The purpose of this study was to examine hope and spiritual well-being, with its 2 dimensions of religious well-being and existential well-being, as they relate to age and gender among adolescents with cancer. A cross-sectional design was guided by the conceptual framework, Adolescent Psychosocial Adaptation to the Cancer Experience. A total of 78 adolescents with a diagnosis of cancer were enrolled from 2 pediatric oncology clinics. Middle adolescents (15-17 years of age) reported higher religious well-being than late adolescents (18-20 years of age). Middle-adolescent boys were more hopeful than were early adolescent boys (13- 14 years of age). Also, girls were more hopeful and reported higher spiritual well-being than age the boys. Developmental phase and/or gender may influence adolescents’ levels of hope, spiritual well-being, religious well-being, and existential well-being as they cope during the cancer experience. The nurse should consider developmental phase and gender when planning interventions to foster hope and spiritual well-being in adolescents’ adaptations to the cancer experience.
Atwood, J. R., & Hinds, P. S. (1986). Heuristic heresy: An application of reliability and validity criteria to products of grounded theory. Western Journal of Nursing Research, 8, 135-154.
2.
Bleyer, A. (2005). The adolescent and young adult gap in cancer care and outcome. Current Problems in Pediatric Adolescent Health Care, 35, 182-217.
3.
Bleyer, W. A., Tejeda, H., Murphy, S. B., Robison, L. L., Ross, J. A., Pollock, B. H., et al. (1997). National cancer clinical trials: Children have equal access: Adolescents do not. Journal of Adolescent Health, 21, 366-373.
4.
Blotcky, A. D. (1986). Helping adolescents with cancer cope with their disease. Seminars in Oncology Nursing, 2, 117-122.
5.
Boman, K., & Bodegard, G. (2000). Long-term coping in childhood cancer survivors: Influence of illness, treatment, and demographic background factors. Acta Paediatrics, 89, 105-111.
6.
Bull, B. A., & Drotar, D. (1991). Coping with cancer in remission: Stressors and strategies reported by children and adolescents. Journal of Pediatric Psychology, 16, 767-782.
7.
Callaghan, D. M. (2005). The influence of spiritual growth on adolescents’ initiative and responsibility for self-care. Pediatric Nursing, 31, 91-95.
8.
Carson, V., Soeken, K. L., & Grimm, P. M. (1988). Hope and its relationship to spiritual well-being. Journal of Psychology and Theology, 16, 159-167.
9.
Christ, G. H., Lane, J. M., & Marcove, R. (1995). Psychosocial adaptation of long-term survivors of bone sarcoma. Journal of Psychosocial Oncology, 13, 1-22.
10.
Coupey, S. M., & Cohen, M. I. (1984). Special considerations for the health care of adolescents with chronic illness. Pediatric Clinics of North America, 31, 211-219.
11.
Crockett, L. J., & Petersen, J. E. (1993). Adaptation in chronic illness: An eclectic model for nurses. Journal of Advanced Nursing, 8, 397-404.
12.
Decker, C., Phillips, C. R., & Haase, J. E. (2004). Information needs of adolescents with cancer. Journal of Pediatric Oncology Nursing, 21, 327-334.
13.
De Haan, L. G., & Schulenberg, J. (1997). The covariation of religion and politics during the transition to young adulthood: Challenging global identity assumptions. Journal of Adolescence, 20, 537-552.
14.
Elkind, D. (1978). Understanding the young adolescent. Adolescence, 13, 128-134.
15.
Elkind, D. (1999). Religious development in adolescence. Journal of Adolescence, 22, 291-295.
16.
Ellison, C. W. (1983). Spiritual well-being: Conceptualization and measurement. Journal of Psychology and Theology, 11, 330-340.
17.
Ellison, C. W., & Paloutzian, R. F. (1982). The spiritual well-being scale. Nyack, NY: Life Advance.
18.
Enskar, K., Carlsson, M., Golsater, M., & Hamrin, E. (1997). Symptom distress and life situation in adolescents with cancer. Cancer Nursing, 20, 23-33.
19.
Erickson, J. A. (1992). Adolescent religious development and commitment: A structural equation model of the role of family, peer group, and educational influences. Journal for Scientific Study of Religion, 31, 131-152.
20.
Farel, A. (1982). Early adolescence and religion: A status study. Carrboro, NC: Center for Early Adolescence.
21.
Felice, M. E. (1992). Adolescence. In M. D. Levine, W. B. Carey, & A. C. Crocket (Eds.), Developmental-behavioral pediatrics (2nd ed., pp. 65-73). Philadelphia: WB Saunders.
22.
Fernsler, J. I., Klemm, P., & Miller, A. M. (1999). Spiritual well-being and demands of illness in people with colorectal cancer. Cancer Nursing, 22, 134-140.
23.
