Improving Spiritual Well-Being in Patients with Lung Cancers

Abstract

Patients with lung cancer report more disease burden and lower spiritual well-being (SWB) compared with other cancer patients. Understanding variables that lessen disease burden and improve SWB is essential. The aim of this study was to explore the relationship between motivational level for physical activity and SWB in patients with lung cancer. Linear regression showed increased SWB as stage of change for physical activity increased (p < 0.0001), even after adjusting for multiple demographic variables.

Keywords

exercise lung cancer spiritual well-being spirituality stages of change

Get full access to this article

View all access options for this article.

References

Bekelman

D. B.

Rumsfeld

J. S.

Havranek

E. P.

Yamashita

T. E.

Hutt

Gottlieb

S. H.

Kutner

J. S.

(2009) Symptom burden, depression, and spiritual well-being: A comparison of heart failure and advanced cancer patients. J Gen Intern Med 24(5): 592–598. DOI: 10.1007/s11606-009-0931-y.

Bredle

J. M.

Salsman

J. M.

Debb

S. M.

Arnold

B. J.

Cella

(2011) Spiritual well-being as a component of health-related quality of life: The functional assessment of chronic illness therapy-spiritual well-being scale (FACIT-Sp). Religions 2: 77–94.

Burke

S. M.

Brunet

Sabiston

C. M.

Jack

Grocott

M. P.

West

M. A.

(2013) Patients’ perceptions of quality of life during active treatment for locally advanced rectal cancer: The importance of preoperative exercise. Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer 21(12): 3345–3353. DOI: 10.1007/s00520-013-1908-2.

Cannon

A. J.

Darrington

D. L.

Reed

E. C.

Loberiza

F. R., Jr.

Jr. (2011) Spirituality, patients’ worry, and follow-up health-care utilization among cancer survivors. J Support Oncol 9(4): 141–148.

Chochinov

H. M.

Kristjanson

L. J.

Breitbart

McClement

Hack

T. F.

Hassard

Harlos

(2011) Effect of dignity therapy on distress and end-of-life experience in terminally ill patients: A randomised controlled trial. [Comparative Study Randomized Controlled Trial Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov’t]. The Lancet. Oncology 12(8): 753–762. DOI: 10.1016/S1470-2045(11)70153-X.

Clark

M. M.

Novotny

P. J.

Patten

C. A.

Rausch

S. M.

Garces

Y. I.

Jatoi

Yang

(2008) Motivational readiness for physical activity and quality of life in long-term lung cancer survivors. Lung Cancer 61(1): 117–122. DOI: S0169-5002(07)00722-2 [pii] 10.1016/j.lungcan.2007.12.012.

Clark

M. M.

Rummans

T. A.

Atherton

P. J.

Cheville

A. L.

Johnson

M. E.

Frost

M. H.

Brown

P. D.

(2013) Randomized controlled trial of maintaining quality of life during radiotherapy for advanced cancer. [Randomized Controlled Trial Research Support, Non-U.S. Gov’t]. Cancer 119(4): 880–887. DOI: 10.1002/cncr.27776.

Clay

K. S.

Talley

Young

K. B.

(2010) Exploring spiritual well-being among survivors of colorectal and lung cancer. J Relig Spiritual Soc Work 29(1): 14–32. DOI: 10.1080/15426430903479247.

D’Addario

Fruh

Reck

Baumann

Klepetko

Felip

(2010) Metastatic non-small-cell lung cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. [Practice Guideline]. Annals of Oncology: Official Journal of the European Society for Medical Oncology/ESMO 21(Suppl 5): v116–119. DOI: 10.1093/annonc/mdq189.

10.

Delgado-Guay

M. O.

Hui

Parsons

H. A.

Govan

De la Cruz

Thorney

Bruera

(2011) Spirituality, religiosity, and spiritual pain in advanced cancer patients. J Pain Symptom Manage 41(6): 986–994. DOI: S0885-3924(11)00020-0 [pii]10.1016/j.jpainsymman.2010.09.017.

11.

Howlader, N., Noone, A. M., Krapcho, M., Neyman, N., Aminou, R., & Altekruse, S. F. (eds). (2012). SEER Cancer Statistics Review, 1975–2009 (Vintage 2009 Populations), based on November 2011 SEER data submission, posted to the SEER website, 2012, from http://seer.cancer.gov/csr/1975_2009_pops09/.

12.

Johnson

M. E.

Piderman

K. M.

Sloan

J. A.

Huschka

Atherton

P. J.

Hanson

J. M.

Frost

M. H.

(2007) Measuring spiritual quality of life in patients with cancer. J Support Oncol 5(9): 437–442.

13.

Lethborg

Aranda

Cox

Kissane

(2007) To what extent does meaning mediate adaptation to cancer? The relationship between physical suffering, meaning in life, and connection to others in adjustment to cancer. Palliat Support Care 5(4): 377–388.

14.

Lin

H. R.

Bauer-Wu

S. M.

(2003) Psycho-spiritual well-being in patients with advanced cancer: An integrative review of the literature. J Adv Nurs 44(1): 69–80. DOI: 2768 [pii].

15.

Hales

Jung

Chiu

Panday

Rydall

Rodin

(2014) Managing cancer and living meaningfully (CALM): Phase 2 trial of a brief individual psychotherapy for patients with advanced cancer. [Clinical Trial, Phase II Research Support, Non-U.S. Gov't]. Palliative Medicine 28(3): 234–242. DOI: 10.1177/0269216313507757.

