Volume 9, Issue 1 (March-2022 2022)                   Health Spiritual Med Ethics 2022, 9(1): 21-30 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Khalajinia Z, Ramandi A, Akbari V, Vahedian M. The Relationship Between Spiritual Health and Hospital Anxiety and Depression in Patients With Gastrointestinal Cancer. Health Spiritual Med Ethics 2022; 9 (1) :21-30
URL: http://jhsme.muq.ac.ir/article-1-462-en.html
1- Department of Midwifery, School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran., Department of Midwifery, School of nursing and midwifery, Qom University of Medical Sciences. Qom, Iran
2- Department of Psychiatry, School of Medicine, Qom University of Medical Sciences, Qom, Iran., Medicine school, Qom University of Medical Sciences, Qom, Iran , amirreza.1992@gmail.com.
3- Department of Psychiatry, School of Medicine, Qom University of Medical Sciences, Qom, Iran., Psychiatric Department, Medicine school, Qom University of Medical Sciences, Qom, Iran.
4- Neuroscience Research Center, Qom University of Medical Sciences, Qom, Iran., neuroscience Research Center, Qom University of Medical Sciences, Qom, Iran Vahedian 58@gmail.com
Abstract:   (1174 Views)
Background and Objectives: Spiritual health is essential in human adaptation and
relaxation, especially in chronic diseases. Cancer among human beings causes a physical
and psychological crisis. Therefore, this study aimed to investigate the relationship between
spiritual health and anxiety and depression in patients with gastrointestinal cancer.
Methods: This research is a correlational cross-sectional study. The samples included
207 patients with gastrointestinal cancer. The study was conducted in Shahid Beheshti
Educational and Medical Center in Qom City, Iran, in 2020. The research method was
convenience sampling. A demographic questionnaire, Paloutzian, and Ellison spiritual
health questionnaire, and hospital anxiety and depression questionnaire were used in
this research. Data were analyzed using descriptive statistics, Chi-square test, t-test, and
analysis of variance (ANOVA) with SPSS software, v. 22.
Results: The Mean±SD value of patients’ spiritual health was 94.47±12.56, and the
Mean±SD value of their spiritual and existential health was 48.10±6.96 and 46.6±36.49,
respectively. 53.62% of the samples had moderate spiritual health, 30.91% had high
spiritual health, and 15.45% had low spiritual health. Also, 52.65% of the samples had
moderate depression, 31.4% had mild depression, and 15.14% had severe depression.
54.58% had moderate anxiety, 28.98% had mild anxiety, and 16.42% had severe anxiety.
The study results showed a correlation between spiritual health and anxiety and depression
in patients with cancer (P<0.001).
Conclusion: The results showed that patients with good spiritual health consequently
suffered less depression and anxiety. Therefore, spiritual health can reduce the stress and
anxiety of patients with cancer and ultimately help patients recover.
Full-Text [PDF 1128 kb]   (547 Downloads) |   |   Full-Text (HTML)  (167 Views)  
Type of Study: Original Article | Subject: Special
Received: 2021/11/13 | Accepted: 2022/04/12 | Published: 2022/03/9

References
1. Siegel RL, Miller KD, Jemal A. Cancer statistics, 2019. CA Cancer J Clin. 2019; 69(1):7-34. [DOI:10.3322/caac.21551] [PMID] [DOI:10.3322/caac.21551]
2. Conley CC, Bishop BT, Andersen BL. Emotions and emotion regulation in breast cancer survivorship. Healthcare 2016; 4(3):56. [DOI:10.3390/healthcare4030056] [PMID] [PMCID] [DOI:10.3390/healthcare4030056]
3. Safaee A, Moghimi-Dehkordi B, Fatemi SR, Maserat E, Zali MR. [Association of stomach cancer risk in individuals with family history of cancer (Persian)]. Koomesh. 2012; 13(2):264-8. [Link]
