Spiritual, religious, and existential concerns of cancer survivors in a secular country with focus on age, gender and emotional challenges

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Resumé

Purpose
The purpose of this study was to examine the associations between self-reported spiritual/religious concerns and age, gender, and emotional challenges among cancer survivors who have completed a 5-day rehabilitation course at a rehabilitation center in Denmark (the former RehabiliteringsCenter Dallund (RC Dallund)).

Methods
The data stem from the so-called Dallund Scale which was adapted from the NCCN Distress Thermometer and comprised questions to identify problems and concerns of a physical, psychosocial, and spiritual/religious nature. Descriptive statistics were performed using means for continuous variables and frequencies for categorical variables. Odds ratios were calculated by logistic regression.

Results
In total, 6640 participants filled in the questionnaire. Among participants, 21% reported one or more spiritual/religious concerns, the most reported concerns related to existence and guilt. Having one or more spiritual/religious concerns was significantly associated with age (OR 0.88), female gender (OR 1.38), and by those reporting emotional problems such as being without hope (OR 2.51), depressed (OR 1.49), and/or anxious (OR 1.95). Among participants, 8% stated they needed help concerning spiritual/religious concerns.

Conclusions
Cancer patients, living in a highly secular country, report a significant frequency of spiritual/religious and existential concerns. Such concerns are mostly reported by the young, female survivors and by those reporting emotional challenges. Spiritual/religious and existential concerns are often times tabooed in secular societies, despite being present in patients. Our results call for an increased systemic attention among health professionals to these concerns, and a particular focus on identifying and meeting the spiritual/religious and existential concerns of women, the young and those challenged by hopelessness, depression, and anxiety.
OriginalsprogEngelsk
TidsskriftSupportive Care in Cancer
Antal sider9
ISSN0941-4355
DOI
StatusE-pub ahead of print - apr. 2019

Fingeraftryk

Survivors
Rehabilitation Centers
Denmark
Neoplasms
Logistic Models
Odds Ratio
Depression
Health
Surveys and Questionnaires

Emneord

    Citer dette

    @article{92b1b737a9dc43db8f86b2e9de7a1203,
    title = "Spiritual, religious, and existential concerns of cancer survivors in a secular country with focus on age, gender and emotional challenges",
    abstract = "PurposeThe purpose of this study was to examine the associations between self-reported spiritual/religious concerns and age, gender, and emotional challenges among cancer survivors who have completed a 5-day rehabilitation course at a rehabilitation center in Denmark (the former RehabiliteringsCenter Dallund (RC Dallund)).MethodsThe data stem from the so-called Dallund Scale which was adapted from the NCCN Distress Thermometer and comprised questions to identify problems and concerns of a physical, psychosocial, and spiritual/religious nature. Descriptive statistics were performed using means for continuous variables and frequencies for categorical variables. Odds ratios were calculated by logistic regression.ResultsIn total, 6640 participants filled in the questionnaire. Among participants, 21{\%} reported one or more spiritual/religious concerns, the most reported concerns related to existence and guilt. Having one or more spiritual/religious concerns was significantly associated with age (OR 0.88), female gender (OR 1.38), and by those reporting emotional problems such as being without hope (OR 2.51), depressed (OR 1.49), and/or anxious (OR 1.95). Among participants, 8{\%} stated they needed help concerning spiritual/religious concerns.ConclusionsCancer patients, living in a highly secular country, report a significant frequency of spiritual/religious and existential concerns. Such concerns are mostly reported by the young, female survivors and by those reporting emotional challenges. Spiritual/religious and existential concerns are often times tabooed in secular societies, despite being present in patients. Our results call for an increased systemic attention among health professionals to these concerns, and a particular focus on identifying and meeting the spiritual/religious and existential concerns of women, the young and those challenged by hopelessness, depression, and anxiety.",
    keywords = "Cancer rehabilitation, Cancer resources, Spiritual and religious coping, Spiritual/religious concerns, Struggle",
    author = "Hvidt, {Niels Christian} and Mikkelsen, {Tina Broby} and Zwisler, {Ann Dorthe Olsen} and Tofte, {Jan B{\o}rge} and {Assing Hvidt}, Elisabeth",
    year = "2019",
    month = "4",
    doi = "10.1007/s00520-019-04775-4",
    language = "English",
    journal = "Supportive Care in Cancer",
    issn = "0941-4355",
    publisher = "Heinemann",

