Evidence map›Paper›PMID 30887126›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2019

Spiritual well-being mediates the association between attachment insecurity and psychological distress in advanced cancer patients.

Katharina Scheffold, Rebecca Philipp, Sigrun Vehling, Susan Koranyi, Dorit Engelmann, Frank Schulz-Kindermann, Martin Härter, Anja Mehnert-Theuerkauf

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02051660 (German Randomized Controlled Trial of the Psychotherapeutic Intervention for Advanced Cancer Patients), which is not on this map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02051660 nacompletednot on this map

German Randomized Controlled Trial of the Psychotherapeutic Intervention for Advanced Cancer Patients: Managing Cancer and Living Meaningfully (CALM)

TypeinterventionalSponsorUniversity of LeipzigRan2013 to 2017Enrolled206ConditionsDepression, Psychological DistressArmsManualized CALM intervention, Non-manualized supportive intervention.
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Attachment at the end of life: A systematic review.Palliative & supportive care · 2025
    Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Katharina ScheffoldDepartment of Medical Psychology, University Medical Center Hamburg-Eppendorf, Martinistr. 52- Haus W 26, 20246, Hamburg, Germany. k.scheffold@uke.de.ORCID http://orcid.org/0000-0002-3093-4424
Rebecca PhilippDepartment of Medical Psychology, University Medical Center Hamburg-Eppendorf, Martinistr. 52- Haus W 26, 20246, Hamburg, Germany.
Sigrun VehlingDepartment of Medical Psychology, University Medical Center Hamburg-Eppendorf, Martinistr. 52- Haus W 26, 20246, Hamburg, Germany.
Susan KoranyiDepartment of Medical Psychology and Medical Sociology, University Medical Center Leipzig, Leipzig, Germany.
Dorit EngelmannDepartment of Medical Psychology and Medical Sociology, University Medical Center Leipzig, Leipzig, Germany.
Frank Schulz-KindermannDepartment of Medical Psychology, University Medical Center Hamburg-Eppendorf, Martinistr. 52- Haus W 26, 20246, Hamburg, Germany.
Martin HärterDepartment of Medical Psychology, University Medical Center Hamburg-Eppendorf, Martinistr. 52- Haus W 26, 20246, Hamburg, Germany.
Anja Mehnert-TheuerkaufDepartment of Medical Psychology and Medical Sociology, University Medical Center Leipzig, Leipzig, Germany.

Funding

Deutsche Krebshilfe 109967
6 · The paper itself

Abstract

purposeThe diagnosis of a terminal disease bears existential challenges, which activate the attachment system. Attachment insecurity, as well as existential resources, such as spiritual well-being, influences patients' extent of psychological distress. Knowledge about the interrelation of these constructs is limited. Based on current research, we assume spiritual well-being to mediate the association of attachment insecurity and psychological distress.

methodsWe obtained data from the baseline measurement of a randomized controlled trial in advanced cancer patients. Patients were sampled from the University Medical Centers of Hamburg and Leipzig, Germany. Main outcome measures included the Patient Health Questionnaire (PHQ-9), the Death and Dying Distress Scale (DADDS), the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale (FACIT-Sp), and the Experience in Close Relationships Scale (ECR-M16) for assessing attachment insecurity. We tested the mediation hypothesis with two regression analyses using bootstrapping procedure.

resultsA total of 190 patients were included. Spiritual well-being mediated the association of attachment insecurity and depression (R

conclusionSpiritual well-being plays a relevant role in advanced cancer patient's mental health through mediating the association of attachment and psychological distress. Developing a better understanding of the interdependency of the constructs of spiritual well-being and attachment can help to develop individually tailored advanced cancer care programs and psychotherapeutic interventions.

trial registrationNCT02051660.

Indexed as

DeathPsychological DistressSpiritualityAdultAgedAged, 80 and overDepressionFemaleHumansMaleMiddle AgedNeoplasmsAdvanced cancerAttachmentDeath anxietyDepressionSpiritual well-being

Identifiers

PMID30887126

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.