Spiritual Well-being and Quality of Life in Iranian Women with Breast Cancer Undergoing Radiation Therapy

Overview

Journal Support Care Cancer

Specialties Critical Care
Oncology

Date 2012 Nov 10

PMID 23138932

Citations 28

Authors

Najmeh Jafari

Ziba Farajzadegan

Ahmadreza Zamani

Fatemeh Bahrami

Hamid Emami

Amir Loghmani

Affiliations

Soon will be listed here.

Abstract

Purpose: Psychological distress and morbidity are common consequences of diagnosis and treatment of breast cancer and associated with poor quality of life (QOL). Spiritual well-being is an important aspect of QOL, but little is known about the spiritual well-being and its relationship with QOL in patients of different cultures such as Iranian Muslim patients. The aim of this study was to investigate the association of QOL and spirituality among patients with breast cancer undergoing radiation therapy.

Methods: This was a cross-sectional study which was conducted in the Breast Cancer Research Center of St. S. Al-Shohada Hospital, Isfahan, Iran. Spiritual well-being was measured using the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale (FACIT-Sp12). The European Organisation for Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) and its supplementary breast cancer questionnaire (QLQ-BR23) were used to assess the quality of life of patients. Descriptive analysis, Pearson's correlation, and multiple regression analysis were performed for statistical assessment.

Results: In all, 68 patients fulfilled the study's inclusion criteria and were interviewed. The mean global QOL was 41.42 (SD = 18.02), and the mean spiritual well-being was 28.41 (SD = 6.95). There was a significant positive correlation between general QOL and total spiritual well-being scores. Also, spiritual well-being, social functioning, pain, and arm symptoms were significant predictors of global QOL.

Discussion: The results of this study provide evidence that breast cancer survivors in Iran experience a poor quality of life across a broad spectrum of health domains, particularly social, emotional, and spiritual, indicating that psychosocial-spiritual support should be considered in caring for patients with breast cancer.

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References

Peterman A, Fitchett G, Brady M, Hernandez L, Cella D . Measuring spiritual well-being in people with cancer: the functional assessment of chronic illness therapy--Spiritual Well-being Scale (FACIT-Sp). Ann Behav Med. 2002; 24(1):49-58. DOI: 10.1207/S15324796ABM2401_06. View

Jafari N, Zamani A, Lazenby M, Farajzadegan Z, Emami H, Loghmani A . Translation and validation of the Persian version of the functional assessment of chronic illness therapy-Spiritual well-being scale (FACIT-Sp) among Muslim Iranians in treatment for cancer. Palliat Support Care. 2012; 11(1):29-35. DOI: 10.1017/S1478951512000727. View

Aaronson N, Ahmedzai S, Bergman B, Bullinger M, Cull A, Duez N . The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst. 1993; 85(5):365-76. DOI: 10.1093/jnci/85.5.365. View

Hopwood P, Haviland J, Mills J, Sumo G, Bliss J . The impact of age and clinical factors on quality of life in early breast cancer: an analysis of 2208 women recruited to the UK START Trial (Standardisation of Breast Radiotherapy Trial). Breast. 2007; 16(3):241-51. DOI: 10.1016/j.breast.2006.11.003. View

Thomas-Maclean R . Understanding breast cancer stories via Frank's narrative types. Soc Sci Med. 2004; 58(9):1647-57. DOI: 10.1016/S0277-9536(03)00372-1. View

Osoba D, Zee B, Pater J, Warr D, Kaizer L, Latreille J . Psychometric properties and responsiveness of the EORTC quality of Life Questionnaire (QLQ-C30) in patients with breast, ovarian and lung cancer. Qual Life Res. 1994; 3(5):353-64. DOI: 10.1007/BF00451727. View

Zebrack B . Cancer survivor identity and quality of life. Cancer Pract. 2002; 8(5):238-42. DOI: 10.1046/j.1523-5394.2000.85004.x. View

