Psychological distress and resilience in patients with advanced cancer during the Covid-19 pandemic: the mediating role of spirituality
Abstract Background The purpose of this study was to investigate the sociodemographic factors related to psychological distress, spirituality, and resilience, and to examine the mediating role of spirituality with respect to psychological distress and resilience in patients with advanced, unresectab...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-08-01
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| Series: | BMC Palliative Care |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12904-022-01034-y |
| _version_ | 1828437799270875136 |
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| author | Luka Mihic-Gongora Paula Jiménez-Fonseca Raquel Hernandez Mireia Gil-Raga Vilma Pacheco-Barcia Aránzazu Manzano-Fernández Susana Hernando-Polo Mónica Antoñanzas-Basa María J. Corral María Valero-Arbizu Caterina Calderon |
| author_facet | Luka Mihic-Gongora Paula Jiménez-Fonseca Raquel Hernandez Mireia Gil-Raga Vilma Pacheco-Barcia Aránzazu Manzano-Fernández Susana Hernando-Polo Mónica Antoñanzas-Basa María J. Corral María Valero-Arbizu Caterina Calderon |
| author_sort | Luka Mihic-Gongora |
| collection | DOAJ |
| description | Abstract Background The purpose of this study was to investigate the sociodemographic factors related to psychological distress, spirituality, and resilience, and to examine the mediating role of spirituality with respect to psychological distress and resilience in patients with advanced, unresectable cancer during the Covid-19 pandemic. Methods A prospective, cross-sectional design was adopted. Data were collected from 636 participants with advanced cancer at 15 tertiary hospitals in Spain between February 2019 and December 2021. Participants completed self-report measures: Brief Resilient Coping Scale (BRCS), Brief Symptom Inventory (BSI-18), and Spiritual well-being (FACIT-Sp). Hierarchical linear regression models were used to explore the mediating role of spirituality. Results Spirituality was significantly different according to the person’s age and marital status. Psychological distress accounted for 12% of the variance in resilience (β = − 0.32, p < 0.001) and spirituality, another 15% (β =0.48, p < 0.001). Spirituality acted as a partial mediator in the relationship between psychological distress and resilience in individuals with advanced cancer. Conclusions Both psychological distress and spirituality played a role in resilience in cases of advanced cancer. Spirituality can help promote subjective well-being and increased resilience in these subjects. |
| first_indexed | 2024-12-10T19:53:23Z |
| format | Article |
| id | doaj.art-cb2da867b82b491381b1a3246be96ec4 |
| institution | Directory Open Access Journal |
| issn | 1472-684X |
| language | English |
| last_indexed | 2024-12-10T19:53:23Z |
| publishDate | 2022-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Palliative Care |
| spelling | doaj.art-cb2da867b82b491381b1a3246be96ec42022-12-22T01:35:44ZengBMCBMC Palliative Care1472-684X2022-08-012111710.1186/s12904-022-01034-yPsychological distress and resilience in patients with advanced cancer during the Covid-19 pandemic: the mediating role of spiritualityLuka Mihic-Gongora0Paula Jiménez-Fonseca1Raquel Hernandez2Mireia Gil-Raga3Vilma Pacheco-Barcia4Aránzazu Manzano-Fernández5Susana Hernando-Polo6Mónica Antoñanzas-Basa7María J. Corral8María Valero-Arbizu9Caterina Calderon10Department of Medical Oncology, Hospital Universitario Central de Asturias, ISPADepartment of Medical Oncology, Hospital Universitario Central de Asturias, ISPADepartment of Medical Oncology, Hospital Universitario de CanariasDepartment of Medical Oncology, Consorcio Hospital General Universitario de ValenciaDepartment of Medical Oncology, Hospital Central de la Defensa “Gómez Ulla”Department of Medical Oncology, Hospital Universitario Clínico San CarlosDepartment of Medical Oncology, Hospital Universitario Fundación AlcorcónDepartment of Medical Oncology, Hospital Universitario Clínico San CarlosDepartment of Clinical Psychology and Psychobiology, Faculty of Psychology, University of BarcelonaDepartment of Medical Oncology, Hospital QuirónsaludDepartment of Clinical Psychology and Psychobiology, Faculty of Psychology, University of BarcelonaAbstract Background The purpose of this study was to investigate the sociodemographic factors related to psychological distress, spirituality, and resilience, and to examine the mediating role of spirituality with respect to psychological distress and resilience in patients with advanced, unresectable cancer during the Covid-19 pandemic. Methods A prospective, cross-sectional design was adopted. Data were collected from 636 participants with advanced cancer at 15 tertiary hospitals in Spain between February 2019 and December 2021. Participants completed self-report measures: Brief Resilient Coping Scale (BRCS), Brief Symptom Inventory (BSI-18), and Spiritual well-being (FACIT-Sp). Hierarchical linear regression models were used to explore the mediating role of spirituality. Results Spirituality was significantly different according to the person’s age and marital status. Psychological distress accounted for 12% of the variance in resilience (β = − 0.32, p < 0.001) and spirituality, another 15% (β =0.48, p < 0.001). Spirituality acted as a partial mediator in the relationship between psychological distress and resilience in individuals with advanced cancer. Conclusions Both psychological distress and spirituality played a role in resilience in cases of advanced cancer. Spirituality can help promote subjective well-being and increased resilience in these subjects.https://doi.org/10.1186/s12904-022-01034-yAdvancer cancerPalliative careDisease outbreaksPsychological distressResilienceEnd of life |
| spellingShingle | Luka Mihic-Gongora Paula Jiménez-Fonseca Raquel Hernandez Mireia Gil-Raga Vilma Pacheco-Barcia Aránzazu Manzano-Fernández Susana Hernando-Polo Mónica Antoñanzas-Basa María J. Corral María Valero-Arbizu Caterina Calderon Psychological distress and resilience in patients with advanced cancer during the Covid-19 pandemic: the mediating role of spirituality BMC Palliative Care Advancer cancer Palliative care Disease outbreaks Psychological distress Resilience End of life |
| title | Psychological distress and resilience in patients with advanced cancer during the Covid-19 pandemic: the mediating role of spirituality |
| title_full | Psychological distress and resilience in patients with advanced cancer during the Covid-19 pandemic: the mediating role of spirituality |
| title_fullStr | Psychological distress and resilience in patients with advanced cancer during the Covid-19 pandemic: the mediating role of spirituality |
| title_full_unstemmed | Psychological distress and resilience in patients with advanced cancer during the Covid-19 pandemic: the mediating role of spirituality |
| title_short | Psychological distress and resilience in patients with advanced cancer during the Covid-19 pandemic: the mediating role of spirituality |
| title_sort | psychological distress and resilience in patients with advanced cancer during the covid 19 pandemic the mediating role of spirituality |
| topic | Advancer cancer Palliative care Disease outbreaks Psychological distress Resilience End of life |
| url | https://doi.org/10.1186/s12904-022-01034-y |
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