Changes in spiritual well‐being and psychological outcomes in ovarian cancer survivors
Objective Because of the poor prognosis of ovarian cancer and concomitant distress, understanding contributors to positive well‐being is critical. This study examines spiritual growth as a domain of posttraumatic growth and its contribution to longitudinal emotional outcomes in ovarian cancer. Metho...
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| Veröffentlicht in: | Psycho-oncology (Chichester, England) England), 2018-02, Vol.27 (2), p.477-483 |
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| container_title | Psycho-oncology (Chichester, England) |
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| creator | Davis, Lauren Z. Cuneo, Michaela Thaker, Premal H. Goodheart, Michael J. Bender, David Lutgendorf, Susan K. |
| description | Objective
Because of the poor prognosis of ovarian cancer and concomitant distress, understanding contributors to positive well‐being is critical. This study examines spiritual growth as a domain of posttraumatic growth and its contribution to longitudinal emotional outcomes in ovarian cancer.
Methods
Ovarian cancer patients (N = 241) completed measures assessing spirituality (Functional Assessment of Chronic Illness Therapy–Spiritual Well‐being−12; subscales: faith, meaning, and peace), depression (Center for Epidemiologic Studies Depression Scale), cancer‐specific anxiety (Impact of Event Scale), and total mood disturbance (TMD; Profile of Mood States) prior to surgery and 1‐year postsurgery. Stressful life events in the year after diagnosis were measured at 1‐year postsurgery. Regressions examined the association between changes in spirituality and depression, anxiety, and TMD at 1‐year postsurgery. Additionally, spiritual change was examined as a moderator of the effect of recent life events on mood.
Results
Increases in peace were related to lower depression (β = −.40, P |
| doi_str_mv | 10.1002/pon.4485 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5740010</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1912608849</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4385-850284f1abf52821020879185d8575758024d6462d45aea738e3aad98dff4fbb3</originalsourceid><addsrcrecordid>eNp1kctKAzEUhoMotl7AJ5ABN25Gk0wyk2wEKd5ArAsFdyGTybQp02RMOpXufASf0Scxtd5BskjgfPk45_wA7CF4hCDEx62zR4Qwugb6CHKeohyh9eWbFinHhPfAVggTCCPM803QwyzPCsiyPngYjKUd6ZAYm4TWeDPrZJM86aZ5fX4ptbGjRNoqacNCjV3jRkbFsutmyk1Xn9xceiNtoqRV2ieh83Mzdz7sgI1aNkHvftzb4P787G5wmV4PL64Gp9epIhmjKaMQM1IjWdYUM4wghqzgiNGK0SIeBjGpcpLjilCpZZExnUlZcVbVNanLMtsGJytv25VTXSltZ142ovVmKv1COGnE74o1YzFyc0ELslxIFBx-CLx77HSYiakJKi5AWu26IBBHOIeMER7Rgz_oxHXexvEEhrCIHIH5t1B5F4LX9VczCIplXCLGJZZxRXT_Z_Nf4Gc-EUhXwJNp9OJfkbgd3rwL3wCmkqBK</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2007126406</pqid></control><display><type>article</type><title>Changes in spiritual well‐being and psychological outcomes in ovarian cancer survivors</title><source>MEDLINE</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Wiley Online Library All Journals</source><creator>Davis, Lauren Z. ; Cuneo, Michaela ; Thaker, Premal H. ; Goodheart, Michael J. ; Bender, David ; Lutgendorf, Susan K.</creator><creatorcontrib>Davis, Lauren Z. ; Cuneo, Michaela ; Thaker, Premal H. ; Goodheart, Michael J. ; Bender, David ; Lutgendorf, Susan K.</creatorcontrib><description>Objective
Because of the poor prognosis of ovarian cancer and concomitant distress, understanding contributors to positive well‐being is critical. This study examines spiritual growth as a domain of posttraumatic growth and its contribution to longitudinal emotional outcomes in ovarian cancer.
