title: Spiritual well-being and quality of life of women with ovarian cancer and their spouses.
abstract: BACKGROUND
  There is little research on the quality of life (QOL) and spiritual well-being (SWB) of women diagnosed with ovarian cancer and their spouses.
  
  
  OBJECTIVE
  We compared the SWB and QOL of these women and their spouses over a 3-year period.
  
  
  METHODS
  This is a descriptive, longitudinal study involving 70 women with ovarian cancer and 26 spouses. Questionnaires were completed postoperatively and by mail 3, 7, 12, 18, 24, and 36 months later. All participants completed the Functional Assessment of Chronic Illness Therapy (FACIT)-Spiritual Well-Being-Expanded Version, Symptom Distress Scale, and open-ended questions about changes in their lives. Diagnosed women completed the FACIT-Ovarian and spouses the Caregiver Burden Interview and Linear Analog Self-Assessment scales.
  
  
  RESULTS
  Women reported a high level of SWB over time. Spouses' SWB was significantly worse than the women's at 1 and 3 years (P ≤ .05). Insomnia, fatigue, and outlook/worry were problematic across time, with no significant differences between women and spouses except that women experienced more insomnia through 3 months (P = .02). Emotional well-being was compromised over time for the women but not their spouses until year 3. Physical and social well-being were compromised in spouses across time, while women's social well-being remained high and physical well-being was problematic only for the first year.
  
  
  CONCLUSIONS
  Limitations include a small spouse sample and, due to the disease process, attrition over time.
  
  
  CONCLUSIONS
  Ovarian cancer has significant, but different, effects on women and spouses. Some effects are static, while others are not, which underscores the need for continual monitoring.
authors.affiliation: Cancer Center, May Clinic, Rochester, NY, USA. frost.marlene@mayo.edu
authors.forename: Marlene H
authors.initials: MH
authors.lastname: Frost
authors.forename: Mary E
authors.initials: ME
authors.lastname: Johnson
authors.forename: Pamela J
authors.initials: PJ
authors.lastname: Atherton
authors.forename: Wesley O
authors.initials: WO
authors.lastname: Petersen
authors.forename: Ann M
authors.initials: AM
authors.lastname: Dose
authors.forename: Melanie J
authors.initials: MJ
authors.lastname: Kasner
authors.forename: Kelli N
authors.initials: KN
authors.lastname: Burger
authors.forename: Jeff A
authors.initials: JA
authors.lastname: Sloan
authors.forename: Teri Britt
authors.initials: TB
authors.lastname: Pipe
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000523:psychology*; D011788:Quality of Life; D012959:Socioeconomic Factors; D029181:Spirituality; D018454:Spouses / Q000523:psychology*; D011795:Surveys and Questionnaires