Journal of Religion and Health

, Volume 56, Issue 6, pp 2096–2108 | Cite as

The Relationship Between Spirituality and Quality of Life of Jordanian Women Diagnosed with Breast Cancer

  • Ahlam Al-NatourEmail author
  • Sharaf Mohammed Al Momani
  • Abeer M. A. Qandil
Original Paper


The aim of the study was to investigate the relationship between spirituality and quality of life (QoL) of Jordanian women diagnosed with breast cancer. Descriptive cross-sectional design was conducted using a convenient sample of 150 Jordanian women with breast cancer at King Hussein Cancer Center. Participants completed the Arabic version of the Functional Assessment of Chronic Illness Therapy-Spiritual Well-being. A positive linear relationship was found between spirituality and QoL, r = 0.67, p = 0.000. The highest score of correlation was seen between spirituality and the functional domain, r = 0.63, p = 0.000. Spiritual intervention could contribute to increased functional, social, and physical well-being and enhance the total health and QoL of women diagnosed with breast cancer.


Spirituality Quality of life Breast cancer Jordan 



The authors acknowledge Jordanian women diagnosed with breast cancer who participated in this study and the Deanship of Research at Jordan University of Science and Technology for supporting the study.

Compliance with Ethical Standards

Conflict of interest

The study three Authors declare have no conflict of interest.

Ethical Approval

All procedures performed in this study involving human participants were in accordance with the ethical standards of the health institutional IRB of KAUH hospital (#2014/80/29) and KHCC, (#14 KHCC 62).

Informed Consent

Informed consent was obtained from all individual participants included in the study.


