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Journal of Holistic Nursing, Vol. 23, No. 2, 120-140 (2005)
DOI: 10.1177/0898010104272019
© 2005 American Holistic Nurses Association

Spiritual Struggle

Effect on Quality of Life and Life Satisfaction in Women With Breast Cancer

Juanita Manning-Walsh, Ph.D., R.N.

Western Michigan University Bronson School of Nursing

Background: Women with breast cancer experience stressors affecting quality of life (QOL) and life satisfaction. Little is known about effects of spiritual struggle as a coping strategy on QOL and life satisfaction.Purpose: Examine relationships between spiritual struggle, QOL, and life satisfaction.Method: Nonprobablility sample of 100 participants recruited from an Internet Web site with mailed questionnaires. Three instruments were used: breast cancer-specific version of Functional Assessment of Cancer Therapy Scale (FACT-B), Functional Assessment of Chronic Illness Therapy-Spiritual (FACIT-Sp-12) combined for QOL, Negative Coping subscale of Religious Coping (RCOPE) for spiritual struggle, and a single-item measuring life satisfaction.Findings: Small inverse relationships between spiritual struggle, QOL (r = -.36, p < .001), and life satisfaction (r = -.31, p < .001) existed.Conclusions:Spiritual struggle gives voice to women’s questionings implying lower QOL and life satisfaction.Implications: Assessment of and assistance with managing spiritual struggle are necessary to promote QOL and life satisfaction among those facing difficult health problems.

Key Words: breast cancer • quality of life • life satisfaction • spiritual struggle • coping


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