The multidimensionality of spiritual wellbeing: peace, meaning, and faith and their association with quality of life and coping in oncology

Objective This study explored associations between the recently proposed three‐factor structure of the 12‐item Functional Assessment of Chronic Illness Therapy—Spiritual Well‐being (FACIT‐Sp) subscale (Peace, Meaning, and Faith), quality of life (QoL), and coping in an oncology population. Methods A...

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Veröffentlicht in:Psycho-oncology (Chichester, England) England), 2012-06, Vol.21 (6), p.602-610
Hauptverfasser: Whitford, Hayley S., Olver, Ian N.
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Olver, Ian N.
description Objective This study explored associations between the recently proposed three‐factor structure of the 12‐item Functional Assessment of Chronic Illness Therapy—Spiritual Well‐being (FACIT‐Sp) subscale (Peace, Meaning, and Faith), quality of life (QoL), and coping in an oncology population. Methods A total of 999 newly diagnosed, study eligible, consecutive cancer patients completed the FACIT‐Sp and the Mental Adjustment to Cancer (MAC) scale. Results Hierarchical multiple regressions revealed that Peace alone added 3% to the prediction of QoL and accounted for 15.8% of the overlap in Total Functional Assessment of Cancer Therapy—General (FACT‐G) scores (both p
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Methods A total of 999 newly diagnosed, study eligible, consecutive cancer patients completed the FACIT‐Sp and the Mental Adjustment to Cancer (MAC) scale. Results Hierarchical multiple regressions revealed that Peace alone added 3% to the prediction of QoL and accounted for 15.8% of the overlap in Total Functional Assessment of Cancer Therapy—General (FACT‐G) scores (both p&lt;0.001). Meaning alone added 1.3% to QoL prediction and accounted for 5.8% in overlap (both p&lt;0.001). Faith did not significantly contribute to the unique prediction or overlap of QoL. Correlational analyses revealed that Peace was most prominently associated with the QoL subscales of Functional (r = 0.64) and Emotional Wellbeing (r = 0.61) and the coping styles of Helpless/Hopeless (r = −0.53), Fighting Spirit (r = 0.47), and Anxious Preoccupation (r = −0.34). Meaning was also highly associated with Functional Wellbeing (r = 0.56), Helpless/Hopeless (r = −0.53), and Fighting Spirit (r = 0.54), but in addition, Social Wellbeing (r = 0.49). Conclusions The three‐factor model of spiritual wellbeing appears psychometrically superior to previous models as it further discriminates between which components are most highly associated with improved QoL facets and coping styles. This study provides normative data on newly diagnosed patients with cancer and further highlights the clinical contribution of such detailed assessment. Copyright © 2011 John Wiley &amp; Sons, Ltd.</description><identifier>ISSN: 1057-9249</identifier><identifier>EISSN: 1099-1611</identifier><identifier>DOI: 10.1002/pon.1937</identifier><identifier>PMID: 21370313</identifier><identifier>CODEN: POJCEE</identifier><language>eng</language><publisher>Chichester, UK: John Wiley &amp; Sons, Ltd</publisher><subject>Adaptation, Psychological ; Adjustment ; Adult ; Aged ; Aged, 80 and over ; Australia ; Cancer ; Chronic Disease ; Coping ; coping behavior ; Correlation analysis ; Female ; Humans ; Male ; Meaning ; Middle Aged ; Neoplasms - psychology ; Oncology ; Peace ; Personal Satisfaction ; Personality Inventory ; psychological adjustment ; Psychometrics - statistics &amp; numerical data ; Quality of Life ; Socioeconomic Factors ; Spiritual wellbeing ; Spirituality ; Surveys and Questionnaires ; Survivors - psychology ; Value of Life</subject><ispartof>Psycho-oncology (Chichester, England), 2012-06, Vol.21 (6), p.602-610</ispartof><rights>Copyright © 2011 John Wiley &amp; Sons, Ltd.</rights><rights>Copyright John Wiley and Sons, Limited Jun 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4537-68fb5284f7b986008ce47c6e5f92d8c17f49a88c87b5dccc39516ec0a882c6493</citedby><cites>FETCH-LOGICAL-c4537-68fb5284f7b986008ce47c6e5f92d8c17f49a88c87b5dccc39516ec0a882c6493</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpon.1937$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpon.1937$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,778,782,1414,27911,27912,30986,30987,45561,45562</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21370313$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Whitford, Hayley S.</creatorcontrib><creatorcontrib>Olver, Ian N.</creatorcontrib><title>The multidimensionality of spiritual wellbeing: peace, meaning, and faith and their association with quality of life and coping in oncology</title><title>Psycho-oncology (Chichester, England)</title><addtitle>Psycho-Oncology</addtitle><description>Objective This study explored associations between the recently proposed three‐factor structure of the 12‐item Functional Assessment of Chronic Illness Therapy—Spiritual Well‐being (FACIT‐Sp) subscale (Peace, Meaning, and Faith), quality of life (QoL), and coping in an oncology population. Methods A total of 999 newly diagnosed, study eligible, consecutive cancer patients completed the FACIT‐Sp and the Mental Adjustment to Cancer (MAC) scale. Results Hierarchical multiple regressions revealed that Peace alone added 3% to the prediction of QoL and accounted for 15.8% of the overlap in Total Functional Assessment of Cancer Therapy—General (FACT‐G) scores (both p&lt;0.001). Meaning alone added 1.3% to QoL prediction and accounted for 5.8% in overlap (both p&lt;0.001). Faith did not significantly