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Cited by 79Religion, Spirituality, and PsychologyPalliative and Oncologic CarePalliative Care and End-of-Life Issues

The Influence of Awareness of Terminal Condition on Spiritual Well-Being in Terminal Cancer Patients

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Leung, Kai-Kuen, Chiu, Tai-Yuan, Chen, Ching-Yu·2006·Journal of Pain and Symptom Management
DOI 10.1016/j.jpainsymman.2006.02.001
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Abstract

We developed a Spirituality Transcendence Measure (STM) and studied whether awareness of terminal illness affects spiritual well-being in terminal cancer patients. Three sources of spiritual transcendence--the situational, the moral and biographical, and the religious aspect--were assessed in the STM. Cronbach's alpha of the STM was 0.95, and the principle axis factor analysis extracted only one factor. Thirty-seven terminal cancer patients with male predominance (59.5%) were studied. Awareness of terminal illness was associated with a higher total STM score (Z = -2.21, P = 0.027), along with the individual scores for each of the three transcendences (Z = -2.39, P = 0.017; Z = -2.71, P = 0.007; and Z = -1.96, P = 0.050). Acceptance of death was associated with a higher situational score (Z = 2.01, P = 0.046) and a higher religious score (Z = -2.27, P = 0.023). Announcement of testament was associated with a higher situational score (Z = -2.30, P = 0.021). We conclude that awareness of terminal illness is associated with spiritual well-being. Telling the complete truth is necessary even when dealing with terminal conditions.

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  • Religiosity and religious involvement may be essential means by which those facing serious mental illness regulate their emotional experiences in the context of disease stress.

    “These findings suggest that religiosity and religious involvement may be essential means by which those facing serious mental illness may regulate their emotional experiences in the context of the stress of their disease process.”

    From Religiosity & mental health seeking behaviors among U.S. adults (2024) · cites this paper as [36]

  • A study of terminally ill patients found that more religious people reported lower levels of distress and better coping abilities.

    “In addition, a study of terminally ill patients found that more religious people reported lower levels of distress and better coping abilities. 36”

    From Religiosity & mental health seeking behaviors among U.S. adults (2024) · cites this paper as [36]

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Authors
Leung, K.-K., Chiu, T.-Y., & Chen, C.-Y.
Affiliations
  • National Taiwan University (TW)
  • National Health Research Institutes (TW)
Corresponding author
Chen, Ching-Yu
ORCID
Venue
Journal of Pain and Symptom Management
Publisher
Elsevier BV
Published
2006-05
Volume
31
Issue
5
Pages
449-456
ISSN
0885-3924 (ISSN-L)
DOI
10.1016/j.jpainsymman.2006.02.001
OpenAlex
W2065473528
Cited by
79
References
20
Citations by year
2026: 2 · 2025: 3 · 2024: 3 · 2023: 6 · 2022: 2 · 2021: 3 · 2020: 4 · 2019: 3 · 2018: 4 · 2016: 3 · 2015: 4 · 2014: 11 · 2013: 5 · 2012: 3
FWCI
4.36
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Pain and Symptom Management (publishedVersion)
  • PubMed (publishedVersion)
  • DigitalGeorgetown (Georgetown University Library) (submittedVersion)
Topics
  • Social Sciences › Health › Religion, Spirituality, and Psychology
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
Keywords
spiritual well-being, terminal cancer patients, spiritual transcendence, death acceptance, religious transcendence, moral transcendence, advance directives
MeSH terms
Adult, Aged, Attitude to Death, Female, Humans, Male, Middle Aged, Neoplasms, Psychometrics, Quality of Life, Terminal Care, Truth Disclosure, Spirituality

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