TY - JOUR
T1 - The frequency and correlates of spiritual distress among patients with advanced cancer admitted to an acute palliative care unit
AU - Hui, David
AU - de la Cruz, Maxine
AU - Thorney, Steve
AU - Parsons, Henrique A.
AU - Delgado-Guay, Marvin
AU - Bruera, Eduardo
PY - 2011/6
Y1 - 2011/6
N2 - Limited research is available on the frequency of spiritual distress and its relationship with physical and emotional distress. We reviewed patients admitted to our acute palliative care unit (APCU) and determined the association between patient characteristics, symptom severity using the Edmonton Symptom Assessment scale (ESAS), and spiritual distress as reported by a chaplain on initial visit. In all, 50 (44%) of 113 patients had spiritual distress. In univariate analysis, patients with spiritual distress were more likely to be younger (odds ratio [OR] = 0.96, P = .004), to have pain (OR = 1.2, P = .010) and depression (OR = 1.24, P = .018) compared to those without spiritual distress. Spiritual distress was associated with age (OR = 0.96, P = .012) and depression (OR = 1.27, P = .020) in multivariate analysis. Our findings support regular spiritual assessment as part of the interdisciplinary approach to optimize symptom control. The Author(s) 2011.
AB - Limited research is available on the frequency of spiritual distress and its relationship with physical and emotional distress. We reviewed patients admitted to our acute palliative care unit (APCU) and determined the association between patient characteristics, symptom severity using the Edmonton Symptom Assessment scale (ESAS), and spiritual distress as reported by a chaplain on initial visit. In all, 50 (44%) of 113 patients had spiritual distress. In univariate analysis, patients with spiritual distress were more likely to be younger (odds ratio [OR] = 0.96, P = .004), to have pain (OR = 1.2, P = .010) and depression (OR = 1.24, P = .018) compared to those without spiritual distress. Spiritual distress was associated with age (OR = 0.96, P = .012) and depression (OR = 1.27, P = .020) in multivariate analysis. Our findings support regular spiritual assessment as part of the interdisciplinary approach to optimize symptom control. The Author(s) 2011.
KW - advanced cancer
KW - depression
KW - distress
KW - palliative care
KW - spirituality
KW - symptoms
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U2 - 10.1177/1049909110385917
DO - 10.1177/1049909110385917
M3 - Article
C2 - 21057143
AN - SCOPUS:79958197095
SN - 1049-9091
VL - 28
SP - 264
EP - 270
JO - American Journal of Hospice and Palliative Medicine
JF - American Journal of Hospice and Palliative Medicine
IS - 4
ER -