The effect of spiritual therapy for improving the quality of life of women with breast cancer: A randomized controlled trial
Abstract
Diagnosis of breast cancer is a devastating psychological experience for a woman. Also, treatments such as radiation therapy may cause psychosocial distress in these patients and threaten their quality of life (QOL). Among several approaches, spirituality has been shown to be significantly associated with improving the QOL. The aim of this study was to assess the role of spiritual therapy intervention in improving the QOL of patients with breast cancer undergoing radiation therapy. This was a randomized controlled trial study undertaken in a radiotherapy clinic, Isfahan, Iran. Between October 2010 and February 2011, 68 patients under radiation therapy were randomized to either spiritual therapy intervention group or control group who received routine management and educational programs. Before and after six weeks of spiritual therapy sessions, the QOL was evaluated using Cancer quality-of-life questionnaire (QLQ)-C30 and breast cancer-specific questionnaire (BR-23). Multivariate, repeated-measures ANOVA, t-test, and Paired t-test were used for analysis using Predictive Analytic Soft Ware (PASW, version 18) for windows. In all, 65 patients actually completed the six-week intervention and were evaluated for the outcome. The mean Global health status score/QOL reached from 44.37 (SD = 13.03) to 68.63 (SD = 10.86), (p = 0.00). There was a statistically significant difference in all functional scales of QLQ-C30 after intervention (p < 0.05). The results of this trial showed that the spiritual therapy program can improve the overall QOL of women with breast cancer; therefore, it could be adopted in comprehensive care programs for women with breast cancer.
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Available data suggest that spiritually-based interventions may improve quality of life and physical recovery in cancer patients.
“Although few spiritually-based interventions have been tested in cancer patients, available data suggest that they may improve quality of life and physical recovery. 39-41”
From Religion, spirituality, and physical health in cancer patients: A meta‐analysis (2015) · cites this paper as [41]
Findings of physical benefits from interventions designed to enhance R/S indicate that R/S does contribute to better health.
“findings of physical benefits from interventions designed to enhance R/S indicate that R/S does contribute to better health.39-41”
From Religion, spirituality, and physical health in cancer patients: A meta‐analysis (2015) · cites this paper as [41]
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Religion, spirituality, and physical health in cancer patients: A meta‐analysis
Jim, H. S. L., Pustejovsky, J. E., Park, C. L., Danhauer, S. C., Sherman, A. C., Fitchett, G., Merluzzi, T. V., Munoz, A. R., George, L., Snyder, M. A., et al. (2015) · Cancer · doi:10.1002/cncr.29353 · Cited by 373 · see citing works
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“Jafari et al.(28) showed that spiritual group therapy significantly improved quality of life and pain severity in patients with breast cancer.”
BackgroundMethodInfluential
- Authors
- Jafari, N., Zamani, A., Farajzadegan, Z., Bahrami, F., Emami, H., & Loghmani, A.
- Affiliations
- Isfahan University of Medical Sciences (IR)
- University of Isfahan (IR)
- Corresponding author
- Farajzadegan, Ziba
- Venue
- Psychology, Health & Medicine
- Publisher
- Informa UK Limited
- Published
- 2012-04-26
- Volume
- 18
- Issue
- 1
- Pages
- 56-69
- ISSN
- 1354-8506 (ISSN-L)
- 1465-3966
- OpenAlex
- W2123886932
- Cited by
- 121
- References
- 78
- Citations by year
- 2026: 1 · 2025: 8 · 2024: 12 · 2023: 46 · 2022: 8 · 2021: 6 · 2020: 5 · 2019: 8 · 2018: 7 · 2017: 7 · 2016: 4 · 2015: 5 · 2014: 1 · 2013: 2 · 2012: 1
- FWCI
- 3.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychology Health & Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Isfahan University of Medical Sciences
- 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 therapy, breast cancer, quality of life, radiotherapy, psychosocial distress, women, EORTC QLQ-C30, holistic cancer care
- MeSH terms
- Adult, Breast Neoplasms, Female, Humans, Iran, Quality of Life, Surveys and Questionnaires, Multivariate Analysis, Spirituality
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