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Spiritual well-being in patients with advanced heart and lung disease

Published online by Cambridge University Press:  30 July 2012

E. Alessandra Strada ,
Peter Homel ,
Sharon Tennstedt ,
J. Andrew Billings  and
Russell K. Portenoy
E. Alessandra Strada*
Affiliation:
Department of Pain Medicine and Palliative Care, Beth Israel Medical Center, New York, New York
Peter Homel
Affiliation:
Department of Pain Medicine and Palliative Care, Beth Israel Medical Center, New York, New York
Sharon Tennstedt
Affiliation:
New England Research Institutes, Watertown Massachusetts
J. Andrew Billings
Affiliation:
Harvard Medical School Center for Palliative Care, Boston, Massachusetts
Russell K. Portenoy
Affiliation:
Department of Pain Medicine and Palliative Care, Beth Israel Medical Center, New York, New York
*
Address correspondence and reprint requests to: E. Alessandra Strada, Department of Pain Medicine and Palliative Care, Beth Israel Medical Center, 12 Baird Hall, 17th St. at 1st Ave., New York NY 10003. E-mail: Astrada23@gmail.com
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Abstract

Objective:

The purpose of this study was to evaluate levels of spiritual well-being over time in populations with advanced congestive heart failure (CHF) or chronic obstructive lung disease (COPD).

Method:

In a prospective, longitudinal study, patients with CHF or COPD (each n = 103) were interviewed at baseline and every 3 months for up to 30 months. At each interview, patients completed: the basic faith subscale of the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp) questionnaire, the Memorial Symptom Assessment Scale (MSAS), the Rand Mental Health Inventory (MHI), the Multidimensional Index of Life Quality (MILQ), the Sickness Impact Profile (SIP), and the Short Portable Mental Health Questionnaire (SPMSQ).

Result:

The mean age was 65 years, 59% were male, 78% were Caucasian, 50% were married, 29% lived alone, and there was no significant cognitive impairment. Baseline median FACIT-Sp score was 10.0 on a scale of 0–16. FACIT-Sp scores did not change over time and multivariate longitudinal analysis revealed higher scores for black patients and lower scores for those with more symptom distress on the MSAS-Global Distress Index (GDI) (both p = 0.02). On a separate multivariate longitudinal analysis, MILQ scores were positively associated with the FACIT-Sp and the MHI, and negatively associated with the MSAS-GDI and the SIP (all p-values < 0.001).

Significance of results:

In advanced CHF and COPD, spiritual well-being remains stable over time, it varies by race and symptom distress, and contributes to quality of life, in combination with symptom distress, mental health and physical functioning.

Keywords

Spiritual well-beingCOPDCHFPalliative careQuality of life
Type
Original Articles
Information
Palliative & Supportive Care , Volume 11 , Issue 3 , June 2013 , pp. 205 - 213
Copyright
Copyright © Cambridge University Press 2012 

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