Dyadic Spiritual Coping in Patients with Advanced Cancer and Their Family Caregivers: APIM.

IF 3.2 2区医学 Q2 CLINICAL NEUROLOGY Journal of pain and symptom management Pub Date : 2025-02-17 DOI:10.1016/j.jpainsymman.2025.02.007

Wei Guo, Xue Liu, Lianghua Zhang, Fengyi Chen, Yi Zhang, Jing Cui

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引用次数: 0

Abstract

Context: The use of positive and negative spiritual coping has been demonstrated among patients with cancer and their family caregivers. However, the dyadic effects of family caregivers and patients with advanced cancer on spiritual coping, as well as the factors associated with spiritual coping, remain unclear.

Objectives: To identify the dyadic interactions and factors associated with spiritual coping among patients with advanced cancer and their family caregivers in China.

Methods: This was a multicenter cross-sectional study conducted in four tertiary hospitals. The participants were 326 dyads of patients with advanced cancer and their family caregivers. A demographic information questionnaire and the Spiritual Coping Scale, General Self-Efficacy Scale, Hospital Anxiety Depression Scale, Spiritual Health Scale, Optimism-Pessimism Scale, Herth Hope Index, and Perceived Social Support Scale were used to examine study variables from January to May 2023. The Actor-Partner Interdependence Model was used to explore the dyadic effects of spiritual coping.

Results: The APIM showed that patients' depression, spiritual health, and social support had actor effects on their spiritual coping, while family caregivers' self-efficacy had a partner effect on patients' spiritual coping. Additionally, family caregivers' self-efficacy, anxiety, and depression had actor effects on their spiritual coping, while patients' self-efficacy, anxiety, and spiritual health had partner effects on family caregivers.

Conclusion: Spiritual coping is a dyadic phenomenon in patients with advanced cancer and family caregivers. Improving self-efficacy, spiritual health, and social support, as well as addressing symptoms of anxiety and depression, can enhance spiritual coping abilities and consequently improve quality of life.

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来源期刊

Journal of pain and symptom management 医学-临床神经学

CiteScore

8.90

自引率

6.40%

发文量

821

审稿时长

26 days

期刊介绍： The Journal of Pain and Symptom Management is an internationally respected, peer-reviewed journal and serves an interdisciplinary audience of professionals by providing a forum for the publication of the latest clinical research and best practices related to the relief of illness burden among patients afflicted with serious or life-threatening illness.