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Finding peace in clinical settings: A narrative review of concept and practice

Published online by Cambridge University Press:  06 December 2016

Philip Austin*
Affiliation:
Department of Pain Management, Greenwich Hospital, Greenwich, New South Wales, Australia
Roderick MacLeod
Affiliation:
Department of Palliative and Supportive Care, Greenwich Hospital, Greenwich, New South Wales, Australia
*
Address correspondence and reprint requests to: Philip Austin, Department of Pain Management, Pallister House, Greenwich Hospital, 97-115 River Road, Greenwich 2065, New South Wales, Australia. E-Mail: paustin@hammond.com.au.

Abstract

The purpose of this review was to investigate and review the concept of “peace” and the role it plays in the spiritual well-being and care of people with a chronic or terminal illness. Our objectives were, first, to examine the importance of peace in palliative care as a measure of acceptance and in chronic illness settings as a predictor of improved survival. Second, we explored the dimensions of peace and their relationships with spiritual well-being. We further examined how the constructs of peace are assessed both within valid spiritual well-being measures and as individual items related solely to peace. Finally, we examined therapies aimed at promoting peace and emotional well-being in palliative and chronic illness settings. Despite much being written about different constructs of peace and the positive effects of being at peace during times of illness, the effects of therapies on the feeling of peace are not well-studied.

