Skip to main content
Top
Gepubliceerd in: Quality of Life Research 11/2016

08-06-2016

Exploring the individual patterns of spiritual well-being in people newly diagnosed with advanced cancer: a cluster analysis

Auteurs: Mei Bai, Jane Dixon, Anna-leila Williams, Sangchoon Jeon, Mark Lazenby, Ruth McCorkle

Gepubliceerd in: Quality of Life Research | Uitgave 11/2016

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Purpose

Research shows that spiritual well-being correlates positively with quality of life (QOL) for people with cancer, whereas contradictory findings are frequently reported with respect to the differentiated associations between dimensions of spiritual well-being, namely peace, meaning and faith, and QOL. This study aimed to examine individual patterns of spiritual well-being among patients newly diagnosed with advanced cancer.

Methods

Cluster analysis was based on the twelve items of the 12-item Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale at Time 1. A combination of hierarchical and k-means (non-hierarchical) clustering methods was employed to jointly determine the number of clusters. Self-rated health, depressive symptoms, peace, meaning and faith, and overall QOL were compared at Time 1 and Time 2.

Results

Hierarchical and k-means clustering methods both suggested four clusters. Comparison of the four clusters supported statistically significant and clinically meaningful differences in QOL outcomes among clusters while revealing contrasting relations of faith with QOL. Cluster 1, Cluster 3, and Cluster 4 represented high, medium, and low levels of overall QOL, respectively, with correspondingly high, medium, and low levels of peace, meaning, and faith. Cluster 2 was distinguished from other clusters by its medium levels of overall QOL, peace, and meaning and low level of faith.

