Association between Spiritual Well-Being and Pain, Anxiety and Depression in Terminal Cancer Patients: A Pilot Study.
10.14475/kjhpc.2013.16.3.175
- Author:
Yong Joo LEE
1
;
Chul Min KIM
;
John A LINTON
;
Duk Chul LEE
;
Sang Yeon SUH
;
Ah Ram SEO
;
Hong Yup AHN
Author Information
1. Department of Palliative Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea. sharp1003@hanmail.net
- Publication Type:Original Article
- Keywords:
Neoplasms;
Terminally ill;
Spirtuality;
Pain;
Anxiety;
Depression
- MeSH:
Anxiety;
Depression;
Humans;
Pilot Projects;
Spirituality;
Terminally Ill;
Tertiary Care Centers
- From:Korean Journal of Hospice and Palliative Care
2013;16(3):175-182
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Spirituality is an important domain and is related with physical and psychological symptoms in terminal cancer patient. The aim of this study is to examine how patients' spirituality is associated with their physical and psychological symptoms as it has been explored by few studies. METHODS: In this cross sectional study, 50 patients in the palliative ward of a tertiary hospital were interviewed. Spiritual well-being, depression, anxiety and pain is measured by Functional Assessment of Chronic-Illness Therapy-Spirituality (FACIT-Sp), hospital anxiety and depression scale (HADS) and the Korean version of the Brief Pain Inventory (BPI-K). The correlations between patients' spiritual well-being and anxiety, depression and pain were analysed. The association between spiritual well-being and age, gender, palliative performance scale (PPS), religion, mean pain intensity, anxiety, depression were assessed by univariate and multivariate regression analyses. RESULTS: Spiritual well-being was negatively correlated with the mean pain intensity (r=-0.283, P<0.05), anxiety (r=-0.613, P<0.05) and depression (r=-0.526, P<0.05). In multivariate regression analysis, spiritual well-being showed negative association with anxiety (OR=-1.03, 95% CI=-1.657~-0.403, P=0.002) and positive association with the existence of religion (OR=9.193, 95% CI=4.158~14.229, P<0.001). CONCLUSION: In this study, patients' anxiety and existence of religion were significantly associated with spiritual well-being after adjusting age, gender, PPS, mean pain intensity, depression. Prospective studies are warranted.
