Targeting those with decreased meaning and peace: a supportive care opportunity

Alaina J. Brown, Charlotte C. Sun, Diana Urbauer, Donna S. Zhukovsky, Charles Levenback, Michael Frumovitz, Premal H. Thaker, Diane C. Bodurka, Lois M. Ramondetta

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


Purpose: To evaluate if an individual’s level of meaning/peace (M/P) predicts various quality of life (QOL) and mental well-being measures. To identify targets that might enhance the overall spiritual well-being and QOL of ovarian cancer patients. Methods: Multi-site analysis of women with newly diagnosed stages II–IV ovarian, primary peritoneal, or fallopian tube cancer. Patients completed the following surveys: Functional Assessment of Chronic Illness Therapy-Ovarian (FACT-O), Functional Assessment of Chronic Illness Therapy—Spiritual (FACIT-Sp), Edmonton Symptom Assessment System (ESAS), Hospital Anxiety and Depression Scale (HADS), Templer’s Death Anxiety Scale (DAS), Herth Hope Index (HHI), and Brief Multidimensional Measure of Religiousness/Spirituality (BMMRS). Linear regression models were created to examine the effect of M/P (FACIT-Sp) upon QOL, symptoms, and other measures of mental well-being. These models adjusted for the effect of site, race, age, stage, anaphylaxis to chemotherapy, and partner status as potential confounders. Results: This study enrolled 104 patients from three separate sites. After adjusting for potential confounders, it was found that higher M/P predicted better QOL (FACT-O) (p < 0.0001). Higher M/P also predicted decreased death anxiety, depression, and anxiety (p ≤ 0.005). Finally, higher M/P predicted increased hope and coping scores (p ≤ 0.0005). Conclusions: Level of M/P is associated with several important mental and physical health states. This information may allow providers to identify patients at increased risk for mental/physical distress and may facilitate early referral to targeted psychotherapy interventions focused on improving patient QOL and decreasing anxiety and depression.

Original languageEnglish
Pages (from-to)2025-2032
Number of pages8
JournalSupportive Care in Cancer
Issue number7
StatePublished - Dec 18 2015


  • Meaning
  • Ovarian cancer
  • Peace
  • Quality of life


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