Conclusions

This study provides empirical support for individual difference in response to a newly diagnosed cancer and brings into focus conceptual and methodological challenges associated with the measure of spiritual well-being, which may partly contribute to the attenuated relation between faith and QOL.
Literatuur
1.
go back to reference Weisman, A. D., & Worden, J. W. (1976). The existential plight in cancer: Significance of the first 100 days. International Journal of Psychiatry in Medicine, 7(1), 1–15.CrossRefPubMed Weisman, A. D., & Worden, J. W. (1976). The existential plight in cancer: Significance of the first 100 days. International Journal of Psychiatry in Medicine, 7(1), 1–15.CrossRefPubMed
2.
go back to reference Antonovsky, A. (1987). Unraveling the mystery of health. How people manage stress and stay well. San Francisco: Jossey-Bass Publishers. Antonovsky, A. (1987). Unraveling the mystery of health. How people manage stress and stay well. San Francisco: Jossey-Bass Publishers.
3.
go back to reference Folkman, S., & Moskowitz, J. T. (2004). Coping: pitfalls and promise. The Annual Review of Psychology, 55, 745–774.CrossRefPubMed Folkman, S., & Moskowitz, J. T. (2004). Coping: pitfalls and promise. The Annual Review of Psychology, 55, 745–774.CrossRefPubMed
4.
go back to reference Paloutzian, R. F., Bufford, R. K., & Wildman, A. J. (2012). Spiritual well-being scale: mental and physical health relationships. In M. Cobb, C. M. Puchalski, & B. Rumbold (Eds.), Oxford textbook of spirituality in healthcare (pp. 353–358). Oxford: Oxford University Press.CrossRef Paloutzian, R. F., Bufford, R. K., & Wildman, A. J. (2012). Spiritual well-being scale: mental and physical health relationships. In M. Cobb, C. M. Puchalski, & B. Rumbold (Eds.), Oxford textbook of spirituality in healthcare (pp. 353–358). Oxford: Oxford University Press.CrossRef
5.
go back to reference Ellison, C. W. (1983). Spiritual well-being: Conceptualization and measurement. Journal of Psychology and Theology, 11(4), 330–340. Ellison, C. W. (1983). Spiritual well-being: Conceptualization and measurement. Journal of Psychology and Theology, 11(4), 330–340.
6.
go back to reference Mickley, J. R., Soeken, K., & Belcher, A. (1992). Spiritual well-being, religiousness and hope among women with breast cancer. Image: Journal of Nursing Scholarship, 24(4), 267–272. Mickley, J. R., Soeken, K., & Belcher, A. (1992). Spiritual well-being, religiousness and hope among women with breast cancer. Image: Journal of Nursing Scholarship, 24(4), 267–272.
7.
go back to reference Peterman, A. H., Fitchett, G., Brady, M. J., Hernandez, L., & Cella, D. (2002). Measuring spiritual well-being in people with cancer: The functional assessment of chronic illness therapy-Spiritual Well-Being Scale (FACIT-Sp). Annals of Behavioral Medicine, 24(1), 49–58.CrossRefPubMed Peterman, A. H., Fitchett, G., Brady, M. J., Hernandez, L., & Cella, D. (2002). Measuring spiritual well-being in people with cancer: The functional assessment of chronic illness therapy-Spiritual Well-Being Scale (FACIT-Sp). Annals of Behavioral Medicine, 24(1), 49–58.CrossRefPubMed
8.
go back to reference Brady, M. J., Peterman, A. H., Fitchett, G., Mo, M., & Cella, D. (1999). A case for including spirituality in quality of life measurement in oncology. Psycho Oncology, 8(5), 417–428.CrossRefPubMed Brady, M. J., Peterman, A. H., Fitchett, G., Mo, M., & Cella, D. (1999). A case for including spirituality in quality of life measurement in oncology. Psycho Oncology, 8(5), 417–428.CrossRefPubMed
9.
go back to reference Salsman, J. M., Yost, K. J., West, D. W., & Cella, D. (2011). Spiritual well-being and health-related quality of life in colorectal cancer: A multi-site examination of the role of personal meaning. Supportive Care in Cancer, 19(6), 757–764.CrossRefPubMed Salsman, J. M., Yost, K. J., West, D. W., & Cella, D. (2011). Spiritual well-being and health-related quality of life in colorectal cancer: A multi-site examination of the role of personal meaning. Supportive Care in Cancer, 19(6), 757–764.CrossRefPubMed
10.
