • Antineoplastic Agents
    • Breathing Exercises
    • Databases as Topic
    • Evidence-Based Medicine
    • Medicine, Chinese Traditional
    • Neoplasms
    • Treatment Outcome

    Notes:

    • 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.

  • Tai chi for breast cancer patients: a systematic review

    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

    Notes:

    • 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.

  • Randomized controlled trial of mindfulness-based stress reduction (MBSR) for survivors of breast cancer

    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&lt;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

    Notes:

    • 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).

  • The effects of religiosity, spirituality, and social support on quality of life: a comparison between Korean American and Korean breast and gynecologic cancer survivors

    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

    Notes:

    • 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.

  • Effects of yoga on psychological health, quality of life, and physical health of patients with cancer: a meta-analysis

    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

    Notes:

    • 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.

  • The effect of a contemplative self-healing program on quality of life in women with breast and gynecologic cancers

    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
  • The integration of healing into conventional cancer care in the UK

    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

    Tags:

    • cancer
    • Integrative care
    • Spiritual healing

    Notes:

    • 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.

  • Cancer survivors with unmet needs were more likely to use complementary and alternative medicine

    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

    Tags:

    • Activities of Daily Living
    • Adolescent
    • Adult
    • Aged
    • Complementary Therapies
    • Cross-Sectional Studies
    • Educational Status
    • Employment
    • Female
    • Health Surveys
    • Humans
    • Income
    • Male
    • Marital Status
    • Massage
    • Meditation
    • Middle Aged
    • NEEDS assessment
    • Neoplasms
    • Odds Ratio
    • social support
    • Survivors

    Notes:

    • 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.

  • Mindfulness-based stress reduction among breast cancer survivors: a literature review and discussion

    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

    Notes:

    • Purpose of study is to evaluate and discuss existing studies of mindfulness-based stress reduction (MBSR) among breast cancer survivors.

  • Changes in the cortisol awakening response (CAR) following participation in Mindfulness-Based Stress Reduction in women who completed treatment for breast cancer

    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

    Tags:

    • breast cancer
    • Cancer
    • Cortisol
    • Mindfulness-Based Stress Reduction
    • Relaxation
    • Stress

    Notes:

    • 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.

  • Psychosocial needs in cancer patients related to religious belief

    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

    Tags:

    • Aged
    • Emotions
    • Female
    • Humans
    • Male
    • Middle Aged
    • Neoplasms
    • Professional-Patient Relations
    • Psychology, Social
    • Questionnaires
    • Religion and Psychology
    • Self Concept
    • spirituality

    Notes:

  • Enhancement of the efficacy of cancer chemotherapy by the pineal hormone melatonin and its relation with the psychospiritual status of cancer patients

    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

    Notes:

    • 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.

  • Randomized controlled trial of yoga among a multiethnic sample of breast cancer patients: effects on quality of life

    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

    Tags:

    • Adaptation, Psychological
    • Adult
    • Aged
    • Breast Neoplasms
    • Female
    • Humans
    • Middle Aged
    • Quality of Life
    • Regression Analysis
    • SOCIAL adjustment
    • yoga

    Notes:

    • 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.

  • Healthcare professionals' perceptions of existential distress in patients with advanced cancer

    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

    Notes:

    • 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.

  • Mediators of a brief hypnosis intervention to control side effects in breast surgery patients: response expectancies and emotional distress

    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

    Notes:

    • 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).

  • Meaninglessness in terminally ill cancer patients: a randomized controlled study

    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

    Tags:

    • Adult
    • Endpoint Determination
    • Female
    • Humans
    • Middle Aged
    • Neoplasms
    • Nurses
    • PATIENTS
    • Terminal Care
    • Waiting Lists
    • Young Adult

    Notes:

    • 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.

  • Spirituality of Childhood Cancer Survivors

    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

    Notes:

    • 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

  • Predictors of spirituality at the end of life

    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

    Tags:

    • Adult
    • Age Factors
    • Aged
    • Aged, 80 and over
    • Attitude to Health
    • Female
    • Greece
    • Humans
    • Male
    • Middle Aged
    • Palliative Care
    • Questionnaires
    • Retrospective Studies
    • Sex Factors
    • spirituality
    • Terminally Ill

    Notes:

    • 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.

  • Demographic and clinical predictors of spirituality in advanced cancer patients: a randomized control study

    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

    Tags:

    • Adult
    • Aged
    • Aged, 80 and over
    • DEMOGRAPHY
    • Female
    • Humans
    • Male
    • Middle Aged
    • Neoplasms
    • spirituality

    Notes:

    • 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.

  • The spiritual needs of neuro-oncology patients from patients’ perspective

    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

    Notes:

    • 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.

