Spiritual well-being and depressive symptoms among cancer survivors.

Spiritual well-being and depressive symptoms among cancer survivors.
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DOI:
10.1007/s00520-014-2207-2
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发表时间:
2014-09
影响因子:
3.1
通讯作者:
Talavera, Gregory A.
Talavera, Gregory A.
中科院分区:
医学2区
文献类型:
--
作者:
Gonzalez, Patricia;Castaneda, Sheila F.;Dale, Jennifer;Medeiros, Elizabeth A.;Buelna, Christina;Nunez, Alicia;Espinoza, Rebeca;Talavera, Gregory A.

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Depression is common among patients diagnosed with cancer and may be inversely associated with spiritual well-being. While numerous strategies are employed to manage and cope with illness, spiritual well-being has become increasingly important in cancer survivorship research. This study examined the association between spiritual well-being and depressive symptoms. This cross-sectional study utilized self-report data from 102 diverse cancer survivors recruited from peer-based cancer support groups in San Diego County. Depression was measured with the Patient Health Questionnaire-8 (PHQ-8) and spiritual well-being was measured with the Functional Assessment of Chronic Illness Therapy--Spiritual Well-being (FACIT-Sp) comprised of two subscales (Meaning/Peace and Faith). Hierarchal regression analysis indicated that Meaning/Peace significantly predicted depressive symptoms after adjusting for socio-demographics, cancer stage, time since diagnosis, and Faith (p < .001). Findings suggest that spiritual well-being is a valuable coping mechanism and that Meaning/Peace has a unique advantage over Faith in protecting cancer survivors from the effects of depression symptoms; therefore, turning to Meaning/Peace as source of strength may improve psychological well-being during survivorship. Future programs and healthcare providers should be cognizant of the influential role of spiritual well-being in depression symptoms in an effort to improve psychological well-being among cancer survivors.
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