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J Holist Nurs. 2005 Jun;23(2):120-40; discussion 141-4.

Spiritual struggle: effect on quality of life and life satisfaction in women with breast cancer.

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  • 1Bronson School of Nursing, Western Michigan University, Kalamazoo, Michigan, USA.

Abstract

BACKGROUND:

Women with breast cancer experience stressors affecting quality of life (QOL) and life satisfaction. Little is known about effects of spiritual struggle as a coping strategy on QOL and life satisfaction.

PURPOSE:

Examine relationships between spiritual struggle, QOL, and life satisfaction.

METHOD:

Nonprobablility sample of 100 participants recruited from an Internet Web site with mailed questionnaires. Three instruments were used: breast cancer-specific version of Functional Assessment of Cancer Therapy Scale (FACT-B), Functional Assessment of Chronic Illness Therapy-Spiritual (FACIT-Sp-12) combined for QOL, Negative Coping subscale of Religious Coping (RCOPE) for spiritual struggle, and a single-item measuring life satisfaction.

FINDINGS:

Small inverse relationships between spiritual struggle, QOL (r = -.36, p < .001), and life satisfaction (r = -.31, p < .001) existed.

CONCLUSIONS:

Spiritual struggle gives voice to women's questionings implying lower QOL and life satisfaction.

IMPLICATIONS:

Assessment of and assistance with managing spiritual struggle are necessary to promote QOL and life satisfaction among those facing difficult health problems.

[PubMed - indexed for MEDLINE]
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