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Psychosocial and Spiritual Issues in Supportive Cancer Care

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The MASCC Textbook of Cancer Supportive Care and Survivorship

Abstract

Caring for cancer patients throughout their illness trajectory requires treating patients as whole persons, also including their families and loved ones, whose lives are changed by a cancer diagnosis. Recognizing, assessing, and addressing psychosocial issues, including spiritual needs, are therefore an integral part of cancer care and of its supportive dimension. Research and clinical practices in both psychosocial and spiritual areas have rapidly increased in the past decade. Spirituality is more and more integrated within the fields of oncology and palliative care as both patients and healthcare professionals recognizing the importance of the spiritual dimensions within the therapeutic relationship.

In this chapter we summarize some of the most relevant findings and also make use of narrative—a clinical vignette from within the culture and religious dimension of an Arab Muslim family to illustrate the depth of spiritual issues in our multicultural societies and clinical settings. We also focus on the special contribution of MASCC to the dissemination of a new paradigm of cancer care that integrates psychosocial issues at all stages of the cancer continuum. We point out the challenges of integrating and tailoring interventions suitable to the specific needs of the family and the patient and to relate directly to the cultural and spiritual perception of the illness.

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References

  1. Surbone A, Baider L. The spiritual dimension of cancer care. Crit Rev Oncol Hematol. 2010;73(3):228–35.

    Article  PubMed  Google Scholar 

  2. Surbone A, Konishi T, Baider L. Spiritual issues in supportive cancer care. In the MASCC “textbook of cancer supportive care and survivorship”. New York: Springer; 2010. p. 419–25.

    Book  Google Scholar 

  3. Breitbart W, Gibson C, Poppito SR. Psychotherapeutic interventions at the end of life: a focus on meaning and spirituality. Can J Psychiatr. 2004;49:366–72.

    Article  Google Scholar 

  4. Chochinov H. Dignity as the essence of medicine: the a, B, C, and D of dignity care. Br Med J. 2007;335:184–7.

    Article  Google Scholar 

  5. Kabat-Zinn J. Whenever you go, there you are: mindfulness meditation in everyday life. New York: Hyperion; 2005.

    Google Scholar 

  6. Bartley T. Mindfulness: a kindly approach to being with cancer. New York: Wiley; 2016.

    Book  Google Scholar 

  7. Chochinov HM, Kristjanson LJ, Breitbart W, McClement S, Hack T, Hassard T, Harlos M. The effect of dignity therapy on distress and end-of-life experience in terminally ill patients: a randomized controlled trial. Lancet Oncol. Aug, 2011;12(8):753–62.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Al-Shahri MZ, Al-Khenaizan A. Palliative care for muslim patients. J Supp Oncol. 2005;3(6):432–6.

    Google Scholar 

  9. Marzband R, Hosseini SH, Hamzehgardeshi Z. Concept analysis of spiritual care based on Islamic sources. Religion. 2016;7:1–11.

    Article  Google Scholar 

  10. Al-Hilali MT, Khan MM. Interpretation of the meanings of the noble Qur’an in the English language. Riyadh, Saudi Arabia: Dar-us-Salam; 1994.

    Google Scholar 

  11. Surbone A, Baider L. Personal values and cultural diversity. J Med Person. 2013;3:8–17.

    Google Scholar 

  12. Baider L. Cancer in different cultural contexts: how is the family affected? EONS Newslett. 2007;72:515–22.

    Google Scholar 

  13. Abyad A. Family and health care services in the Middle East. Middle Eastern J. 2009;12:1–4.

    Article  Google Scholar 

  14. Tayed MA, Al-Zamel E, Fareed MM, Abouellai HA. A good death: perspective of Muslim patients and health care providers. Ann Saudia Med. 2010;30:215–21.

    Article  Google Scholar 

  15. Franks JA. The power of presence. J Palliat Med. 2010;13:331–2.

    Article  PubMed  Google Scholar 

  16. Cobb M. The dying soul, spiritual care at the end of life. Buckingham: Open University Press; 2001.

    Google Scholar 

  17. Myers JE. Wellness through the lifespan. Guidepost. 1990;23:11–2.

    Google Scholar 

  18. Koenig H. Religion, spirituality, and health: the research and clinical implications. ISRN Psych. 2012;33:278730. http://www.hindawi.com/journals/isrn/2012/278730/.