Methods
Ovarian cancer patients (N = 241) completed measures assessing spirituality (Functional Assessment of Chronic Illness Therapy–Spiritual Well‐being−12; subscales: faith, meaning, and peace), depression (Center for Epidemiologic Studies Depression Scale), cancer‐specific anxiety (Impact of Event Scale), and total mood disturbance (TMD; Profile of Mood States) prior to surgery and 1‐year postsurgery. Stressful life events in the year after diagnosis were measured at 1‐year postsurgery. Regressions examined the association between changes in spirituality and depression, anxiety, and TMD at 1‐year postsurgery. Additionally, spiritual change was examined as a moderator of the effect of recent life events on mood.
Results
Increases in peace were related to lower depression (β = −.40, P < .001), anxiety (β = −.20, P = .004), and TMD (β = −.41, P < .001) at 1 year. Changes in meaning and faith were unrelated to all outcomes. Additionally, changes in peace moderated the effect of stressful life events on depression (β = −.14, P = .027), anxiety (β = −.16, P = .05), and TMD (β = −.17, P = .01), such that those with a high number of life events paired with a decrease in peace experienced the worst psychological outcomes at 1 year.
Conclusion
These findings suggest that the quality of peace may be the most adaptive facet of spiritual growth in cancer patients. Furthermore, changes in peace appear to moderate the effect of life events on psychological well‐being.</description><identifier>ISSN: 1057-9249</identifier><identifier>EISSN: 1099-1611</identifier><identifier>DOI: 10.1002/pon.4485</identifier><identifier>PMID: 28637083</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adaptation, Psychological ; Adult ; Aged ; Anxiety ; Cancer Survivors - psychology ; Changes ; Chronic illnesses ; Clinical outcomes ; Emotional Adjustment ; Female ; Functional assessment ; Health psychology ; Humans ; Life events ; Meaning ; Medical diagnosis ; Medical prognosis ; Mental depression ; Mental health ; Middle Aged ; Ovarian cancer ; Ovarian Neoplasms - psychology ; Peace ; Personal development ; Post-traumatic growth ; posttraumatic growth ; psychological adjustment ; Psychological distress ; psycho‐oncology ; Quality of Life - psychology ; Religion and Psychology ; spiritual well‐being ; Spirituality ; Surgery ; Survivor ; Well being</subject><ispartof>Psycho-oncology (Chichester, England), 2018-02, Vol.27 (2), p.477-483</ispartof><rights>Copyright © 2017 John Wiley & Sons, Ltd.</rights><rights>Copyright © 2018 John Wiley & Sons, Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4385-850284f1abf52821020879185d8575758024d6462d45aea738e3aad98dff4fbb3</citedby><cites>FETCH-LOGICAL-c4385-850284f1abf52821020879185d8575758024d6462d45aea738e3aad98dff4fbb3</cites><orcidid>0000-0002-3039-8270</orcidid></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.4485$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpon.4485$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,780,784,885,1417,27923,27924,30998,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28637083$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Davis, Lauren Z.</creatorcontrib><creatorcontrib>Cuneo, Michaela</creatorcontrib><creatorcontrib>Thaker, Premal H.</creatorcontrib><creatorcontrib>Goodheart, Michael J.</creatorcontrib><creatorcontrib>Bender, David</creatorcontrib><creatorcontrib>Lutgendorf, Susan K.</creatorcontrib><title>Changes in spiritual well‐being and psychological outcomes in ovarian cancer survivors</title><title>Psycho-oncology (Chichester, England)</title><addtitle>Psychooncology</addtitle><description>Objective
Because of the poor prognosis of ovarian cancer and concomitant distress, understanding contributors to positive well‐being is critical. This study examines spiritual growth as a domain of posttraumatic growth and its contribution to longitudinal emotional outcomes in ovarian cancer.
Methods
Ovarian cancer patients (N = 241) completed measures assessing spirituality (Functional Assessment of Chronic Illness Therapy–Spiritual Well‐being−12; subscales: faith, meaning, and peace), depression (Center for Epidemiologic Studies Depression Scale), cancer‐specific anxiety (Impact of Event Scale), and total mood disturbance (TMD; Profile of Mood States) prior to surgery and 1‐year postsurgery. Stressful life events in the year after diagnosis were measured at 1‐year postsurgery. Regressions examined the association between changes in spirituality and depression, anxiety, and TMD at 1‐year postsurgery. Additionally, spiritual change was examined as a moderator of the effect of recent life events on mood.
