Volume 7, Issue 1 (March 2020)
Health Spiritual Med Ethics 2020, 7(1): 9-15 |
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Ghaempanah Z, Rafieinia P, Sabahi P, Makvand Hosseini S, Memaryan N. Spiritual Problems of Women with Breast Cancer in Iran: A Qualitative Study. Health Spiritual Med Ethics 2020; 7 (1) :9-15
URL: http://jhsme.muq.ac.ir/article-1-331-en.html
URL: http://jhsme.muq.ac.ir/article-1-331-en.html
Zeinab Ghaempanah1 
, Parvin Rafieinia * 2, Parviz Sabahi1 , Shahrokh Makvand Hosseini3 , Nadereh Memaryan4
, Parvin Rafieinia * 2, Parviz Sabahi1 , Shahrokh Makvand Hosseini3 , Nadereh Memaryan4
1- Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran.
2- Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran. ,p_rafieinia@semnan.ac.ir
3- Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran
4- Spiritual Health Research Center, Mental Health Department, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran.
2- Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran. ,
3- Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran
4- Spiritual Health Research Center, Mental Health Department, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran.
Abstract: (4138 Views)
Background and Objectives: A developing body of evidence has demonstrated the detrimental effects of spirituality and religion on the well-being of patients with cancer. This necessitates the need to explore the content of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V (code 62.89). The present study aimed to identify the spiritual problems of Iranian patients with breast cancer concerning their religious beliefs and cultures.
Methods: A qualitative content analysis with an abductive approach was used and data were gathered using individual semi-structured interviews. The participants were selected by purposive sampling which continued until data saturation after 12 interviews. Data were analyzed using the Graneheim and Lundman thematic approach.
Results: The themes extracted from the data were “Questioning spiritual values” and “loss or questioning of faith”. The three categories in the first theme included “Find spiritual cause of illness”, “Question God's justice”, and “Deal with God”. Moreover, “Lack of intimacy with God”, “Giving up rituals” and “Losing religious faith” were the categories of the second theme.
Conclusion: As evidenced by the obtained results, awareness of religious/spiritual problems of the patients with breast cancer may be of great help to healthcare professionals to manage the patients who need a referral, further assessment, and appropriate intervention. In addition, the assessment of spiritual/ religious problems is of paramount importance in designing cultural and spiritual care and interventions.
Methods: A qualitative content analysis with an abductive approach was used and data were gathered using individual semi-structured interviews. The participants were selected by purposive sampling which continued until data saturation after 12 interviews. Data were analyzed using the Graneheim and Lundman thematic approach.
Results: The themes extracted from the data were “Questioning spiritual values” and “loss or questioning of faith”. The three categories in the first theme included “Find spiritual cause of illness”, “Question God's justice”, and “Deal with God”. Moreover, “Lack of intimacy with God”, “Giving up rituals” and “Losing religious faith” were the categories of the second theme.
Conclusion: As evidenced by the obtained results, awareness of religious/spiritual problems of the patients with breast cancer may be of great help to healthcare professionals to manage the patients who need a referral, further assessment, and appropriate intervention. In addition, the assessment of spiritual/ religious problems is of paramount importance in designing cultural and spiritual care and interventions.