Type
Review Article
Copyright
Copyright © Cambridge University Press 2016 

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References

REFERENCES

Ando, M., Morita, T., Akechi, T., et al. (2009). The efficacy of mindfulness-based meditation therapy on anxiety, depression, and spirituality in Japanese patients with cancer. Journal of Palliative Medicine, 12(12), 10911094.CrossRefGoogle Scholar
Ando, M., Morita, T. & Oshima, A. (2011). Reminiscence cognitive behavior therapy for spiritual well-being and self-esteem of cancer patients. Journal of Cancer Therapy, 2(2), 105109. Available from http://file.scirp.org/pdf/JCT20110200008_47461154.pdf.Google Scholar
Ariès, P. (1974). Western attitudes toward death: From the Middle Ages to the present. Baltimore: John Hopkins University Press.Google Scholar
Ariès, P. (1976). Studien zur Geschichte des Todes im Abendland [in German]. Munich: Carl Hanser Verlag.Google Scholar
Astrow, A.B., Wexler, A., Texeira, K., et al. (2007). Is failure to meet spiritual needs associated with cancer patients' perceptions of quality of care and their satisfaction with care? Journal of Clinical Oncology, 25(36), 57535757. Available from http://ascopubs.org/doi/pdf/10.1200/JCO.2007.12.4362.CrossRefGoogle ScholarPubMed
Best, M., Butow, P. & Olver, I. (2014). The doctor's role in helping dying patients with cancer achieve peace: A qualitative study. Palliative Medicine, 28(9), 11391145. Epub ahead of print Jun 9.Google Scholar
Boyd-Wilson, B., McClure, J. & Walkey, F. (2004). Serenity, much more than just feeling calm. Advances in Psychological Research, 29, 3555.Google Scholar
Bredle, M.J., Salsman, J.M., Debb, S.M., et al. (2011). Spiritual well-being as a component of health-related quality of life: The Functional Assessment of Chronic Illness Therapy–Spiritual Well-Being Scale (FACIT–Sp). Religions, 2(1), 7794. Available from http://www.mdpi.com/2077-1444/2/1/77/htm.Google Scholar
Büssing, A., Balzat, H.J. & Heusser, P. (2010). Spiritual needs of patients with chronic pain diseases and cancer: Validation of the spiritual needs questionnaire. European Journal of Medical Research, 15(6), 266273. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3351996/.Google Scholar
Büssing, A., Janko, A., Baumann, K., et al. (2013 a). Spiritual needs among patients with chronic pain diseases and cancer living in a secular society. Pain Medicine, 14(9), 13621373. Epub ahead of print Jul 19. Available from http://painmedicine.oxfordjournals.org/content/painmedicine/14/9/1362.full.pdf.Google Scholar
Büssing, A., Zhai, X.F., Peng, W.B., et al. (2013 b). Psychosocial and spiritual needs of patients with chronic diseases: Validation of the Chinese version of the Spiritual Needs Questionnaire. Journal of Integrative Medicine, 11(2), 106115. Available from http://www.jcimjournal.com/articles/publishArticles/pdf/jintegrmed2013020.pdf CrossRefGoogle ScholarPubMed
Canada, A.L., Murphy, P.E., et al. (2008). A 3-factor model for the FACIT–Sp. Psycho-Oncology, 17(9), 908916. Available from http://www.spiritualityandhealth.duke.edu/images/pdfs/canadahandout.pdf.CrossRefGoogle ScholarPubMed
Chang, B.-H., Boehmer, U., Zhao, Y.U.E., et al. (2007). The combined effect of relaxation response and acupuncture on quality of life in patients with HIV: A pilot study. The Journal of Alternative and Complementary Medicine, 13(8), 807815. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2917624/.CrossRefGoogle ScholarPubMed
Chochinov, H.M. (2006). Dying, dignity, and new horizons in palliative end-of-life care. CA: A Cancer Journal for Clinicians, 56(2), 84103; quiz 104–105. Available from http://virtualhospice.ca/Assets/Dying,%20Dignity,%20and%20New%20Horizons%20in%20Palliative%20End-of-Life%20Care_20140819105955.pdf.Google ScholarPubMed
Collins, E.S., Witt, J., Bausewein, C., et al. (2015). A systematic review of the use of the palliative care outcome scale and the support team assessment schedule in palliative care. Journal of Pain and Symptom Management, 50(6), 842853.e819. Epub ahead of print Aug 31.Google Scholar
Cordova, M.J., Giese-Davis, J., Golant, M., et al. (2007). Breast cancer as trauma: Posttraumatic stress and posttraumatic growth. Journal of Clinical Psychology in Medical Settings, 14(4), 308319.CrossRefGoogle Scholar
Costantini, M., Rabitti, E., Beccaro, M., et al. (2016). Validity, reliability and responsiveness to change of the Italian palliative care outcome scale: A multicenter study of advanced cancer patients. BMC Palliative Care, 15(1), 1523. Available from http://bmcpalliatcare.biomedcentral.com/articles/10.1186/s12904-016-0095-6.Google Scholar
Decker, T.W., Cline-Elsen, J. & Gallagher, M. (1992). Relaxation therapy as an adjunct in radiation oncology. Journal of Clinical Psychology, 48(3), 388393.Google Scholar
Einolf, C.J. (2013). Daily spiritual experiences and prosocial behavior. Social Indicators Research, 110(1), 7187.Google Scholar