Results
Increases in peace were related to lower depression (β = −.40, P < .001), anxiety (β = −.20, P = .004), and TMD (β = −.41, P < .001) at 1 year. Changes in meaning and faith were unrelated to all outcomes. Additionally, changes in peace moderated the effect of stressful life events on depression (β = −.14, P = .027), anxiety (β = −.16, P = .05), and TMD (β = −.17, P = .01), such that those with a high number of life events paired with a decrease in peace experienced the worst psychological outcomes at 1 year.
Conclusion
These findings suggest that the quality of peace may be the most adaptive facet of spiritual growth in cancer patients. Furthermore, changes in peace appear to moderate the effect of life events on psychological well‐being.</description><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Aged</subject><subject>Anxiety</subject><subject>Cancer Survivors - psychology</subject><subject>Changes</subject><subject>Chronic illnesses</subject><subject>Clinical outcomes</subject><subject>Emotional Adjustment</subject><subject>Female</subject><subject>Functional assessment</subject><subject>Health psychology</subject><subject>Humans</subject><subject>Life events</subject><subject>Meaning</subject><subject>Medical diagnosis</subject><subject>Medical prognosis</subject><subject>Mental depression</subject><subject>Mental health</subject><subject>Middle Aged</subject><subject>Ovarian cancer</subject><subject>Ovarian Neoplasms - psychology</subject><subject>Peace</subject><subject>Personal development</subject><subject>Post-traumatic growth</subject><subject>posttraumatic growth</subject><subject>psychological adjustment</subject><subject>Psychological distress</subject><subject>psycho‐oncology</subject><subject>Quality of Life - psychology</subject><subject>Religion and Psychology</subject><subject>spiritual well‐being</subject><subject>Spirituality</subject><subject>Surgery</subject><subject>Survivor</subject><subject>Well being</subject><issn>1057-9249</issn><issn>1099-1611</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kctKAzEUhoMotl7AJ5ABN25Gk0wyk2wEKd5ArAsFdyGTybQp02RMOpXufASf0Scxtd5BskjgfPk45_wA7CF4hCDEx62zR4Qwugb6CHKeohyh9eWbFinHhPfAVggTCCPM803QwyzPCsiyPngYjKUd6ZAYm4TWeDPrZJM86aZ5fX4ptbGjRNoqacNCjV3jRkbFsutmyk1Xn9xceiNtoqRV2ieh83Mzdz7sgI1aNkHvftzb4P787G5wmV4PL64Gp9epIhmjKaMQM1IjWdYUM4wghqzgiNGK0SIeBjGpcpLjilCpZZExnUlZcVbVNanLMtsGJytv25VTXSltZ142ovVmKv1COGnE74o1YzFyc0ELslxIFBx-CLx77HSYiakJKi5AWu26IBBHOIeMER7Rgz_oxHXexvEEhrCIHIH5t1B5F4LX9VczCIplXCLGJZZxRXT_Z_Nf4Gc-EUhXwJNp9OJfkbgd3rwL3wCmkqBK</recordid><startdate>201802</startdate><enddate>201802</enddate><creator>Davis, Lauren Z.</creator><creator>Cuneo, Michaela</creator><creator>Thaker, Premal H.</creator><creator>Goodheart, Michael J.</creator><creator>Bender, David</creator><creator>Lutgendorf, Susan K.</creator><general>Wiley Subscription Services, Inc</general><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><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-3039-8270</orcidid></search><sort><creationdate>201802</creationdate><title>Changes in spiritual well‐being and psychological outcomes in ovarian cancer survivors</title><author>Davis, Lauren Z. ; Cuneo, Michaela ; Thaker, Premal H. ; Goodheart, Michael J. ; Bender, David ; Lutgendorf, Susan K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4385-850284f1abf52821020879185d8575758024d6462d45aea738e3aad98dff4fbb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Aged</topic><topic>Anxiety</topic><topic>Cancer Survivors - psychology</topic><topic>Changes</topic><topic>Chronic illnesses</topic><topic>Clinical outcomes</topic><topic>Emotional Adjustment</topic><topic>Female</topic><topic>Functional assessment</topic><topic>Health psychology</topic><topic>Humans</topic><topic>Life events</topic><topic>Meaning</topic><topic>Medical diagnosis</topic><topic>Medical prognosis</topic><topic>Mental depression</topic><topic>Mental health</topic><topic>Middle Aged</topic><topic>Ovarian cancer</topic><topic>Ovarian Neoplasms - psychology</topic><topic>Peace</topic><topic>Personal development</topic><topic>Post-traumatic growth</topic><topic>posttraumatic growth</topic><topic>psychological adjustment</topic><topic>Psychological distress</topic><topic>psycho‐oncology</topic><topic>Quality of Life - psychology</topic><topic>Religion and Psychology</topic><topic>spiritual well‐being</topic><topic>Spirituality</topic><topic>Surgery</topic><topic>Survivor</topic><topic>Well being</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Davis, Lauren Z.