The interface between psychology and spirituality in palliative care

In palliative care, a biopsychosocial-spiritual model is essential to address the patient in totality. Spirituality is often a relevant issue in such settings, yet there is a need to differentiate spirituality from religion. Spirituality in palliative care focuses on the psychological and spiritual aspects of care, helping to relieve the physical, emotional, social and spiritual distresses of the patient, family members and healthcare professionals, produced in such conditions. Psychologists, according to their ethical responsibilities, may include the assessment of their patients’ spiritual needs in therapy, as it will help to identify the patients’ values, belief systems, spiritual history, distress and needs. All patients have different needs, some may need religious/spiritual guidance, in collaboration with spiritual care workers, and others may not demonstrate needs regarding these issues. The essential is that each patient is treated as a ‘whole’, addressing his physical, psychological, social and spiritual needs.

[1]  A. Pascual,et al.  Spirituality in patients with advanced illness: The role of symptom control, resilience and social network , 2016, Journal of health psychology.

[2]  A. Kagee,et al.  Coping strategies employed by women with endometriosis in a public health-care setting , 2016, Journal of health psychology.

[3]  S. Bashir,et al.  Bullying, internalized hepatitis (Hepatitis C virus) stigma, and self-esteem: Does spirituality curtail the relationship in the workplace , 2016, Journal of health psychology.

[4]  B. Piko,et al.  A reason to eat healthy: The role of meaning in life in maintaining homeostasis in modern society , 2016, Health psychology open.

[5]  D. F. Marks,et al.  Dyshomeostasis, obesity, addiction and chronic stress , 2016, Health psychology open.

[6]  K. Pargament,et al.  Pain, mindfulness, and spirituality: A randomized controlled trial comparing effects of mindfulness and relaxation on pain-related outcomes in migraineurs , 2015, Journal of health psychology.

[7]  Robert G. Mundle A narrative analysis of spiritual distress in geriatric physical rehabilitation , 2015, Journal of health psychology.

[8]  V. Talwar,et al.  Definitional ceremonies: Narrative practices for psychologists to inform interdisciplinary teams’ understanding of children’s spirituality in pediatric settings , 2015, Journal of health psychology.

[9]  K. Thygesen,et al.  The role of religious faith, spirituality and existential considerations among heart patients in a secular society: Relation to depressive symptoms 6 months post acute coronary syndrome , 2014, Journal of health psychology.

[10]  G. Anandarajah,et al.  Spirituality and coping with chronic disease in pediatrics. , 2014, Rhode Island medical journal.

[11]  Patrice Richardson Spirituality, religion and palliative care. , 2014, Annals of palliative medicine.

[12]  Crystal L. Park The Meaning Making Model: A framework for understanding meaning, spirituality, and stress-related growth in health psychology , 2013 .

[13]  F. Hopp,et al.  Existential relatedness in light of eudemonic well-being and religious coping among middle-aged and older cardiac patients , 2013, Journal of health psychology.

[14]  K. Bennett,et al.  Depression in Australian women: The varied roles of spirituality and social support , 2013, Journal of health psychology.

[15]  C. Long Cultural and spiritual considerations in palliative care. , 2011, Journal of pediatric hematology/oncology.

[16]  A. Edwards,et al.  Review: The understanding of spirituality and the potential role of spiritual care in end-of-life and palliative care: a meta-study of qualitative research , 2010, Palliative medicine.

[17]  H. Chochinov,et al.  Improving the quality of spiritual care as a dimension of palliative care: the report of the Consensus Conference. , 2009, Journal of palliative medicine.

[18]  P. Maciejewski,et al.  Religious coping and use of intensive life-prolonging care near death in patients with advanced cancer. , 2009, JAMA.

[19]  A. Wachholtz,et al.  Does spirituality as a coping mechanism help or hinder coping with chronic pain? , 2009, Current pain and headache reports.

[20]  John E. Perez,et al.  Spiritual Striving, Acceptance Coping, and Depressive Symptoms among Adults Living with HIV/AIDS , 2009, Journal of health psychology.

[21]  Kathleen A. Lawler-Row,et al.  The Role of Religious Activity and Spirituality in the Health and Well-being of Older Adults , 2009, Journal of health psychology.

[22]  T. Bush,et al.  Spiritual care as a dimension of holistic care: a relational interpretation. , 2008, International journal of palliative nursing.

[23]  Mario Aletti Atendimento psicológico e direção espiritual: semelhanças, diferenças, integrações e... confusões , 2008 .

[24]  I. Higginson,et al.  Psychological, social and spiritual distress at the end of life in heart failure patients , 2007, Current opinion in supportive and palliative care.

[25]  T. Plante Integrating spirituality and psychotherapy: ethical issues and principles to consider. , 2007, Journal of clinical psychology.

[26]  D. Becker,et al.  Spiritual Well-Being and Depression in Patients with Heart Failure , 2007, Journal of General Internal Medicine.

[27]  K. Dobson,et al.  Psychology, Spirituality, and End-of-Life Care: An Ethical Integration? , 2006 .

[28]  Anna-leila Williams,et al.  Perspectives on spirituality at the end of life: A meta-summary , 2006, Palliative and Supportive Care.

[29]  D. Sulmasy Spiritual issues in the care of dying patients: ". . . it's okay between me and god". , 2006, JAMA.

[30]  Judy Opatik Scott,et al.  A needs assessment: Fellowship Directors Forum of the American Academy of Hospice and Palliative Medicine. , 2006, Journal of palliative medicine.

