Spiritual well-being and quality of life in Iranian women with breast cancer undergoing radiation therapy
- 709 Downloads
Psychological distress and morbidity are common consequences of diagnosis and treatment of breast cancer and associated with poor quality of life (QOL). Spiritual well-being is an important aspect of QOL, but little is known about the spiritual well-being and its relationship with QOL in patients of different cultures such as Iranian Muslim patients. The aim of this study was to investigate the association of QOL and spirituality among patients with breast cancer undergoing radiation therapy.
This was a cross-sectional study which was conducted in the Breast Cancer Research Center of St. S. Al-Shohada Hospital, Isfahan, Iran. Spiritual well-being was measured using the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale (FACIT-Sp12). The European Organisation for Research and Treatment of Cancer Quality of Life (EORTC QLQ-C30) and its supplementary breast cancer questionnaire (QLQ-BR23) were used to assess the quality of life of patients. Descriptive analysis, Pearson’s correlation, and multiple regression analysis were performed for statistical assessment.
In all, 68 patients fulfilled the study’s inclusion criteria and were interviewed. The mean global QOL was 41.42 (SD = 18.02), and the mean spiritual well-being was 28.41 (SD = 6.95). There was a significant positive correlation between general QOL and total spiritual well-being scores. Also, spiritual well-being, social functioning, pain, and arm symptoms were significant predictors of global QOL.
The results of this study provide evidence that breast cancer survivors in Iran experience a poor quality of life across a broad spectrum of health domains, particularly social, emotional, and spiritual, indicating that psychosocial–spiritual support should be considered in caring for patients with breast cancer.
KeywordsBreast cancer Quality of life Spiritual well-being Radiation therapy
- 19.Scott NW, Fayers PM, Aaronson NK, Bottomley A, de Graeff A, Groenvold M, Koller M, Petersen MA, Sprangers MAG (2008) The relationship between overall quality of life and its subdimensions was influenced by culture: analysis of an international database. J Clin Epidemiol 61(8):788–795PubMedCrossRefGoogle Scholar
- 21.Aaronson N, Ahmedzai S, Bergman B, Bullinger M, Cull A, Duez N, Filiberti A, Flechtner H, Fleishman S, Haes J (1993) The European organization for research and treatment of cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. JNCI J Natl Canc Inst 85(5):365CrossRefGoogle Scholar
- 22.Koller M, Aaronson N, Blazeby J, Bottomley A, Dewolf L, Fayers P, Johnson C, Ramage J, Scott N, West K (2007) Translation procedures for standardised quality of life questionnaires: the European Organisation for Research and Treatment of Cancer (EORTC) approach. Eur J Cancer 43(12):1810–1820PubMedCrossRefGoogle Scholar
- 28.Jafari N, Zamani A, Lazenby M, Farajzadegan Z, Emami H, Loghmani A (2012) Translation and validation of the Persian version of the Functional Assessment of Chronic Illness Therapy—Spiritual Well-Being Scale (FACIT-Sp) among Muslim Iranians in treatment for cancer. Palliat Support Care 1(1):1–7. doi:10.1017/S1478951512000727 Google Scholar
- 30.Kleinbaum DG, Kupper LL, Muller KE (2007) Applied regression analysis and other multivariable methods. Duxbury, BelmontGoogle Scholar
- 31.Shafika A, Jude O (2010) Health-related quality of life of Kuwaiti women with breast cancer: a comparative study using the EORTC quality of life questionnaire. BMC Canc 9:222Google Scholar
- 37.Lazenby M, Khatib J, Al-Khair F, Neamat M (2011) Psychometric properties of the Functional Assessment of Chronic Illness Therapy-Spiritual well-being (FACIT-Sp) in an Arabic-speaking, predominantly Muslim population. Psychooncology. doi:10.1002/pon.2062