Evidence map›Paper›PMID 41196404›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

Spiritual needs and satisfaction with life: an exploration of mediating pathways.

Gary Kwok, Alan B Astrow, Daniel P Sulmasy, Katie A Devine

Abstract read
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

4 authors.

Gary KwokCancer Prevention Precision Control Institute, Center for Discovery & Innovation, Hackensack Meridian Health, 111 Ideation Way, Nutley, NJ, 07110, USA. gary.kwok@hmh-cdi.org.
Alan B AstrowHematology and Medical Oncology, Department of Medicine, New York-Presbyterian Brooklyn Methodist Hospital, Weill Cornell Medicine, Brooklyn, NY, 11215, USA.
Daniel P SulmasyThe Kennedy Institute of Ethics, Departments of Philosophy and Medicine, Georgetown University, Washington, DC, 20057, USA.
Katie A DevinePediatric Hematology/Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, 08901, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aims to examine the specific pathways through which spiritual needs are associated with satisfaction with life, focusing on the mediating roles of perceived quality of care and satisfaction with care among cancer patients.

methodsA cross-sectional survey was conducted with participants from four outpatient hematology/oncology clinics. Path analyses tested hypothesized relationships between spiritual needs and satisfaction with life, focusing on the mediating roles of perceived care quality and satisfaction with care.

resultsA total of N = 727 participants were recruited, with a mean age of 59.0 years; the majority were female (n = 483; 67.8%). Path analysis supported a serial multiple mediation model: higher spiritual needs were indirectly associated with lower satisfaction with life via lower perceived quality of care and reduced satisfaction with care. Specifically, greater spiritual needs were linked to lower perceived quality of care (Fig. 1c: spiritual needs quality of care; b = -0.73, p < 0.001), which was associated with lower satisfaction with care (quality of care satisfaction with care; b = 0.26, p < 0.001) and in turn, with lower satisfaction with life (satisfaction with care satisfaction with life; b = 0.40, p < 0.001).

conclusionsHigher spiritual needs were indirectly associated with lower satisfaction with life through a sequential pathway involving reduced perceptions of quality of care and lower satisfaction with care. Addressing spiritual needs and concerns in clinical settings may, therefore, play a critical role in improving both care experiences and psychosocial outcomes for cancer patients.

Indexed as

NeoplasmsPatient SatisfactionPersonal SatisfactionQuality of Health CareQuality of LifeSpiritualityAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and QuestionnairesPatient satisfactionQuality of health careQuality of lifeSpiritualitySupportive care

Identifiers

PMID41196404
PMCPMC12592284

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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.