title: Predictors of spirituality at the end of life.
abstract: OBJECTIVE
  To assess the relationship between spirituality and hopelessness, desire for hastened death, and clinical and disease-related characteristics among patients with advanced cancer, and to investigate predictors of spirituality. Spiritual well-being is thought to have a beneficial effect on patients' response to illness.
  
  
  METHODS
  Patients were asked to complete 4 questionnaires: the Greek version of the Spiritual Involvement and Beliefs Scale, the Greek version of the Schedule of Attitudes toward Hastened Death, the Beck Hopelessness Scale, and a questionnaire on demographics.
  
  
  METHODS
  A palliative care unit in Athens, Greece.
  
  
  METHODS
  A total of 91 patients with advanced cancer.
  
  
  METHODS
  Associations between scores on the Spiritual Involvement and Beliefs scale and scores on the Schedule of Attitudes toward Hastened Death scale and the Beck Hopelessness scale, and demographic characteristics.
  
  
  RESULTS
  Statistically significant associations were found between spirituality and sex of patients (P = .001) and spirituality and stronger hopelessness (r = 0.252, P = .016). In multivariate analyses, stronger hopelessness, male sex, younger age, and receiving chemotherapy were found to be the strongest predictors of being spiritual.
  
  
  CONCLUSIONS
  Demographic and clinical characteristics and stronger hopelessness appeared to have statistically significant relationships with spirituality. Interventions to improve patients' spiritual well-being should take these relationships into account.
authors.affiliation: Department of Radiology, School of Medicine, University of Athens, Athens, Greece. mistakidou@yahoo.com
authors.forename: Kyriaki
authors.initials: K
authors.lastname: Mystakidou
authors.forename: Eleni
authors.initials: E
authors.lastname: Tsilika
authors.forename: Efi
authors.initials: E
authors.lastname: Prapa
authors.forename: Marilena
authors.initials: M
authors.lastname: Smyrnioti
authors.forename: Anna
authors.initials: A
authors.lastname: Pagoropoulou
authors.forename: Vlahos
authors.initials: V
authors.lastname: Lambros
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D005260:Female; D006115:Greece; D006801:Humans; D008297:Male; D008875:Middle Aged; D010166:Palliative Care / Q000379:methods* / Q000523:psychology; D012189:Retrospective Studies; D012737:Sex Factors; D029181:Spirituality; D011795:Surveys and Questionnaires; D019452:Terminally Ill / Q000523:psychology*