    Google Scholar 

  19. Harris S. Waking up: a guide to spirituality without religion. New York: Simon and Schuster; 2014.

    Google Scholar 

  20. Foucault M. In: Gros F, editor. The hermeneutics of the subject: lectures at the college de France 1981–1982, trans. G. Burchell. New York: Picador; 2006. p. 15–6.

    Google Scholar 

  21. Dein S. Attitudes towards spirituality and other worldly experiences. Secularism Nonreligion. 2016;5(1):9. https://doi.org/10.5334/snr.48.

    Article  Google Scholar 

  22. Mason, M. Can humanists be “spiritual”?—The no camp, 2010. http://www.humanistlife.org.uk/2010/01/can-humanists-be-spiritual-the-no-camp/. Accessed 19 Apr 2015.

  23. Swinton J. Spirituality and mental health care: rediscovering a forgotten dimension. London, PA: Jessica Kingsley Publishers; 2001.

    Google Scholar 

  24. Coyne JC, Lepare SJ, Palmer SC. Efficacy of psychological interventions in cancer care. Ann Behav Med. 2006;32:104–10.

    Article  PubMed  Google Scholar 

  25. Berman EM, Heru A, Grunebaum H. Family oriented patient care. Acad Psychiatry. 2008;32:111–8.

    Article  PubMed  Google Scholar 

  26. Richards R, Egan R. Reflections: spirituality and cancer researchers. J Cancer Educ. 2018;33(1):245–7.

    Article  PubMed  Google Scholar 

  27. Surbone A, Baider L, Weitzman TS, et al. Psychosocial care for patients and their families is integral to supportive care in cancer: MASCC position statement. Support Care Cancer. 2010;18:255–63.

    Article  PubMed  Google Scholar 

  28. Delgado-Guay MO, Hui D, Parson HA, et al. Spirituality, religiosity, and spiritual pain in advanced cancer patients. J Pain Symptom Manag. 2011;41:986–94.

    Article  Google Scholar 

  29. Brant JM. Palliative care for adults across the cancer trajectory: from diagnosis to end of life. In seminars in oncology nursing. Amsterdam: Elsevier; 2010. p. 222–30.

    Google Scholar 

  30. Cohen MZ, Holley LM, Wengel SP, Rabbi Mendel K. A platform for nursing research on spirituality and religiosity: definitions and measures. West J Nurs Res. 2012;34:795–817.

    Article  PubMed  Google Scholar 

  31. About the Joint Commission. https://www.jointcommission.org/about_us/about_the_joint_commission_main.aspx. Accessed 15 Nov 2016.

  32. Long CO. Cultural and spiritual considerations in palliative care. J Pediatr Hemetol Oncol. 2011;33(Suppl 2):96–101.

    Article  Google Scholar 

  33. Puchalski C, Ferrell B, Virani R, et al. Improving the quality of spiritual care as a dimension of palliative care: the report of the consensus conference. J Palliat Med. 2009;12:885–904.

    Article  PubMed  Google Scholar 

  34. Ramondetta LM, Sun C, Surbone A, et al. Surprising results regarding MASCC member’s beliefs about spiritual care. Support Care Cancer. 2013;21:2991–8.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Proserpio T, Veneroni L, Silva M, et al. Spiritual support for adolescent cancer patients: a survey of pediatric oncology centers in Italy and Spain. Tumori. 2016;102:376–80.

    Article  PubMed  Google Scholar 

  36. Best M, Butow P, Olver I. Doctors discussing religion and spirituality: a systematic literature review. Palliat Med. 2016;30:327–37.

    Article  PubMed  Google Scholar 

  37. Puchalski CM. Spirituality in the cancer trajectory. Ann Oncol. 2012;23:49–55.

    Article  PubMed  Google Scholar 

  38. Hosseini L, Lotfi Kashani F, Akbari S, et al. The islamic perspective of spiritual intervention effectiveness on bio-psychological health displayed by gene expression in breast cancer patients. Iran J Cancer Prev. 2016;9:6360.

    Google Scholar 

  39. Memaryan N, Jolfaei AG, Ghaempanah Z, et al. Spiritual care for cancer patients in Iran. Asian Pac J Cancer Prev. 2016;17:4289–94.

    PubMed  Google Scholar 

  40. Gielen J, Bhatnagar S, Chaturvedi SK. Prevalence and nature of spiritual distress among palliative care patients in India. J Relig Health. 2017;56(2):530–44.

    Article  PubMed  Google Scholar 

  41. Gielen J, Bhatnagar S, Chaturvedi SK. Spirituality as an ethical challenge in Indian palliative care: a systematic review. Palliat Supp Care. 2016;14:561–82.