go back to reference Whitford, H. S., & Olver, I. N. (2012). The multidimensionality of spiritual wellbeing: Peace, meaning, and faith and their association with quality of life and coping in oncology. Psycho Oncology, 21(6), 602–610.CrossRefPubMed Whitford, H. S., & Olver, I. N. (2012). The multidimensionality of spiritual wellbeing: Peace, meaning, and faith and their association with quality of life and coping in oncology. Psycho Oncology, 21(6), 602–610.CrossRefPubMed
11.
go back to reference Bai, M., Lazenby, M., Jeon, S., Dixon, J., & McCorkle, R. (2015). Exploring the relationship between spiritual well-being and quality of life among patients newly diagnosed with advanced cancer. Palliative and Supportive Care, 13(4), 927–935.CrossRefPubMed Bai, M., Lazenby, M., Jeon, S., Dixon, J., & McCorkle, R. (2015). Exploring the relationship between spiritual well-being and quality of life among patients newly diagnosed with advanced cancer. Palliative and Supportive Care, 13(4), 927–935.CrossRefPubMed
12.
go back to reference Bai, M., & Lazenby, M. (2015). A systematic review of associations between spiritual well-being and quality of life at the scale and factor levels in studies among patients with cancer. Journal of Palliative Medicine, 18(3), 286–298.CrossRefPubMedPubMedCentral Bai, M., & Lazenby, M. (2015). A systematic review of associations between spiritual well-being and quality of life at the scale and factor levels in studies among patients with cancer. Journal of Palliative Medicine, 18(3), 286–298.CrossRefPubMedPubMedCentral
13.
go back to reference Borgen, F. H., & Barnett, D. C. (1987). Applying cluster analysis in counseling psychology research. Journal of Counseling Psychology, 34(4), 456–468.CrossRef Borgen, F. H., & Barnett, D. C. (1987). Applying cluster analysis in counseling psychology research. Journal of Counseling Psychology, 34(4), 456–468.CrossRef
14.
go back to reference Clatworthy, J., Buick, D., Hankins, M., Weinman, J., & Horne, R. (2005). The use and reporting of cluster analysis in health psychology: A review. British Journal of Health Psychology, 10, 329–358.CrossRefPubMed Clatworthy, J., Buick, D., Hankins, M., Weinman, J., & Horne, R. (2005). The use and reporting of cluster analysis in health psychology: A review. British Journal of Health Psychology, 10, 329–358.CrossRefPubMed
15.
go back to reference McCorkle, R., Jeon, S., Ercolano, E., Lazenby, M., Reid, A., Davies, M., et al. (2015). An advanced practice nurse coordinated multidisciplinary intervention for patients with late-stage cancer: A cluster randomized trial. Journal of Palliative Medicine, 18(11), 962–969.CrossRefPubMed McCorkle, R., Jeon, S., Ercolano, E., Lazenby, M., Reid, A., Davies, M., et al. (2015). An advanced practice nurse coordinated multidisciplinary intervention for patients with late-stage cancer: A cluster randomized trial. Journal of Palliative Medicine, 18(11), 962–969.CrossRefPubMed
16.
go back to reference Fitchett, G., Peterman, A. H., & Cella, D. F. (1996). Spiritual beliefs and quality of life in cancer and HIV patients. Paper presented at the Society for the Scientific Study of Religion, Nashville, TN. Fitchett, G., Peterman, A. H., & Cella, D. F. (1996). Spiritual beliefs and quality of life in cancer and HIV patients. Paper presented at the Society for the Scientific Study of Religion, Nashville, TN.
17.
go back to reference Bai, M., & Dixon, J. K. (2014). Exploratory factor analysis of the 12-item Functional Assessment of Chronic Illness Therapy-Spiritual Well-being Scale (FACIT-Sp-12) in people newly diagnosed with advanced cancer. Journal of Nursing Measurement, 22(3), 404–420.CrossRefPubMed Bai, M., & Dixon, J. K. (2014). Exploratory factor analysis of the 12-item Functional Assessment of Chronic Illness Therapy-Spiritual Well-being Scale (FACIT-Sp-12) in people newly diagnosed with advanced cancer. Journal of Nursing Measurement, 22(3), 404–420.CrossRefPubMed
18.
go back to reference Cella, D. F., Tulsky, D. S., Gray, G., Sarafian, B., Linn, E., Bonomi, A., et al. (1993). The functional assessment of cancer therapy scale: Development and validation of the general measure. Journal of Clinical Oncology, 11(3), 570–579.PubMed Cella, D. F., Tulsky, D. S., Gray, G., Sarafian, B., Linn, E., Bonomi, A., et al. (1993). The functional assessment of cancer therapy scale: Development and validation of the general measure. Journal of Clinical Oncology, 11(3), 570–579.PubMed
