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Prevalence, Predictors and Correlates of Religious and Spiritual Struggles in Palliative Cancer Patients.


ABSTRACT:

Context

Religion and spirituality (r/s) are important resources in coping with cancer. However, there are aspects of r/s, such as religious and spiritual struggles, found to be associated with poorer outcomes. A new measure has been adapted from the Religious and Spiritual Struggles Scale (RSS) to assess r/s struggles: the RSS-14. This concise measure allows for the assessment of multiple types of r/s struggles for people from different religious backgrounds or none.

Objectives

The aim of the present study was to examine the prevalence, predictors and correlates of r/s struggles as measured by the RSS-14 and its subdomains in a cancer population receiving palliative care.

Methods

Data were collected from six outpatient palliative care services across the US. Inclusion criteria for patients were age 55 or older with a cancer diagnosis. In addition to demographic and r/s characteristics, study measures included the Edmonton Symptom Assessment Scale (ESAS), the Patient Dignity Inventory (PDI) and the Quality of Life at the End of Life (QUAL-E).

Results

The study included 331 participants. Some r/s struggle was reported by 66%, moderate to high struggle for at least one item was reported by 20% of the patients. In bivariate analyses, r/s struggle was associated with greater symptom burden, greater dignity-related problems and poorer quality of life; in multivariable analyses, dignity-related problems remained a predictor of total r/s struggle.

Conclusion

R/S struggles may compromise well-being for cancer patients receiving palliative care. Clinicians should consider periodic screening for r/s struggles and referrals for spiritual care if indicated.

SUBMITTER: Damen A 

PROVIDER: S-EPMC8419029 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature

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Publications

Prevalence, Predictors and Correlates of Religious and Spiritual Struggles in Palliative Cancer Patients.

Damen Annelieke A   Exline Julie J   Pargament Kenneth K   Yao Yingwei Y   Chochinov Harvey H   Emanuel Linda L   Handzo George G   Wilkie Diana J DJ   Fitchett George G  

Journal of pain and symptom management 20210510 3


<h4>Context</h4>Religion and spirituality (r/s) are important resources in coping with cancer. However, there are aspects of r/s, such as religious and spiritual struggles, found to be associated with poorer outcomes. A new measure has been adapted from the Religious and Spiritual Struggles Scale (RSS) to assess r/s struggles: the RSS-14. This concise measure allows for the assessment of multiple types of r/s struggles for people from different religious backgrounds or none.<h4>Objectives</h4>Th  ...[more]

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