Espiritualidad, Religiosidad, Distress y Calidad de Vida en Pacientes Oncológicos
DOI:
https://doi.org/10.20435/pssa.v13i2.1097Palabras clave:
espiritualidad, religión, neoplasias, calidad de vidaResumen
El presente estudio tuvo el objetivo de evaluar la relación entre el distress, la calidad de vida y la práctica espiritual y religiosa (ER) en pacientes con cáncer recién diagnosticados en la primera línea de tratamiento de quimioterapia. Se trata de un estudio transversal, que evaluó a 100 pacientes en cuanto al distress (Termómetro de Distress), calidad de vida (Functional Assessment of Chronic Illness Therapy – General) y espiritualidad (Functional Assessment of Chronic Illness Therapy – Spiritual Well-Being Scale y Escala de Religiosidad de la Universidad de Duke). Los resultados sugieren que el ER es una importante estrategia en el enfrentamiento del diagnóstico y tratamiento del cáncer, estando asociado significativamente a un menor nivel de distress, mejor calidad de vida y mejor bienestar espiritual.
Citas
Adler, N. E., & Page, A. E. K. (Eds.). (2008). Cancer care for the whole patient: Meeting psychosocial health needs. Washington: National Academies Press. doi:https://doi.org/10.17226/11993
Arnold, B. J., Eremenco, S., Chang, C. H., Odom, L., Ribaudo, J., & Cella, D. (2000). Development of a single Portuguese language version of the Functional Assessment of earch, 9(3), 316. doi:https://doi.org/10.1023/A:1017291624003
Aquino, T. A. A. D., Correia, A. P. M., Marques, A. L. C., Souza, C. G. D., Assis Freitas, H. C. D., Araújo, I. F. D., . . . Araújo, W. F. D. (2009). Religious attitude and the meaning of life: a correlational study. Psicologia: Ciência e Profissão, 29(2), 228-243. doi:https://doi.org/10.1590/S1414-98932009000200003
Balboni, T. A., Fitchett, G., Handzo, G. F., Johnson, K. S., Koenig, H. G., Pargament, K. I., . . . Steinhauser, K. E. (2017). State of the Science of Spirituality and Palliative Care Research Part II: Screening, Assessment, and Interventions. Journal of Pain and Symptom Management, 54(3), 441-453. doi:https://doi.org/10.1016/j.jpainsymman.2017.07.029
Barton, K. S., Tate, T., Lau, N., Taliesin, K. B., Waldman, E. D., & Rosenberg, A. R. (2018). “I’m not a spiritual person”. How hope might facilitate conversations about spirituality among teens and young adults with cancer. Journal of Pain and Symptom Management, 55(6), 1599-1608. doi:https://doi.org/10.1016/j.jpainsymman.2018.02.001
Bergerot, C. D., Philip, E. J., Schuler, T. A., Clark, K. L., Loscalzo, M., Buso, M. M., . . . Araujo, T. C. C. F. (2016). Development and implementation of a comprehensive psychosocial screening program in a Brazilian cancer center. Psycho-Oncology, 25(11), 1343-1349. doi:https://doi.org/10.1002/pon.4275
Bergerot, C. D., Philip, E. J., Zayat, C. G., Azevedo, I. M. D., Araujo, T. C. C. F. D., & De Domenico, E. B. L. (2017). Investigating the two-tiered system of psychosocial cancer care in Brazil using a distress screening measure. Journal of Global Oncology, 3(1), 1-6. doi:https://doi.org/10.1200/JGO.2016.004978