Feudtner, C., Haney, J., & Dimmers, M. A. (2003). Spiritual care needs of hospitalized children and their families: A national survey of pastoral care providers’ perceptions. Pediatrics, 111, 67-72.
24.
Fochtman, D. (1979). How adolescents live with leukemia. Cancer Nursing, 2, 27-31.
25.
Fowler, J. W. (1981). Stages of faith: The psychology of human development and the quest for meaning. New York: Harper & Row.
26.
Frankl, V. E. (1984). Man’s search for meaning. New York: Harper & Row.
27.
Frydenberg, E., & Lewis, R. (1991). Adolescent coping: The different ways in which boys and girls cope. Journal of Adolescence, 14, 119-133.
28.
Frydenberg, E., & Lewis, R. (1993). Boys play sports and girls turn to others. Age, gender, ethnicity as determinants of coping. Journal of Adolescence, 16, 253-266.
29.
Gilligan, C. (1982). In a different voice: Psychological theory and women’s development. Cambridge, MA: Harvard University Press.
30.
Haase, J. E., Heinery, S. P., Rucione, K. S., & Stutzer, C. (1999). Research triangulation to derive meaning-based quality of life theory: Adolescent resilience model and instrument development. International Journal Cancer Supplement, 12, 125-131.
31.
Hamburg, B. A. (1985). Early adolescence: A time of transition and stress. Post-Graduate Medicine, 78, 158-160.
32.
Hart, D., & Schneider, D. (1997). Spiritual care for children with cancer. Seminars in Oncology Nursing, 13, 263-270.
33.
Hartzell, H. E. (1984). The challenge of adolescence. Topics in Language Disorders, 4, 1-9.
34.
Hendricks-Ferguson, V. (1997). Pilot study: The study of hope, spiritual well-being, and family function in adolescents with cancer and their parents. Paper presented at the 21st Annual Seminar, Advances in Pediatric Hematology/Oncology, for the Florida Association of Pediatric Tumor Programs and H. Lee Moffitt Cancer Center & Research Institute, Orlando, FL.
35.
Hendricks-Ferguson, V. (2001). Hope, spiritual well-being, and general well-being among adolescents with cancer. Dissertation Abstracts International, 62 (02), 4. (UMI No. 30-04035)
36.
Herth, K. A. (1989). The relationship between level of hope and level of coping response and other variables in patients with cancer. Oncology Nursing Forum, 16, 67-72.
37.
Hinds, P. S. (1985). An investigation of the relationships between adolescent hopefulness caring behaviors of nurses and adolescent health care outcomes. Dissertation Abstracts International, 46, 2623-B. (UMI No. 8522813)
38.
Hinds, P. S. (1988). Adolescent hopefulness in illness and health. Advances in Nursing Science, 10, 79-88.
39.
Hinds, P. S. (1990). Quality of life in children and adolescents with cancer. Seminars in Oncology Nursing, 6, 285-291.
40.
Hinds, P. S. (2000). Fostering coping by adolescents with newly diagnosed cancer. Seminars in Oncology Nursing, 16, 317-327.
41.
Hinds, P. S. (2004a). The hopes and wishes of adolescents with cancer and the nursing care that helps. Oncology Nursing Forum, 31, 927-934.
42.
Hinds, P. S. (2004b). Shifting perspectives. A symposium presented at the seventh national cancer nursing research conference, February 2003. Adolescent-focused oncology nursing research. Oncology Nursing Forum, 31, 281-287.
43.
Hinds, P. S., & Gattuso, J. S. (1991). Measuring hopefulness in adolescents. Journal of Pediatric Oncology Nursing, 8, 92-94.
44.
Hinds, P. S., & Martin, J. (1988). Hopefulness and the self-sustaining process in adolescents with cancer. Nursing Research, 37, 336-340.
45.
Hinds, P. S., Quargnenti, A., Fairclough, D., Bush, A. J., Betcher, D., Rissmiller, G., et al. (1999). Hopefulness and its characteristics in adolescents with cancer. Western Journal of Nursing Research, 21, 600-616.
46.
Hinds, P. S., Quargnenti, A., Fairclough, D., Bush, A. J., Betcher, D., Rissmiller, G., et al. (2000). Efficacy of self-care coping interventions with adolescents newly diagnosed with cancer. European Journal of Oncology Research, 4, 6-17.
47.
Holden, E. W., Chmielewski, D., Nelson, C. C., Kager, V. A., & Foltz, L. (1997). Controlling for general and disease specific effects in child and family adjustment to chronic childhood illness. Journal of Pediatric Psychology, 22, 15-27.
48.
Kohlberg, L. (1981). Essays on moral development: Vol. 1. The philosophy of moral development. San Francisco: Harper & Row.
49.
Kohlberg, L. (1984). Essays on moral development: Vol. 2. The philosophy of moral development. The nature and validity of moral stages. San Francisco: Harper & Row.
50.
