Spirituality, Patients' Worry, and Follow-Up Health-Care Utilization among Cancer Survivors

Anthony J. Cannon, Deborah L. Darrington, Elizabeth C. Reed, Fausto R. Loberiza

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Background: Spirituality may aid cancer survivors as they attempt to interpret the meaning of their experience. Objective: We examined the relationship between spirituality, patient-rated worry, and health-care utilization among 551 cancer survivors with different malignancies, who were evaluated prospectively. Methods: Baseline spirituality scores were categorized into low and high spirituality groups. Patient-rated worries regarding disease recurrence/progression, developing new cancer, and developing complications from treatment were collected at baseline and at 6 and 12 months. Follow-up health-care utilization was also examined at 6 and 12 months. Results: Among the survivors, 271 (49%) reported low spirituality and 280 (51%) reported high spirituality. Of the cohort, 59% had some kind of worry regarding disease recurrence/progression, development of new cancers, and treatment complications. Highly spiritual survivors were less likely to have high levels of worries at both 6 and 12 months. Highly worried survivors were significantly more likely to place phone calls to their follow-up providers and had more frequent follow-up visits at 6 and 12 months. No interactions between spirituality and level of worry were noted to affect follow-up health-care utilization. Conclusion: Given spirituality's effect on anxiety, spirituality-based intervention may have a role in addressing cancer survivors' worries but may not improve health-care utilization.

Original languageEnglish (US)
Pages (from-to)141-148
Number of pages8
JournalJournal of Supportive Oncology
Volume9
Issue number4
DOIs
StatePublished - Jul 1 2011

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Patient Acceptance of Health Care
Aftercare
Spirituality
Survivors
Neoplasms
Disease Progression
Recurrence
Anxiety

ASJC Scopus subject areas

  • Oncology
  • Pharmacology (medical)

Cite this

Spirituality, Patients' Worry, and Follow-Up Health-Care Utilization among Cancer Survivors. / Cannon, Anthony J.; Darrington, Deborah L.; Reed, Elizabeth C.; Loberiza, Fausto R.

In: Journal of Supportive Oncology, Vol. 9, No. 4, 01.07.2011, p. 141-148.

Research output: Contribution to journalArticle

Cannon, Anthony J. ; Darrington, Deborah L. ; Reed, Elizabeth C. ; Loberiza, Fausto R. / Spirituality, Patients' Worry, and Follow-Up Health-Care Utilization among Cancer Survivors. In: Journal of Supportive Oncology. 2011 ; Vol. 9, No. 4. pp. 141-148.
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