</creatorcontrib><creatorcontrib>Cuneo, Michaela</creatorcontrib><creatorcontrib>Thaker, Premal H.</creatorcontrib><creatorcontrib>Goodheart, Michael J.</creatorcontrib><creatorcontrib>Bender, David</creatorcontrib><creatorcontrib>Lutgendorf, Susan K.</creatorcontrib><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 & 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 & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Psycho-oncology (Chichester, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Davis, Lauren Z.</au><au>Cuneo, Michaela</au><au>Thaker, Premal H.</au><au>Goodheart, Michael J.</au><au>Bender, David</au><au>Lutgendorf, Susan K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Changes in spiritual well‐being and psychological outcomes in ovarian cancer survivors</atitle><jtitle>Psycho-oncology (Chichester, England)</jtitle><addtitle>Psychooncology</addtitle><date>2018-02</date><risdate>2018</risdate><volume>27</volume><issue>2</issue><spage>477</spage><epage>483</epage><pages>477-483</pages><issn>1057-9249</issn><eissn>1099-1611</eissn><abstract>Objective
Because of the poor prognosis of ovarian cancer and concomitant distress, understanding contributors to positive well‐being is critical. This study examines spiritual growth as a domain of posttraumatic growth and its contribution to longitudinal emotional outcomes in ovarian cancer.
Methods
Ovarian cancer patients (N = 241) completed measures assessing spirituality (Functional Assessment of Chronic Illness Therapy–Spiritual Well‐being−12; subscales: faith, meaning, and peace), depression (Center for Epidemiologic Studies Depression Scale), cancer‐specific anxiety (Impact of Event Scale), and total mood disturbance (TMD; Profile of Mood States) prior to surgery and 1‐year postsurgery. Stressful life events in the year after diagnosis were measured at 1‐year postsurgery. Regressions examined the association between changes in spirituality and depression, anxiety, and TMD at 1‐year postsurgery. Additionally, spiritual change was examined as a moderator of the effect of recent life events on mood.
Results
Increases in peace were related to lower depression (β = −.40, P < .001), anxiety (β = −.20, P = .004), and TMD (β = −.41, P < .001) at 1 year. Changes in meaning and faith were unrelated to all outcomes. Additionally, changes in peace moderated the effect of stressful life events on depression (β = −.14, P = .027), anxiety (β = −.16, P = .05), and TMD (β = −.17, P = .01), such that those with a high number of life events paired with a decrease in peace experienced the worst psychological outcomes at 1 year.
Conclusion
These findings suggest that the quality of peace may be the most adaptive facet of spiritual growth in cancer patients. Furthermore, changes in peace appear to moderate the effect of life events on psychological well‐being.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>28637083</pmid><doi>10.1002/pon.4485</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-3039-8270</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Psycho-oncology (Chichester, England), 2018-02, Vol.27 (2), p.477-483 |
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| source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); Wiley Online Library All Journals |
| subjects | Adaptation, Psychological Adult Aged Anxiety Cancer Survivors - psychology Changes Chronic illnesses Clinical outcomes Emotional Adjustment Female Functional assessment Health psychology Humans Life events Meaning Medical diagnosis Medical prognosis Mental depression Mental health Middle Aged Ovarian cancer Ovarian Neoplasms - psychology Peace Personal development Post-traumatic growth posttraumatic growth psychological adjustment Psychological distress psycho‐oncology Quality of Life - psychology Religion and Psychology spiritual well‐being Spirituality Surgery Survivor Well being |
| title | Changes in spiritual well‐being and psychological outcomes in ovarian cancer survivors |
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