  • Spiritual needs in cancer patients and spiritual care based on logotherapy

    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

    Tags:

    • Adult
    • Aged
    • Aged, 80 and over
    • Attitude to Health
    • Female
    • Humans
    • Japan
    • Male
    • Middle Aged
    • Neoplasms
    • Psychiatric Status Rating Scales
    • Psychotherapy
    • Research Design
    • Sickness Impact Profile
    • Spiritual Therapies
    • spirituality

    Notes:

    • 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.

  • Medical Qigong for cancer patients: pilot study of impact on quality of life, side effects of treatment and inflammation

    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

    Tags:

    • Adult
    • Aged
    • Biological Markers
    • Breathing Exercises
    • C-Reactive Protein
    • China
    • Female
    • Health Status
    • Humans
    • Inflammation
    • Male
    • Middle Aged
    • Neoplasms
    • Outcome Assessment (Health Care)
    • Pilot Projects
    • Quality of Life

    Notes:

    •  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.

  • Religiousness/spirituality and health behaviors in younger adult cancer survivors: does faith promote a healthier lifestyle?

    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

    Notes:

    • 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.

  • Religiousness/spirituality and health behaviors in younger adult cancer survivors: does faith promote a healthier lifestyle?

    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

    Tags:

    • CANCER -- Patients
    • CANCER -- Study & teaching
    • Emotions
    • GUILT
    • Health Behavior

    Notes:

    • 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.

  • The Book of Job: a 2,500-year-old current guide to the practice of oncology: the nexus of medicine and spirituality

    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

    Tags:

    • Bible
    • Humans
    • Medical Oncology
    • Physician-Patient Relations
    • Religion and Medicine

    Notes:

    • 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.

  • Measuring spiritual well-being in people with cancer: the functional assessment of chronic illness therapy--Spiritual Well-being Scale (FACIT-Sp)

    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

    Tags:

    • Adolescent
    • Adult
    • Aged
    • Aged, 80 and over
    • Chronic Disease
    • Female
    • Health Status
    • Humans
    • Male
    • Middle Aged
    • Neoplasms
    • Psychometrics
    • Quality of Life
    • Questionnaires
    • Religion and Medicine
    • Self Concept

    Notes:

    • 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.

  • Religious coping and use of intensive life-prolonging care near death in patients with advanced cancer

    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

    Tags:

    • Adaptation, Psychological
    • Advance Care Planning
    • Aged
    • Attitude to Death
    • Female
    • Humans
    • Longitudinal Studies
    • Male
    • Middle Aged
    • Neoplasms
    • Religion and Medicine
    • Resuscitation Orders
    • spirituality
    • Terminal Care
    • Withholding Treatment

    Notes:

  • Religious coping and use of intensive life-prolonging care near death in patients with advanced cancer

    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 &lt; .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

    Tags:

    • Adaptation, Psychological
    • Advance Care Planning
    • Aged
    • Attitude to Death
    • Female
    • Humans
    • Longitudinal Studies
    • Male
    • Middle Aged
    • Neoplasms
    • Religion and Medicine
    • Resuscitation Orders
    • spirituality
    • Terminal Care
    • Withholding Treatment

    Notes:

    • 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.

  • Mortality among California Seventh-Day Adventists for selected cancer sites.

    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

    Notes:

    • 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.

  • Religious Practice and Spirituality in the Psychological Adjustment of Survivors of Breast Cancer

    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
  • Religious and spiritual beliefs of gynecologic oncologists may influence medical decision making

    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

    Notes:

    • 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.

  • Anxiolytic effects of a yoga program in early breast cancer patients undergoing conventional treatment: a randomized controlled trial

    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

    Tags:

    • Adult
    • Aged
    • Analysis of Variance
    • Anti-Anxiety Agents
    • Anxiety
    • Breast Neoplasms
    • Cognitive Therapy
    • COMBINED modality therapy
    • Female
    • Humans
    • Middle Aged
    • yoga

    Notes:

    • This study compares the anxiolytic effects of a yoga program and supportive therapy in breast cancer outpatients undergoing conventional treatment at a cancer centre.

  • Pathways to distress: the multiple determinants of depression, hopelessness, and the desire for hastened death in metastatic cancer patients

    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

    Tags:

    • Age Factors
    • Aged
    • Anxiety
    • Attitude to Death
    • Attitude to Health
    • Cancer Care Facilities
    • Cost of Illness
    • Depressive Disorder
    • Female
    • Gastrointestinal Neoplasms
    • Humans
    • Lung Neoplasms
    • Male
    • Middle Aged
    • Models, Psychological
    • Neoplasm Metastasis
    • Neoplasm Staging
    • ONTARIO
    • Risk Factors
    • Self Concept
    • Sickness Impact Profile
    • spirituality

    Notes:

    • 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.