    Article  Google Scholar 

  42. Jim HS, Pustejovsky JE, Clark CL, et al. Religion, spirituality, and physical health in cancer patients: a meta-analysis. Cancer. 2015;121:3760–8.

    Article  PubMed  Google Scholar 

  43. Best M, Butow P, Olver I. Palliative care specialists’ beliefs about spiritual care. Supp Care Center. 2016;24:3295–306.

    Article  Google Scholar 

  44. Koenig HG. Taking a spiritual history. JAMA. 2004;291:2881–2.

    Article  CAS  PubMed  Google Scholar 

  45. Lo B, Quill T, Tulsky J. Discussing palliative care with patients. ACP-ASIM end-of-life care consensus panel. American College of Physicians. American Society of Internal Medicine. Ann Intern Med. 1999;130:744–9.

    Article  CAS  PubMed  Google Scholar 

  46. Maugans TA. The spiritual history. Arch Fam Med. 1996;5(1):11–6.

    Article  CAS  PubMed  Google Scholar 

  47. Baider L, Russak S, Perry S, Kash KM, Fox B, Holland JC. The role of spiritual and religious beliefs in coping with melanoma: in Israeli sample. Psychooncology. 1999;8:27–36.

    Article  CAS  PubMed  Google Scholar 

  48. Kristeller JL, Zumbrun CS, Schilling RF. “I would if I could”: how oncologists and oncology nurses address spiritual distress in cancer patients. Psychooncology. 1999;8:451–8.

    Article  CAS  PubMed  Google Scholar 

  49. Surbone A. Cultural competence in oncology: where do we stand? Ann Oncol. 2010;21:3–5.

    Article  CAS  PubMed  Google Scholar 

  50. Villant GE. Spiritual evolution. New York: Broadway Books; 2008.

    Google Scholar 

  51. Stefanek M, McDonald PG, Hess SA. Religion, spirituality and cancer: methodological challenges. Psychooncology. 2005;14:450–63.

    Article  PubMed  Google Scholar 

  52. Institute of Medicine (IOM). Cancer care for the whole patient: meeting psychosocial health needs. Washington, DC: National Academies Press; 2008.

    Google Scholar 

  53. Mullan F. Seasons of survival: reflections of a physician with cancer. N Engl J Med. 1985;313:270–3.

    Article  CAS  PubMed  Google Scholar 

  54. McCabe MS, et al. American Society of Clinical Oncology statement: achieving high-quality cancer survivorship care. J Clin Oncol. 2013;31:631–40.

    Article  PubMed  PubMed Central  Google Scholar 

  55. Baider L, Cooper CL, Kaplan De-Nour A, editors. Cancer and the family (second revised edition). Wiley: London, New York; 2000.

    Google Scholar 

  56. Surbone A, Tralongo P. Categorization of cancer survivors: why we need it. J Clin Oncol. 2016;34:3372–4.

    Article  PubMed  Google Scholar 

  57. Shapiro CL, Jacobsen PB, Henderson T, et al. ASCO core curriculum for cancer survivorship education. J Oncol Pract. 2016;12:145-e108-e117.

    Article  Google Scholar 

  58. National Coalition for Cancer Survivors. Defining Cancer Survivorship. July 24, 2014. http://www.canceradvocacy.org/news/defining-cancer-survivorship/. Accessed 13 Mar 2016.

  59. Annunziata A, Santoro A, Tirelli U, Tralongo P. Cancer patients and survivors: changing words or changing culture? Ann Oncol. 2013;24:2468–71.

    Article  PubMed  Google Scholar 

  60. US Department of Health and Human Services. National Institutes of Health. The NCI Strategic Plan for Leading the Nation to Eliminate the Suffering and Death due to Cancer. 2007. http://strategicplan.nci.nih-gov.

  61. Walsh K. Addressing psychosocial issues in cancer survivorship: past, present and future. Future Oncol. 2016;12:2823–34.

    Article  CAS  PubMed  Google Scholar 

  62. Surbone A, Halpern MH. Unequal cancer survivorship care: addressing cultural and sociodemographic disparities in the clinic. J Supp Care Cancer. 2016;24:4831–3.

    Article  Google Scholar 

  63. WHO. Definition of palliative care 2013. http://www.who.int/cancer/palliative/definition/en/. Accessed 6 Mar 2017.

  64. Manne S, Ostroff J, Sherman M, Heyman RE, Ross S, Fox K. Couples’ support-related communication, psychological distress, and relationship satisfaction among women with early-stage breast cancer. J Consult Clin Psychol. 2004;72:660–70.