16.

Marcus

B. H.

Rakowski

Rossi

J. S.

(1992) Assessing motivational readiness and decision making for exercise. Health Psychol 11(4): 257–261.

17.

McCauley

Haaz

Tarpley

M. J.

Koenig

H. G.

Bartlett

S. J.

(2011) A randomized controlled trial to assess effectiveness of a spiritually-based intervention to help chronically ill adults. [Randomized Controlled Trial Research Support, Non-U.S. Gov't]. International Journal of Psychiatry in Medicine 41(1): 91–105.

18.

Meraviglia

M. G.

(2004) The effects of spirituality on well-being of people with lung cancer. Oncol Nurs Forum 31(1): 89–94. DOI: 10.1188/04.ONF.89-94.

19.

Niederhuber

J. E.

Armitage

J. O.

Doroshow

J. H.

Kastan

M. B.

Tepper

J. E.

(2013) Abeloff’s clinical oncology, 5th ed. Philadelphia, PA: Elsevier Mosby Saunders.

20.

S. H.

Zell

J. A.

Ziogas

Anton-Culver

(2007) Prognostic factors for survival of stage I nonsmall cell lung cancer patients: A population-based analysis of 19,702 stage I patients in the California Cancer Registry from 1989 to 2003. [Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't]. Cancer 110(7): 1532–1541. DOI: 10.1002/cncr.22938.

21.

Peterman

A. H.

Fitchett

Brady

M. J.

Hernandez

Cella

(2002) Measuring spiritual well-being in people with cancer: The functional assessment of chronic illness therapy: Spiritual Well-being Scale (FACIT-Sp). Ann Behav Med 24(1): 49–58.

22.

Piderman

K. M.

Marek

D. V.

Jenkins

S. M.

Johnson

M. E.

Buryska

J. F.

Shanafelt

T. D.

Mueller

P. S.

(2010) Predicting patients’ expectations of hospital chaplains: a multisite survey. Mayo Clin Proc 85(11): 1002–1010. DOI: S0025-6196(11)60090-6 [pii] 10.4065/mcp.2010.0168.

23.

Piderman

K. M.

Radecki Breitkopf

Jenkins

S. M.

Lovejoy

L. A.

Dulohery

Y. M.

Marek

D. V.

Jatoi

(2014) The feasibility and educational value of Hear My Voice, a chaplain-led spiritual life review process for patients with brain cancers and progressive neurologic conditions. Journal of Cancer Education: Official Journal of the American Association for Cancer Education. DOI: 10.1007/s13187-014-0686-y.

24.

Pillai

R. N.

Ramalingam

S. S.

(2014) Advances in the diagnosis and treatment of non-small cell lung cancer. Molecular Cancer Therapeutics 13(3): 557–564. DOI: 10.1158/1535-7163.MCT-13-0669.

25.

Pinto

B. M.

Maruyama

N. C.

Clark

M. M.

Cruess

D. G.

Park

Roberts

(2002) Motivation to modify lifestyle risk behaviors in women treated for breast cancer. Mayo Clin Proc 77(2): 122–129. DOI: S0025-6196(11)62326-4 [pii]10.4065/77.2.122.

26.

Rummans

T. A.

Clark

M. M.

Sloan

J. A.

Frost

M. H.

Bostwick

J. M.

Atherton

P. J.

Hanson

(2006) Impacting quality of life for patients with advanced cancer with a structured multidisciplinary intervention: A randomized controlled trial. [Randomized Controlled Trial Research Support, Non-U.S. Gov't]. Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology 24(4): 635–642. DOI: 10.1200/JCO.2006.06.209.

27.

Schag

C. A.

Ganz

P. A.

Wing

D. S.

Sim

M. S.

Lee

J. J.

(1994) Quality of life in adult survivors of lung, colon and prostate cancer. Qual Life Res 3(2): 127–141.

28.

Silvestri

G. A.

Knittig

Zoller

J. S.

Nietert

P. J.

(2003) Importance of faith on medical decisions regarding cancer care. J Clin Oncol 21(7): 1379–1382.

29.

Solberg Nes

Heshan

Patten

C. A.

Rausch

S. M.

Sloan

J. A.

Garces

Y. I.

Clark

M. M.

(2012) Physical activity level and quality of life in long term lung cancer survivors. Lung Cancer 77(3): 611–616.

30.

Tarakeshwar

Vanderwerker

L. C.

Paulk

Pearce

M. J.

Kasl

S. V.

Prigerson

H. G.

(2006) Religious coping is associated with the quality of life of patients with advanced cancer. J Palliat Med 9(3): 646–657. DOI: 10.1089/jpm.2006.9.646.

31.

Winkelman

W. D.

Lauderdale

Balboni

M. J.

Phelps

A. C.

Peteet

J. R.

Block

S. D.

Balboni

T. A.

(2011) The relationship of spiritual concerns to the quality of life of advanced cancer patients: Preliminary findings. J Palliat Med 14(9): 1022–1028. DOI: 10.1089/jpm.2010.0536.

32.

Yang

Allen

M. S.

Aubry

M. C.

Wampfler

J. A.

Marks

R. S.

Edell

E. S.

Deschamps

(2005) Clinical features of 5,628 primary lung cancer patients: Experience at Mayo Clinic from 1997 to 2003. Chest 128(1): 452–462. DOI: 128/1/452 [pii]10.1378/chest.128.1.452.