The mediating role of spirituality in the relationships between posttraumatic stress and posttraumatic growth among patients with cancer: A cross-sectional study

Objective: This study explores the impact of posttraumatic stress (PTS) on posttraumatic growth (PTG) and verifies the mediating effect of spirituality among patients with cancer. Methods: This study used a cross-sectional correlational design. This study surveyed 141 hospitalized patients over 20 y...

Full description

Bibliographic Details
Main Authors: Chuan-Yu Yang, Yi-Chien Chiang, Chia-Ling Wu, Shih-Kai Hung, Tsung-Lan Chu, Ya-Chu Hsiao
Format: Article
Language:English
Published: Elsevier 2023-05-01
Series:Asia-Pacific Journal of Oncology Nursing
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2347562523000392
_version_ 1827934017450672128
author Chuan-Yu Yang
Yi-Chien Chiang
Chia-Ling Wu
Shih-Kai Hung
Tsung-Lan Chu
Ya-Chu Hsiao
author_facet Chuan-Yu Yang
Yi-Chien Chiang
Chia-Ling Wu
Shih-Kai Hung
Tsung-Lan Chu
Ya-Chu Hsiao
author_sort Chuan-Yu Yang
collection DOAJ
description Objective: This study explores the impact of posttraumatic stress (PTS) on posttraumatic growth (PTG) and verifies the mediating effect of spirituality among patients with cancer. Methods: This study used a cross-sectional correlational design. This study surveyed 141 hospitalized patients over 20 years of age diagnosed with cancer. Participants were recruited by convenience sampling from a regional hospital in Taiwan. Data were collected from January to April 2021. Measurements included sociodemographic and disease-related information and data from the following self-report questionnaires: Posttraumatic Stress Reaction Index-Short Form, Posttraumatic Growth Inventory, and Spiritual Health Scale-Short Form. Structural equation modeling and bootstrapping were used to analyze the mediating effect of spiritual health on PTS and PTG. Results: PTS and spirituality were negatively correlated, spirituality, and PTG were positively correlated, and PTS had no correlation with PTG. Spirituality fully presented a mediating role between PTS and PTG. Conclusions: Patients' spirituality should be regarded as an important variable that can impact stress appraisal and improve the patient's PTG when a diagnosis of cancer is received. Assessing spiritual health at regular intervals and integrating spiritual care with clinical care could decrease PTS and improve PTG for patients with cancer.
first_indexed 2024-03-13T07:32:39Z
format Article
id doaj.art-8772d696aaaa480393ded9ee02d0c296
institution Directory Open Access Journal
issn 2347-5625
language English
last_indexed 2024-03-13T07:32:39Z
publishDate 2023-05-01
publisher Elsevier
record_format Article
series Asia-Pacific Journal of Oncology Nursing
spelling doaj.art-8772d696aaaa480393ded9ee02d0c2962023-06-04T04:23:59ZengElsevierAsia-Pacific Journal of Oncology Nursing2347-56252023-05-01105100221The mediating role of spirituality in the relationships between posttraumatic stress and posttraumatic growth among patients with cancer: A cross-sectional studyChuan-Yu Yang0Yi-Chien Chiang1Chia-Ling Wu2Shih-Kai Hung3Tsung-Lan Chu4Ya-Chu Hsiao5Department of Oncology Ward, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical, ROC, Taiwan; Department of Nursing, Tzu Chi University of Science and Technology, ROC, TaiwanDepartment of Nursing, Chang Gung University of Science and Technology, Division of Pediatric Hematology and Oncology, Chang Gung Memorial Hospital Linkou Main Branch, ROC, TaiwanDepartment of Nursing, Chang Gung University of Science and Technology, ROC, TaiwanDepartment of Radiation Oncology, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical, School of Medicine, Tzu Chi University, ROC, TaiwanAdministration Center of Quality Management Department, Chang Gung Medical Foundation, ROC, TaiwanDepartment of Nursing, Chang Gung University of Science and Technology, Administration Center of Quality Management Department, Chang Gung Medical Foundation, ROC, Taiwan; Corresponding author.Objective: This study explores the impact of posttraumatic stress (PTS) on posttraumatic growth (PTG) and verifies the mediating effect of spirituality among patients with cancer. Methods: This study used a cross-sectional correlational design. This study surveyed 141 hospitalized patients over 20 years of age diagnosed with cancer. Participants were recruited by convenience sampling from a regional hospital in Taiwan. Data were collected from January to April 