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RELATIONSHIPS AMONG DEPRESSIVE SYMPTOMS, SPIRITUAL WELL-BEING, AND QUALITY OF LIFE IN PRIMARY LIVER CANCER PATIENTS IN KOREA

LEE, EUNSUK
http://rave.ohiolink.edu/etdc/view?acc_num=case1333599857

Abstract Details

2012, Doctor of Philosophy, Case Western Reserve University, Nursing.
Primary liver cancer is the most common type of solid tumors affecting young to middle-aged individuals and the second leading cause of death in Korea. However, very little research has been conducted concerning the specific factors which contribute to quality of life in primary liver cancer patients. Considering Korea's sharply increasing incidence/mortality rates due to the disease, the issue of quality of life is expected to become more critical. This study employs a theoretical framework based on Fitzpatrick’s Life Perspective Rhythm Model. The research design employs mixed methodology both quantitative data (a cross-sectional design) and qualitative data (a phenomenological approach). The purpose of this study is to explore the relationships among depressive symptoms, spiritual well-being, and quality of life as well as to examine the lived experiences of primary liver cancer patients in Korea. A total of 96 patients were consecutively recruited for quantitative data collection and 40 of these patients completed in-depth interviews. To investigate participants’ demographic characteristics, a researcher-designed questionnaire was used. To measure the study variables, the CES-D Scale (Radloff, 1977) for depressive symptoms, the Spiritual Well-Being Scale (Paloutzian & Ellison, 1982) for spiritual well-being, and the SF-12v2 (Ware et al., 1996) for QOL were used. The instruments reported high reliabilities in this study: the CES-D (Cronbach’s α=.80), the SWBS (Cronbach’s α=.89), and the SF-12v2 (Cronbach’s α=.89). In summary, there were significant negative correlations: between depressive symptoms and spiritual well-being; between depressive symptoms and QOL-PCS; between depressive symptoms and QOL-MCS. There were significant positive correlations: between spiritual well-being and QOL-PCS; between spiritual well-being and QOL-MCS. In order to predict QOL-PCS in the regression equation, spiritual well-being was the strongest predictor when controlling duration of the HCC illness. In order to predict QOL-MCS in the regression equation, the strongest predictor was depressive symptoms when controlling duration of the HCC illness; spiritual well-being served as a moderator. Regarding the qualitative data analyses, in the negative theme category, 24 of the depressive symptom-related themes, 17 of the spiritual distress-related themes, and 6 of the other negative themes were identified. In the positive theme category, 20 themes were identified.
Joyce Fitzpatrick, PhD (Committee Chair)
Mary QuinnGriffin, PhD (Committee Member)
Elizabeth Madigan, PhD (Committee Member)
Smitha Krishnamurthi, MD (Committee Member)
Haeok Lee, PhD (Committee Member)
343 p.
Health; Health Care; Health Sciences; Nursing; Oncology
depressive symptoms; depression; spiritual well-being; spirituality; quality of life; primary liver cancer; Life Perspective Rhythm Model; CES-D; Spiritual Well-Being Scale; SF-12

Recommended Citations

Citations

  • LEE, E. (2012). RELATIONSHIPS AMONG DEPRESSIVE SYMPTOMS, SPIRITUAL WELL-BEING, AND QUALITY OF LIFE IN PRIMARY LIVER CANCER PATIENTS IN KOREA [Doctoral dissertation, Case Western Reserve University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=case1333599857

    APA Style (7th edition)

  • LEE, EUNSUK. RELATIONSHIPS AMONG DEPRESSIVE SYMPTOMS, SPIRITUAL WELL-BEING, AND QUALITY OF LIFE IN PRIMARY LIVER CANCER PATIENTS IN KOREA. 2012. Case Western Reserve University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=case1333599857.

    MLA Style (8th edition)

  • LEE, EUNSUK. "RELATIONSHIPS AMONG DEPRESSIVE SYMPTOMS, SPIRITUAL WELL-BEING, AND QUALITY OF LIFE IN PRIMARY LIVER CANCER PATIENTS IN KOREA." Doctoral dissertation, Case Western Reserve University, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=case1333599857

    Chicago Manual of Style (17th edition)

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© 2012, all rights reserved.
This open access ETD is published by Case Western Reserve University School of Graduate Studies and OhioLINK.