499PD - Assessment of distress (depression, anxiety and stress) in Indian women with breast cancer: Predictive role of spiritual well being

Date 18 December 2016
Event ESMO Asia 2016 Congress
Session Supportive and palliative care
Topics Psychosocial Aspects of Cancer
Presenter Jyoti Srivastava
Citation Annals of Oncology (2016) 27 (suppl_9): ix161-ix162. 10.1093/annonc/mdw596
Authors J. Srivastava1, H. Shukla1, S. Kaushik2, M. Tewari1
  • 1Surgical Oncology, Institute of Medical Sciences, Banaras Hindu University,IMS-BHU, 221005 - Varanasi/IN
  • 2Psychology, MMV, BANARAS HINDU UNIVERSITY, 221005 - Varanasi/IN



Psychological distress related symptomatology is the most common psychological complication experienced by people with cancer, with higher incidences identified in breast cancer. Researches have shown spiritual well being to be associated with positive psychological changes in cancer. The purpose of this study was to examine relationship between spiritual well being and distress (depression, anxiety and stress) in Indian Women with breast cancer.


A descriptive corelational design was used for the study. A purposive sample of 32 Indian women suffering from Breast Cancer of age range 30-65 years (mean age = 47.00 years) taken after screening to meet the inclusion and exclusion criteria. Spiritual well being was measured using Functional Assessment of Chronic Illness Therapy- Spiritual Well Being Scale (FACITSp 12(Indian adaptation).The Depression Anxiety and Stress Scale (DASS) (Indian adaptation) was used to assess the distress level of the patients.


There was a significant negative corelation between distress and spiritual well being scores. Analysis for components of distress have shown that depression was significantly associated with spiritual well being (r = -.56, p = 0.01) and anxiety was found to have significant negative correlation with meaning or purpose domain of spiritual well being (r = -.45, p = 0.01). While stress was found to be weakly correlated with spiritual well being. 43% of the variance in distress was explained by age, duration of illness and spiritual well being. Descriptive analysis, pearson corelation (r) and multiple regression analysis were performed for statistical analysis of data.


A person’s spiritual well being possibly lowers the incidence of distress (depression anxiety and stress). For some breast cancer patients, a strong faith in God may result in having purpose and meaning in life; for others, it may be having a strong support system. This study may help doctors and other oncology professionals, guide patients to the discovery of what brings purpose and meaning to their lives and ultimately help in enhancing standard medical treatment outcomes and improving physician-patient relationship.

Clinical trial indentification

Legal entity responsible for the study

Institute of Medical Sciences, Banaras Hindu University


Institute of Medical Sciences, Banaras Hindu University


All authors have declared no conflicts of interest.