Spirituality and quality of life in women with breast cancer: The role of hope and educational attainment

Pahlevan Sharif S 1 , Lehto RH 2 , Amiri M 3 , Ahadzadeh AS 4 , Sharif Nia H 5 , Haghdoost AA 6 Show all authors , Khoshnavay Fomani F 7 , Goudarzian AH 8

Affiliations 

  • 1 Taylor's Business School, Taylor's University, Subang Jaya, Selangor, Malaysia
  • 2 College of Nursing, Michigan State University, East Lansing, MI, USA
  • 3 Faculty of Health & Medical Sciences, Taylor's University, Subang Jaya, Selangor, Malaysia
  • 4 Department of Journalism, Xiamen University Malaysia, Sepang, Selangor, Malaysia
  • 5 School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
  • 6 Social Determinants of Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
  • 7 School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  • 8 Psychiatric Nursing, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran
Palliat Support Care, 2021 02;19(1):55-61.
PMID: 32580795 DOI: 10.1017/S1478951520000383

Abstract

OBJECTIVE: This study investigated relationships among spirituality, hope, and overall quality of life in Muslim women with breast cancer in Malaysia.

METHOD: A cross-sectional descriptive design with a convenience sample of 145 Malay patients was used. The mediating role of hope in the relationship between spirituality and quality of life as well as the moderating effect of education level on the spirituality hope link were examined.

RESULTS: Participants with higher self-reported spirituality reported more hope (b = 6.345, p < 0.001) and higher levels of quality of life (b = 1.065, p < 0.001). Higher educational attainment weakened relationships between spirituality and hope (b = -1.460, p < 0.001).

SIGNIFICANCE OF RESULTS: The role of advanced education in contributing to lessened hope in relation to spirituality emphasizes the importance of skilled and personalized spiritual counseling in the respective socio-cultural religious context.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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