The effect of spiritual/religious intervention on inner strength in women with breast cancer

Authors

Keywords:

Religious/spiritual intervention, Inner strength, Engagement, Searching, Movement, Cancer

Abstract

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Background and Objective: Cancer is accompanied with psycho-social aspects that require complementary spiritual/religious interventions along with medical interventions for treating these patients. Thus, the present study aimed at examining the effect of religious/spiritual interventions on the inner strength of women suffering from breast cancer.

Method: This study adopted a quasi-experimental design with pretest and posttest in three groups–namely experimental, placebo, and control. Convenience sampling was used to select 41 participants out of the women referring to Omid radiotherapy and chemotherapy center, and Bandar-Abbas specialized clinics from Mehr 95 through Tir 96. The participants were randomly assigned to experimental (14 persons), placebo (14 persons), and control (13 persons) groups. The experimental group underwent individual spiritual/religious intervention in 10 sessions and the placebo group was exposed neutral training, while the control group received no treatment. Data were collected by questionnaires on inner strength and demographic features in pretests and posttests and analyzed through repeated measures multivariate analysis of variance. All ethical issues were observed in this study and the researchers declared no conflict of interests.

Results: The findings indicated significant differences between the intervention group and placebo/control group in terms of the rise of inner strength, and the subscales of Engagement, Connectedness, Anguish and Searching, and Movement (p<0.05).

Conclusion: Based on the findings, as a complement to typical medical cares, individual spiritual/religious intervention has positive effects on internal power and its subscales in women suffering from breast cancer. It is possible to use this intervention to enhance the psychological status in cancer treatment.

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Please cite this article as: Davari S, Rahimian Boogar I, Talepasand S, Evazi MR. The effect of spiritual/religious intervention on inner strength in women with breast cancer. J Res Relig Health. 2019; 4(5): 27- 44.

References

Rezagholi T, Yavari P, Abolhasani F, Etemad K, Khosravi A, Hashemi Nazari S, et al. Estimating the burden of breast cancer in Iranian women in 2009. Iranian Journal of Epidemiology. 2015;10(4):32-40. (Full Text in Persian)

Ayubi E, Mansournia MA, Motlagh AG, Mosavi-Jarrahi A, Hosseini A, Yazdani K. Exploring neighborhood inequality in female breast cancer incidence in Tehran using Bayesian spatial models and a spatial scan statistic. Epidemiology and health. 2017;39.

Bodai BI, Tuso P. Breast cancer survivorship: a comprehensive review of long-term medical issues and lifestyle recommendations. The Permanente Journal. 2015;19(2):48.

Njor SH, Schwartz W, Blichert-Toft M, Lynge E. Decline in breast cancer mortality: How much is attributable to screening? Journal of medical screening. 2015;22(1):20-7.

Ali MM, Moeller M, Rybicki L, Moore HC. Prevalence and correlates of patient-reported symptoms and comorbidities in breast cancer survivors at a tertiary center. Journal of Cancer Survivorship. 2017:1-8.

Ebrahimipour H, Vejdani M, Taghipour A, Heidarabadi AB, Molavi Y. Spiritual health in cancer patients at OMID hospital affiliated with Mashhad University of Medical Sciences-2012. Journal of Reaserch on Religion & Health. 2015;1(2):3-9. (Full Text in Persian)

Mehrabi E, Hajian S, Simbar M, Hoshyari M. Religion, Spirituality and Coping with Breast Cancer: A Phenomenological Study. Journal of Research on Religion & Health. 2016;2(2). (Full Text in Persian)

Moradi-Joo M, Babazadeh T, Honarvar Z, Mohabat-Bahar S, Rahmati-Najarkolaei F, Haghighi M. The Relationship between Spiritual Health and Public Health Aspects among Patients with Breast Cancer. Journal of Research on Religion & Health. 2017;3(3). (Full Text in Persian)

Gualdani S, Pegoli M. Spirituality in health care: The role of needs in critical care. Trends in Anaesthesia and Critical Care. 2014;4(6):175-7.

Guz H, Gursel B, Ozbek N. Religious and Spiritual

Practices Among Patients with Cancer. Journal of Religion and Health. 2012;51(3):763-73.

Purnell JQ, Andersen BL. Religious practice and spirituality in the psychological adjustment of survivors of breast cancer. Counseling and values. 2009;53(3):165-82.

Vallurupalli MM, Lauderdale MK, Balboni MJ, Phelps AC, Block SD, Ng AK, et al. The role of spirituality and religious coping in the quality of life of patients with advanced cancer receiving palliative radiation therapy. The journal of supportive oncology. 2012;10(2):81.

Schreiber JA, Brockopp DY. Twenty-five years later-what do we know about religion/spirituality and psychological well-being among breast cancer survivors? A systematic review. Journal of Cancer Survivorship. 2012;6(1):82-94.

Lissoni P, Messina G, Parolini D, Balestra A, Brivio F, Fumagalli L, et al. A spiritual approach in the treatment of cancer: relation between faith score and response to chemotherapy in advanced non-small cell lung cancer patients. In Vivo. 2008;22(5):577-81.

Hulett JM, Armer JM. A systematic review of spiritually based interventions and psychoneuroimmunological outcomes in breast cancer survivorship. Integrative cancer therapies. 2016; 15(4): 405- 23.

