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Self-Transcendence: Association with Spirituality in an Italian Sample of Terminal Cancer Patients

Terminally ill cancer patients often experience demoralization and loss of dignity, which undermines their spiritual wellbeing, which could, however, be supported by the presence of other factors such as self-transcendence and religious coping strategies. To assess self-transcendence and religious c...

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Autores principales: Bovero, Andrea, Pesce, Sara, Botto, Rossana, Tesio, Valentina, Ghiggia, Ada
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10376349/
https://www.ncbi.nlm.nih.gov/pubmed/37504006
http://dx.doi.org/10.3390/bs13070559
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author Bovero, Andrea
Pesce, Sara
Botto, Rossana
Tesio, Valentina
Ghiggia, Ada
author_facet Bovero, Andrea
Pesce, Sara
Botto, Rossana
Tesio, Valentina
Ghiggia, Ada
author_sort Bovero, Andrea
collection PubMed
description Terminally ill cancer patients often experience demoralization and loss of dignity, which undermines their spiritual wellbeing, which could, however, be supported by the presence of other factors such as self-transcendence and religious coping strategies. To assess self-transcendence and religious coping strategies and how they influence spirituality, we studied 141 end-stage cancer patients (64.3% male; mean age 68.6 ± 14.6) with a Karnofsky Performance Status ≤ 50 and a life expectancy ≤ 4 months using the Self-Transcendence Scale, the Demoralization Scale, the Functional Assessment of Chronic Illness Therapy—Spiritual Wellbeing (FACIT-Sp-12), the Brief Religious COPE, and the Patient Dignity Inventory. To understand the effects of these variables on spirituality, hierarchical multiple regression was performed on FACIT-Sp-12. The final model predicted 67% of the variance in spiritual wellbeing. Demoralization was the strongest influencing factor (β = −0.727, p < 0.001), followed by self-transcendence (β = 0.256, p < 0.001), and positive religious coping (β = 0.148, p < 0.05). This study suggests that self-transcendence and positive religious coping may be protective factors for spirituality in terminal cancer patients. These factors should be considered in treatment to promote spiritual wellbeing and improve patients’ quality of life at the end of life.
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spelling pubmed-103763492023-07-29 Self-Transcendence: Association with Spirituality in an Italian Sample of Terminal Cancer Patients Bovero, Andrea Pesce, Sara Botto, Rossana Tesio, Valentina Ghiggia, Ada Behav Sci (Basel) Article Terminally ill cancer patients often experience demoralization and loss of dignity, which undermines their spiritual wellbeing, which could, however, be supported by the presence of other factors such as self-transcendence and religious coping strategies. To assess self-transcendence and religious coping strategies and how they influence spirituality, we studied 141 end-stage cancer patients (64.3% male; mean age 68.6 ± 14.6) with a Karnofsky Performance Status ≤ 50 and a life expectancy ≤ 4 months using the Self-Transcendence Scale, the Demoralization Scale, the Functional Assessment of Chronic Illness Therapy—Spiritual Wellbeing (FACIT-Sp-12), the Brief Religious COPE, and the Patient Dignity Inventory. To understand the effects of these variables on spirituality, hierarchical multiple regression was performed on FACIT-Sp-12. The final model predicted 67% of the variance in spiritual wellbeing. Demoralization was the strongest influencing factor (β = −0.727, p < 0.001), followed by self-transcendence (β = 0.256, p < 0.001), and positive religious coping (β = 0.148, p < 0.05). This study suggests that self-transcendence and positive religious coping may be protective factors for spirituality in terminal cancer patients. These factors should be considered in treatment to promote spiritual wellbeing and improve patients’ quality of life at the end of life. MDPI 2023-07-05 /pmc/articles/PMC10376349/ /pubmed/37504006 http://dx.doi.org/10.3390/bs13070559 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Bovero, Andrea
Pesce, Sara
Botto, Rossana
Tesio, Valentina
Ghiggia, Ada
Self-Transcendence: Association with Spirituality in an Italian Sample of Terminal Cancer Patients
title Self-Transcendence: Association with Spirituality in an Italian Sample of Terminal Cancer Patients
title_full Self-Transcendence: Association with Spirituality in an Italian Sample of Terminal Cancer Patients
title_fullStr Self-Transcendence: Association with Spirituality in an Italian Sample of Terminal Cancer Patients
title_full_unstemmed Self-Transcendence: Association with Spirituality in an Italian Sample of Terminal Cancer Patients
title_short Self-Transcendence: Association with Spirituality in an Italian Sample of Terminal Cancer Patients
title_sort self-transcendence: association with spirituality in an italian sample of terminal cancer patients
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10376349/
https://www.ncbi.nlm.nih.gov/pubmed/37504006
http://dx.doi.org/10.3390/bs13070559
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