Kontakt 2024, 26(1):60-68 | DOI: 10.32725/kont.2024.011

Spiritual and religious interventions as a complementary and supportive therapy in women with breast cancer: an integrative literature reviewNursing - Review article

Mária Sováriová Soósová1, *, Renáta Suchanová1, Valéria Parová1, Zdenka Hertelyová2
1 Pavol Jozef ©afárik University in Koąice, Faculty of Medicine, Department of Nursing Care, Koąice, Slovak Republic
2 Pavol Jozef ©afárik University in Koąice, Faculty of Medicine, Department of Experimental Medicine, Koąice, Slovak Republic

Introduction: Effective coping mechanisms and available support systems are essential to managing the disease and maintaining the mental health of women with breast cancer. It has been found that spirituality and religion can be an important supportive element in coping with cancer and its consequences.

Aim: To analyse spiritual and religious (s/r) interventions provided by health care professionals to breast cancer patients, and their relationship to physical health, psychosocial, and spiritual outcomes.

Methods: Integrative literature review of systematic literature reviews and/or meta-analysis was chosen. PubMed and Web of Science databases for the period 2013-2023 after entering the keywords "spiritual, religious, existential, positive psychology, mindfulness, interventions, breast cancer, cancer" in English were searched.

Results: The review included 13 systematic reviews and/or meta-analyses (SRMA). Effect of mindfulness intervention was most frequently analysed. S/r interventions significantly associated with improvements in spiritual and existential well-being, quality of life and personal well-being, hope, optimism, cognitive functions and reductions of anxiety, depression, hopelessness, stress, and fatigue. Two SRMA found that s/r interventions were associated with improvements in cortisol levels, inflammatory cytokine activity, and lymphocyte function.

Conclusion: The analysed studies showed that s/r interventions are associated with improved biological, psychosocial and spiritual outcomes, which supports the application of these interventions in clinical practice.

Keywords: Breast cancer; Mental health; Physical health; Quality of life; Spiritual and religious interventions
Grants and funding:

This study was supported by the research project VEGA 1/0622/20: Study of molecular and metabolic profile of breast cancer, awarded by the Scientific Grant Agency of the Ministry of Education, Science, Research and Sport of the Slovak Republic and the Slovak Academy of Sciences.

Conflicts of interest:

The authors have no conflict of interest to declare.

Received: September 20, 2023; Revised: November 24, 2023; Accepted: February 5, 2024; Prepublished online: March 1, 2024; Published: March 15, 2024  Show citation

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Sováriová Soósová M, Suchanová R, Parová V, Hertelyová Z. Spiritual and religious interventions as a complementary and supportive therapy in women with breast cancer: an integrative literature review. Kontakt. 2024;26(1):60-68. doi: 10.32725/kont.2024.011.
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    References