Type of Study: Original Article |
Subject:
Special
Received: 2019/08/31 | Accepted: 2019/12/14 | Published: 2020/03/1
Received: 2019/08/31 | Accepted: 2019/12/14 | Published: 2020/03/1
References
1. Watson M, Kissane DW. Handbook of psychotherapy in cancer care. USA: John Wiley & Sons; 2011. link [DOI:10.1002/9780470975176]
2. Pargament KI. Spiritually integrated psychotherapy: Understanding and addressing the sacred: Guilford Press; 2011. link
3. Gall TL, Charbonneau C, Clarke NH, Grant K, Joseph A, Shouldice L. Understanding the nature and role of spirituality in relation to coping and health: A conceptual framework. Can Psychol. 2005;46(2):88. link [DOI:10.1037/h0087008]
4. Puchalski CM. Spirituality in the cancer trajectory. Ann Oncol. 2012;23 Suppl 3:49-55. link [DOI:10.1093/annonc/mds088]
5. Devi MK, Fong KCK. Spiritual Experiences of Women with Breast Cancer in Singapore: a Qualitative Study. Asia Pac J Oncol Nurs. 2019;6(2):145-50. link [DOI:10.4103/apjon.apjon_77_18]
6. Harrison JD, Young JM, Price MA, Butow PN, Solomon MJ. What are the unmet supportive care needs of people with cancer? A systematic review. Support Care Cancer. 2009;17(8):1117-28. link [DOI:10.1007/s00520-009-0615-5]
7. Organization WH, Health WHOR, Diseases WHOC, Promotion H. Comprehensive cervical cancer control: a guide to essential practice: World Health Organization; 2006. link
8. National Quality Forum. National Voluntary Consensus Standards for Palliative Care and End-of-Life Care. link
9. Memaryan N RM, Mehrabi M. Spirituality concept by health professionals in Iran: A qualitative study. Evid Based Complement Alternat Med. 2016;2016:8913870. link [DOI:10.1155/2016/8913870]
10. Cheng C-T, Ho SM, Liu W-K, Hou Y-C, Lim L-C, Gao S-Y, et al. Cancer-coping profile predicts long-term psychological functions and quality of life in cancer survivors. Support Care Cancer. 2019;27(3):933-941. link [DOI:10.1007/s00520-018-4382-z]
11. Puchalski CM, King SD, Ferrell BR. Spiritual considerations. Hematol Oncol Clin North Am. 2018;32(3):505-17. link [DOI:10.1016/j.hoc.2018.01.011]
12. Salsman JM, Fitchett G, Merluzzi TV, Sherman AC, Park CL. Religion, spirituality, and health outcomes in cancer: A case for a meta‐analytic investigation. Cancer. 2015;121(21):3754-9. link [DOI:10.1002/cncr.29349]
13. Ripamonti CI, Giuntoli F, Gonella S, Miccinesi G. Spiritual care in cancer patients: a need or an option? Curr Opin Oncol. 2018;30(4):212-218. link [DOI:10.1097/CCO.0000000000000454]
14. Jors K, Büssing A, Hvidt NC, Baumann K. Personal prayer in patients dealing with chronic illness: a review of the research literature. Evid Based Complement Alternat Med. 2015;2015:927973. link [DOI:10.1155/2015/927973]
15. Doumit MA, Huijer HA-S, Kelley JH, El Saghir N, Nassar N. Coping with breast cancer: a phenomenological study. Cancer Nurs. 2010;33(2):E33-9. link [DOI:10.1097/NCC.0b013e3181c5d70f]
16. Memaryan N, Ghaempanah Z, Aghababaei N, Koenig HG. Integration of Spiritual Care in Hospital Care System in Iran. J Relig Health. 2020;59(1):82-95. link [DOI:10.1007/s10943-019-00864-0]
17. Memaryan N, Jolfaei AG, Ghaempanah Z, Shirvani A, Vand H, Ghahari S, et al. Spiritual care for cancer patients in Iran. Asian Pac J Cancer Prev. 2016;17(9):4289-94. link
18. Gall TL, Bilodeau C. The role of positive and negative religious/spiritual coping in women's adjustment to breast cancer: A longitudinal study. J Psychosoc Oncol. 2020;38(1):103-17. link [DOI:10.1080/07347332.2019.1641581]
19. Paredes AC, Pereira MG. Spirituality, distress and posttraumatic growth in breast cancer patients. J Relig Health. 2018;57(5):1606-17. link [DOI:10.1007/s10943-017-0452-7]
20. Eide M, Pederson AM. God, disease, and spiritual dilemmas: reading the lives of women with breast cancer. Zygon. 2009;44(1):85-96. link [DOI:10.1111/j.1467-9744.2009.00987.x]
