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...
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Format: | Article |
Language: | English |
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Elsevier
2023-05-01
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Series: | Asia-Pacific Journal of Oncology Nursing |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2347562523000392 |
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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 |
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