    1. Almeida M, Ramos C, Maciel L, Basto-Pereira M, Leal I (2022). Meaning in life, meaning-making and posttraumatic growth in cancer patients: Systematic review and meta-analysis. Front Psychol 13: 995981. DOI: 10.3389/fpsyg.2022.995981. Go to original source... Go to PubMed...
    2. Amin MB, Greene FL, Edge SB, Compton CC, Gershenwald JE, Brookland RK, et al. (2017). The Eighth Edition AJCC Cancer Staging Manual: Continuing to build a bridge from a population-based to a more "personalized" approach to cancer staging. CA Cancer J Clin 67(2): 93-99. DOI: 10.3322/caac.21388. Go to original source... Go to PubMed...
    3. Aromataris E, Fernandez R, Godfrey CM, Holly C, Khalil H, Tungpunkom P (2015). Summarizing systematic reviews: methodological development, conduct and reporting of an umbrella review approach. Int J Evid Based Healthc 13(3): 132-140. DOI: 10.1097/XEB.0000000000000055. Go to original source... Go to PubMed...
    4. Bauereiß N, Obermaier S, Özünal SE, Baumeister H (2018). Effects of existential interventions on spiritual, psychological, and physical well-being in adult patients with cancer: Systematic review and meta-analysis of randomized controlled trials. Psychooncology 27(11): 2531-2545. DOI: 10.1002/pon.4829. Go to original source... Go to PubMed...
    5. Brandão ML, Fritsch TZ, Toebe TRP, Rabin EG (2021). Association between spirituality and quality of life of women with breast cancer undergoing radiotherapy. Rev Esc Enferm USP 55: e20200476. DOI: 10.1590/1980-220X-REEUSP-2020-0476. Go to original source... Go to PubMed...
    6. Breitbart W, Rosenfeld B, Pessin H, Applebaum A, Kulikowski J, Lichtenthal WG (2015). Meaning-centered group psychotherapy: an effective intervention for improving psychological well-being in patients with advanced cancer. J Clin Oncol 33(7): 749-754. DOI: 10.1200/JCO.2014.57.2198. Go to original source... Go to PubMed...
    7. Casellas-Grau A, Font A, Vives J (2014). Positive psychology interventions in breast cancer. A systematic review. Psychooncology 23(1): 9-19. DOI: 10.1002/pon.3353. Go to original source... Go to PubMed...
    8. Castanhel FD, Liberali R (2018). Mindfulness-Based Stress Reduction on breast cancer symptoms: systematic review and meta-analysis. Einstein (Sao Paulo). 16(4): eRW4383. DOI: 10.31744/einstein_journal/2018RW4383. Go to original source... Go to PubMed...
    9. Chang YC, Yeh TL, Chang YM, Hu WY (2021). Short-term Effects of Randomized Mindfulness-Based Intervention in Female Breast Cancer Survivors: A Systematic Review and Meta-analysis. Cancer Nurs 44(6): E703-E714. DOI: 10.1097/NCC.0000000000000889. Go to original source... Go to PubMed...
    10. Chang YC, Tseng TA, Lin GM, Hu WY, Wang CK, Chang YM (2023). Immediate impact of Mindfulness-Based Cognitive Therapy (MBCT) among women with breast cancer: a systematic review and meta-analysis. BMC Womens Health 23(1): 331. DOI: 10.1186/s12905-023-02486-x. Go to original source... Go to PubMed...
    11. Cheavens JS, Whitted WM (2023). Hope therapy. Curr Opin Psychol 49: 101509. DOI: 10.1016/j.copsyc.2022.101509. Go to original source... Go to PubMed...
    12. Cheng X, Wei S, Zhang H, Xue S, Wang W, Zhang K (2018). Nurse-led interventions on quality of life for patients with cancer: A meta-analysis. Medicine (Baltimore) 97(34): e12037. DOI: 10.1097/MD.0000000000012037. Go to original source... Go to PubMed...
    13. Cifu G, Power MC, Shomstein S, Arem H (2018). Mindfulness-based interventions and cognitive function among breast cancer survivors: a systematic review. BMC Cancer 18(1): 1163. DOI: 10.1186/s12885-018-5065-3. Go to original source... Go to PubMed...
    14. Cramer H, Lauche R, Klose P, Lange S, Langhorst J, Dobos GJ (2017). Yoga for improving health-related quality of life, mental health and cancer-related symptoms in women diagnosed with breast cancer. Cochrane Database Syst Rev 1(1): CD010802. DOI: 10.1002/14651858.CD010802.pub2. Go to original source... Go to PubMed...