4. Biglu M, Tabatabaei S. [Gastrointestinal cancers in Iran: Iranian scientists approach to gastrointestinal cancers researches in international databases (Persian)]. Koomesh. 2017; 19:1-9. [Link]
5. Rahimi F, Heidari M. [Time trend analysis of stomach cancer incidence in the west of Iran (Persian)]. J Health Dev. 2012; 1:100. [Link]
6. Heidarirad F, Yarahmadi M, Heidarirad H, Shafeie M. [Evaluation of prevalence of depression and its related factors among women with breast cancer referred to the radiotherapy center of Tawhid hospital of Sanandaj, Iran in 2017 (Persian)]. Sci J Nurs Midwifery and Paramed Fac. 2018; 4(2):39-49. [Link]
7. Khezri L, Bahreyni M, Ravanipour M, Mirzaee K. [The Relationship between spiritual wellbeing and depression or death anxiety in cancer patients in Bushehr 2015 (Persian)]. Nurs Vulnerable. 2015; 1(2):15-28. [Link]
8. Alahbakhshian M, Jafarpouralavi M, Parvizi S, Haghani H. [A Survey on relationship between spir-itual well-being and quality of life in multiple scle-rosis patients (Persian)]. Zahedan J Res Med Sci. 2010; 12(3):29-33. [Link]
9. Madadi Ardekani H, Kamkar A. The evaluation of relation between death anxiety and general health with spiritual well-being in patients with cancer in Shiraz City, 2015 (Persian)]. Clin Psychol Personal. 2020; 17(2):19-30. [DOI:10.22070/cpap.2020.2905]
10. Aghahoseini S, Rahmani A, Abdollahzadeh F, Kermani IA. [Spiritual health of cancer patients and its related factors (Persian)]. Ghom J Res Med Sci. 2009; 5(3):7-12. [Link]
11. Rowe MM, Allen RG. Spirituality as a means of coping with chronic illness. Am J Health Stud. 2004; 19(1):62-7. [Link]
12. Tsevat J. Spirituality/religion and quality of life in patients with HIV/AIDS. J Gen Intern Med. 2006; 21(5):S1-2. [DOI:10.1111/j.1525-1497.2006.00640.x] [PMCID] [DOI:10.1111/j.1525-1497.2006.00640.x]
13. Anvari M, Javadpour A, Mohammad Zadeh S. Assessing death anxiety and its correlates among severe medically ill in- patients. Shiraz E-Med J. 2012; 13(3):122-7. [Link]
14. Shukla P, Rishi P. A corelational study of psychosocial & spiritual well being and death anxiety among advanced stage cancer patients. Am J Appl Psychol. 2014; 2(3):59-65. [Link]
15. Koenig HG, McCullough ME, Larson DB. Handbook of religion and health. Oxford: Oxford University Press; 2011. [Link]
16. Amiri P, Abbasi M, Gharibzadeh S, Zarghani NH, Azizi F. Designation and psychometric assessment of a comprehensive spiritual health questionnaire for Iranian populations. Med Ethics. 2015; 8(30):25-55. [Link]
17. Montazeri A, Vahdaninia M, Ebrahimi M, Jarvandi S. The Hospital Anxiety and Depression Scale (HADS): Translation and validation study of the Iranian version. Health Qual Life Outcomes. 2003; 1:14. [DOI:10.1186/1477-7525-1-14] [PMID] [PMCID] [DOI:10.1186/1477-7525-1-14]
18. Hedayatizadeh-Omran A, Janbabaei G, FarajiEmafti M, Noroozi A, Kolagari S, Modanloo M. [Relationship between spirituality and death anxiety in patients with cancer undergoing chemotherapy (Persian)]. J Mazandaran Univ Med Sci. 2018; 27(156):98-108. [Link]
19. Samiee Rad F, Kalhor M. [An overview of spiritual health in cancer patients (Persian)]. Iran J Psychiat Nurs. 2019; 6(6):82-8. [DOI:10.21859/ijpn-060610] [DOI:10.21859/ijpn-060610]
20. Breitbart W, Rosenfeld B, Pessin H, Applebaum A, Kulikowski J, Lichtenthal WG. Meaning-centered group psychotherapy: An effective intervention for improving psychological well-being in patients with advanced cancer. J Clin Oncol. 2015; 33(7):749-54. [DOI:10.1200/JCO.2014.57.2198] [PMID] [PMCID] [DOI:10.1200/JCO.2014.57.2198]
21. Rezaie A, Momeni Ghaleghasemi T, Ebrahimi A. [The relationship between spiritual wellbeing with stress, anxiety, and some demographic variables in women with breast cancer referring to the specialized cancer treatment center in Isfahan, Iran (Persian). J Health Syst Res. 2012; 8(1):104-13. [Link]