Kyngas, H., Mikkonen, R., Nousiainen, E. M., Rytilahti, M., Seppanen, P., Vaattovaara, R., et al. (2001). Coping with the onset of cancer: Coping strategies and resources of young people with cancer. European Journal of Cancer Care, 10, 6-11.
51.
Landolt, M. A., Vollrath, M., & Ribi, K. (2002). Predictors of coping strategy selection in paediatric patients. Acta Paediatrics, 91, 954-960.
52.
Mickley, J. R., & Soeken, K. (1993). Religiousness and hope in Hispanic- and Anglo-American women with breast cancer. Oncology Nursing Forum, 20, 1171-1176.
53.
Miller, J. F. (1985). Assessment of loneliness and spiritual well-being in chronically ill and healthy adults. Journal of Professional Nursing, 3, 79-85.
54.
Neville, K. (1996). Psychological distress in adolescents with cancer. Journal of Pediatric Nursing, 11, 243-251.
55.
Nichols, M. L. (1995). Social support and coping in young adolescents with cancer. Pediatric Nursing, 21, 235-240.
56.
Nowotny, M. L. (1989). Assessment of hope in patients with cancer: Development of an instrument. Oncology Nursing Forum, 16, 57-61.
57.
Paloutzian, R. F., & Ellison, C. W. (1982). Loneliness, spiritual well-being, and the quality in life. In L. A. Peplau & D. Perlam (Eds.), Loneliness: A source book of current theory, research, and therapy (pp. 224-237). New York: John Wiley.
58.
Paloutzian, R. F., & Ellison, C. W. (1991). Manual for the spiritual well-being scale. Nyack, NY: Life Advance.
59.
Patterson, J. M., & McCubbin, H. I. (1987). Adolescent coping style and behaviors: Conceptualization and measurement. Journal of Adolescence, 10, 163-186.
60.
Reed, P. G. (1986). Religiousness among terminally ill and healthy adults. Research in Nursing and Health, 9, 35-41.
61.
Ries, L. A. G. (1999). Cancer mortality. In L. A. G. Ries, M. A. Smith, J. G. Gurney, M. Linet, T. Tamra, J. L. Young, et al. (Eds.), Cancer incidence and survival among children and adolescents: United States SEER program 1975-1995 (pp. 165-169; NIH Pub. No. 99-4649). Bethesda, MD: National Cancer Institute, SEER Program.
62.
Ritchie, M. A. (1997). The relationship between stage of adolescence, gender, self-esteem, and hopefulness in adolescents with cancer. Dissertation Abstracts International, 41, 104. (UMI No. 8620100)
63.
Ritchie, M. A. (2001a). Self-esteem and hopefulness in adolescents with cancer. Journal of Pediatric Health Care, 16, 35-41.
64.
Ritchie, M. A. (2001b). Sources of emotional support for adolescents with cancer. Journal of Pediatric Health Care, 18, 105-110.
65.
Sanger, M. S., Copeland, D. R., & Davidson, E. R. (1991). Psychosocial adjustment among pediatric cancer patients: A multidimensional assessment. Journal of Pediatric Psychology, 16, 463-474.
66.
Smith, J., & McSherry, W. (2004). Spirituality and child development: A concept analysis. Journal of Advanced Nursing, 45, 307-315.
67.
Snyder, C. R., Hoza, B., Pelham, W. E., Rapoff, M., Ware, L., Danovsky, M., et al. (1997). The development and validation of the children’s hope scale. Journal of Pediatric Psychology, 22, 399-421.
68.
Soeken, K., & Carson, V. (1987). Responding to the spiritual needs of the chronically ill. Nursing Clinics of North America, 22, 603-611.
69.
Steen, S., & Anderson, B. (1995). Ages and stages of spiritual development. Journal of Christian Nursing, 12, 6-11.
70.
Stoner, M. (1982). Hope and cancer patients. Dissertation Abstracts International, 43, 1983B-2592B. (UMI No. 83-12, 243)
71.
Tebbi, C. K., Mallon, J. C., Richards, M. E., & Bigler, L. R. (1987). Religiosity and locus of control of adolescent cancer patients. Psychological Reports, 61, 683-696.
72.
Trask, P. C., Paterson, A. G., Trask, C. L., Bares, C. B., Birt, J., & Maan, C. (2003). Parent and adolescent adjustment to pediatric cancer: Associations with coping, social support, and family functioning. Journal of Pediatric Oncology Nursing, 20, 36-47.
73.
Wagner, B. M., & Compas, B. E. (1990). Gender, instrumentality, and expressivity: Moderators of the relation between stress and psychological symptoms during adolescence. American Journal of Community Psychology, 18, 383-406.
74.
Wuthnow, R., & Gluck, C. (1973). Religious loyalty, defection, and experimentation among young college youth. Journal of Scientific Study of Religion, 12, 157-180.
