The associations between spiritual well-being, hope and psychological symptoms in Chinese childhood cancer patients: A path analysis.

Autor: Liu Q; School of Nursing, Hong Kong Polytechnic University, Hong Kong, China., Ho KY; School of Nursing, Hong Kong Polytechnic University, Hong Kong, China., Lam KK; School of Nursing, Hong Kong Polytechnic University, Hong Kong, China., Lam W; School of Nursing, Hong Kong Polytechnic University, Hong Kong, China., Ma P; School of Nursing, Hong Kong Polytechnic University, Hong Kong, China., Abu-Odah H; School of Nursing, Hong Kong Polytechnic University, Hong Kong, China., Belay GM; School of Nursing, Hong Kong Polytechnic University, Hong Kong, China., Yuen JWM; School of Nursing, Hong Kong Polytechnic University, Hong Kong, China., Ling DL; Nursing Administration Department, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China., Ching SS; School of Nursing, Hong Kong Polytechnic University, Hong Kong, China., Wong FK; School of Nursing, Hong Kong Polytechnic University, Hong Kong, China.
Jazyk: angličtina
Zdroj: Psycho-oncology [Psychooncology] 2023 Sep; Vol. 32 (9), pp. 1452-1460. Date of Electronic Publication: 2023 Aug 09.
DOI: 10.1002/pon.6198
Abstrakt: Aims: We aimed to test a model in which hope and spiritual well-being acted as protective factors against anxiety and depressive symptoms in childhood cancer patients (CCPs). We hypothesized that hope and spiritual well-being were mutually reinforcing factors that would both reduce anxiety and depressive symptoms.
Methods: Using path analysis, the hypothetical model was tested on a cross-sectional sample of 412 Chinese CCPs aged 8-17 years. Self-reported measures were used to obtain data on participants' social and clinical characteristics, spiritual well-being, hope, anxiety and depressive symptoms.
Results: The hypothetical model was supported. Results suggested that sex, treatment type and diagnosis predicted spiritual well-being; diagnosis and time since diagnosis predicted hope. Spiritual well-being and hope were mutually predictive and mutually reinforcing, and were both negatively associated with anxiety and depressive symptoms. This model predicted 40% of the variance in spiritual well-being, 37% in hope, 39% in depressive symptoms, and 28% in anxiety.
Conclusion: Spiritual well-being and hope were mutually reinforcing and served as protective factors against anxiety and depressive symptoms. These support the value for integrating spiritual and hope elements in developing interventions for CCPs to improve their spiritual and psychological well-being along the disease trajectory.
(© 2023 John Wiley & Sons Ltd.)
Databáze: MEDLINE
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