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http://dx.doi.org/10.14475/kjhpc.2013.16.3.175

Association between Spiritual Well-Being and Pain, Anxiety and Depression in Terminal Cancer Patients: A Pilot Study  

Lee, Yong Joo (Department of Palliative Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea)
Kim, Chul-Min (Department of Palliative Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea)
Linton, John A. (Department of Family Medicine, Severance Hospital, Yonsei University College of Medicine)
Lee, Duk Chul (Department of Family Medicine, Severance Hospital, Yonsei University College of Medicine)
Suh, Sang-Yeon (Department of Family Medicine, Dongguk University Ilsan Hospital)
Seo, Ah-Ram (Department of Statistics, Dongguk University)
Ahn, Hong-Yup (Department of Statistics, Dongguk University)
Publication Information
Journal of Hospice and Palliative Care / v.16, no.3, 2013 , pp. 175-182 More about this Journal
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.
Keywords
Neoplasms; Terminally ill; Spirtuality; Pain; Anxiety; Depression;
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Times Cited By KSCI : 2  (Citation Analysis)
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