Spiritual Well-Being and Optimism as Contributing Factors that Influence the Subjective Well-Being of Cancer Patients
Background: Cancer is a serious stressor that induces spiritual distress, loss of optimism, and dissatisfaction with subjective well-being. This study aims to determine that spiritual well-being (SWB) and optimism as factors that contribute to influencing the subjective well-being of cancer patients.
Methods: This study had a cross-sectional design. A total of 88 cancer patients from public health centers in Surabaya and the Indonesian Cancer Foundation of East Java were selected to be sampled by consecutive sampling in 4 months. The Instruments used were valid and reliable throughout the test, comprising of the spiritual well-being scale, the 9-item version of the personal optimism scale, self-efficacy optimism scale, and satisfaction with life scale. The ethical feasibility was declared ethical. Data were analyzed using Pearson Product Moment Correlation Test and Linear Regression Test with p < 0.05.
Results: The demographic data show that the mean age of 52.5 years, female gender (84%), being married (78.4%), having cervical cancer (52.3%), having stage-III cancer (55.7%), having cancer therapy (surgery, chemotherapy, and radiotherapy) (37.5%), and patients newly diagnosed from 6 months to 1 year (33%). The mean score of SWB was 99.67 (high SWB), optimism 20.03 (high optimism), and subjective well-being 24.18 (good subjective well-being). Pearson Product Moment Correlation Test between SWB and optimism showed p < 0.001, indicating that SWB had a significant relationship with optimism; patients with high SWB will have high optimism. From the Linear Regression Test, there was a significant effect of SWB on subjective well-being (r2 = 0.982 and p < 0.001) and optimism on subjective well-being as well (r2 = 0.988 and p < 0.001), meaning that patients with high SWB and high optimism tended to have good subjective well-being.
Conclusions: Cancer patients who have high scores of SWB become more optimistic, which has a positive effect on the high score of subjective well-being as well.
Esser P, Glaesmer H, Faller H, Koch U, et al. Posttraumatic stress disorder among cancer patients—Findings from a large and representative interview‐based study in Germany. Psychooncology. 2019;28(6):1278–85.
Lestari P, Nuraeni A, Setyorini D. Spiritual Distress In Breast Cancer Patients. J Nurs Care. 2018;1(2).
Kandasamy A, Chaturvedi S, Desai G. Spirituality, distress, depression, anxiety, and quality of life in patients with advanced cancer. Indian J Cancer. 2011;48(1):55.
Exline JJ, Park CL, Smyth JM, Carey MP. Anger toward God: Social-cognitive predictors, prevalence, and links with adjustment to bereavement and cancer. J Pers Soc Psychol. 2011;100(1):129–48.
Cheng Q, Xu X, Liu X, et al. Spiritual needs and their associated factors among cancer patients in China: a cross-sectional study. Support Care Cancer. 2018;26(10):3405–12.
Manning LK, Radina ME. The Role of Spirituality in the Lives of Mothers of Breast Cancer Survivors. J Relig Spiritual Aging. 2015;27(2–3):125–44.
Street W. Cancer facts & figures 2019. Am Cancer Soc. 2019;76(3):105–8.
Republic Indonesia Ministry of Health. National Report on Basic Health Research 2018 [Internet]. Health Research and Development Agency. Jakarta; 2018. Available from: http://www.yankes.kemkes.go.id/assets/downloads/PMK No. 57 Tahun 2013 tentang PTRM.pdf
Kang DH, Park NJ, Mcardle T. Cancer-Specific Stress and Mood Disturbance: Implications for Symptom Perception, Quality of Life, and Immune Response in Women Shortly after Diagnosis of Breast Cancer. ISRN Nurs. 2012;2012:608039.
Barre PV, Padmaja G, Rana S, Tiamongla. Stress and Quality of Life in Cancer Patients: Medical and Psychological Intervention. Indian J Psychol Med. 2018;40(3):232.
Hong JF, Zhang W, Song YX, Xie LF, Wang WL. Psychological distress in elderly cancer patients. Int J Nurs Sci. 2015;2(1):23–7.
Vrinten C, McGregor LM, Heinrich M, et al. What do people fear about cancer? A systematic review and meta-synthesis of cancer fears in the general population. Psychooncology. 2017;26(8):1070–9.
Abdollahimohammad A, Firouzkouhi M, Naderifar M. Lived Experiences of Iranian Cancer Patients After Survival: A Phenomenological Research. J Patient Exp. 2019;6(2):164–8.
Martins H, Caldeira S. Spiritual Distress in Cancer Patients: A Synthesis of Qualitative Studies. Religions. 2018;9(10):285.
Heidarzadeh M, Rassouli M, Shahbolaghi M, et al. Posttraumatic Growth and its Dimensions in Patients with Cancer. Vol. 5, Middle East Journal of Cancer. 2014;5(1):23-9.
Holland JC, Andersen B, Breitbart WS, et al. Distress Management: Clinical practice guidelines in oncology. JNCCN J Natl Compr Cancer Netw. 2013;11(2):190–209.
Ravindran OS, Shankar A, Murthy T. A Comparative Study on Perceived Stress, Coping, Quality of Life, and Hopelessness between Cancer Patients and Survivors. Indian J Palliat Care. 2019;25(3):414–20.
Dunn J, Ng SK, Breitbart W, Aitken J, Youl P, Baade PD, et al. Health-related quality of life and life satisfaction in colorectal cancer survivors: trajectories of adjustment. Health Qual Life Outcomes. 2013;11:46.
Zenger M, Glaesmer H, Hockel M, Hinz A. Pessimism Predicts Anxiety, Depression and Quality of Life in Female Cancer Patients. Jpn J Clin Oncol. 2011;41(1):87–94.
