The effect of spiritual interventions addressing existential themes using a narrative approach on quality of life of cancer patients: a systematic review and meta‐analysis
Open accessAbstract
Objective: The aim of this study was to examine the effect of spiritual interventions on quality of life of cancer patients. Methods: We conducted our search on June 6, 2014 in Medline, PsycINFO, Embase, and PubMed. All clinical trials were included that compared standard care with a spiritual intervention that addressed existential themes using a narrative approach. Study quality was evaluated by the Cochrane Risk of Bias Tool. Results: A total of 4972 studies were identified, of which 14 clinical trials (2050 patients) met the inclusion criteria, and 12 trials (1878 patients) were included in the meta‐analysis. The overall risk of bias was high. When combined, all studies showed a moderate effect (d) 0.50 (95% CI = 0.20–0.79) 0–2 weeks after the intervention on overall quality of life in favor of the spiritual interventions. Meta‐analysis at 3–6 months after the intervention showed a small insignificant effect (0.14, 95% CI = −0.08 to 0.35). Subgroup analysis including only the western studies showed a small effect of 0.17 (95% CI = 0.05–0.29). Including only studies that met the allocation concealment criteria showed an insignificant effect of 0.14 (95% CI = −0.05 to 0.33). Conclusions: Directly after the intervention, spiritual interventions had a moderate beneficial effect in terms of improving quality of life of cancer patients compared with that of a control group. No evidence was found that the interventions maintained this effect up to 3–6 months after the intervention. Further research is needed to understand how spiritual interventions could contribute to a long‐term effect of increasing or maintaining quality of life. Copyright © 2015 John Wiley & Sons, Ltd.
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Studies assessing complementary interventions, such as music-based interventions or mindfulness-based stress reduction (MBSR), showed beneficial effects in cancer patients; yet results were often heterogeneous.
“Additionally, studies assessing complementary interventions, such as music-based interventions or mindfulness-based stress reduction (MBSR), showed beneficial effects in cancer patients; yet results were often heterogeneous [80–84].”
From A clinical trial of group-based body psychotherapy to improve bodily disturbances in post-treatment cancer patients in combination with randomized controlled smartphone-triggered bodily interventions (KPTK): Study protocol (2019) · cites this paper as [82]
The Summary of evidence (p. 256) reports improved short-term quality of life in cancer patients after narrative spiritual interventions, and Future research (p. 258) describes substantial heterogeneity across the included studies. This paper does not assess the sentence’s examples of music-based interventions or mindfulness-based stress reduction, so it supports the general benefit-and-heterogeneity point but not those examples. (LLM, conf=0.85)
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- Authors
- Kruizinga, R., Hartog, I. D., Jacobs, M., Daams, J. G., Scherer‐Rath, M., Schilderman, J. B. A. M., Sprangers, M. A. G., & Van Laarhoven, H. W. M.
- Affiliations
- Amsterdam UMC Location University of Amsterdam (NL)
- Radboud University Nijmegen (NL)
- Department of Medical Oncology, Academic Medical Center University of Amsterdam Amsterdam The Netherlands
- Corresponding author
- Kruizinga, Renske
- ORCID
- Venue
- Psycho-Oncology
- Publisher
- Wiley
- Published
- 2015-08-10
- Volume
- 25
- Issue
- 3
- Pages
- 253-265
- ISSN
- 1057-9249 (ISSN-L)
- 1099-1611
- OpenAlex
- W2098859660
- Cited by
- 96
- References
- 54
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 10 · 2023: 15 · 2022: 11 · 2021: 9 · 2020: 8 · 2019: 11 · 2018: 12 · 2017: 6 · 2016: 2
- FWCI
- 1.31
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Psycho-Oncology (publishedVersion)
- PubMed (publishedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion, other-oa)
- Funders
- Dutch Cancer Society/Alpe d'HuZes (UVA 2011-5311)
- Janssen Pharmaceutical Companies
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Keywords
- spiritual intervention, existential themes, narrative approach, quality of life, cancer patients, long-term intervention effects, risk of bias
- MeSH terms
- Humans, Neoplasms, Psychotherapy, Quality of Life, Spirituality, Narrative Therapy
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