  1. Al-Nawawi, I. (1999). Riyad-us-saliheen. Houston: Dar-us-salam Publications.Google Scholar
  2. Arunachalam, D., Thirumoorthy, A., & Saraswathi Devi, T. (2011). Quality of life in cancer patients with disfigurement due to cancer and its treatments. Indian journal of palliative care, 17(3), 184.CrossRefPubMedPubMedCentralGoogle Scholar
  3. Azim, H., de Azambuja, E., Colozza, M., Bines, J., & Piccart, M. (2011). Long-term toxic effects of adjuvant chemotherapy in breast cancer. Annals of Oncology, 22(9), 1939–1947.CrossRefPubMedGoogle Scholar
  4. Bîrle, D., Popoviciu, I., Popoviciu, S., & Oláh, S. (2012). The role of religious beliefs and spirituality on the quality of life of rare diseases patients. Revista de Cercetare şi Intervenţie Socială, 36, 144–161.Google Scholar
  5. Bulotiene, G., Veseliunas, J., Ostapenko, V., & Furmonavicius, T. (2008). Women with breast cancer: Relationships between social factors involving anxiety and depression. Archives of Psychiatry & Psychotherapy, 4, 57–62.Google Scholar
  6. Carlson, N., & King, J. (2012). Overview of breast cancer treatment and reconstruction for primary care providers. Journal of Midwifery & Women’s Health, 57(6), 558–568.CrossRefGoogle Scholar
  7. Center for Disease Control and Prevention (CDC). (2016). Breast cancer statistics. Retrieved February 29, 2016 at
  8. Chan, L. (2010). Body image and the breast: The psychological wound. Journal of wound care, 19(4), 133.CrossRefPubMedGoogle Scholar
  9. Delgado-Guay, M. O., Hui, D., Parsons, H. A., Govan, K., De la Cruz, M., Thorney, S., et al. (2011). Spirituality, religiosity, and spiritual pain in advanced cancer patients. Journal of Pain and Symptom Management, 41(6), 986–994.CrossRefPubMedGoogle Scholar
  10. Department of Statistics. (2013). Jordanian Statistical Yearbook. Amman, Jordan.Google Scholar
  11. Errihani, H., Mrabti, H., Boutayeb, S., El Ghissassi, I., El Mesbahi, O., Hammoudi, M., et al. (2008). Impact of cancer on Moslem patients in Morocco. Psycho-Oncology, 17(1), 98–100.CrossRefPubMedGoogle Scholar
  12. Frazzetto, P., Vacante, M., Malaguarnera, M., Vinci, E., Catalano, F., Cataudella, E., et al. (2012). Depression in older breast cancer survivors. BMC Surgery, 12(Suppl 1), S14.CrossRefPubMedPubMedCentralGoogle Scholar
  13. Frost, M. H., Johnson, M. E., Atherton, P. J., Petersen, W. O., Dose, A. M., Kasner, M. J., et al. (2012). Spiritual well-being and quality of life of women with ovarian cancer and their spouses. The Journal of Supportive Oncology, 10(2), 72–80.CrossRefPubMedGoogle Scholar
  14. Gharaibeh, M., & Oweis, A. (2009). Why do Jordanian women stay in an abusive relationship: Implications for health and social well-being. Journal of Nursing Scholarship, 41(4), 376–384.CrossRefPubMedGoogle Scholar
  15. Harandy, T. F., Ghofranipour, F., Montazeri, A., Anoosheh, M., Bazargan, M., Mohammadi, E., et al. (2009). Muslim breast cancer survivor spirituality: Coping strategy or health seeking behavior hindrance? Health Care for Women International, 31(1), 88–98.CrossRefGoogle Scholar
  16. Jafari, N., Farajzadegan, Z., Zamani, A., Bahrami, F., Emami, H., & Loghmani, A. (2013a). Spiritual well-being and quality of life in Iranian women with breast cancer undergoing radiation therapy. Supportive Care in Cancer, 21(5), 1219–1225.CrossRefPubMedGoogle Scholar
  17. Jafari, N., Zamani, A., Farajzadegan, Z., Bahrami, F., Emami, H., & Loghmani, A. (2013b). The effect of spiritual therapy for improving the quality of life of women with breast cancer: A randomized controlled trial. Psychology, Health & Medicine, 18(1), 56–69.CrossRefGoogle Scholar
  18. Jassim, G. A., & Whitford, D. L. (2013). Quality of life of Bahraini women with breast cancer: A cross sectional study. BMC Cancer, 13(1), 212.CrossRefPubMedPubMedCentralGoogle Scholar
  19. Jordan Cancer Registry. (2011). Cancer incidence in Jordan 2010. Amman: Ministry of health.Google Scholar
  20. Kandasamy, A., Chaturvedi, S., & Desai, G. (2011). Spirituality, distress, depression, anxiety, and quality of life in patients with advanced cancer. Indian journal of cancer, 48(1)Google Scholar
  21. Lazenby, M., & Khatib, J. (2012). Associations among patient characteristics, health-related quality of life, and spiritual well-being among Arab Muslim cancer patients. Journal of Palliative Medicine, 15(12), 1321–1324.CrossRefPubMedGoogle Scholar
  22. Lazenby, M., Khatib, J., Al-Khair, F., & Neamat, M. (2013). Psychometric properties of the functional assessment of chronic illness therapy—spiritual well-being (FACIT-Sp) in an Arabic-speaking, predominantly Muslim population. Psycho-Oncology, 22(1), 220–227.CrossRefPubMedGoogle Scholar