Wnuk M, Marcinkowski JT, Fobair P. The Relationship of Purpose in Life and Hope in Shaping Happiness Among Patients with Cancer in Poland. J Psychosoc Oncol. 2012;30(4):461–83.
Rohde G, Kersten C, Vistad I, Mesel T. Spiritual Well-being in Patients With Metastatic Colorectal Cancer Receiving Noncurative Chemotherapy. Cancer Nurs. 2017;40(3):209–16.
Ghaffari M, Fatehizade M, Ahmadi A, et al. Predictors of family strength: The integrated spiritual-religious/resilient perspective for understanding the healthy/strong family. Iran J Psychiatry Behav Sci. 2013;7(2):57–67.
Martins H, Dias Domingues T, Caldeira S. Spiritual Well-Being in Cancer Patients Undergoing Chemotherapy in an Outpatient Setting: A Cross-Sectional Study. J Holist Nurs. 2020;38(1):68–77.
Puchalski C, King S, Ferrell B. Spiritual Considerations. Hematol Oncol Clin North Am. 2018;32(3):505–17.
Kamijo Y, Miyamura T. Spirituality and associated factors among cancer patients undergoing chemotherapy. Japan J Nurs Sci. 2020;17(1).
Phenwan T, Peerawong T, Tulathamkij K. The meaning of spirituality and spiritual well-being among Thai breast cancer patients: A qualitative study. Indian J Palliat Care. 2019;25(1):119–23.
Hekmati Pour N, Hojjati H. The relationship between praying and life expectancy in cancerous patients. J Med Life. 2015;8(Spec Iss 4):60–4.
Gebremariam A, Addissie A, Worku A, et al. Perspectives of patients, family members, and health care providers on late diagnosis of breast cancer in Ethiopia: A qualitative study. PLoS One. 2019;14(8):e0220769.
Maniscalco G, Ziello A, Panetta V, et al. The application of Kubler-Ross model in Newly Diagnosed Patients with Relapsing-Remitting Multiple Sclerosis. Arch Depress Anxiety. 2019;5(2):047–51.
Tabrizi FM, Alizadeh S. Family intervention based on the FOCUS program effects on cancer coping in Iranian Breast Cancer Patients: A randomized control trial. Asian Pacific J Cancer Prev. 2018;19(6):1523–8.
Thieme M, Einenkel J, Zenger M, Hinz A. Optimism, pessimism and self-efficacy in female cancer patients. Jpn J Clin Oncol. 2017;47(9):849–55.
Allison PJ, Guichard C, Fung K, Gilain L. Dispositional Optimism Predicts Survival Status 1 Year After Diagnosis in Head and Neck Cancer Patients. J Clin Oncol. 2016;21(3):543–8.
Chambers SK, Ferguson M, Gardiner RA, Aitken J, Occhipinti S. Intervening to improve psychological outcomes for men with prostate cancer. Psychooncology. 2013;22(5):1025–34.
Graham J, Spiliopoulou P, Arbuckle R, Bridge J-A, Cassidy J. A pilot study of subjective well-being in colorectal cancer patients and their caregivers. Patient Relat Outcome Meas. 2017;8:111–9.
Abbasia F, Kia NS, Mirmohammadkhani M, et al. Self-esteem and spiritual health in cancer patients under chemotherapy in Semnan University of Medical Sciences in 2014. Heal Spiritual Med Ethics. 2016;3(4):29–37.
Rahnama M, Khoshknab MF, Maddah SSB, Ahmadi F. Iranian cancer patients’ perception of spirituality: a qualitative content analysis study. BMC Nurs. 2012;11(1):19.
Leão DCMR, Pereira ER, Pérez-Marfil MN, et al. The Importance of Spirituality for Women Facing Breast Cancer Diagnosis: A Qualitative Study. Int J Environ Res Public Heal. 2021;18(12):6415.
Bożek A, Nowak PF, Blukacz M. The Relationship Between Spirituality, Health-Related Behavior, and Psychological Well-Being. Front Psychol. 2020;0:1997.
Forouzi MA, Tirgari B, Safarizadeh MH, Jahani Y. Spiritual Needs and Quality of Life of Patients with Cancer. Indian J Palliat Care. 2017;23(4):437.
Ngamaba KH, Panagioti M, Armitage CJ. How strongly related are health status and subjective well-being? Systematic review and meta-analysis. Eur J Public Health. 2017;27(5):879–85.
Baljani E, Kazemi M, Amanpur E, Tizfahm T. The relationship between religion, spiritual wellbeing, hope and quality of life in patients with cancer. Basic Clin Cancer Res. 2014;6(4):24–36.
Fonseca S, Lencastre L, Guerra M. Life satisfaction in women with breast cancer. Paideia. 2014;24(59):295–303.
Hartini N, Ardelia V, Khiarin Nisa V. Optimistic: Building Subjective Well-being and Post Traumatic Growth on Post-mastectomy Women. Scietepress Sci Technol. 2018;
Applebaum AJ, Stein EM, Lord-Bessen J, et al. Optimism, social support, and mental health outcomes in patients with advanced cancer. Psychooncology. 2014;23(3):299–306.
Lara R, Vázquez ML, Ogallar A, Godoy-Izquierdo D. Optimism and social support moderate the indirect relationship between self-efficacy and happiness through mental health in the elderly. Heal Psychol Open. 2020;7(2).
Pleeging E, Burger M, van Exel J. The Relations between Hope and Subjective Well-Being: a Literature Overview and Empirical Analysis. Appl Res Qual Life. 2019;1–23.
Avvenuti G, Baiardini I, Giardini A. Optimism’s Explicative Role for Chronic Diseases. Front Psychol. 2016;0(MAR):295.
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