Association between Spirituality, Religiosity, Spiritual Pain, Symptom Distress, and Quality of Life among Latin American Patients with Advanced Cancer: A Multicenter Study

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dc.contributor.authorDelgado-Guay, Marvin O.
dc.contributor.authorPalma, Alejandra
dc.contributor.authorDuarte, Eva
dc.contributor.authorGrez, Monica
dc.contributor.authorTupper, Laura
dc.contributor.authorLiu, Diane D.
dc.contributor.authorBruera, Eduardo
dc.date.accessioned2025-01-20T23:50:59Z
dc.date.available2025-01-20T23:50:59Z
dc.date.issued2021
dc.description.abstractObjectives: The purpose of this multicenter study was to characterize the association between spirituality, religiosity, spiritual pain, symptom distress, coping, and quality of life (QOL) among Latin American advanced cancer patients.
dc.description.abstractMethods: Three hundred twenty-five advanced cancer patients from palliative care clinics in Chile, Guatemala, and the United States completed validated assessments: Faith, Importance and Influence, Community, and Address (FICA) (spirituality/religiosity), Edmonton Symptom Assessment Scale-Financial/Spiritual (ESAS-FS), including spiritual pain, Penn State Worry Questionnaire-Abbreviated (PSWQ-A), Center for Epidemiologic Studies Depression Scale (CES-D), Brief-coping strategies (COPE) and Brief religious coping (RCOPE) and RCOPE, respectively, and Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being, Expanded version (FACIT-Sp-Ex).
dc.description.abstractResults: Median age: 58 years (range: 19-85); 60% female; and 62% Catholic and 30% Christian, but not Catholic. Three hundred fifteen patients (97%) considered themselves spiritual and 89% religious, with median intensities of 7 (interquartile range [IQR]: 5-10) and 7 (5-9), respectively (0-10 scale, 10 = "very much"). Median importance of spirituality/religiosity was 10 (IQR: 8-10). The frequency and associations between spirituality/religiosity and various items were as follows: helps to cope with illness (98%; r = 0.66303; p < 0.0001), positive effect on physical symptoms (81%; r = 0.42067; p < 0.0001), and emotional symptoms (84%; r = 0.16577; p < 0.0001). One hundred ninety-five patients (60%) reported that their spiritual/religious needs had not been supported by the medical team. Spiritual pain was reported in 162/311 patients (52%), with median intensity of 6 (IQR: 5-8). Spiritual pain was associated with pain (p = 0.0225), depression (p < 0.0001), anxiety (p < 0.0001), worry (p < 0.001), behavioral disengagement (p = 0.0148), FACIT-Sp-Ex score (p = 0.0002), and negative RCOPE (p < 0.0001).
dc.description.abstractSignificance of Results: Spirituality and religiosity are frequent, intense, and rarely addressed among Latin American patients. Spirituality/religiosity was associated with positive COPE and higher QOL. Spiritual pain was also frequent and associated with physical and psychosocial distress. These patients need increased spiritual/religious support.
dc.description.funderNational Institutes of Health
dc.fuente.origenWOS
dc.identifier.doi10.1089/jpm.2020.0776
dc.identifier.eissn1557-7740
dc.identifier.issn1096-6218
dc.identifier.urihttps://doi.org/10.1089/jpm.2020.0776
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/94762
dc.identifier.wosidWOS:000639965600001
dc.issue.numero11
dc.language.isoen
dc.pagina.final1615
dc.pagina.inicio1606
dc.revistaJournal of palliative medicine
dc.rightsacceso restringido
dc.subjectLatin American cancer patients
dc.subjectquality of life
dc.subjectreligiosity
dc.subjectspirituality
dc.subjectspiritual pain
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleAssociation between Spirituality, Religiosity, Spiritual Pain, Symptom Distress, and Quality of Life among Latin American Patients with Advanced Cancer: A Multicenter Study
dc.typeartículo
dc.volumen24
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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