TY - JOUR
T1 - Changes in spiritual well-being and psychological outcomes in ovarian cancer survivors
AU - Davis, Lauren Z.
AU - Cuneo, Michaela
AU - Thaker, Premal H.
AU - Goodheart, Michael J.
AU - Bender, David
AU - Lutgendorf, Susan K.
N1 - Publisher Copyright:
Copyright © 2017 John Wiley & Sons, Ltd.
PY - 2018/2
Y1 - 2018/2
N2 - Objective: Because of the poor prognosis of ovarian cancer and concomitant distress, understanding contributors to positive well-being is critical. This study examines spiritual growth as a domain of posttraumatic growth and its contribution to longitudinal emotional outcomes in ovarian cancer. Methods: Ovarian cancer patients (N = 241) completed measures assessing spirituality (Functional Assessment of Chronic Illness Therapy–Spiritual Well-being−12; subscales: faith, meaning, and peace), depression (Center for Epidemiologic Studies Depression Scale), cancer-specific anxiety (Impact of Event Scale), and total mood disturbance (TMD; Profile of Mood States) prior to surgery and 1-year postsurgery. Stressful life events in the year after diagnosis were measured at 1-year postsurgery. Regressions examined the association between changes in spirituality and depression, anxiety, and TMD at 1-year postsurgery. Additionally, spiritual change was examined as a moderator of the effect of recent life events on mood. Results: Increases in peace were related to lower depression (β = −.40, P <.001), anxiety (β = −.20, P =.004), and TMD (β = −.41, P <.001) at 1 year. Changes in meaning and faith were unrelated to all outcomes. Additionally, changes in peace moderated the effect of stressful life events on depression (β = −.14, P =.027), anxiety (β = −.16, P =.05), and TMD (β = −.17, P =.01), such that those with a high number of life events paired with a decrease in peace experienced the worst psychological outcomes at 1 year. Conclusion: These findings suggest that the quality of peace may be the most adaptive facet of spiritual growth in cancer patients. Furthermore, changes in peace appear to moderate the effect of life events on psychological well-being.
AB - Objective: Because of the poor prognosis of ovarian cancer and concomitant distress, understanding contributors to positive well-being is critical. This study examines spiritual growth as a domain of posttraumatic growth and its contribution to longitudinal emotional outcomes in ovarian cancer. Methods: Ovarian cancer patients (N = 241) completed measures assessing spirituality (Functional Assessment of Chronic Illness Therapy–Spiritual Well-being−12; subscales: faith, meaning, and peace), depression (Center for Epidemiologic Studies Depression Scale), cancer-specific anxiety (Impact of Event Scale), and total mood disturbance (TMD; Profile of Mood States) prior to surgery and 1-year postsurgery. Stressful life events in the year after diagnosis were measured at 1-year postsurgery. Regressions examined the association between changes in spirituality and depression, anxiety, and TMD at 1-year postsurgery. Additionally, spiritual change was examined as a moderator of the effect of recent life events on mood. Results: Increases in peace were related to lower depression (β = −.40, P <.001), anxiety (β = −.20, P =.004), and TMD (β = −.41, P <.001) at 1 year. Changes in meaning and faith were unrelated to all outcomes. Additionally, changes in peace moderated the effect of stressful life events on depression (β = −.14, P =.027), anxiety (β = −.16, P =.05), and TMD (β = −.17, P =.01), such that those with a high number of life events paired with a decrease in peace experienced the worst psychological outcomes at 1 year. Conclusion: These findings suggest that the quality of peace may be the most adaptive facet of spiritual growth in cancer patients. Furthermore, changes in peace appear to moderate the effect of life events on psychological well-being.
KW - ovarian cancer
KW - posttraumatic growth
KW - psycho-oncology
KW - psychological adjustment
KW - spiritual well-being
UR - http://www.scopus.com/inward/record.url?scp=85026744666&partnerID=8YFLogxK
U2 - 10.1002/pon.4485
DO - 10.1002/pon.4485
M3 - Article
C2 - 28637083
AN - SCOPUS:85026744666
SN - 1057-9249
VL - 27
SP - 477
EP - 483
JO - Psycho-Oncology
JF - Psycho-Oncology
IS - 2
ER -