    15. de Diego-Cordero R, Suárez-Reina P, Badanta B, Lucchetti G, Vega-Escaño J (2022). The efficacy of religious and spiritual interventions in nursing care to promote mental, physical and spiritual health: A systematic review and meta-analysis. Appl Nurs Res 67: 151618. DOI: 10.1016/j.apnr.2022.151618. Go to original source... Go to PubMed...
    16. Dos Santos FC, Macieira TGR, Yao Y, Hunter S, Madandola OO, Cho H, et al. (2022). Spiritual Interventions Delivered by Nurses to Address Patients' Needs in Hospitals or Long-Term CareFacilities: A Systematic Review. J Palliat Med 5(4): 662-677. DOI: 10.1089/jpm.2021.0578. Go to original source... Go to PubMed...
    17. El-Hashimi D, Gorey KM (2019). Yoga-Specific Enhancement of Quality of Life Among Women With Breast Cancer: Systematic Review and Exploratory Meta-Analysis of Randomized Controlled Trials. J Evid Based Integr Med 24: 2515690X19828325. DOI: 10.1177/2515690X19828325 Go to original source... Go to PubMed...
    18. Firkins J, Hansen L, Driessnack M, Dieckmann N (2020). Quality of life in "chronic" cancer survivors: a meta-analysis. J Cancer Surviv 14(4): 504-517. DOI: 10.1007/s11764-020-00869-9. Go to original source... Go to PubMed...
    19. Frankl VE (2011). Hµadanie zmyslu ľivota: napriek vąetkému poveda» ľivotu áno. Bratislava: Eastone Book, 152 p.
    20. Gao Y, Wei Y, Yang W, Jiang L, Li X, Ding J, Ding G (2019). The Effectiveness of Music Therapy for Terminally Ill Patients: A Meta-Analysis and Systematic Review. J Pain Symptom Manag 57(2): 319-329. DOI: 10.1016/j.jpainsymman.2018.10.504. Go to original source... Go to PubMed...
    21. GBD 2019 Diseases and Injuries Collaborators (2020). Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet 396(10258): 1204-1222. DOI: 10.1016/S0140-6736(20)30925-9. Go to original source... Go to PubMed...
    22. Haller H, Winkler MM, Klose P, Dobos G, Kümmel S, Cramer H (2017). Mindfulness-based interventions for women with breast cancer: an updated systematic review and meta-analysis. Acta Oncol 56(12): 1665-1676. DOI: 10.1080/0284186X.2017.1342862. Go to original source... Go to PubMed...
    23. Hallford DJ, Hardgrove S, Sanam M, Oliveira S, Pilon M, Duran T (2022). Remembering for resilience: Brief cognitive-reminiscence therapy improves psychological resources and mental well-being in young adults. Appl Psychol Health Well Being 14(3): 1004-1021. DOI: 10.1111/aphw.12364. Go to original source... Go to PubMed...
    24. Hulett JM, Armer JM (2016). A Systematic Review of Spiritually Based Interventions and Psychoneuroimmunological Outcomes in Breast Cancer Survivorship. Integr Cancer Ther 15(4): 405-423. DOI: 10.1177/1534735416636222. Go to original source... Go to PubMed...
    25. Jim HS, Pustejovsky JE, Park CL, Danhauer SC, Sherman AC, Fitchett G, et al. (2015). Religion, spirituality, and physical health in cancer patients: A meta-analysis. Cancer 121(21): 3760-3768. DOI: 10.1002/cncr.29353. Go to original source... Go to PubMed...
    26. Joshi AM, Mehta SA, Pande N, Mehta AO, Randhe KS (2021). Effect of Mindfulness-Based Art Therapy (MBAT) on Psychological Distress and Spiritual Wellbeing in Breast Cancer Patients Undergoing Chemotherapy. Indian J Palliat Care 27(4): 552-560. DOI: 10.25259/IJPC_133_21. Go to original source... Go to PubMed...
    27. Khoury B, Sharma M, Rush SE, Fournier C (2015). Mindfulness-based stress reduction for healthy individuals: A meta-analysis. J Psychosom Res 78(6): 519-528. DOI: 10.1016/j.jpsychores.2015.03.009. Go to original source... Go to PubMed...
    28. Kievisiene J, Jautakyte R, Rauckiene-Michaelsson A, Fatkulina N, Agostinis-Sobrinho C (2021). Corrigendum to "The Effect of Art Therapy and Music Therapy on Breast Cancer Patients: What We Know and What We Need to Find Out-A Systematic Review". Evid Based Complement Alternat Med 2021: 9870102. DOI: 10.1155/2021/9870102. Go to original source... Go to PubMed...
