Summary
Adjusting to cancer: the role of spirituality
Spirituality can play an important role in adjusting to a life-threatening disease such as cancer. In this review, research in this area is summarized. Spirituality has been demonstrated to be positively associated with quality of life, coping, and hope. Negative correlations have been found with anxiety, depression, end-of-life despair, and physical symptoms. However, interpretation of these results is somewhat complicated by the conceptual vagueness of the concept of spirituality, its confusing relationship with religiosity, and the limitations of the – mainly American - instruments used. The development of a Dutch spirituality questionnaire and its use among cancer patients is needed to further clarify the role spirituality plays in adjusting to this disease in Dutch society.
Similar content being viewed by others
Literatuur
Antonovsky, A. (1979). Health, stress and coping. San Francisco, CA: Jossey-Bass.
Antonovsky, A. (1987). Unraveling the mystery of health. San Francisco, CA: Jossey-Bass.
Baider, L., Russak, S. M., Perry, S., Kash, K., Gronert, M., Fox, B., Holland, J., & KaplanDenour, A. (1999). The role of religious and spiritual beliefs in coping with malignant melanoma: An Israeli sample. Psycho-Oncology, 8,27–35.
Brady, M. J., Peterman, A. H., Fitchett, G., Mo, M., & Cella, D. (1999). A case for including spirituality in quality of life measurement in oncology. Psycho-Oncology, 8,417–428.
Chibnall, J. T., Videen, S. D., Duckro, P. N., & Miller, D. K. (2002). Psychosocial-spiritual correlates of death distress in patients with lifethreatening medical conditions. Palliative Medicine, 16,331–338.
Cotton, S. P., Levine, E. G., Fitzpatrick, C. M., Dold, K. H., & Targ, E. (1999). Exploring the relationships among spiritual well-being, quality of life, and psychological adjustment in women with breast cancer. Psycho-Oncology, 8,429-438.
Daugherty, T. K., Sherenco, K., Davis, H., & McClelland, M. (2003). Physicians’ perceptions of compliance and attitudes toward complementary care. Psychological Reports, 93,479-480.
Drayer, E. (2004, Oktober 21). Gods Woord heeft steeds minder lezers. Trouw.
Dyson, J., Cobb, M., & Forman, D. (1997). The meaning of spirituality: A literature review. Journal of Advanced Nursing, 26,1183-1188.
Efficace, F., & Marrone, R. (2002). Spiritual issues and quality of life assessment in cancer care. Death Studies, 26,743-756.
Elkins, D. N., Hedstrom, L. J., Hughes, L. L., Leaf, J. A., & Saunders, C. (1988). Toward a humanistic phenomenological spirituality. Definition, description, and measurement. Journal of Humanistic Psychology, 28,5-18.
Ellison, C. W. (1983). Spiritual wellbeing: Conceptualization and measurement. Journal of Psychology and Theology, 11, 330–340.
Fernsler, J. I., Klemm, P., & Miller, M. A. (1999). Spiritual well-being and demands of illness in people with colorectal cancer. Cancer Nursing, 22, 134–140.
Gall, T. L., & Cornblat, M. W. (2002). Breast cancer survivors give voice: A qualitative analysis of spiritual factors in long-term adjustment. Psycho-Oncology, 11,524–535.
Garssen, B., Dierendonck, D. van, & Tromp, S. (2001). Meten van spirituele ervaringen. Aspecten van en vragenlijsten over spiritualiteit. Gedrag & Gezondheid, 29,211–227.
George, L. K., Larson, D. B., Koenig, H. G., & McCullough, M. E. (2000). Spirituality and health: What we know, what we need to know. Journal of Social and Clinical Psychology, 19,102–116.
Gioiella, M. E., Berkman, B., & Robinson, M. (1998). Spirituality and quality of life in gynecologic oncology patients. Cancer Practice, 6,333–338.
Haes, J. C. J. M. de, Gualtherie van Weezel, L. M., Sanderman, R., & Wiel, H. B. M. van de (2001). Psychologische patiëntenzorg in de oncologie. Handboek voor de professional.Assen: Van Gorcum BV.
Holland, J. C., Kash, K. M., Passik, S., Gronert, M. K., Sison, A., Lederberg, M., Russak, S. M., Baider, L., & Fox, B. (1998). A brief spiritual beliefs inventory for use in quality of life research in life-threatening illness. Psycho-Oncology, 7, 460–469.
Holland, J. C., Passik, S., Kash, K. M., Russak, S. M., Gronert, M. K., Sison, A., Lederberg, M., Fox, B., & Baider, L. (1999). The role of religious and spiritual beliefs in coping with malignant melanoma. Psycho-Oncology, 8,14–26.
Howden, J. W. (1992). Development and psychometric characteristics of the Spirituality Assessement Scale.Ann Arbor (Texas Woman’s University), MI: UMI Dissertation Services.
Lazarus, R. S., & Folkman, S (1984). Stress, appraisal and coping.New York, NY: Springer Academic Publishing.
Kaczorowski, J. M. (1989). Spiritual well-being and anxiety in adults diagnosed with cancer. The Hospice Journal, 5,105–116.
Laubmeier, K. K., Zakowski, S. G., & Bair, J. P. (2004). The role of spirituality in the psychological adjustment to cancer: A test of the transactional model of stress and coping. International Journal of Behavioral Medicine, 11,48–55.
