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Exploring the associations between spiritual well-being, burden, and quality of life in family caregivers of cancer patients

Published online by Cambridge University Press:  11 May 2018

Roberta Spatuzzi ,
Maria Velia Giulietti Open the ORCID record for Maria Velia Giulietti [Opens in a new window] ,
Marcello Ricciuti ,
Fabiana Merico ,
Paolo Fabbietti ,
Letizia Raucci ,
Domenico Bilancia ,
Claudia Cormio  and
Anna Vespa
Roberta Spatuzzi*
Affiliation:
Palliative Care Unit, “San Carlo” Hospital, Potenza, Italy
Maria Velia Giulietti
Affiliation:
Department of Neurology, INRCA-IRCCS National Institute of Health and Science on Aging, Ancona, Italy
Marcello Ricciuti
Affiliation:
Palliative Care Unit, “San Carlo” Hospital, Potenza, Italy
Fabiana Merico
Affiliation:
Palliative Care Center Hospice “Casa di Betania,” Tricase (Lecce), Italy
Paolo Fabbietti
Affiliation:
Biostatistical Center, INRCA-IRCCS National Institute of Health and Science on Aging, Ancona, Italy
Letizia Raucci
Affiliation:
Hematology, “San Carlo” Hospital, Potenza, Italy
Domenico Bilancia
Affiliation:
Medical Oncology, “San Carlo” Hospital, Potenza, Italy
Claudia Cormio
Affiliation:
Experimental Unit of Psycho-oncology, National Research Centre “Giovanni Paolo II,” Bari, Italy
Anna Vespa
Affiliation:
Department of Neurology, INRCA-IRCCS National Institute of Health and Science on Aging, Ancona, Italy
*
Author for correspondence: Roberta Spatuzzi, Palliative Care Unit, “San Carlo” Hospital, Via Potito Petrone, 85100, Potenza, Italy. E-mail: [email protected]
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Abstract

Objective

The spiritual dimension is important in the process of coping with stress and may be of special relevance for those caring for cancer patients in the various phases of caregivership, although current attention is most prevalent at the end of life. This study explores the associations among spiritual well-being (SWB), caregiver burden, and quality of life (QoL) in family caregivers of patients with cancer during the course of the disease.

Method

This is a cross-sectional study. All participants (n = 199) underwent the following self-report questionnaires: the SWB-Index, the Medical Outcomes Study Short Form, and the Caregiver Burden Inventory (CBI). SWB scores were dichotomized at a cutoff corresponding to the 75th percentile. Statistical analyses were made using the Student t or by chi-square test to compare high and low SWB groups.

Result

The high SWB group reported significantly better Medical Outcomes Study Short Form scores in bodily pain (p = 0.035), vitality (p < 0.001), social activities (p = 0.001), mental health (p < 0.001), and in standardized mental component subscales (p < 0.001) than the low SWB group. No significant differences were detected between the two SWB groups in physical activity, physical role, general health, emotional status, and standardized physical component scale. The high SWB group also had better CBI scores in the physical (p = 0.049) and developmental burden (p = 0.053) subscales. There were no significant differences in the other CBI scores (overall and sections).

Significance of results

This study points out that high SWB caregivers have a more positive QoL and burden. Knowledge of these associations calls for more attention on the part of healthcare professionals toward spiritual resources among family cancer caregivers from the moment of diagnosis and across the entire cancer trajectory.

Keywords

Spiritual well-beingburdenquality of lifecaregivercancer
Type
Original Article
Information
Palliative & Supportive Care , Volume 17 , Issue 3 , June 2019 , pp. 294 - 299
Copyright
Copyright © Cambridge University Press 2018 

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