19.
go back to reference Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613.CrossRefPubMedPubMedCentral Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613.CrossRefPubMedPubMedCentral
20.
go back to reference Davies, A. R., & Ware, J. E, Jr. (1981). Measuring health perceptions in the health insurance experiment. Santa Monica, CA: The RAND Corporation (R-2711-HHS). Davies, A. R., & Ware, J. E, Jr. (1981). Measuring health perceptions in the health insurance experiment. Santa Monica, CA: The RAND Corporation (R-2711-HHS).
21.
go back to reference Aldendorfer, M. S., & Blashfield, R. G. (1984). Cluster analysis. Iowa City, IA: University of Iowa.CrossRef Aldendorfer, M. S., & Blashfield, R. G. (1984). Cluster analysis. Iowa City, IA: University of Iowa.CrossRef
22.
go back to reference Ward, J. H. J. (1963). Hierarchical grouping to optimize an objective function. Journal of the American Statistical Association, 58(301), 236–244.CrossRef Ward, J. H. J. (1963). Hierarchical grouping to optimize an objective function. Journal of the American Statistical Association, 58(301), 236–244.CrossRef
23.
go back to reference Hartigan, J. A. (1975). Clustering Algorithms. New York: Wiley. Hartigan, J. A. (1975). Clustering Algorithms. New York: Wiley.
24.
go back to reference Webster, K., Cella, D., & Yost, K. (2003). The functional assessment of chronic illness therapy (FACIT) measurement system: Properties, applications, and interpretation. Health and Quality of Life Outcomes, 1, 79–86.CrossRefPubMedPubMedCentral Webster, K., Cella, D., & Yost, K. (2003). The functional assessment of chronic illness therapy (FACIT) measurement system: Properties, applications, and interpretation. Health and Quality of Life Outcomes, 1, 79–86.CrossRefPubMedPubMedCentral
25.
go back to reference Munoz, A. R., Salsman, J. M., Stein, K. D., & Cella, D. (2015). Reference values of the functional assessment of chronic illness therapy-spiritual well-being: A report from the American Cancer Society’s studies of cancer survivors. Cancer, 121(11), 1838–1844.CrossRefPubMedPubMedCentral Munoz, A. R., Salsman, J. M., Stein, K. D., & Cella, D. (2015). Reference values of the functional assessment of chronic illness therapy-spiritual well-being: A report from the American Cancer Society’s studies of cancer survivors. Cancer, 121(11), 1838–1844.CrossRefPubMedPubMedCentral
26.
go back to reference Jaeschke, R., Singer, J., & Guyatt, G. H. (1989). Measurement of health status. Ascertaining the minimal clinically important difference. Controlled Clinical Trials, 10(4), 407–415.CrossRefPubMed Jaeschke, R., Singer, J., & Guyatt, G. H. (1989). Measurement of health status. Ascertaining the minimal clinically important difference. Controlled Clinical Trials, 10(4), 407–415.CrossRefPubMed
27.
go back to reference Rose, J. H., Kypriotakis, G., Bowman, K. F., Einstadter, D., O’Toole, E. E., Mechekano, R., et al. (2009). Patterns of adaptation in patients living long term with advanced cancer. Cancer, 15(18 Suppl), 4298–4310.CrossRef Rose, J. H., Kypriotakis, G., Bowman, K. F., Einstadter, D., O’Toole, E. E., Mechekano, R., et al. (2009). Patterns of adaptation in patients living long term with advanced cancer. Cancer, 15(18 Suppl), 4298–4310.CrossRef
28.
go back to reference Kristeller, J. L., Sheets, V., Johnson, T., & Frank, B. (2011). Understanding religious and spiritual influences on adjustment to cancer: Individual patterns and differences. Journal of Behavioral Medicine, 34(6), 550–561.CrossRefPubMed Kristeller, J. L., Sheets, V., Johnson, T., & Frank, B. (2011). Understanding religious and spiritual influences on adjustment to cancer: Individual patterns and differences. Journal of Behavioral Medicine, 34(6), 550–561.CrossRefPubMed
29.
go back to reference Thibault, J. M., Ellor, J. W., & Netting, F. E. (1991). A conceptual framework for assessing the spiritual functioning and fulfillment of older adults in long-term care settings. Journal of Religious Gerontology, 7(4), 29–45.CrossRef Thibault, J. M., Ellor, J. W., & Netting, F. E. (1991). A conceptual framework for assessing the spiritual functioning and fulfillment of older adults in long-term care settings. Journal of Religious Gerontology, 7(4), 29–45.CrossRef
