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Title: Psychological distress and resilience in patients with advanced cancer during the Covid-19 pandemic: the mediating role of spirituality
Author: Mihic-Góngora, Luka
Jiménez Fonseca, Paula
Hernández, Raquel
Gil-Raga, Mireia
Pacheco-Barcia, Vilma
Manzano Fernández, Aránzazu
Hernando Polo, Susana
Antoñanzas Basa, Mónica
Corral, María-José
Valero-Arbizu, María
Calderón Garrido, Caterina
Keywords: Malalts de càncer
Tractament pal·liatiu
Resiliència (Tret de la personalitat)
Cancer patients
Palliative treatment
Resilience (Personality trait)
Issue Date: 13-Aug-2022
Publisher: BioMed Central
Abstract: Background: The purpose of this study was to investigate the sociodemographic factors related to psychological distress, spirituality, and resilience, and to examine the mediating role of spirituality with respect to psychological distress and resilience in patients with advanced, unresectable cancer during the Covid-19 pandemic. Methods: A prospective, cross-sectional design was adopted. Data were collected from 636 participants with advanced cancer at 15 tertiary hospitals in Spain between February 2019 and December 2021. Participants completed self-report measures: Brief Resilient Coping Scale (BRCS), Brief Symptom Inventory (BSI-18), and Spiritual well-being (FACIT-Sp). Hierarchical linear regression models were used to explore the mediating role of spirituality. Results: Spirituality was significantly different according to the person's age and marital status. Psychological distress accounted for 12% of the variance in resilience (β = − 0.32, p < 0.001) and spirituality, another 15% (β =0.48, p < 0.001). Spirituality acted as a partial mediator in the relationship between psychological distress and resilience in individuals with advanced cancer. Conclusions: Both psychological distress and spirituality played a role in resilience in cases of advanced cancer. Spirituality can help promote subjective well-being and increased resilience in these subjects.
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It is part of: BMC Palliative Care, 2022, vol. 21, p. 146
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ISSN: 1472-684X
Appears in Collections:Articles publicats en revistes (Psicologia Clínica i Psicobiologia)

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