Gudrun Elin Rohde1, Teresa Young2, Julie Winstanley3, Juan I Arraras4, Kath Black5, Fran Boyle6, Anne Bredart7, Anna Costantini8, Jingbo Guo9, Maria E Irarrazaval10, Kunihiko Kobayashi11, Renske Kruizinga12, Mariana Navarro13, Sepideh Omidvari14, Samantha Serpentini15, Nigel Spry16, Hanneke van Laarhoven17, Grace Yang18, Bella Vivat19. 1. Department of Clinical Research Sorlandet Hospital, Faculty of Health & Sport Sciences, University of Agder, Kristiansand, Norway. 2. Supportive Oncology Research Team, East & North Hertfordshire NHS Trust Including Mount Vernon Cancer Centre, Northwood, Middlesex, UK. 3. Osman Consulting Pty Ltd, Cheshire, UK. 4. Department of Oncology, Complejo Hospitalario de Navarra, Pamplona, Spain. 5. St Gemma's Hospice, Leeds, UK. 6. Patricia Ritchie Centre for Cancer Care, University of Sydney, North Sydney, NSW, Australia. 7. Psycho-Oncology Unit, Institute Curie, Paris, France. 8. Psychoncology Unit, Faculty of Medicine and Psychology, Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy. 9. Palliative Ward, Shengjing Hospital, China Medical University, Shenyang, China. 10. Centro Los Junco, Santiago, Chile. 11. Department of Respiratory Medicine, Saitama Medical University International Medical Centre, Saitama, Japan. 12. Medical Oncology Academic Medical Centre, Amsterdam, The Netherlands. 13. Division de Investigación Clínica, Coordinadora del Centro de Apoyo para la Atención Integral, Instituto Nacional de Cancerologia, Mexico DF, Mexico. 14. Cancer Research Center, Cancer Institute of Iran, Tehran University of Medical Sciences, Tehran, Iran. 15. Unit of Psychoncology, Veneto Institute of Oncology IOV - IRCCS, Padua, Italy. 16. Oncology Department, Faculty of Medicine Dentistry and Health Sciences, University of Western Australia, Crawley, WA, Australia. 17. Department of Medical Oncology, Amsterdam University Medical Centers, Cancer Center Amsterdam, Location Academic Medical Center, Amsterdam, The Netherlands. 18. National Cancer Centre Singapore 2, Lien Centre for Palliative Care, Singapore City, Singapore. 19. Division of Psychiatry, Marie Curie Palliative Care Research Department, Faculty of Medical Sciences, University College London, London, UK.
Abstract
OBJECTIVE: The EORTC QOL Group has recently completed the cross-cultural development and validation of a standalone measure of spiritual well-being (SWB) for cancer patients receiving palliative care: the EORTC QLQ-SWB32. The measure includes four scales: Relationships with Others, Relationship with Self, Relationship with Someone or Something Greater, and Existential, plus a Global-SWB item. This paper reports on further research investigating relationships between sex, age and SWB for patients receiving palliative care for cancer-adjusting for other socio-demographic, clinical and function variables, including WHO performance status and EORTC QLQ-C15-PAL emotional and physical function scores. METHODS: Cross-sectional data from the validation study were used, and chi-square, independent t tests, Mann-Whitney U tests and multiple regression analyses applied. RESULTS: The study included 451 participants with advanced and incurable cancer, from 14 countries. Adjusted analyses found better scores for female participants than males on three of the four EORTC QLQ-SWB32 subscales; Relationship with others, Relationship with Someone or Something Greater and Existential plus Global-SWB. Older age was positively associated with better Relationship with Self. CONCLUSION: The findings from our participants suggest that it might be beneficial if healthcare providers seeking to address patients' spiritual needs pay particular attention to male patients, younger patients and those with poor emotional functioning.
OBJECTIVE: The EORTC QOL Group has recently completed the cross-cultural development and validation of a standalone measure of spiritual well-being (SWB) for cancerpatients receiving palliative care: the EORTC QLQ-SWB32. The measure includes four scales: Relationships with Others, Relationship with Self, Relationship with Someone or Something Greater, and Existential, plus a Global-SWB item. This paper reports on further research investigating relationships between sex, age and SWB for patients receiving palliative care for cancer-adjusting for other socio-demographic, clinical and function variables, including WHO performance status and EORTC QLQ-C15-PAL emotional and physical function scores. METHODS: Cross-sectional data from the validation study were used, and chi-square, independent t tests, Mann-Whitney U tests and multiple regression analyses applied. RESULTS: The study included 451 participants with advanced and incurable cancer, from 14 countries. Adjusted analyses found better scores for female participants than males on three of the four EORTC QLQ-SWB32 subscales; Relationship with others, Relationship with Someone or Something Greater and Existential plus Global-SWB. Older age was positively associated with better Relationship with Self. CONCLUSION: The findings from our participants suggest that it might be beneficial if healthcare providers seeking to address patients' spiritual needs pay particular attention to male patients, younger patients and those with poor emotional functioning.
Authors: Ivana Dabo; Iva Skočilić; Bella Vivat; Ingrid Belac-Lovasić; Iva Sorta-Bilajac Turina Journal: Int J Environ Res Public Health Date: 2021-11-13 Impact factor: 3.390