30.
go back to reference Breitbart, W. (2002). Spirituality and meaning in supportive care: spirituality and meaning-centered group psychotherapy interventions in advanced cancer. Supportive Care in Cancer, 10(4), 272–280.CrossRefPubMed Breitbart, W. (2002). Spirituality and meaning in supportive care: spirituality and meaning-centered group psychotherapy interventions in advanced cancer. Supportive Care in Cancer, 10(4), 272–280.CrossRefPubMed
31.
go back to reference de Jager Meezenbroek, E., Garssen, B., Van den Berg, M., Van Dierendonck, D., Visser, A., & Schaufeli, W. B. (2012). Measuring spirituality as a universal human experience: A review of spirituality questionnaires. Journal of Religion and Health, 51, 336–354.CrossRefPubMed de Jager Meezenbroek, E., Garssen, B., Van den Berg, M., Van Dierendonck, D., Visser, A., & Schaufeli, W. B. (2012). Measuring spirituality as a universal human experience: A review of spirituality questionnaires. Journal of Religion and Health, 51, 336–354.CrossRefPubMed
32.
go back to reference Folkman, S., Lazarus, R. S., Dunkel-Schetter, C., DeLongis, A., & Gruen, R. J. (1986). Dynamics of a stressful encounter: Cognitive appraisal, coping, and encounter outcomes. Journal of Personality and Social Psychology, 50(5), 992–1003.CrossRefPubMed Folkman, S., Lazarus, R. S., Dunkel-Schetter, C., DeLongis, A., & Gruen, R. J. (1986). Dynamics of a stressful encounter: Cognitive appraisal, coping, and encounter outcomes. Journal of Personality and Social Psychology, 50(5), 992–1003.CrossRefPubMed
33.
go back to reference Lazarus, R. S. (1993). Coping theory and research: Past, present and future. Psychosomatic Medicine, 55(3), 234–247.CrossRefPubMed Lazarus, R. S. (1993). Coping theory and research: Past, present and future. Psychosomatic Medicine, 55(3), 234–247.CrossRefPubMed
34.
go back to reference Park, C. L., & Folkman, S. (1997). Meaning in the context of stress and coping. Review of General Psychology, 1(2), 115–144.CrossRef Park, C. L., & Folkman, S. (1997). Meaning in the context of stress and coping. Review of General Psychology, 1(2), 115–144.CrossRef
35.
go back to reference Klemmack, D. L., Roff, L. L., Parker, M. W., Koenig, H. G., Sawyer, P., & Allman, R. M. (2007). A cluster analysis typology of religiousness/spirituality among older adults. Research on Aging, 29, 163–183.CrossRef Klemmack, D. L., Roff, L. L., Parker, M. W., Koenig, H. G., Sawyer, P., & Allman, R. M. (2007). A cluster analysis typology of religiousness/spirituality among older adults. Research on Aging, 29, 163–183.CrossRef
36.
go back to reference Moberg, D. O. (1971). Spiritual well-being. In White House Conference on Aging. Washington, DC. Moberg, D. O. (1971). Spiritual well-being. In White House Conference on Aging. Washington, DC.
38.
go back to reference Jobe, J. B. (2003). Cognitive psychology and self-reports: Models and methods. Quality of Life Research, 12(3), 219–227.CrossRefPubMed Jobe, J. B. (2003). Cognitive psychology and self-reports: Models and methods. Quality of Life Research, 12(3), 219–227.CrossRefPubMed
39.
go back to reference Brown, A. J., Sun, C. C., Urbauer, D., Zhukovsky, D. S., Levenback, C., Frumovitz, M., et al. (2015). Targeting those with decreased meaning and peace: A supportive care opportunity. Supportive Care in Cancer, 23(7), 2025–2032.CrossRefPubMed Brown, A. J., Sun, C. C., Urbauer, D., Zhukovsky, D. S., Levenback, C., Frumovitz, M., et al. (2015). Targeting those with decreased meaning and peace: A supportive care opportunity. Supportive Care in Cancer, 23(7), 2025–2032.CrossRefPubMed
Metagegevens
Titel
Exploring the individual patterns of spiritual well-being in people newly diagnosed with advanced cancer: a cluster analysis
Auteurs
Mei Bai
Jane Dixon
Anna-leila Williams
Sangchoon Jeon
Mark Lazenby
Ruth McCorkle
Publicatiedatum
08-06-2016
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 11/2016
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-016-1328-0

Andere artikelen Uitgave 11/2016

Quality of Life Research 11/2016 Naar de uitgave