Bergerot C. D., Zayat C. G., Azevedo I. M., Okuma G. Y., Pedras R. N., Manhães M. F. M., & Domenico, E. B. L. (2017). Implementação de rotina de psico-oncologia segundo recomendações internacionais aplicadas em serviço público brasileiro. Estudos de Psicologia (UFRN), 22(4), 350-357. doi:http://dx.doi.org/10.22491/1678-4669.20170036
Bredle, J. M., Salsman, J. M., Debb, S. M., Arnold, B. J., & Cella, D. (2011). Spiritual well-being as a component of health-related quality of life: the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale (FACIT-Sp). Religions, 2(1), 77-94. doi:https://doi.org/10.3390/rel2010077
Breitbart, W., Poppito, S., Rosenfeld, B., Vickers, A. J., Li, Y., Abbey, J., . . . Cassileth, B. R. (2012). Pilot randomized controlled trial of individual meaning-centered psychotherapy for patients with advanced cancer. Journal of Clinical Oncology, 30(12), 1304-1309. doi:https://doi.org/10.1200/JCO.2011.36.2517
Breitbart, W., Rosenfeld, B., Gibson, C., Pessin, H., Poppito, S., Nelson, C., . . . Sorger, B. (2010). Meaning‐centered group psychotherapy for patients with advanced cancer: A pilot randomized controlled trial. Psycho‐Oncology, 19(1), 21-28. doi:https://doi.org/10.1002/pon.1556
Brucker, P. S., Yost, K., Cashy, J., Webster, K., & Cella, D. (2005). General population and cancer patient norms for the Functional Assessment of Cancer Therapy-General (FACT-G). Evaluation & The Health Professions, 28(2), 192-211. doi:https://doi.org/10.1177/0163278705275341
Bultz, B. D., Loscalzo, M. J., & Clark, K. L. (2012). Screening for distress, the 6th vital sign, as the connective tissue of health care systems: a roadmap to integrated interdisciplinary person-centered care. In L. Grassi & M. Riba (Eds.), Clinical Psycho-Oncology: An International Perspective (pp. 83-96). Oxford, UK: John Wiley & Sons Ltd. doi:https://doi.org/10.1002/9781119941101.ch7
Caldeira, S., Carvalho, E. C. D., & Vieira, M. (2014). Between spiritual wellbeing and spiritual distress: Possible related factors in elderly patients with cancer. Revista Latino-Americana de Enfermagem, 22(1), 28-34. doi:https://doi.org/10.1590/0104-1169.3073.2382
Camargos, M. G., Paiva, C. E., Barroso, E. M., Carneseca, E. C., & Paiva, B. S. R. (2015). Understanding the differences between oncology patients and oncology health professionals concerning spirituality/religiosity: A cross-sectional study. Medicine, 94(47), 1-15. doi:https://doi.org/10.1097/MD.0000000000002145
Decat, C. S., & Araujo, T. C. C. F. D. (2010). Psico-oncologia: Apontamentos sobre a evolução histórica de um campo interdisciplinar. Brasília Médica, 47(1), 93-99.
Decat, C. S. A., Laros, J. A., & Araujo, T. C. C. F. D. (2009). Termômetro de distress: validação de um instrumento breve para avaliação diagnóstica de pacientes oncológicos. Psico-USF, 14(3), 253-260. doi:https://doi.org/10.1590/S1413-82712009000300002
Esperandio, M. R. G., & Ladd, K. L. (2013). Oração e saúde: Questões para a Teologia e para a Psicologia da Religião (Prayer and Health: Issues for theology and psychology of religion). Horizonte, 11(30), 627-656. doi:https://doi.org/10.5752/P.2175-5841.2013v11n30p627
Gobatto, C. A., & Araujo, T. C. C. F. D. (2013). Religiosidade e espiritualidade em oncologia: Concepções de profissionais da saúde. Psicologia Universidade de São Paulo, 24(1), 11-34. doi:https://doi.org/10.1590/S0103-65642013000100002
