Laura Ciria-Suarez1, Caterina Calderon2, Ana Fernández Montes3, Mónica Antoñanzas4, Raquel Hernández5, Jacobo Rogado6, Vilma Pacheo-Barcia7, Elena Ansensio-Martínez8, María Palacín-Lois9, Paula Jimenez-Fonseca10. 1. Department of Clinical Psychology and Psychobiology, Faculty of Psychology, University of Barcelona, Passeig de la Vall d'Hebron, 171, 08035, Barcelona, Spain. laura.ciria.suarez@gmail.com. 2. Department of Clinical Psychology and Psychobiology, Faculty of Psychology, University of Barcelona, Passeig de la Vall d'Hebron, 171, 08035, Barcelona, Spain. 3. Department of Medical Oncology, Complejo Hospitalario de Orense, Orense, Spain. 4. Department of Medical Oncology, Hospital Universitario Clínico San Carlos, Madrid, Spain. 5. Department of Medical Oncology, IDIVAL, Hospital Universitario Marqués de Valdecilla, Santander, Spain. 6. Department of Medical Oncology, Hospital Universitario Infanta Leonor, Madrid, Spain. 7. Department of Medical Oncology, Hospital Universitario Central de la Defensa "Gómez Ulla", Madrid, Spain. 8. Department of Medical Oncology, Hospital Universitario General de Elche, Alicante, Spain. 9. Department of Social and Quantitative Psychology, Faculty of Psychology, University of Barcelona, Barcelona, Spain. 10. Department of Medical Oncology, ISPA, Hospital Universitario Central de Asturias, Oviedo, Spain.
Abstract
BACKGROUND/ OBJECTIVE: The impact a cancer diagnosis and its treatment are affected by psychosocial factors and how these factors interrelate among themselves. The objective of this study was to analyze the relationship between optimism and social support in spiritual wellbeing in cancer patients initiating chemotherapy. METHODS: A cross-sectional, multi-center (15 sites), prospective study was conducted with 912 cancer patients who had undergone curative surgery for a stage I-III cancer and were to receive adjuvant chemotherapy. They completed the Functional Assessment of Chronic Illness-Spiritual Well-being Scale (FACIT-Sp), Life Orientation Test-Revised (LOT-R), and the Multidimensional Scale of Perceived Social Support (MSPSS). RESULTS: Significant differences on spirituality scales (meaning/peace and faith) were detected depending on age (≤ 65 vs > 65), sex, marital status, employment, and cancer treatment. Married or partnered participants had significantly higher meaning/peace scores compared to their non-partnered counterparts (p = 0.001). Women, > 65 years, unemployed, and patients treated with chemotherapy and radiotherapy had significantly higher faith scores versus men, ≤ 65 years, employed, and subjects only receiving adjuvant chemotherapy (all p < 0.030). Multivariate analyses indicated that meaning/peace and faith correlated positively with optimism and social support. CONCLUSION: During oncological treatment, the positive effects of optimism and social support exhibit a positive correlation with spiritual coping. A brief assessment evaluation of these factors can aid in identifying at risk for a worse adaptation to the disease.
BACKGROUND/ OBJECTIVE: The impact a cancer diagnosis and its treatment are affected by psychosocial factors and how these factors interrelate among themselves. The objective of this study was to analyze the relationship between optimism and social support in spiritual wellbeing in cancerpatients initiating chemotherapy. METHODS: A cross-sectional, multi-center (15 sites), prospective study was conducted with 912 cancerpatients who had undergone curative surgery for a stage I-III cancer and were to receive adjuvant chemotherapy. They completed the Functional Assessment of Chronic Illness-Spiritual Well-being Scale (FACIT-Sp), Life Orientation Test-Revised (LOT-R), and the Multidimensional Scale of Perceived Social Support (MSPSS). RESULTS: Significant differences on spirituality scales (meaning/peace and faith) were detected depending on age (≤ 65 vs > 65), sex, marital status, employment, and cancer treatment. Married or partnered participants had significantly higher meaning/peace scores compared to their non-partnered counterparts (p = 0.001). Women, > 65 years, unemployed, and patients treated with chemotherapy and radiotherapy had significantly higher faith scores versus men, ≤ 65 years, employed, and subjects only receiving adjuvant chemotherapy (all p < 0.030). Multivariate analyses indicated that meaning/peace and faith correlated positively with optimism and social support. CONCLUSION: During oncological treatment, the positive effects of optimism and social support exhibit a positive correlation with spiritual coping. A brief assessment evaluation of these factors can aid in identifying at risk for a worse adaptation to the disease.
Entities:
Keywords:
Cancer; Optimism; Social support; Spirituality
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