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Conference Paper: Spirituality and quality of life among caregivers of advanced cancer patients

TitleSpirituality and quality of life among caregivers of advanced cancer patients
Authors
Issue Date2014
PublisherAmerican Society of Clinical Oncology.
Citation
The 50th Annual Meeting of American Society of Clinical Oncology (ASCO 2014), Chicago, IL., 30 May-3 June 2014. In Journal of Clinical Oncology, 2014, v. 32 n. 5s, abstract no. 9559 How to Cite?
AbstractBackground: Religion and/or spirituality (R/S) is important to most advanced cancer patients, and often upholds patient quality of life (QoL) within illness. However, the role of R/S within the caregiving experience has not been adequately studied. Methods: Data from 570 caregiver-patient dyads participating in the Coping with Cancer study were included. Caregivers completed R/S measures on R/S importance, positive and negative religious coping, and degree of spiritual support from medical teams and religious communities. The correlations of caregiver R/S variables to patient R/S were assessed. Multivariable models (MVA) were employed to assess relationships of caregiver R/S measures with their QoL (SF-36 questionnaire) and perceptions of care-giving experience, controlling for confounding factors (e.g., sociodemographic factors, self efficacy). Results: Caregivers (median age 53 years, 51% spouses) largely reported religion to be important (85%). Most (85%) endorsed at least some positive religious coping, and 31% endorsed at least some negative religious coping. Thirty-nine percent and 17% of caregivers reported being highly supported by R/S communities and medical system, respectively. Caregivers’ R/S variables were correlated with patient R/S, including religiosity (r=.24, p<.001), positive religious coping (r=.41, p<.001) and negative religious coping (r=.21, p<.001). In MVA assessing relationship of R/S variables to caregiver QOL, negative religious coping was significantly related to lower caregiver QoL (SF-36 mental component summary, β=-2.2, p<.001). In MVAs of the relationship of R/S to perceptions of care-giving experience, greater positive religious coping (OR 1.95, p=.04) and greater medical team spiritual support (OR 2.02, p=.01), were related to more positive perceptions of the caregiving experience. Conclusions: R/S is important to most caregivers and is correlated with patient R/S. Caregiver negative religious coping is associated with poorer QoL. Caregiver positive religious coping and spiritual support from medical teams are related to caregivers’ positive perceptions of caregiving experience. Results suggest approaches to improve caregiver QoL should involve intervention on R/S.
DescriptionPoster Session: Patient and Survivor Care
Persistent Identifierhttp://hdl.handle.net/10722/223080
ISSN
2015 Impact Factor: 20.982
2015 SCImago Journal Rankings: 9.204

 

DC FieldValueLanguage
dc.contributor.authorLam, TC-
dc.contributor.authorBalboni, TA-
dc.contributor.authorBalboni, MJ-
dc.contributor.authorPrigerson, HG-
dc.date.accessioned2016-02-18T08:54:56Z-
dc.date.available2016-02-18T08:54:56Z-
dc.date.issued2014-
dc.identifier.citationThe 50th Annual Meeting of American Society of Clinical Oncology (ASCO 2014), Chicago, IL., 30 May-3 June 2014. In Journal of Clinical Oncology, 2014, v. 32 n. 5s, abstract no. 9559-
dc.identifier.issn0732-183X-
dc.identifier.urihttp://hdl.handle.net/10722/223080-
dc.descriptionPoster Session: Patient and Survivor Care-
dc.description.abstractBackground: Religion and/or spirituality (R/S) is important to most advanced cancer patients, and often upholds patient quality of life (QoL) within illness. However, the role of R/S within the caregiving experience has not been adequately studied. Methods: Data from 570 caregiver-patient dyads participating in the Coping with Cancer study were included. Caregivers completed R/S measures on R/S importance, positive and negative religious coping, and degree of spiritual support from medical teams and religious communities. The correlations of caregiver R/S variables to patient R/S were assessed. Multivariable models (MVA) were employed to assess relationships of caregiver R/S measures with their QoL (SF-36 questionnaire) and perceptions of care-giving experience, controlling for confounding factors (e.g., sociodemographic factors, self efficacy). Results: Caregivers (median age 53 years, 51% spouses) largely reported religion to be important (85%). Most (85%) endorsed at least some positive religious coping, and 31% endorsed at least some negative religious coping. Thirty-nine percent and 17% of caregivers reported being highly supported by R/S communities and medical system, respectively. Caregivers’ R/S variables were correlated with patient R/S, including religiosity (r=.24, p<.001), positive religious coping (r=.41, p<.001) and negative religious coping (r=.21, p<.001). In MVA assessing relationship of R/S variables to caregiver QOL, negative religious coping was significantly related to lower caregiver QoL (SF-36 mental component summary, β=-2.2, p<.001). In MVAs of the relationship of R/S to perceptions of care-giving experience, greater positive religious coping (OR 1.95, p=.04) and greater medical team spiritual support (OR 2.02, p=.01), were related to more positive perceptions of the caregiving experience. Conclusions: R/S is important to most caregivers and is correlated with patient R/S. Caregiver negative religious coping is associated with poorer QoL. Caregiver positive religious coping and spiritual support from medical teams are related to caregivers’ positive perceptions of caregiving experience. Results suggest approaches to improve caregiver QoL should involve intervention on R/S.-
dc.languageeng-
dc.publisherAmerican Society of Clinical Oncology.-
dc.relation.ispartofJournal of Clinical Oncology-
dc.titleSpirituality and quality of life among caregivers of advanced cancer patients-
dc.typeConference_Paper-
dc.identifier.emailLam, TC: lamtc03@hku.hk-
dc.identifier.volume32-
dc.identifier.issue5s-
dc.publisher.placeUnited States-

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