The influence of spirituality on psychological resilience in cancer patients undergoing oncological treatment: a cross-sectional study
Abstract
Spirituality and resilience have been studied as possible factors influencing psychological adjustment in cancer patients. However, the evidence on their relationship remains inconsistent, and their impact in this context is not fully established. This study assessed the influence of spirituality on psychological resilience in cancer patients undergoing chemotherapy and/or radiotherapy. This cross-sectional observational study included 170 oncology outpatients who were receiving chemotherapy and/or radiotherapy at a specialized oncology center in Peru. Spirituality was measured with the Spiritual Perspective Scale (SPS) and resilience with the Wagnild and Young Resilience Scale. Spearman correlation coefficient (rs) analyses and multiple linear regression models adjusted for age, gender, educational level, socioeconomic status, clinical stage, and comorbidities were applied. A significant positive correlation was found between spirituality and resilience (rs=0.53, p < 0.001). The spiritual beliefs dimension exhibited a stronger association with resilience (rs=0.56, p < 0.001) compared to spiritual practices (rs=0.28, p < 0.001). In the multivariate analysis, spiritual beliefs (β = 2.38; 95%CI: 1.92–2.83) and a higher educational level (β = 12.61; 95%CI: 6.27–18.95) were significant predictors of higher resilience. Spirituality, particularly spiritual beliefs, had a positive influence on resilience in cancer patients, regardless of educational level. These findings enhance…
How strong is the evidence?
Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause.
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