Exploring the relationship between loneliness, spirituality, and health-related quality of life in Hispanic cancer caregivers

Jennifer J. King · Chris G. Segrin · Terry A. Badger · Cynthia A. Thomson

12 citations0/0 files storedSupportive Care in Cancer

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Religion, Spirituality, and Psychology Cancer survivorship and care Nursing care and research

Abstract

Caregivers of cancer patients find it challenging to perform their roles and to meet the demands of caregiving. Spirituality has been investigated as a potential coping strategy employed by caregivers, yet spirituality and related practices vary among cultural groups. In this study, we investigated the relationship between spirituality and health-related quality of life (HRQOL) and evaluated mediation effects of loneliness on this relationship. The sample was 234 lower socioeconomic status (SES) Hispanic caregivers of breast cancer survivors using existing data from the Support for Latinas with Breast Cancer and Their Intimate and Family Partners study, funded by the American Cancer Society (Badger, PI). A cross-sectional analysis was conducted at baseline, using self-reported spirituality, loneliness, and HRQOL data collected from 2012 to 2017. The exposures and outcomes were assessed using the Spiritual Well-Being Scale, the Social Isolation-Short Form 8a PROMIS Item Bank v2.0 scale, and the Global Health Scale PROMIS v.1.0/1.1 scale. Descriptive and mediation analyses using the Preacher and Hayes' approach were conducted to estimate the direct effect of spirituality on HRQOL and the indirect effect of spirituality through mediation of loneliness in relation to HRQOL. A positive association between spirituality and HRQOL was found, whereas loneliness was inversely associated with HRQOL (b = - .18, SE = .03, p < .0001). Age did not function as a moderator of the spirituality-HRQOL association in any of the models tested, but in the model testing mediation, loneliness was shown to mediate the association between spirituality and HRQOL (b = - .17, p < .0001). These results suggest that spirituality may be beneficial to HRQOL in caregivers of Hispanic breast cancer survivors, due in part to reduced loneliness among more spiritual caregivers.

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References

2010Loneliness Matters: A Theoretical and Empirical Review of Consequences and Mechanisms 2003Social Isolation and Health, with an Emphasis on Underlying Mechanisms 2003Loneliness and pathways to disease 2002Spiritual Development Across the Adult Life Course: Findings from a Longitudinal Study 2002Assessing and Measuring Spirituality: Confronting Dilemmas of Universal and Particular Evaluative Criteria 2013Loneliness Promotes Inflammation During Acute Stress 1979New approaches to social problems 1999Body, mind and spirit: towards the integration of religiosity and spirituality in cancer quality of life research

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