  23. Levine, E. G., Aviv, C., Yoo, G., Ewing, C., & Au, A. (2009). The benefits of prayer on mood and well-being of breast cancer survivors. Supportive Care in Cancer, 17(3), 295–306.CrossRefPubMedGoogle Scholar
  24. Lim, J.-W., & Yi, J. (2009). The effects of religiosity, spirituality, and social support on quality of life: A comparison between Korean American and Korean breast and gynecologic cancer survivors. Paper presented at the Oncology Nursing Forum.Google Scholar
  25. Manna, G., Foddai, E., Di Maggio, M., Pace, F., Colucci, G., Gebbia, N., et al. (2007). Emotional expression and coping style in female breast cancer. Annals of Oncology, 18(suppl 6), vi77–vi80.PubMedGoogle Scholar
  26. Mearviglia, M. (2006). Effects of spirituallity in breast cancer survivor. Oncology Nursing Forum, 33(1), E1–E7.CrossRefGoogle Scholar
  27. Mehnert, A., & Koch, U. (2007). Prevalence of acute and post-traumatic stress disorder and comorbid mental disorders in breast cancer patients during primary cancer care: a prospective study. Psycho-Oncology, 16(3), 181–188.CrossRefPubMedGoogle Scholar
  28. Morgan, P. D., Gaston-Johansson, F., & Mock, V. (2005). Spiritual well-being, religious coping, and the quality of life of African American breast cancer treatment: a pilot study. The ABNF Journal: Official Journal of the Association of Black Nursing Faculty in Higher Education, Inc, 17(2), 73–77.Google Scholar
  29. National Cancer Institute (2016). Spirituality in cancer care. General information about spirituality. Retrieved February 29, 2016
  30. Pearman, T., Yanez, B., Peipert, J., Wortman, K., Beaumont, J., & Cella, D. (2014). Ambulatory cancer and US general population reference values and cutoff scores for the functional assessment of cancer therapy. Cancer, 120(18), 2902–2909.CrossRefPubMedGoogle Scholar
  31. Puchalski, C. (2012). Spirituality in the cancer trajectory. Annals of Oncology, 23(suppl 3), 49–55.CrossRefPubMedGoogle Scholar
  32. Saadat, S. (2008). Can we prevent breast cancer? International Journal of Health Sciences, 2(2), 167.PubMedPubMedCentralGoogle Scholar
  33. Sabado, M., & Tanjasiri, S. P. (2010). Role of spirituality in coping with breast cancer: A qualitative study of Samoan breast cancer survivors and their supporters. Californian Journal of Health Promotion, 8(SE), 11.PubMedPubMedCentralGoogle Scholar
  34. Samuelson, B. T., Fromme, E. K., & Thomas, C. R. (2012). Changes in spirituality and quality of life in patients undergoing radiation therapy. American Journal of Hospice and Palliative Medicine, 29(6), 449–454.CrossRefPubMedGoogle Scholar
  35. Schultz, M., Baddarni, K., & Bar-Sela, G. (2011). Reflections on palliative care from the Jewish and Islamic tradition. Evidence-Based Complementary and Alternative Medicine, 2012 Google Scholar
  36. Sheppard, L. A., & Ely, S. (2008). Breast cancer and sexuality. The Breast Journal, 14(2), 176–181.CrossRefPubMedGoogle Scholar
  37. Taha, H., Al-Qutob, R., Nyström, L., Wahlström, R., & Berggren, V. (2013). “Would a man smell a rose then throw it away?” Jordanian men’s perspectives on women’s breast cancer and breast health. BMC Women’s Health, 13(1), 41.CrossRefPubMedPubMedCentralGoogle Scholar
  38. Vallurupalli, M. M., Lauderdale, M. K., Balboni, M. J., Phelps, A. C., Block, S. D., Ng, A. K., et al. (2012). The role of spirituality and religious coping in the quality of life of patients with advanced cancer receiving palliative radiation therapy. The Journal of Supportive Oncology, 10(2), 81.CrossRefPubMedGoogle Scholar
  39. Vaughan-Adams, N. (2007). Psychological symptoms in women with breast cancer. Paper presented at the Oncology Nursing Forum.Google Scholar
  40. Watson, J. (1999). Nursing: Human science and human care. A theory of nursing. Jones & Bartlett Learning.Google Scholar
  41. Watson, J., & Woodward, T. (2006). Jean Watson’s theory of human caring. In M. E. Parker (Ed.), Nursing theories and nursing practice (295–302).Google Scholar
  42. Webster, K., Cella, D., & Yost, K. (2003). The functional assessment of chronic illness therapy (FACIT) measurement system: Properties, applications, and interpretation. Health and Quality of Life Outcomes, 1(1), 79.CrossRefPubMedPubMedCentralGoogle Scholar
  43. WHO (2012). Retrieved March 13, 2014, from
  44. Zahedi, F., & Larijani, B. (2007). Cancer ethics from the Islamic point of view. Iranian Journal of Allergy, Asthma, and Immunology, 6(suppl 5), 17–24.Google Scholar

Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  • Ahlam Al-Natour
    • 1
    Email author
  • Sharaf Mohammed Al Momani
    • 2
  • Abeer M. A. Qandil
    • 1
  1. 1.College of NursingJordan University of Science and TechnologyIrbidJordan
  2. 2.King Hussein Cancer CenterAmmanJordan

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