    }

    TY - JOUR

    T1 - Spiritual, religious, and existential concerns of cancer survivors in a secular country with focus on age, gender and emotional challenges

    AU - Hvidt, Niels Christian

    AU - Mikkelsen, Tina Broby

    AU - Zwisler, Ann Dorthe Olsen

    AU - Tofte, Jan Børge

    AU - Assing Hvidt, Elisabeth

    PY - 2019/4

    Y1 - 2019/4

    N2 - PurposeThe purpose of this study was to examine the associations between self-reported spiritual/religious concerns and age, gender, and emotional challenges among cancer survivors who have completed a 5-day rehabilitation course at a rehabilitation center in Denmark (the former RehabiliteringsCenter Dallund (RC Dallund)).MethodsThe data stem from the so-called Dallund Scale which was adapted from the NCCN Distress Thermometer and comprised questions to identify problems and concerns of a physical, psychosocial, and spiritual/religious nature. Descriptive statistics were performed using means for continuous variables and frequencies for categorical variables. Odds ratios were calculated by logistic regression.ResultsIn total, 6640 participants filled in the questionnaire. Among participants, 21% reported one or more spiritual/religious concerns, the most reported concerns related to existence and guilt. Having one or more spiritual/religious concerns was significantly associated with age (OR 0.88), female gender (OR 1.38), and by those reporting emotional problems such as being without hope (OR 2.51), depressed (OR 1.49), and/or anxious (OR 1.95). Among participants, 8% stated they needed help concerning spiritual/religious concerns.ConclusionsCancer patients, living in a highly secular country, report a significant frequency of spiritual/religious and existential concerns. Such concerns are mostly reported by the young, female survivors and by those reporting emotional challenges. Spiritual/religious and existential concerns are often times tabooed in secular societies, despite being present in patients. Our results call for an increased systemic attention among health professionals to these concerns, and a particular focus on identifying and meeting the spiritual/religious and existential concerns of women, the young and those challenged by hopelessness, depression, and anxiety.

    AB - PurposeThe purpose of this study was to examine the associations between self-reported spiritual/religious concerns and age, gender, and emotional challenges among cancer survivors who have completed a 5-day rehabilitation course at a rehabilitation center in Denmark (the former RehabiliteringsCenter Dallund (RC Dallund)).MethodsThe data stem from the so-called Dallund Scale which was adapted from the NCCN Distress Thermometer and comprised questions to identify problems and concerns of a physical, psychosocial, and spiritual/religious nature. Descriptive statistics were performed using means for continuous variables and frequencies for categorical variables. Odds ratios were calculated by logistic regression.ResultsIn total, 6640 participants filled in the questionnaire. Among participants, 21% reported one or more spiritual/religious concerns, the most reported concerns related to existence and guilt. Having one or more spiritual/religious concerns was significantly associated with age (OR 0.88), female gender (OR 1.38), and by those reporting emotional problems such as being without hope (OR 2.51), depressed (OR 1.49), and/or anxious (OR 1.95). Among participants, 8% stated they needed help concerning spiritual/religious concerns.ConclusionsCancer patients, living in a highly secular country, report a significant frequency of spiritual/religious and existential concerns. Such concerns are mostly reported by the young, female survivors and by those reporting emotional challenges. Spiritual/religious and existential concerns are often times tabooed in secular societies, despite being present in patients. Our results call for an increased systemic attention among health professionals to these concerns, and a particular focus on identifying and meeting the spiritual/religious and existential concerns of women, the young and those challenged by hopelessness, depression, and anxiety.

    KW - Cancer rehabilitation

    KW - Cancer resources

    KW - Spiritual and religious coping

    KW - Spiritual/religious concerns

    KW - Struggle

    U2 - 10.1007/s00520-019-04775-4

    DO - 10.1007/s00520-019-04775-4

    M3 - Journal article

    JO - Supportive Care in Cancer

    JF - Supportive Care in Cancer

    SN - 0941-4355

    ER -