Spirituality and its association with psychological distress in cancer patients attending a tertiary care hospital in Bangalore, India

Authors

  • Vidya D. C. Department of Community Medicine, Karpaga Vinayaga Institute of Medical sciences& Research Centre, Kancheepuram, Tamilnadu, India
  • Sundarnag Ganjekar Department of Psychiatry, NIMHANS, Bangalore, India
  • Shalini C. N. Department of Community Medicine, M S Ramaiah Medical College, Bangalore, India
  • Harish K. Department of Surgical Oncology, M S Ramaiah Hospital, Bangalore, India
  • Murthy N. S. Department of Community Medicine, M S Ramaiah Medical College, Bangalore, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20162047

Keywords:

Anxiety, Cancer, Depression, Spirituality

Abstract

Background: Psychological distress which is under diagnosed most of the times is common in cancer patients.This may have an effect on quality of life and survival time. Spirituality predetermines the individual responses to life experiences. There are also studies which have shown that spirituality can overcome psychological distress.  Hence, this study was conducted with an objective to assess the association of spirituality and psychological distress among cancer patients attending a tertiary hospital in Bangalore.

Methods: A cross sectional study was conducted between March 2014 and August 2014 in the Surgical Oncology Department of M S Ramaiah Hospital, Bangalore. After obtaining a written informed consent, a pretested semi-structured questionnaire, consisting of Hospital anxiety and depression scale, Spirituality Involvement and belief scale along with socio-demographic details, was administered to 84 newly diagnosed, hospital admitted cancer patients. Statistical analysis was performed using SPSS version 18.

Results: The present study revealed that the mean age of study subjects was 52.7 years (SD 11.54). The median spirituality, depression and anxiety scores were 57 (IQR 49-115.5), 13.5 (IQR 7-16) and 5 (IQR 2.25-7.75) respectively. It was observed that there was a statistically significant negative correlation of spirituality with depression (Correlation coefficient r= - 0.833, P=0.01) and anxiety (correlation coefficient r= -0.631, P=0.01).

Conclusions: An inverse association between spirituality and psychological distress amongst cancer patients revealed a possibility that spirituality may help in the control of psychological distress. 

References

The International Agency For research and cancer, GLOBOCAN 2008, an online resource for cancer statistics. Available at: http://www.uicc.org/general-news/globocan-2008. Accessed on 22nd December 2013.

Murthy NS, Chaudhry K, Rath GK. Burden of cancer and projection for 2016, Indian scenario: gaps in the availability of radiotherapy treatment facilities. Asian Pac J Cancer Prev. 2009;9:671-7.

Kandaswamy A, Chaturvedi SK, Desai G. Spirituality, distress, depression, anxiety and quality of life in patients with advanced cancer. Indian journal of Cancer. 2011;48(1):55-9.

Puchalshi CM. Spirituality in the cancer trajectory. Annals of Oncology. 2012;23(3):51-5.

Foley KM, Gelband H. Improving palliative care for cancer. Washington, DC: National Research Council, 2001. Available at:http://www.nap.edu/openbook.php?isbn=0309074029. Accessed on 26/3/2014.

Colleen SM, Barry R, William B. Effect of spiritual well-being on end-of-life despair in terminally-ill cancer patients. LANCET. 2003:36;1603-7. Available at: http://www.fordham.edu/images/Undergraduate/psychology/rosenfeld/EndOfLifeDespair.Lancet.pdf. Accessed on 27th August 2013.

Park K. Textbook of preventive and social medicine. 21th ed. Jabalpur (India): Bhanarasidas Bhanot; 2011:12-21.

Thapa P, Rawal N, Bista Y. A study of depression and anxiety in cancer patients. Nepal Med Coll J. 2010;12(3):171-5.

Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica. 1983;67(6):361-70.

Hatch RL, Burg MA, Naberhaus DS, Hellmich LK. The spiritual involvement and belief scale. Development and testing of a new instrument. J Fam Pract. 1998;46:476-86.

Dudala SR, Arlappa N. An updated prasad’s socio economic status classification for 2013. Int J Res Dev Health. 2013;1(2):26-7

Shukla P, Rishi P. A co relational study of psychosocial and spiritual well-being and death anxiety among advanced stage cancer patients. American Journal of Applied Psychology. 2014;2 (3):59-65.

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Published

2016-12-28

How to Cite

D. C., V., Ganjekar, S., C. N., S., K., H., & N. S., M. (2016). Spirituality and its association with psychological distress in cancer patients attending a tertiary care hospital in Bangalore, India. International Journal Of Community Medicine And Public Health, 3(7), 1812–1815. https://doi.org/10.18203/2394-6040.ijcmph20162047

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Original Research Articles