    29. Koenig HG (2012). Religion, spirituality, and health: the research and clinical implications. ISRN Psychiatry 2012: 278730. DOI: 10.5402/2012/278730. Go to original source... Go to PubMed...
    30. Kruizinga R, Hartog ID, Jacobs M, Daams JG, Scherer-Rath M, Schilderman JB, et al. (2016). The effect of spiritual interventions addressing existential themes using a narrative approach on quality of life of cancer patients: a systematic review and meta-analysis. Psychooncology 25(3): 253-265. DOI: 10.1002/pon.3910. Go to original source... Go to PubMed...
    31. Lee V, Robin Cohen S, Edgar L, Laizner AM, Gagnon AJ (2006). Meaning-making intervention during breast or colorectal cancer treatment improves self-esteem, optimism, and self-efficacy. Soc Sci Med 62(12): 3133-3145. DOI:10.1016/j.socscimed.2005.11.041. Go to original source... Go to PubMed...
    32. Lucchetti G, Koenig HG, Lucchetti ALG (2021). Spirituality, religiousness, and mental health: A review of the current scientific evidence. World J Clin Cases 9(26): 7620-7631. DOI: 10.12998/wjcc.v9.i26.7620. Go to original source... Go to PubMed...
    33. McClintock CH, Worhunsky PD, Balodis IM, Sinha R, Miller L, Potenza MN (2019). How spirituality may mitigate against stress and related mental disorders: a review and preliminary neurobiological evidence. Current Behavioral Neuroscience Repot 6: 253-262. DOI: 10.1007/s40473-019-00195-0. Go to original source...
    34. McCloy K, Hughes C, Dunwoody L, Marley J, Gracey J (2022). Effects of mindfulness-based interventions on fatigue and psychological wellbeing in women with cancer: A systematic review and meta-analysis of randomised control trials. Psychooncology 31(11): 1821-1834. DOI: 10.1002/pon.6046. Go to original source... Go to PubMed...
    35. Meghani SH, Peterson C, Kaiser DH, Rhodes J, Rao H, Chittams J, Chatterjee A (2018). A Pilot Study of a Mindfulness-Based Art Therapy Intervention in Outpatients With Cancer. Am J Hosp Palliat Care 35(9): 1195-1200. DOI: 10.1177/1049909118760304. Go to original source... Go to PubMed...
    36. Newberg AB (2014). The neuroscientific study of spiritual practices. Front Psychol 5: 215. DOI: 10.3389/fpsyg.2014.00215. Go to original source... Go to PubMed...
    37. Newberg A (2017). The Spiritual Brain: Science and Religious Experience. In: Opris I, Casanova M (Eds). The Physics of the Mind and Brain Disorders. Switzerland: Springer, Cham, pp. 649-669. Go to original source...
    38. O'Neill M, Samaroo D, Lopez C, Tomlinson G, Santa Mina D, Sabiston C, et al. (2020). The Effect of Yoga Interventions on Cancer-Related Fatigue and Quality of Life for Women with Breast Cancer: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Integr Cancer Ther 19: 1534735420959882. DOI: 10.1177/1534735420959882. Go to original source... Go to PubMed...
    39. Quinto RM, De Vincenzo F, Campitiello L, Innamorati M, Secinti E, Iani L (2022). Meaning in Life and the Acceptance of Cancer: A Systematic Review. Int J Environ Res Public Health 19(9): 5547. DOI: 10.3390/ijerph19095547. Go to original source... Go to PubMed...
    40. Rim JI, Ojeda JC, Svob C, Kayser J, Drews E, Kim Y, et al. (2019). Current Understanding of Religion, Spirituality, and Their Neurobiological Correlates. Harv Rev Psychiatry 27(5): 303-316. DOI: 10.1097/HRP.0000000000000232. Go to original source... Go to PubMed...
    41. Rustøen T, Cooper BA, Miaskowski C (2011). A longitudinal study of the effects of a hope intervention on levels of hope and psychological distress in a community-based sample of oncology patients. Eur J Oncol Nurs 15(4): 351-357. DOI: 10.1016/j.ejon.2010.09.001. Go to original source... Go to PubMed...