[31]  J. Pereira,et al.  Collective soul: The spirituality of an interdisciplinary palliative care team , 2006, Palliative and Supportive Care.

[32]  J. Beilby,et al.  The impact of the hospice environment on patient spiritual expression. , 2005, Oncology nursing forum.

[33]  G. Ano,et al.  Religious coping and psychological adjustment to stress: a meta-analysis. , 2005, Journal of clinical psychology.

[34]  G. Borasio,et al.  Effects of spiritual care training for palliative care professionals , 2005, Palliative medicine.

[35]  C. Puchalski,et al.  Spirituality, religion, and healing in palliative care. , 2004, Clinics in geriatric medicine.

[36]  Hospice National Consensus Project for Quality Palliative Care: Clinical Practice Guidelines for quality palliative care, executive summary. , 2004, Journal of palliative medicine.

[37]  H. Ten Have,et al.  Pastoral care, spirituality, and religion in palliative care journals , 2004, The American journal of hospice & palliative care.

[38]  S. Murray,et al.  Exploring the spiritual needs of people dying of lung cancer or heart failure: a prospective qualitative interview study of patients and their carers , 2004, Palliative medicine.

[39]  S. Murray,et al.  General practitioners and their possible role in providing spiritual care: a qualitative study. , 2003, The British journal of general practice : the journal of the Royal College of General Practitioners.

[40]  P. Mcgrath RELIGIOSITY AND THE CHALLENGE OF TERMINAL ILLNESS , 2003, Death studies.

[41]  Robert A Emmons,et al.  The psychology of religion. , 2003, Annual review of psychology.

[42]  C. Draucker,et al.  The Experience of Spirituality in the Lives of Hospice Patients , 2003 .

[43]  T. Hassard,et al.  Dignity in the terminally ill: a cross-sectional, cohort study , 2002, The Lancet.

[44]  D. Sulmasy A biopsychosocial-spiritual model for the care of patients at the end of life. , 2002, The Gerontologist.

[45]  K. Kaut Religion, Spirituality, and Existentialism Near the End of Life , 2002 .

[46]  J. Lomax,et al.  Ethical considerations in the integration of religion and psychotherapy: three perspectives. , 2002, The Psychiatric clinics of North America.

[47]  Stein Kaasa,et al.  The European Association for Palliative Care. , 2002, Journal of pain and symptom management.

[48]  C. Thoresen,et al.  ‘Does Religion Cause Health?’: Differing Interpretations and Diverse Meanings , 2002, Journal of health psychology.

[49]  K. Pargament,et al.  Religious struggle as a predictor of mortality among medically ill elderly patients: a 2-year longitudinal study. , 2001, Archives of internal medicine.

[50]  K. Dracup,et al.  Role of spirituality in adjustment of patients with advanced heart failure. , 2001, Progress in cardiovascular nursing.

[51]  D. Larson,et al.  Physicians and Patient Spirituality: Professional Boundaries, Competency, and Ethics , 2000, Annals of Internal Medicine.

[52]  K. Pargament,et al.  The many methods of religious coping: development and initial validation of the RCOPE. , 2000, Journal of clinical psychology.

[53]  W. Chappelle A Series of Progressive Legal and Ethical Decision-Making Steps for Using Christian Spiritual Interventions in Psychotherapy , 2000 .

[54]  Peter C. Hill,et al.  Conceptualizing Religion and Spirituality: Points of Commonality, Points of Departure , 2000 .

[55]  K. Pargament,et al.  The emerging meanings of religiousness and spirituality : Problems and prospects , 1999 .

[56]  D. Dollahite Fathering, Faith, and Spirituality , 1998 .

[57]  Susan Folkman,et al.  Meaning in the Context of Stress and Coping , 1997 .

[58]  L. Burton Religion and the Family: When God Helps , 1992 .

[59]  P. Smyth,et al.  Spirituality, Pastoral Care, and Religion: The Need for Clear Distinctions , 1988, Journal of palliative care.

[60]  S. Moran,et al.  Creating a spiritual tapestry: nurses' experiences of delivering spiritual care to patients in an Irish hospice. , 2009, International journal of palliative nursing.

[61]  A. Bergin,et al.  A spiritual strategy for counseling and psychotherapy, 2nd ed. , 2005 .

[62]  K. S. Beng The last hours and days of life: a biopsychosocial-spiritual model of care , 2004 .

[63]  P. Tatum,et al.  Spirituality and end-of-life care. , 2002, Missouri medicine.

[64]  M. Hagen,et al.  Ethical principles of psychologists and code of conduct. , 2002, The American psychologist.

[65]  G. Anandarajah,et al.  Spirituality and medical practice: using the HOPE questions as a practical tool for spiritual assessment. , 2001, American family physician.

[66]  C. Hermann Spiritual needs of dying patients: a qualitative study. , 2001, Oncology nursing forum.

[67]  M. McCullough,et al.  Handbook of Religion and Health , 2001 .

[68]  F Sommerville,et al.  Beyond Belief , 2018 .

[69]  Siang‐Yang Tan Religion in clinical practice: Implicit and explicit integration. , 1996 .

[70]  Edward P. Shafranske,et al.  Religion and the clinical practice of psychology: A case for inclusion. , 1996 .

[71]  C. Saunders,et al.  The management of terminal malignant disease , 1993 .

[72]  W. R. Matthews,et al.  Psychology and the church , 1925 .