21. Association AP. Diagnostic and statistical manual of mental disorders (DSM-5): American Psychiatric Pub; 2013. link
22. Puchalski C, Ferrell B, Virani R, Otis-Green S, Baird P, Bull J, et al. Improving the quality of spiritual care as a dimension of palliative care: the report of the Consensus Conference. J Palliat Med. 2009;12(10):885-904. link [DOI:10.1089/jpm.2009.0142]
23. Graneheim UH, Lindgren B-M, Lundman B. Methodological challenges in qualitative content analysis: A discussion paper. Nurse Educ Today. 2017;56:29-34. link [DOI:10.1016/j.nedt.2017.06.002]
24. Braun V, Clarke V, Hayfield N, Terry G. Thematic analysis. Handbook of Research Methods in Health Social Sciences. 2019:843-60.link [DOI:10.1007/978-981-10-5251-4_103]
25. Guba EG. Criteria for assessing the trustworthiness of naturalistic inquiries. Educ Technol Res Dev. 1981;29(2):75.link
26. Penson RT, Yusuf RZ, Chabner BA, Lafrancesca JP, McElhinny M, Axelrad AS, et al. Losing God. Oncologist. 2001;6(3):286-97. link [DOI:10.1634/theoncologist.6-3-286]
27. Gall TL, Bilodeau C. "Why me?"-women's use of spiritual causal attributions in making sense of breast cancer. Psychol health. 2017;32(6):709-27. link [DOI:10.1080/08870446.2017.1293270]
28. Memaryan N, Ghaempanah Z, Saeedi MM, Aryankhesal A, Ansarinejad N, Seddigh R. Content of spiritual counselling for cancer patients undergoing chemotherapy in Iran: A Qualitative content analysis. Asian Pac J Cancer Prev. 2017;18(7):1791. link
29. Ahmadi F, Erbil P, Ahmadi N, Cetrez OA. Religion, Culture and Meaning-Making Coping: A Study Among Cancer Patients in Turkey. J Relig Health. 2019;58(4):1115-24. link [DOI:10.1007/s10943-018-0646-7]
30. Holt CL, Clark EM, Kreuter MW, Rubio DM. Spiritual health locus of control and breast cancer beliefs among urban African American women. Health Psychol. 2003;22(3):294. link [DOI:10.1037/0278-6133.22.3.294]
31. Selman LE, Brighton LJ, Sinclair S, Karvinen I, Egan R, Speck P, et al. Patients' and caregivers' needs, experiences, preferences and research priorities in spiritual care: A focus group study across nine countries. Palliat Med. 2018;32(1):216-230. link [DOI:10.1177/0269216317734954]
32. Johnston Taylor E, Hopkins Outlaw F, Bernardo TR, Roy A. Spiritual conflicts associated with praying about cancer. Psychooncology. 1999;8(5):386-94. link
https://doi.org/10.1002/(SICI)1099-1611(199909/10)8:5<386::AID-PON407>3.0.CO;2-C [DOI:10.1002/(SICI)1099-1611(199909/10)8:53.0.CO;2-C]
33. Gall TL, Charbonneau C, Florack P. The relationship between religious/spiritual factors and perceived growth following a diagnosis of breast cancer. Psychol Health. 2011;26(3):287-305. link [DOI:10.1080/08870440903411013]
34. Exline JJ, Rose E. Religious and spiritual struggles. New York: The Guilford Press; 2005. p.380-98 link
35. Shields M, Kestenbaum A, Dunn LB. Spiritual AIM and the work of the chaplain: A model for assessing spiritual needs and outcomes in relationship. Palliat Support Care. 2015;13(1):75-89. link [DOI:10.1017/S1478951513001120]
36. King SD, Fitchett G, Murphy PE, Rajaee G, Pargament KI, Loggers ET, et al. Religious/spiritual struggle in young adult hematopoietic cell transplant survivors. J Adolesc Young Adult Oncol. 2018;7(2):210-6. link [DOI:10.1089/jayao.2017.0069]
37. Trevino KM, Balboni M, Zollfrank A, Balboni T, Prigerson HG. Negative religious coping as a correlate of suicidal ideation in patients with advanced cancer. Psychooncology. 2014;23(8):936-45. link [DOI:10.1002/pon.3505]
38. Gall TL, Kristjansson E, Charbonneau C, Florack P. A longitudinal study on the role of spirituality in response to the diagnosis and treatment of breast cancer. J Behav Med. 2009;32(2):174-86. link [DOI:10.1007/s10865-008-9182-3]
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