    42. Salsman JM, Pustejovsky JE, Jim HS, Munoz AR, Merluzzi TV, George L, et al. (2015). A meta-analytic approach to examining the correlation between religion/spirituality and mental health in cancer. Cancer 121(21): 3769-3978. DOI: 10.1002/cncr.29350. Go to original source... Go to PubMed...
    43. Saragih ID, Tonapa SI, Yao CT, Saragih IS, Lee BO (2022). Effects of reminiscence therapy in people with dementia: A systematic review and meta-analysis. J Psychiatr Ment Health Nurs 29(6): 883-903. DOI: 10.1111/jpm.12830. Go to original source... Go to PubMed...
    44. Sherman AC, Merluzzi TV, Pustejovsky JE, Park CL, George L, Fitchett G, et al. (2015). A meta-analytic review of religious orspiritual involvement and social health among cancer patients. Cancer 121(21): 3779-3788. DOI: 10.1002/cncr.29352. Go to original source... Go to PubMed...
    45. Simão TP, Caldeira S, De Carvalho EC (2016). The Effect of Prayer on Patients' Health: Systematic Literature Review. Religions 7(1): 11. DOI: 10.3390/rel7010011. Go to original source...
    46. Sováriová Soósová M (2022). Péče o duchovní potřeby nemocných v oąetřovatelské praxi. Praha: Grada, 144 p.
    47. Schell LK, Monsef I, Wöckel A, Skoetz N (2019). Mindfulness-based stress reduction for women diagnosed with breast cancer. Cochrane Database Syst Rev 3(3): CD011518. DOI: 10.1002/14651858.CD011518.pub2. Go to original source... Go to PubMed...
    48. Souza MT, Silva MD, Carvalho RD (2010). Integrative review: what is it? How to do it? Einstein (Sao Paulo) 8(1): 102-106. DOI: 10.1590/S1679-45082010RW1134. Go to original source... Go to PubMed...
    49. Sun J, Jiang J, Wang Y, Zhang M, Dong L, Li K, Wu C (2023). The Efficacy of Reminiscence Therapy in Cancer-Related Symptom Management: A Systematic Review and Meta-Analysis. Integr Cancer Ther 22: 15347354221147499. DOI: 10.1177/15347354221147499. Go to original source... Go to PubMed...
    50. Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, Bray F (2021). Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin 71(3): 209-249. DOI: 10.3322/caac.21660. Go to original source... Go to PubMed...
    51. Tang Y, Fu F, Gao H, Shen L, Chi I, Bai Z (2019). Art therapy for anxiety, depression, and fatigue in females with breast cancer: A systematic review. J Psychosoc Oncol 37(1): 79-95. DOI: 10.1080/07347332.2018.1506855. Go to original source... Go to PubMed...
    52. van Agteren J, Iasiello M, Lo L, Bartholomaeus J, Kopsaftis Z, Carey M, Kyrios M (2021). A systematic review and meta-analysis of psychological interventions to improve mental wellbeing. Nat Hum Behav 5(5): 631-652. DOI: 10.1038/s41562-021-01093-w. Go to original source... Go to PubMed...
    53. Wang X, Zhang Y, Fan Y, Tan XS, Lei X (2018). Effects of Music Intervention on the Physical and Mental Status of Patients with Breast Cancer: A Systematic Review and Meta-Analysis. Breast Care (Basel) 13(3): 183-190. DOI: 10.1159/000487073. Go to original source... Go to PubMed...
    54. Wnuk M (2022). Beneficial Effects of Spiritual Experiences and Existential Aspects of Life Satisfaction of Breast and Lung Cancer Patients in Poland: A Pilot Study. J Relig Health 61(6): 4320-4336. DOI: 10.1007/s10943-022-01601-w. Go to original source... Go to PubMed...
    55. Xing L, Guo X, Bai L, Qian J, Chen J (2018). Are spiritual interventions beneficial to patients with cancer?: A meta-analysis of randomized controlled trials following PRISMA. Medicine (Baltimore) 97(35): e11948. DOI: 10.1097/MD.0000000000011948. Go to original source... Go to PubMed...
    56. Zhang X, Liu D, Li Y, Zhang Y, Zhang B, Wang X, Wang G (2019). Effects of mindfulness-based interventions on quality of life of women with breast cancer: a systematic review. J Comp Eff Res 8(11): 829-840. DOI: 10.2217/cer-2019-0053. Go to original source... Go to PubMed...

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