Gonçalves, J. P. B., Lucchetti, G., Menezes, P. R., & Vallada, H. (2017). Complementary religious and spiritual interventions in physical health and quality of life: A systematic review of randomized controlled clinical trials. Plos One, 12(10), e0186539. doi:https://doi.org/10.1371/journal.pone.0186539
Hill, P. C., & Pargament, K. I. (2008). Advances in the conceptualization and measurement of religion and spirituality: Implications for physical and mental health research. Psychology of Religion and Spirituality, S(1), 3-17. doi:https://doi.org/10.1037/1941-1022.S.1.3
Holland, J. C., Andersen, B., Breitbart, W. S., Buchmann, L. O., Compas, B., Deshields, T. L., . . . Greiner, C. B. (2013). Distress management. Journal of the National Comprehensive Cancer Network, 11(2), 190-209. doi:https://doi.org/10.6004/jnccn.2013.0027
Instituto Nacional de Câncer José Alencar Gomes da Silva. (2019). Estimativa 2020: Incidência de câncer no Brasil. Recuperado de https://www.inca.gov.br/sites/ufu.sti.inca.local/files//media/document//estimativa-2020-incidencia-de-cancer-no-brasil.pdf
Iwatani, T., Matsuda, A., Kawabata, H., Miura, D., & Matsushima, E. (2013). Predictive factors for psychological distress related to diagnosis of breast cancer. Psycho‐Oncology, 22(3), 523-529. doi:https://doi.org/10.1002/pon.3023
Jimenez-Fonseca, P., Lorenzo-Seva, U., Ferrando, P. J., Carmona-Bayonas, A., Beato, C., García, T., . . . Calderon, C. (2018). The mediating role of spirituality (meaning, peace, faith) between psychological distress and mental adjustment in cancer patients. Supportive Care in Cancer, 26(5), 1411-1418. doi:https://doi.org/10.1007/s00520-017-3969-0
Johnson, S. B., Park, H. S., Gross, C. P., & Yu, J. B. (2018). Use of alternative medicine for cancer and its impact on survival. JNCI: Journal of the National Cancer Institute, 110(1), 121-124. doi:https://doi.org/10.1093/jnci/djx145
Koenig, H. G. (2001). Religion and medicine II: Religion, mental health, and related behaviors. The International Journal of Psychiatry in Medicine, 31(1), 97-109. doi:https://doi.org/10.2190/BK1B-18TR-X1NN-36GG
Koenig, H. G. (2012). Religion, spirituality, and health: The research and clinical implications. ISRN psychiatry, 2012(278730), 1-33. doi: https://doi.org/10.5402/2012/278730
Koenig, H. G., & Büssing, A. (2010). The Duke University Religion Index (DUREL): a five-item measure for use in epidemiological studies. Religions, 1(1), 78-85. doi:https://doi.org/10.3390/rel1010078
Koenig, H. G., Parkerson, G. R., & Meador, K. G. (1997). Religion index for psychiatric research. American Journal of Psychiatry, 154(6), 885-886. doi:https://doi.org/10.1176/ajp.154.6.885b
Lai, C., Luciani, M., Galli, F., Morelli, E., Del Prete, F., Ginobbi, P., . . . Lombardo, L. (2017). Spirituality and awareness of diagnoses in terminally ill patients with cancer. American Journal of Hospice and Palliative Medicine, 34(6), 505-509. doi:https://doi.org/10.1177/1049909116630985
Laplantine, F. (2001). Antropologia dos sistemas de representações da doença: Sobre algumas pesquisas desenvolvidas na França contemporânea reexaminadas à luz de uma experiência brasileira. In D. Jodelet (Ed.), As representações sociais (pp. 241-259). Rio de Janeiro: EDUERJ.
