Measuring spiritual well-being in people with cancer: The Functional Assessment of Chronic Illness Therapy - Spiritual Well-Being scale (FACIT-Sp)

Amy H. Peterman*, George Fitchett, Marianne J. Brady, Lesbia Hernandez, David Cella

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

896 Scopus citations

Abstract

A significant relation between religion and better health has been demonstrated in a variety of healthy and patient populations. In the past several years, there has been a focus on the role of spirituality, as distinct from religion, in health promotion and coping with illness. Despite the growing interest, there remains a dearth of well-validated, psychometrically sound instruments to measure aspects of spirituality. In this article we report on the development and testing of a measure of spiritual well-being, the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp), within two samples of cancer patients. The instrument comprises two subscales - one measuring a sense of meaning and peace and the other assessing the role of faith in illness. A total score for spiritual well-being is also produced. Study 1 demonstrates good internal consistency reliability and a significant relation with quality of life in a large, multiethnic sample. Study 2 examines convergent validity with 5 other measures of religion and spirituality in a sample of individuals with mixed early stage and metastatic cancer diagnoses. Results of the two studies demonstrate that the FACIT-Sp is a psychometrically sound measure of spiritual well-being for people with cancer and other chronic illnesses.

Original languageEnglish (US)
Pages (from-to)49-58
Number of pages10
JournalAnnals of Behavioral Medicine
Volume24
Issue number1
DOIs
StatePublished - Jan 1 2002

ASJC Scopus subject areas

  • Psychology(all)
  • Psychiatry and Mental health

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