contribute to the unique prediction or overlap of QoL. Correlational analyses revealed that Peace was most prominently associated with the QoL subscales of Functional (r = 0.64) and Emotional Wellbeing (r = 0.61) and the coping styles of Helpless/Hopeless (r = −0.53), Fighting Spirit (r = 0.47), and Anxious Preoccupation (r = −0.34). Meaning was also highly associated with Functional Wellbeing (r = 0.56), Helpless/Hopeless (r = −0.53), and Fighting Spirit (r = 0.54), but in addition, Social Wellbeing (r = 0.49). Conclusions The three‐factor model of spiritual wellbeing appears psychometrically superior to previous models as it further discriminates between which components are most highly associated with improved QoL facets and coping styles. This study provides normative data on newly diagnosed patients with cancer and further highlights the clinical contribution of such detailed assessment. 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Sons, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201206</creationdate><title>The multidimensionality of spiritual wellbeing: peace, meaning, and faith and their association with quality of life and coping in oncology</title><author>Whitford, Hayley S. ; Olver, Ian N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4537-68fb5284f7b986008ce47c6e5f92d8c17f49a88c87b5dccc39516ec0a882c6493</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adaptation, Psychological</topic><topic>Adjustment</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Australia</topic><topic>Cancer</topic><topic>Chronic Disease</topic><topic>Coping</topic><topic>coping behavior</topic><topic>Correlation analysis</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Meaning</topic><topic>Middle Aged</topic><topic>Neoplasms - psychology</topic><topic>Oncology</topic><topic>Peace</topic><topic>Personal Satisfaction</topic><topic>Personality Inventory</topic><topic>psychological adjustment</topic><topic>Psychometrics - statistics &amp; numerical data</topic><topic>Quality of Life</topic><topic>Socioeconomic Factors</topic><topic>Spiritual wellbeing</topic><topic>Spirituality</topic><topic>Surveys and Questionnaires</topic><topic>Survivors - psychology</topic><topic>Value of Life</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Whitford, Hayley S.</creatorcontrib><creatorcontrib>Olver, Ian N.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Psycho-oncology (Chichester, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Whitford, Hayley S.</au><au>Olver, Ian N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The multidimensionality of spiritual wellbeing: peace, meaning, and faith and their association with quality of life and coping in oncology</atitle><jtitle>Psycho-oncology (Chichester, England)</jtitle><addtitle>Psycho-Oncology</addtitle><date>2012-06</date><risdate>2012</risdate><volume>21</volume><issue>6</issue><spage>602</spage><epage>610</epage><pages>602-610</pages><issn>1057-9249</issn><eissn>1099-1611</eissn><coden>POJCEE</coden><abstract>Objective This study explored associations between the recently proposed three‐factor structure of the 12‐item Functional Assessment of Chronic Illness Therapy—Spiritual Well‐being (FACIT‐Sp) subscale (Peace, Meaning, and Faith), quality of life (QoL), and coping in an oncology population. Methods A total of 999 newly diagnosed, study eligible, consecutive cancer patients completed the FACIT‐Sp and the Mental Adjustment to Cancer (MAC) scale. Results Hierarchical multiple regressions revealed that Peace alone added 3% to the prediction of QoL and accounted for 15.8% of the overlap in Total Functional Assessment of Cancer Therapy—General (FACT‐G) scores (both p&lt;0.001). Meaning alone added 1.3% to QoL prediction and accounted for 5.8% in overlap (both p&lt;0.001). Faith did not significantly contribute to the unique prediction or overlap of QoL. Correlational analyses revealed that Peace was most prominently associated with the QoL subscales of Functional (r = 0.64) and Emotional Wellbeing (r = 0.61) and the coping styles of Helpless/Hopeless (r = −0.53), Fighting Spirit (r = 0.47), and Anxious Preoccupation (r = −0.34). Meaning was also highly associated with Functional Wellbeing (r = 0.56), Helpless/Hopeless (r = −0.53), and Fighting Spirit (r = 0.54), but in addition, Social Wellbeing (r = 0.49). Conclusions The three‐factor model of spiritual wellbeing appears psychometrically superior to previous models as it further discriminates between which components are most highly associated with improved QoL facets and coping styles. This study provides normative data on newly diagnosed patients with cancer and further highlights the clinical contribution of such detailed assessment. Copyright © 2011 John Wiley &amp; Sons, Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley &amp; Sons, Ltd</pub><pmid>21370313</pmid><doi>10.1002/pon.1937</doi><tpages>9</tpages></addata></record>
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subjects Adaptation, Psychological
Adjustment
Adult
Aged
Aged, 80 and over
Australia
Cancer
Chronic Disease
Coping
coping behavior
Correlation analysis
Female
Humans
Male
Meaning
Middle Aged
Neoplasms - psychology
Oncology
Peace
Personal Satisfaction
Personality Inventory
psychological adjustment
Psychometrics - statistics & numerical data
Quality of Life
Socioeconomic Factors
Spiritual wellbeing
Spirituality
Surveys and Questionnaires
Survivors - psychology
Value of Life
title The multidimensionality of spiritual wellbeing: peace, meaning, and faith and their association with quality of life and coping in oncology
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