López-Sierra, H. E., & Rodríguez-Sánchez, J. (2015). The supportive roles of religion and spirituality in end-of-life and palliative care of patients with cancer in a culturally diverse context: A literature review. Current Opinion in Supportive and Palliative Care, 9(1), 87-95. doi:https://doi.org/10.1097/SPC.0000000000000119
Lucchetti, G., Lucchetti, A. L. G., Gonçalves, J. P. B., & Vallada, H. P. (2015). Validation of the Portuguese version of the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being scale (FACIT-Sp 12) among Brazilian psychiatric inpatients. Journal of Religion and Health, 54(1), 112-121. doi:https://doi.org/10.1007/s10943-013-9785-z
Mello, M. L., & Oliveira, S. S. (2013). Health, religion and culture: A dialogue based on Afro-Brazilian customs. Saúde e Sociedade, 22(4), 1024-1035. doi:https://doi.org/10.1590/S0104-12902013000400006
Mesquita, A. C., Chaves, É. D. C. L., Avelino, C. C. V., Nogueira, D. A., Panzini, R. G., & Carvalho, E. C. D. (2013). The use of religious/spiritual coping among patients with cancer undergoing chemotherapy treatment. Revista Latino-Americana de Enfermagem, 21(2), 539-545. doi:https://doi.org/10.1590/S0104-11692013000200010
Movafagh, A., Heidari, M. H., Abdoljabbari, M., Mansouri, N., Taghavi, A., Karamatinia, A., . . . Ghazi, M. (2017). Spiritual Therapy in Coping with Cancer as a Complementary Medical Preventive Practice. Journal of Cancer Prevention, 22(2), 82. doi:https://doi.org/10.15430/JCP.2017.22.2.82
Nejat, N., Whitehead, L., & Crowe, M. (2017). The use of spirituality and religiosity in coping with colorectal cancer. Contemporary Nurse, 53(1), 48-59. doi:https://doi.org/10.1080/10376178.2016.1276401
Salsman, J. M., Pustejovsky, J. E., Jim, H. S., Munoz, A. R., Merluzzi, T. V., Park, C. L., . . . Fitchett, G. (2015). A meta‐analytic approach to examining the correlation between religion/spirituality and mental health in cancer. Cancer, 121, 3769-3778. doi:https://doi.org/10.1002/cncr.29350
Sousa, F. F. D. P. R., Freitas, S. M. F. D. M., Farias, A. G. D. S., Cunha, M. D. C. D. S., Araújo, M. F. M. D., & Veras, V. S. (2017). Enfrentamento religioso/espiritual em pessoas com câncer em quimioterapia: revisão integrativa da literatura. SMAD: Revista Eletrônica Saúde Mental Álcool e Drogas, 13(1), 45-51. doi:https://doi.org/10.11606/issn.1806-6976.v13i1p45-51
Taunay, T. C. D., Gondim, F. D. A. A., Macêdo, D. S., Moreira-Almeida, A., Gurgel, L. D. A., Andrade, L. M. S., & Carvalho, A. F. (2012). Validação da versão brasileira da escala de religiosidade de Duke (DUREL). Revista de Psiquiatria Clínica, 39(4), 130-135. doi:https://doi.org/10.1590/S0101-60832012000400003
Weaver, M. S., & Wratchford, D. (2017). Spirituality in adolescent patients. Annals of Palliative Medicine, 6(3), 270-278. doi:https://doi.org/10.21037/apm.2017.05.09
Whitford, H. S., & Olver, I. N. (2012). The multidimensionality of spiritual wellbeing: Peace, meaning, and faith and their association with quality of life and coping in oncology. Psycho-Oncology, 21(6), 602-610. doi:https://doi.org/10.1002/pon.1937
Zabora, J., BrintzenhofeSzoc, K., Curbow, B., Hooker, C., & Piantadosi, S. (2001). The prevalence of psychological distress by cancer site. Psycho-Oncology, 10(1), 19-28. doi:https://doi.org/10.1002/1099-1611(200101/02)10:1<19::AID-PON501>3.0.CO;2-6
Zebrack, B., Mathews-Bradshaw, B., & Siegel, S. (2010). Quality cancer care for adolescents and young adults: A position statement. Journal of Clinical Oncology, 28(32), 4862-4867. doi:https://doi.org/10.1200/JCO.2010.30.5417
Publicado
Cómo citar
Número
Sección
Licencia
Os artigos publicados na Revista Psicologia e Saúde têm acesso aberto (Open Access) sob a licença Creative Commons Attribution, que permite uso, distribuição e reprodução em qualquer meio, sem restrições, desde que o trabalho original seja corretamente citado.