Leeuwen, R. R., Tiesinga, L. J., Jochemsen, H., & Post, D. (2004). De samenhang tussen spiritualiteit en gezondheid bij patiënten met lichamelijke aandoeningen. Tijdschrift voor Gezondheidswetenschappen, 82,307–316.
MacDonald, D. A. (2000). Spirituality: Description, measurement, and relation to the five factor model of personality. Journal of Personality, 68,154–197.
MacDonald, D. A., Friedman, H. L., & Kuentzel, J. G. (1999). A survey of measures of spiritual and transpersonal constructs: Part one - research update. Journal of Transpersonal Psychology, 31,137–154.
MacDonald, D. A., Kuentzel, J. G., & Friedman, H. L. (1999). A survey of measures of spiritual and transpersonal constructs: Part two - additional instruments. Journal of Transpersonal Psychology, 31,155–178.
MacDonald, D. A., LeClair, L., Holland, C. J., Alter, A., & Friedman, H. L. (1995). A survey of measures of transpersonal constructs. Journal of Transpersonal Psychology, 27,171–235.
McClain, C., Rosenfeld, B., & Breitbart, W. (2003). Effect of spiritual well-being on end-of-life despair in terminally-ill cancer patients. Lancet, 361,1603–1607.
McClain-Jacobson, C., Rosenfeld, B., Kosinski, A., Pessin, H., Cimino, J. E., & Breitbart, W. (2004). Belief in an afterlife, spiritual well-being and end-of-life despair in patients with advanced cancer. General Hospital Psychiatry, 26,484–486.
Meraviglia, M. G. (2004). The effects of spirituality on well-being of people with lung cancer. Oncology Nursing Forum, 31,89.
Mickley, J. R., Soeken, K., & Belcher, A. (1992). Spiritual well-being, religiousness and hope among women with breast cancer. IMAGE: Journal of Nursing Scholarship, 24,267–272.
Miller, W. R., & Thoresen, C. E. (2003). Spirituality, religion, and health - An emerging research field. American Psychologist, 58,24–35.
Mueller, P. S., Plevak, D. J., & Rummans, T. A. (2001). Religious involvement, spirituality, and medicine: Implications for clinical practice. Mayo Clinic Proceedings, 76,1225–1235.
Mytko, J. J., & Knight, S. J. (1999). Body, mind and spirit: Towards the integration of religiosity and spirituality in cancer quality of life research. Psycho-Oncology, 8,439–450.
Nelson, C. J., Rosenfeld, B., Breitbart, W., & Galietta, M. (2002). Spirituality, religion, and depression in the terminally ill. Psychosomatics, 43,213–220.
Richardson Gibson, L. M., & Parker, V. (2003). Inner resources as predictors of psychological well-being in middle-income African American breast cancer survivors. Cancer Control, 10,52–59.
Schnoll, R. A., Harlow, L. L., & Brower, L. (2000). Spirituality, demographic and disease factors, and adjustment to cancer. Cancer Practice, 8,298–304.
Smith, E. D., Stefanek, M. E., Joseph, M. V., Verdieck, M. J., Zabora, J. R., & Fetting, J. H. (1993). Spiritual awareness, personal perspective on death, and psychosocial distress among cancer patients: An initial investigation. Journal of Psychosocial Oncology, 11,89–103.
Strang, S., & Strang, P. (2001). Spiritual thoughts, coping and ’sense of coherence’ in brain tumour patients and their spouses. Palliative Medicine, 15,127–134.
Surtees, P., Wainwright, N., Luben, R., Khaw, K. T., & Day, N. (2003). Sense of coherence and mortality in men and women in the EPIC-Norfolk United Kingdom prospective cohort study. American Journal of Epidemiology, 158,1202–1209.
Thoresen, C. E., & Harris, A. H. S. (2002). Spirituality and health: What’s the evidence and what’s needed? Annals of Behavioral Medicine, 24,3–13.
Varner, A. (2004). Spirituality and religion among lesbian women diagnosed with cancer: A qualitative study. Journal of Psychosocial Oncology, 22,75–89.
Vickberg, S. M. J., DuHamel, K. N., Smith, M. Y., Manne, S. L., Winkel, G., Papadopoulos, E. B., & Redd, W. H. (2001). Global meaning and psychological adjustment among survivors of bone marrow transplant. Psycho-Oncology, 10,29–39.
Waaijman, K. (2000). Spiritualiteit - vormen, grondslagen, methoden.Kampen: Kok.
Zinnbauer, B. J., Pargament, K. I., Cole, B., Rye, M. S., Butter, E. M., Belavich, T. G., Hipp, K. M., Scott, A. B., & Kadar, J. L. (1997). Religion and spirituality: Unfuzzying the fuzzy. Journal for the Scientific Study of Religion, 36,549–564.
Zinnbauer, B. J., Pargament, K. I., & Scott, A. B. (1999). The emerging meanings of religiousness and spirituality: Problems and prospects. Journal of Personality, 67,889–919.
Author information
Authors and Affiliations
Additional information
Alle auteurs zijn verbonden aan het Helen Dowling Instituut, Centrum voor Psycho-oncologie, Utrecht. Correspondentieadres: Machteld van den Berg, Helen Dowling Instituut, Postbus 85061, 3508 AB Utrecht.
Rights and permissions
About this article
Cite this article
van den Berg, M., Garssen, B., Jager Meezenbroek, E. et al. Omgaan met kanker: de rol van spiritualiteit. GEGE 33, 87–93 (2005). https://doi.org/10.1007/BF03087893
Published:
Issue Date:
DOI: https://doi.org/10.1007/BF03087893