2021. Measurements included sociodemographic and disease-related information and data from the following self-report questionnaires: Posttraumatic Stress Reaction Index-Short Form, Posttraumatic Growth Inventory, and Spiritual Health Scale-Short Form. Structural equation modeling and bootstrapping were used to analyze the mediating effect of spiritual health on PTS and PTG. Results: PTS and spirituality were negatively correlated, spirituality, and PTG were positively correlated, and PTS had no correlation with PTG. Spirituality fully presented a mediating role between PTS and PTG. Conclusions: Patients' spirituality should be regarded as an important variable that can impact stress appraisal and improve the patient's PTG when a diagnosis of cancer is received. Assessing spiritual health at regular intervals and integrating spiritual care with clinical care could decrease PTS and improve PTG for patients with cancer.http://www.sciencedirect.com/science/article/pii/S2347562523000392CancerMediatorPatientPosttraumatic growthPosttraumatic stressSpirituality
spellingShingle Chuan-Yu Yang
Yi-Chien Chiang
Chia-Ling Wu
Shih-Kai Hung
Tsung-Lan Chu
Ya-Chu Hsiao
The mediating role of spirituality in the relationships between posttraumatic stress and posttraumatic growth among patients with cancer: A cross-sectional study
Asia-Pacific Journal of Oncology Nursing
Cancer
Mediator
Patient
Posttraumatic growth
Posttraumatic stress
Spirituality
title The mediating role of spirituality in the relationships between posttraumatic stress and posttraumatic growth among patients with cancer: A cross-sectional study
title_full The mediating role of spirituality in the relationships between posttraumatic stress and posttraumatic growth among patients with cancer: A cross-sectional study
title_fullStr The mediating role of spirituality in the relationships between posttraumatic stress and posttraumatic growth among patients with cancer: A cross-sectional study
title_full_unstemmed The mediating role of spirituality in the relationships between posttraumatic stress and posttraumatic growth among patients with cancer: A cross-sectional study
title_short The mediating role of spirituality in the relationships between posttraumatic stress and posttraumatic growth among patients with cancer: A cross-sectional study
title_sort mediating role of spirituality in the relationships between posttraumatic stress and posttraumatic growth among patients with cancer a cross sectional study
topic Cancer
Mediator
Patient
Posttraumatic growth
Posttraumatic stress
Spirituality
url http://www.sciencedirect.com/science/article/pii/S2347562523000392
work_keys_str_mv AT chuanyuyang themediatingroleofspiritualityintherelationshipsbetweenposttraumaticstressandposttraumaticgrowthamongpatientswithcanceracrosssectionalstudy
AT yichienchiang themediatingroleofspiritualityintherelationshipsbetweenposttraumaticstressandposttraumaticgrowthamongpatientswithcanceracrosssectionalstudy
AT chialingwu themediatingroleofspiritualityintherelationshipsbetweenposttraumaticstressandposttraumaticgrowthamongpatientswithcanceracrosssectionalstudy
AT shihkaihung themediatingroleofspiritualityintherelationshipsbetweenposttraumaticstressandposttraumaticgrowthamongpatientswithcanceracrosssectionalstudy
AT tsunglanchu themediatingroleofspiritualityintherelationshipsbetweenposttraumaticstressandposttraumaticgrowthamongpatientswithcanceracrosssectionalstudy
AT yachuhsiao themediatingroleofspiritualityintherelationshipsbetweenposttraumaticstressandposttraumaticgrowthamongpatientswithcanceracrosssectionalstudy
AT chuanyuyang mediatingroleofspiritualityintherelationshipsbetweenposttraumaticstressandposttraumaticgrowthamongpatientswithcanceracrosssectionalstudy
AT yichienchiang mediatingroleofspiritualityintherelationshipsbetweenposttraumaticstressandposttraumaticgrowthamongpatientswithcanceracrosssectionalstudy
AT chialingwu mediatingroleofspiritualityintherelationshipsbetweenposttraumaticstressandposttraumaticgrowthamongpatientswithcanceracrosssectionalstudy
AT shihkaihung mediatingroleofspiritualityintherelationshipsbetweenposttraumaticstressandposttraumaticgrowthamongpatientswithcanceracrosssectionalstudy
AT tsunglanchu mediatingroleofspiritualityintherelationshipsbetweenposttraumaticstressandposttraumaticgrowthamongpatientswithcanceracrosssectionalstudy
AT yachuhsiao mediatingroleofspiritualityintherelationshipsbetweenposttraumaticstressandposttraumaticgrowthamongpatientswithcanceracrosssectionalstudy