Wildes KA, Miller AR, de Majors SSM, Ramirez AG. The religiosity/spirituality of Latina breast cancer survivors and influence on health‐related quality of life. Psycho‐Oncology. 2009;18(8):831-40.

Lagman RA, Yoo GJ, Levine EG, Donnell KA, Lim HR. “Leaving it to God” religion and spirituality among Filipina immigrant breast cancer survivors. Journal of religion and health. 2014;53(2):449-60.

Salsman JM, Pustejovsky JE, Jim HS, Munoz AR, Merluzzi TV, Park CL, et al. A meta‐analytic approach to examining the correlation between religion/ spirituality and mental health in cancer. Cancer. 2015; 121(21):3769-78.

Jim HS, Pustejovsky JE, Park CL, Danhauer SC, Sherman AC, Fitchett G, et al. Religion, spirituality, and physical health in cancer patients: A meta‐analysis. Cancer. 2015;121(21):3760-8.

Khodayarifard M, Rahiminezad A, Ghobari Bonab B, shokoohiyekta M, Faghihi AN, Azarbayjani M, et al. Preparation of religiosity scale and measuring levels of religiosity among Iranian from throughout of Iran. University of Tehran, The faculty of psychology and education.[cited 2009 apr 15]. 2009. (Full Text in Persian)

Koenig HG. Religion, spirituality, and health: the research and clinical implications. ISRN psychiatry. 2012;2012.

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.

Richards P, Bergin AE. A spiritual strategy for counseling and psychotherapy. ed n, editor. Washington, DC, US: American Psychological Association; 2005.

Holt CL, Wang MQ, Caplan L, Schulz E, Blake V, Southward VL. Role of religious involvement and spirituality in functioning among African Americans with cancer: Testing a mediational model. Journal of behavioral medicine. 2011;34(6):437-48.

Dingley C, Roux G. The Role of Inner Strength in Quality of Life and Self-Management in Women Survivors of Cancer. Research in nursing & health. 2014;37(1):32-41.

Lundman B, Aléx L, Jonsén E, Norberg A, Nygren B, Fischer RS, et al. Inner strength-A theoretical analysis of salutogenic concepts. International journal of nursing studies. 2010;47(2):251-60.

Alpers L-M, Helseth S, Bergbom I. Experiences of inner strength in critically ill patients-a hermeneutical approach. Intensive and Critical Care Nursing. 2012;28(3):150-8.

Nygren B, Norberg A, Lundman B. Inner strength as disclosed in narratives of the oldest old. Qualitative Health Research. 2007;17(8):1060-73.

Boman E, Gustafson Y, Häggblom A, Santamäki Fischer R, Nygren B. Inner strength-associated with reduced prevalence of depression among older women. Aging & mental health. 2015;19(12):1078-83.

Lewis KL, Roux G. Psychometric testing of the Inner Strength Questionnaire: women living with chronic health conditions. Applied Nursing Research. 2011;24(3):153-60.

Rufener D. Inner strength in cancer survivors: The role of spirituality in establishing connectedness: The Ohio State University; 2011.

Park CL, Sherman AC, Jim HS, Salsman JM. Religion/spirituality and health in the context of cancer: Cross‐domain integration, unresolved issues, and future directions. Cancer. 2015;121(21):3789-94.

Viftrup DT, Hvidt NC, Buus N. Spiritually and religiously integrated group psychotherapy: A systematic literature review. Evidence-Based Complementary and Alternative Medicine. 2013;2013.

Amiri P, Abbasi M, Gharibzadeh S, Zarghani NH, Azizi F. Designation and psychometric assessment of a comprehensive spiritual health questionnaire for Iranian populations. Medical Ethics Journal. 2015; 9(30): 25-56. (Full Text in Persian)

Jafari N, Farajzadegan Z, Zamani A, Bahrami F,

Emami H, Loghmani A, et al. Spiritual therapy to improve the spiritual well-being of Iranian women with breast cancer: a randomized controlled trial. Evidence-Based Complementary and Alternative Medicine. 2013;2013.

Fallah R, Golzari M, Dastani M, Akbari M. Integrating spirituality into a group psychotherapy program for women surviving from breast cancer. Iranian journal of cancer prevention. 2011;4(3):141-7.

Jenkinson A, Cantrell MA. Inner strength in women with chronic illness. Chronic Illness. 2016;13(2):100-16.

Garlick M, Wall K, Corwin D, Koopman C. Psycho-spiritual integrative therapy for women with primary breast cancer. Journal of Clinical Psychology in Medical Settings. 2011;18(1):78-90.

Paredes AC, Pereira MG. Spirituality, Distress and Posttraumatic Growth in Breast Cancer Patients. Journal of Religion and Health. 2017:1-12.

Mousavi V, Vatankhah M. Prediction of Posttraumatic Growth through Religion, Meaning of Life and Social Support in Female Breast Cancer. Journal of Psychology Achievements. 2015;1(3):33-48. (Full Text in Persian)

Thomas JC, Burton M, Quinn Griffin MT, Fitzpatrick JJ. Self-transcendence, spiritual well-being, and spiritual practices of women with breast cancer. Journal of Holistic Nursing. 2010;28(2):115-22.

Kharitonov SA. Religious and Spiritual Biomarkers in Both Health and Disease. Religions. 2012;3(2).

Published

2019-01-02

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Original Article