    Article  PubMed  Google Scholar 

  65. Baider L, Ever-Hadani P, Goldzweig G, Wygoda M, Peretz T. Is perceived family support a relevant variable in psychological distress? A sample of prostate and breast cancer couples. J Psychosom Res. 2003;55:1–8.

    Article  Google Scholar 

  66. Northouse LL, Katapodi MC, Song L, et al. Interventions with family caregivers of cancer patients: meta-analysis of randomized trials. Cancer J Clin. 2010;60:317–39.

    Google Scholar 

  67. Hodges LJ, Humphris GM, Macfarlane G. A meta-analytic investigation of the relationship between the psychological distress of cancer patients and their carers. Soc Sci Med. 2005;60:1–12.

    Article  CAS  PubMed  Google Scholar 

  68. Kim J, Schultz R. Family caregivers’ strains: comparative analysis of cancer caregiving with dementia, diabetes, and frail elderly. J Aging Health. 2008;20:483–503.

    Article  PubMed  Google Scholar 

  69. Goldzweig G, Hubert A, Walach N, Brenner B, Perry S, Andritsch E, Baider L. Gender and psychological distress among middle- and older-aged colorectal cancer patients and their spouses: an unexpected outcome. Crit Rev Oncol Hematol. 2009;70:71–82.

    Article  PubMed  Google Scholar 

  70. Robinson CA, Bottorff JL, McFee E, Bissell LJ, Fyles G. Caring at home until death: enabled determination. Support Care Cancer. 2017;25:1229–36.

    Article  PubMed  Google Scholar 

  71. Baider L, Surbone A. Universality of aging: family caregivers for elderly cancer patients. Front Psychol. 2014;5:744.

    Article  PubMed  PubMed Central  Google Scholar 

  72. Kagawa-Singer M, Valdez A, Yu MC, Surbone A. Cancer, culture and health disparities: time to chart a new course? Cancer Clin J. 2010;60:12–39.

    Article  Google Scholar 

  73. Surbone A, Zwitter M, Rajer M, Stiefel R, editors. New challenges in communication with cancer patients. New York: Springer; 2012.

    Google Scholar 

  74. Betancourt JR, Cervantes MC. Cross-cultural medical education in the United States: key principles and experiences. Kaohsiung J Med Sci. 2009;25:471–8.

    Article  PubMed  Google Scholar 

  75. Surbone A. Cultural aspects of communication in cancer care. Support Care Cancer. 2007;14:789–91.

    Article  Google Scholar 

  76. Reese C, Weis J, Schmucker D, Mittag O. Development of practice guidelines for psychological interventions in the rehabilitation of patients with oncological disease (breast, prostate, or colorectal cancer): methods and results. Psychooncology. 2016;26(10):1513–8.

    Article  PubMed  Google Scholar 

  77. Hutchison SD, Steginga SK, Dunn J. The tiered model of psychosocial intervention in cancer: a community based approach. Psychooncology. 2006;15:541–6.

    Article  PubMed  Google Scholar 

  78. Mandelblatt JS, Cullen J, Lawrence WF, Stanton AL, Yi B, Kwan L, Ganz PA. Economic evaluation alongside a clinical trial of psycho-educational interventions to improve adjustment to survivorship among patients with breast cancer. J Clin Oncol. 2008;26:1684–90.

    Article  PubMed  Google Scholar 

  79. Stanton AL, Ganz PA, Kwan L, et al. Outcomes form the moving beyond cancer psychoeducational, randomized, controlled trial with breast cancer patients. J Clin Oncol. 2005;23:6009–18.

    Article  PubMed  Google Scholar 

  80. Best M, Butow P, Olver I. Why do we find it so hard to discuss spirituality? A qualitative exploration of attitudinal barriers. J Clin Med. 2016;5:pii: E77.

    Article  Google Scholar 

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Correspondence to Gil Goldzweig .

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Surbone, A., Goldzweig, G., Baider, L. (2018). Psychosocial and Spiritual Issues in Supportive Cancer Care. In: Olver, I. (eds) The MASCC Textbook of Cancer Supportive Care and Survivorship. Springer, Cham. https://doi.org/10.1007/978-3-319-90990-5_41

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  • DOI: https://doi.org/10.1007/978-3-319-90990-5_41

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