Restricted accessBrief reportFirst published online 2025-02
The Association Between Psychological Resilience and Spiritual Well-Being Among Family Caregivers of Terminally Ill Cancer Patients: A Multicenter Cross-Sectional Study
This study was undertaken to determine the nature of the relationship between psychological resilience and spiritual well-being (SWB) among family caregivers (FCs) of patients with terminal cancer.
Methods:
This multicenter cross-sectional study included 173 FCs from nine inpatient hospice care units. SWB was assessed using the Functional Assessment of Chronic Illness Therapy—Spiritual well-being questionnaire, and various psychosocial variables, including psychological resilience, were also measured. Factors associated with SWB were identified by multivariate regression analysis adjusted for potential covariates.
Results:
Various factors were found to be associated with the SWB of FCs as determined by total FACIT-Sp-12 scores and the scores of its three domains. FC resilience was significantly associated with SWB as determined by total FACIT-Sp-12 scores and scores of the meaning and peace domains.
Conclusion:
Assessing FC psychological resilience would help palliative care providers improve their SWB.
Get full access to this article
View all access options for this article.
References
1.
RollandJS. Cancer and the family: An integrative model. Cancer, 2005; 104(Suppl 11):2584–2595.
2.
KristantiMS, EffendyC, UtariniA, et al.The experience of family caregivers of patients with cancer in an Asian country: A grounded theory approach. Palliat Med, 2019; 33(6):676–684.
3.
BenitesAC, RodinG, LeiteA, et al.‘The experience of spirituality in family caregivers of adult and elderly cancer patients receiving palliative care: A meta-synthesis’. Eur J Cancer Care (Engl), 2021; 30(4):e13424.
4.
Uzar-OzcetiNY, DursunSI. Quality of life, caregiver burden, and resilience among the family caregivers of cancer survivors. Eur J Oncol Nurs, 2020; 48:101832.
5.
HwangIC, KimYS, LeeYJ, et al.Factors associated with caregivers’ resilience in a terminal cancer care setting. Am J Hosp Palliat Care, 2018; 35(4):677–683.
6.
RoenI, Stifoss-HanssenH, GrandeG, et al.Resilience for family carers of advanced cancer patients-how can health care providers contribute? A qualitative interview study with carers. Palliat Med, 2018; 32(8):1410–1418.
7.
WikertJ, TreutleinM, TheochariM, et al.A. How does spirituality manifest in family caregivers of terminally ill cancer patients? A qualitative secondary analysis. Palliat Support Care, 2022; 20(1):45–54.
8.
BatstoneE, BaileyC, HallettN. Spiritual care provision to end-of-life patients: A systematic literature review. J Clin Nurs, 2020; 29(19–20):3609–3624.
9.
PetermanAH, FitchettG, BradyMJ, et al.Measuring spiritual well-being in people with cancer: The functional assessment of chronic illness therapy–Spiritual Well-being Scale (FACIT-Sp). Ann Behav Med, 2002; 24(1):49–58.
10.
ConnorKM, DavidsonJR. Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety, 2003; 18(2):76–82.
11.
YunYH, KimSH, LeeKM, et al.Patient-reported assessment of quality care at end of life: Development and validation of Quality Care Questionnaire-End of Life (QCQ-EOL). Eur J Cancer, 2006; 42(14):2310–2317.
12.
KimS, MazzaJ. Reliability, validity, and item response of MOS social support score among incarcerated women. Women Crim Justice, 2014; 24(1):1–21.
13.
YoonB, KwakK. The study of family APGAR score as the evaluation method of the family function. J Korean Acad Fam Med, 1985; 6(12):13–17.
14.
PalacioC, KrikorianA, LimoneroJT. The influence of psychological factors on the burden of caregivers of patients with advanced cancer: Resiliency and caregiver burden. Palliat Support Care, 2018; 16(3):269–277.
15.
VespaA, SpatuzziR, MericoF, et al.Spiritual well-being associated with personality traits and quality of life in family caregivers of cancer patients. Support Care Cancer, 2018; 26(8):2633–2640.
16.
RoenI, BrenneAT, BrunelliC, et al.Spiritual quality of life in family carers of patients with advanced cancer-a cross-sectional study. Support Care Cancer, 2021; 29(9):5329–5339.
17.
LaiC, LucianiM, Di MarioC, et al.Psychological impairments burden and spirituality in caregivers of terminally ill cancer patients. Eur J Cancer Care (Engl), 2018; 27(1).
18.
YoonSJ, SuhSY, KimSH, et al.Spiritual well-being among palliative care patients with different religious affiliations: A multicenter korean study. J Pain Symptom Manage, 2018; 56(6):893–901.
19.
LeeH. Religous Correspondence among Family Member: Focusing to Father, Mother, and Spouse [Dissertation], Dongguk University: Seoul; 2013.
20.
FerencziA, TanyiZ, MirnicsZ, et al.Gratitude, religiousness and well-being. Psychiatr Danub, 2021; 33(Suppl 4):827–832.
21.
PuchalskiCM. Spirituality in the cancer trajectory. Ann Oncol, 2012; 23(Suppl 3):49–55.
22.
SunH, QinY, HengudomsubP. Factors associated with resilience in spousal caregivers of patients with cancer: An integrative review. Nurs Open, 2021; 8(5):2131–2141.
23.
HuangLT, TaiCY, LongcoyJ, et al.The mutual effects of perceived spiritual needs on quality of life in patients with advanced cancer and family caregivers. J Hosp Palliat Nurs, 2021; 23(4):323–330.
24.
SchultzM, Meged-BookT, MashiachT, et al.The cultural expression of spiritual distress in Israel. Support Care Cancer, 2018; 26(9):3187–3193.
25.
ChiNC, HanS, LinSY, et al.Resilience-enhancing interventions for family caregivers: A systematic review. Chronic Illn, 2024; 20(2):199–220.
26.
MovahedimoghadamF, NaderiN, ShabaniF, et al.Effect of spiritual care program on resilience in patients with heart failure: A randomized controlled clinical trial. Iran J Nurs Midwifery Res, 2022; 27(4):266–273.
