The relationship between cancer patients' spiritual needs, quality of life and depression levels: A correlational study

Palliat Support Care. 2025 Nov 7:23:e201. doi: 10.1017/S1478951525100989.

Abstract

Objectives: This study was conducted to examine the relationship between cancer patients' spiritual needs and their quality of life and depression levels.

Methods: This cross-sectional, exploratory study was conducted between March 2023 and November 2024. The study population consisted of cancer patients hospitalized in medical oncology departments at a university hospital in eastern Turkey. The sample consisted of 250 patients, determined by power analysis. To collect data, the "Demographic Information Form," "Spiritual Needs Assessment Scale," "EORTC QLQ-C30 Version 3.0 Quality of Life Scale," and "Beck Depression Scale" were used to evaluate the patients' sociodemographic characteristics and disease process.

Results: There was a weak, negative, statistically significant relationship between patients' spiritual needs and the subdimensions of the quality of life scale, specifically the general perceived health status (r = -0.297, p < 0.001), physical (r = -0.446, p < 0.001), role (r = -0.423, p < 0.001), emotional (r = -0.472, p < 0.001), cognitive (r = -0.458, p < 0.001) and social (r = -0.443, p < 0.001) functions, and finally, a weak positive correlation was found between the symptoms experienced (r = 0.376, p < 0.001) and depression levels. Additionally, a weak positive correlation between spiritual needs and depression level (r = 0.374, p < 0.001) was identified. Functional areas, depression, education level, diagnosis duration, and symptoms were identified as variables predicting spiritual needs.

Significance of results: In conclusion, it was determined that as the spiritual needs of cancer patients increased, their quality of life decreased and the severity of depression increased.

Keywords: Depression; cancer; patient; quality of life; spiritual needs.

MeSH terms

  • Adult
  • Aged
  • Cross-Sectional Studies
  • Depression* / complications
  • Depression* / etiology
  • Depression* / psychology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neoplasms* / complications
  • Neoplasms* / psychology
  • Psychometrics / instrumentation
  • Psychometrics / methods
  • Quality of Life* / psychology
  • Spirituality*
  • Surveys and Questionnaires
  • Turkey