22. Janbabaei G, Esmaeili R, Mosavinasab N, Rajbar M, Heydarifarf J. [A survey of the role of spiritual health and its related factors in the patients with metastatic digestive cancer (Persian)]. J Relig Health. 2014; 2(1):9-14. [Link]
23. Aghakhani N, Hazrati Marangaloo A, Vahabzadeh D, Tayyar F. [The effect of Roy's adaptation model-based care plan on the severity of depression, anxiety and stress in hospitalized patients with colorectal cancer (Persian)]. J Hayat. 2019; 25(2):208-19. [Link]
24. Reisi S, Ahmadi SM, Sadeghi K. [The effect of religion and spirituality on anxiety and depression in cancer patients: A review article (Persian)]. J Quran Med. 2021; 6(1):75-86. [Link]
25. Goudarzian AH, Sharif Nia H, Sheikh Raberi A, Tahmasbi M, Farokhmanesh K, Soleimani MA, et al. Determinant factors of death depression in Iranian patients with cancer (Persian)]. Iran J Cancer Care. 2019; 1(1):8-14. [DOI:10.29252/ijca.1.1.8] [DOI:10.29252/ijca.1.1.8]
26. Omidvari S. [Spiritual health; Concepts and challenges (Persian). Interdiscip Quranic Stud. 2009; 1(1):5-17. [Link]
27. McCoubrie RC, Davies AN. Is there a correlation between spirituality and anxiety and depression in patients with advanced cancer? Support Care Cancer. 2006; 14(4):379-85. [DOI:10.1007/s00520-005-0892-6] [PMID] [DOI:10.1007/s00520-005-0892-6]
28. Romero C, Friedman LC, Kalidas M, Elledge R, Chang J, Liscum KR. Self-forgiveness, spirituality, and psychological adjustment in women with breast cancer. J Behav Med. 2006; 29(1):29-36. [DOI:10.1007/s10865-005-9038-z] [PMID] [DOI:10.1007/s10865-005-9038-z]
29. Jafari E, Najafi M, Sohrabi F, Dehdhiri GR, Soleymani E, Heshmati R. Life satisfaction, spirituality well-being and hope in cancer patients. Procedia - Soc Behav Sci. 2010; 5:1362-6. [DOI:10.1016/j.sbspro.2010.07.288] [DOI:10.1016/j.sbspro.2010.07.288]
30. Lo C, Hales S, Jung J, Chiu A, Panday T, Rydall A, et al. Managing cancer and living meaningfully (CALM): Phase 2 trial of a brief individual psychotherapy for patients with advanced cancer. Palliat Med. 2014; 28(3):234-42. [DOI:10.1177/0269216313507757] [PMID] [DOI:10.1177/0269216313507757]
31. Khademvatani K, Aghakhani N, ESM HG, Hazrati A, Alinezhad V, Nazari H et al. [Study of relationship between spritual health, anxiety and depression in acute myocardial infarctionpatients hospitalized in Seyyedoshohada hospital in Urmia (Persian)]. Stud Med Sci. 2015; 25(12):1092-101. [Link]
32. Kurtulan MH, Karaırmak Ö. Examination of the relationship among death anxiety, spirituality, religious orientation and existential anxiety. Spiritual Psychol Couns. 2016; 1(2):206-17. [DOI:10.12738/spc.2016.2.0007] [DOI:10.12738/spc.2016.2.0007]
33. Cohen AB, Pierce JD, Chambers J, Meade R, Gorvine BJ, Koenig HG. Intrinsic and extrinsic religiosity, belief in the afterlife, death anxiety, and life satisfaction in young Catholics and Protestants. J Res Pers. 2005; 39(3):307-24. [DOI:10.1016/j.jrp.2004.02.005] [DOI:10.1016/j.jrp.2004.02.005]
34. French C, Greenauer N, Mello C. A multifactorial approach to predicting death anxiety: Assessing the role of religiosity, susceptibility to mortality cues, and individual differences. J Soc Work End Life Palliat Care. 2017; 13(2-3):151-72. [DOI:10.1080/15524256.2017.1331181] [PMID] [DOI:10.1080/15524256.2017.1331181]
35. Vellone E, Rega ML, Galletti C, Cohen MZ. Hope and related variables in Italian cancer patients. Cancer Nurs. 2006; 29(5):356-66. [DOI:10.1097/00002820-200609000-00002] [PMID] [DOI:10.1097/00002820-200609000-00002]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Health, Spirituality and Medical Ethics

Designed & Developed by : Yektaweb