  • Prayer and self-reported health among cancer survivors in the United States, National Health Interview Survey, 2002

    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

    Tags:

    • Attitude to Health
    • Faith Healing
    • Female
    • Health Knowledge, Attitudes, Practice
    • Humans
    • Male
    • Neoplasms
    • religion
    • Self Care
    • spirituality
    • Survivors
    • United States

    Notes:

    • 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.

  • Spirituality and Quality of Life in Patients Receiving Radiation Therapy (RT) at a NCI-designated Cancer Center: Preliminary Report from the Knight Cancer Institute Patient-related Outcomes (PRO) Database

    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

    Notes:

    • This study evaluates the impact of radiation therapy on spiritual well-being and quality of life.

  • Spirituality, demographic and disease factors, and adjustment to cancer

    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

    Tags:

    • Adaptation, Psychological
    • Analysis of Variance
    • Attitude to Health
    • Chi-Square Distribution
    • Cross-Sectional Studies
    • existentialism
    • Factor Analysis, Statistical
    • Female
    • Humans
    • Male
    • Middle Aged
    • Models, Psychological
    • NEEDS assessment
    • Neoplasm Staging
    • Neoplasms
    • Pastoral Care
    • Questionnaires
    • Regression Analysis
    • Religion and Psychology
    • Rhode Island
    • Sampling Studies
    • spirituality

    Notes:

    • 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.

  • Faith Moves Mountains: an Appalachian cervical cancer prevention program

    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

    Tags:

    • Adult
    • Appalachian Region
    • Community Networks
    • Counseling
    • Female
    • Health Education
    • Health promotion
    • Health Services Research
    • Health Status Disparities
    • Humans
    • Middle Aged
    • Program Development
    • Religion and Medicine
    • United States
    • Uterine Cervical Neoplasms
    • Vaginal Smears
    • Young Adult

    Notes:

    • To provide a conceptual description of Faith Moves Mountains (FMM), an intervention designed to reduce the disproportionate burden of cervical cancer among Appalachian women.

  • Image of god: effect on coping and psychospiritual outcomes in early breast cancer survivors

    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

    Notes:

    • 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.

  • "If you don't believe it, it won't help you": use of bush medicine in treating cancer among Aboriginal people in Western Australia

    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

    Notes:

    • 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

  • Spiritual needs of Taiwan's older patients with terminal cancer

    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

    Tags:

    • Aged
    • Aged, 80 and over
    • Attitude to Death
    • Culture
    • Emotions
    • Female
    • Funeral Rites
    • Hospitals, Teaching
    • Humans
    • Life Expectancy
    • Male
    • Neoplasms
    • Nurse-Patient Relations
    • Professional-Family Relations
    • spirituality
    • Taiwan
    • Terminal Care
    • Terminally Ill
    • Trust

    Notes:

    • 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.

  • What are the core elements of oncology spiritual care programs?

    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

    Notes:

    • 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

  • An evidence-based review of yoga as a complementary intervention for patients with cancer

    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

    Tags:

    • Adaptation, Psychological
    • Complementary Therapies
    • Humans
    • Neoplasms
    • Questionnaires
    • yoga

    Notes:

    • 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.

  • Religion, spirituality and cancer: Current status and methodological challenges

    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

    Notes:

    • 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.

  • The culture of faith and hope: patients' justifications for their high estimations of expected therapeutic benefit when enrolling in early phase oncology trials

    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

    Tags:

    • Attitude to Health
    • Clinical Trials as Topic
    • Comprehension
    • Female
    • Humans
    • Informed Consent
    • Interviews as Topic
    • Male
    • Middle Aged
    • Neoplasms
    • Patient Selection
    • Religion and Medicine
    • Therapeutic Misconception

    Notes:

    • 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.

  • The spiritual dimension of cancer care

    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

    Tags:

    • Humans
    • Neoplasms
    • Physician-Patient Relations
    • spirituality

    Notes:

    • 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.

  • The impact of religiosity and attribution theory on attitudes toward addiction and cancer.

    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

    Tags:

    • ADDICTIONS
    • ATTRIBUTION (Social psychology)
    • CANCER -- Patients
    • CHRISTIAN life
    • Religiousness
    • STIGMA (Social psychology)

    Notes:

    • 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.

  • Mindful exercise, quality of life, and survival: a mindfulness-based exercise program for women with breast cancer

    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

    Tags:

    • Anxiety
    • Breast Neoplasms
    • depression
    • Exercise
    • Exercise Therapy
    • Female
    • Humans
    • Meditation
    • Pilot Projects
    • Quality of Life
    • Questionnaires
    • Research Design
    • Stress Disorders, Post-Traumatic
    • Walking

    Notes:

    • 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.