Brady M, Peterman A, Fitchett G, Mo M, Cella D . A case for including spirituality in quality of life measurement in oncology. Psychooncology. 1999; 8(5):417-28. DOI: 10.1002/(sici)1099-1611(199909/10)8:5<417::aid-pon398>3.0.co;2-4. View

Lazenby M, Khatib J, Al-Khair F, Neamat M . Psychometric properties of the Functional Assessment of Chronic Illness Therapy--Spiritual Well-being (FACIT-Sp) in an Arabic-speaking, predominantly Muslim population. Psychooncology. 2011; 22(1):220-7. DOI: 10.1002/pon.2062. View

10.

Breitbart W . Spirituality and meaning in supportive care: spirituality- and meaning-centered group psychotherapy interventions in advanced cancer. Support Care Cancer. 2002; 10(4):272-80. DOI: 10.1007/s005200100289. View

11.

Waldmann A, Pritzkuleit R, Raspe H, Katalinic A . The OVIS study: health related quality of life measured by the EORTC QLQ-C30 and -BR23 in German female patients with breast cancer from Schleswig-Holstein. Qual Life Res. 2007; 16(5):767-76. DOI: 10.1007/s11136-006-9161-5. View

12.

Montazeri A, Harirchi I, Vahdani M, Khaleghi F, Jarvandi S, Ebrahimi M . The EORTC breast cancer-specific quality of life questionnaire (EORTC QLQ-BR23): translation and validation study of the Iranian version. Qual Life Res. 2000; 9(2):177-84. DOI: 10.1023/a:1008918310251. View

13.

Ahn S, Park B, Noh D, Nam S, Lee E, Lee M . Health-related quality of life in disease-free survivors of breast cancer with the general population. Ann Oncol. 2006; 18(1):173-182. DOI: 10.1093/annonc/mdl333. View

14.

Montazeri A, Vahdaninia M, Harirchi I, Ebrahimi M, Khaleghi F, Jarvandi S . Quality of life in patients with breast cancer before and after diagnosis: an eighteen months follow-up study. BMC Cancer. 2008; 8:330. PMC: 2588619. DOI: 10.1186/1471-2407-8-330. View

15.

McCoubrie R, Davies A . Is there a correlation between spirituality and anxiety and depression in patients with advanced cancer?. Support Care Cancer. 2005; 14(4):379-85. DOI: 10.1007/s00520-005-0892-6. View

16.

Dapueto J, Servente L, Francolino C, Hahn E . Determinants of quality of life in patients with cancer. Cancer. 2005; 103(5):1072-81. DOI: 10.1002/cncr.20870. View

17.

Aaronson N, Meyerowitz B, Bard M, Bloom J, Fawzy F, FELDSTEIN M . Quality of life research in oncology. Past achievements and future priorities. Cancer. 1991; 67(3 Suppl):839-43. DOI: 10.1002/1097-0142(19910201)67:3+<839::aid-cncr2820671415>3.0.co;2-0. View

18.

Cotton S, Levine E, Fitzpatrick C, Dold K, Targ E . Exploring the relationships among spiritual well-being, quality of life, and psychological adjustment in women with breast cancer. Psychooncology. 1999; 8(5):429-38. DOI: 10.1002/(sici)1099-1611(199909/10)8:5<429::aid-pon420>3.0.co;2-p. View

19.

Purnell J, Andersen B, Wilmot J . Religious Practice and Spirituality in the Psychological Adjustment of Survivors of Breast Cancer. Couns Values. 2010; 53(3):165. PMC: 2808692. DOI: 10.1002/j.2161-007x.2009.tb00123.x. View

20.

Cocks K, King M, Velikova G, Martyn St-James M, Fayers P, Brown J . Evidence-based guidelines for determination of sample size and interpretation of the European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30. J Clin Oncol. 2010; 29(1):89-96. DOI: 10.1200/JCO.2010.28.0107. View