  • Religious coping is associated with the quality of life of patients with advanced cancer

    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

    Tags:

    • Adaptation, Psychological
    • Cross-Sectional Studies
    • Female
    • Humans
    • Male
    • Middle Aged
    • Neoplasms
    • Quality of Life
    • Regression Analysis
    • religion

    Notes:

    • 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.

  • Self-transcendence, spiritual well-being, and spiritual practices of women with breast cancer

    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

    Notes:

    • 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.

  • Do spirituality and faith make a difference? Report from the Southern European Psycho-Oncology Study Group

    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

    Notes:

    • The aim of this study was to examine the effect of spirituality in molding psychosocial implications in Southern European cancer patients.

  • Review of cancer among 4 religious sects: Evidence that life-styles are distinctive sets of risk factors

    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

    Tags:

    • Cancer
    • life-style
    • religion
    • Risk Factors

    Notes:

    • 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).

  • Predictors of colorectal cancer knowledge and screening among church-attending African Americans and Whites in the Deep South

    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

    Tags:

    • African Americans
    • Alabama
    • Colorectal Neoplasms
    • Diagnostic Tests, Routine
    • European Continental Ancestry Group
    • Female
    • Forecasting
    • Health Knowledge, Attitudes, Practice
    • Humans
    • Interviews as Topic
    • Male
    • Middle Aged
    • religion

    Notes:

    • 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.

  • Effects of yoga on the quality of life in cancer patients

    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

    Notes:

    • This study sought to investigate the effects of yoga on the quality of life in patients with breast cancer.

  • Veiled yet vulnerable. Breast cancer screening and the Muslim way of life

    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

    Tags:

    • Adult
    • Attitude to Health
    • Breast Neoplasms
    • Female
    • Focus Groups
    • Health Knowledge, Attitudes, Practice
    • Humans
    • ISLAM
    • Mass Screening
    • Middle Aged
    • Nursing Methodology Research
    • Questionnaires

    Notes:

    • 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.

  • Effects of yoga program on quality of life and affect in early breast cancer patients undergoing adjuvant radiotherapy: a randomized controlled trial

    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

    Notes:

    • 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.

  • Effects of a yoga program on cortisol rhythm and mood states in early breast cancer patients undergoing adjuvant radiotherapy: a randomized controlled trial

    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 &lt; .001), depression (P = .002), perceived stress (P &lt; .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

    Tags:

    • Adult
    • Affect
    • Analysis of Variance
    • Anxiety
    • Breast Neoplasms
    • Circadian Rhythm
    • depression
    • Female
    • Humans
    • Hydrocortisone
    • Middle Aged
    • Neoplasm Staging
    • Psychiatric Status Rating Scales
    • Radiotherapy, Adjuvant
    • Saliva
    • Stress, Psychological
    • yoga

    Notes:

    • 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.

  • Images of god in relation to coping strategies of palliative cancer patients

    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

    Notes:

    • 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.

  • Perspectives on Death and an Afterlife in Relation to Quality of Life, Depression, and Hopelessness in Cancer Patients Without Evidence of Disease and Advanced Cancer Patients

    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

    Tags:

    • afterlife
    • Death
    • depression
    • hopelessness
    • Palliative Care
    • Quality of Life

    Notes:

    • 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.

  • Spirituality and well-being in cancer patients: a review

    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

    Notes:

    • 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.

  • Utilization of religious coping strategies among African American women at increased risk for hereditary breast and ovarian cancer

    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
  • Is there a role for complementary therapy in the management of leukemia?

    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

    Notes:

  • Is there a role for complementary therapy in the management of leukemia?

    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

    Notes:

    • 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.

  • Complementary therapy use among older cancer patients

    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

    Tags:

    • Aged
    • Complementary Therapies
    • depression
    • Educational Status
    • Female
    • Health Knowledge, Attitudes, Practice
    • Humans
    • Male
    • Middle Aged
    • Neoplasms
    • Patient Acceptance of Health Care
    • Questionnaires

    Notes:

    • 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.

  • Facets of spirituality as predictors of adjustment to cancer: relative contributions of having faith and finding meaning

    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

    Tags:

    • cancer
    • faith
    • meaning
    • spirituality

    Notes:

    • 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.

  • Spirituality and quality of life in 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.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

    Notes:

    • 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.

  • Spirituality and quality of life in 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

    Tags:

    • Adaptation, Psychological
    • African Americans
    • Cohort Studies
    • Educational Status
    • European Continental Ancestry Group
    • Hispanic Americans
    • Humans
    • Male
    • Neoplasm Metastasis
    • Neoplasm Staging
    • Pain
    • Personality Inventory
    • Poverty
    • Prostatic Neoplasms
    • Quality of Life
    • spirituality

    Notes:

    • 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.