Elias, N. (2001). Loneliness of the dying. Trans. Jephcott, E.. New York: Continuum. Available from https://monoskop.org/images/f/fc/Elias_Norbert_Loneliness_of_the_Dying_2001.pdf.Google Scholar
Forzoni, S., Perez, M., Martignetti, A., et al. (2010). Art therapy with cancer patients during chemotherapy sessions: An analysis of the patients' perception of helpfulness. Palliative & Support Care, 8(1), 4148. Epub ahead of print Feb 18.Google Scholar
Gabriel, B., Bromberg, E., Vandenbovenkamp, J., et al. (2001). Art therapy with adult bone marrow transplant patients in isolation: A pilot study. Psycho-Oncology, 10(2), 114123.Google Scholar
Garland, S.N., Carlson, L.E., Cook, S., et al. (2007). A non-randomized comparison of mindfulness-based stress reduction and healing arts programs for facilitating post-traumatic growth and spirituality in cancer outpatients. Supportive Care in Cancer, 15(8), 949961. Epub ahead of print Jul 5.CrossRefGoogle ScholarPubMed
Hanser, S.B. & Mandel, S.E. (2005). The effects of music therapy in cardiac healthcare. Cardiology Review, 13(1), 1823.CrossRefGoogle ScholarPubMed
Hanser, S.B., Bauer-Wu, S., Kubicek, L., et al. (2006). Effects of a music therapy intervention on quality of life and distress in women with metastatic breast cancer. Journal of the Society for Integrative Oncology, 4(3), 116124.CrossRefGoogle ScholarPubMed
Heyland, D.K., Cook, D.J., Rocker, G.M., et al. (2010). Defining priorities for improving end-of-life care in Canada. CMAJ, 182(16), E747E752. Epub ahead of print Oct 4. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2972350/.CrossRefGoogle ScholarPubMed
Holland, J.C., Morrow, G.R., Schmale, A., et al. (1991). A randomized clinical trial of alprazolam versus progressive muscle relaxation in cancer patients with anxiety and depressive symptoms. Journal of Clinical Oncology, 9(6), 10041011.Google Scholar
Ironson, G., Solomon, G.F., Balbin, E.G., et al. (2002). The Ironson–Woods Spirituality/Religiousness Index is associated with long survival, health behaviors, less distress, and low cortisol in people with HIV/AIDS. Annals of Behavioral Medicine, 24(1), 3448.Google Scholar
Jafari, N., Farajzadegan, Z., Zamani, A., et al. (2013). Spiritual therapy to improve the spiritual well-being of Iranian women with breast cancer: A randomized controlled trial. Evidence-Based Complementary and Alternative Medicine, 2013, 2013:353262. Epub ahead of print Aug 18. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3759260/.Google Scholar
Kimmel, P.L., Emont, S.L., Newmann, J.M., et al. (2003). ESRD patient quality of life: Symptoms, spiritual beliefs, psychosocial factors, and ethnicity. American Journal of Kidney Diseases, 42(4), 713721.Google Scholar
Kreitzer, M.J., Gross, C., Waleekhachonloet, O.-A., et al. (2009). The Brief Serenity Scale: A psychometric analysis of a measure of spirituality and well-being. Journal of Holistic Nursing, 27(1), 716. Epub ahead of print Jan 28. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2818779/.Google Scholar
Kristjanson, L.J. & Aoun, S. (2004). Palliative care for families: Remembering the hidden patients. The Canadian Journal of Psychiatry, 49(6), 359365.Google Scholar
Kwekkeboom, K.L., Abbott-Anderson, K. & Wanta, B. (2010). Feasibility of a patient-controlled cognitive behavioral intervention for pain, fatigue, and sleep disturbance in cancer. Oncology Nursing Forum, 37(3), E151E159. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2864954/.Google Scholar
Lamanque, P. & Daneault, S. (2006). Does meditation improve the quality of life for patients living with cancer? [in French]. Canadian Family Physician, 52(4), 474475. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1481669/.Google Scholar
Lee, Y.-C., Lin, Y.-C., Huang, C.-L., et al. (2013). The construct and measurement of peace of mind. Journal of Happiness Studies, 14(2), 571590.CrossRefGoogle Scholar
Leon-Pizarro, C., Gich, I., Barthe, E., et al. (2007). A randomized trial of the effect of training in relaxation and guided imagery techniques in improving psychological and quality-of-life indices for gynecologic and breast brachytherapy patients. Psycho-Oncology, 16(11), 971979.Google Scholar
Liu, X., Xu, W., Wang, Y., et al. (2015). Can inner peace be improved by mindfulness training: A randomized controlled trial. Stress and Health, 31(3), 245254. Available from http://onlinelibrary.wiley.com/doi/10.1002/smi.2551/pdf.Google Scholar
MacLeod, R., Crandall, J., Wilson, D., et al. (2016). Death anxiety among New Zealanders: The predictive role of gender and marital status. Mental Health, Religion & Culture, 19(4), 339349.Google Scholar
Magill, L. (2006). Role of music therapy in integrative oncology. Journal of the Society for Integrative Oncology, 4(2), 7981.Google Scholar
Mayden, K.D. (2012). Mind–body therapies: Evidence and implications in advanced oncology practice. Journal of the Advanced Practitioner in Oncology, 3(6), 357373. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4093363/.Google ScholarPubMed
McCabe, R., Murray, R., Austin, P., et al. (2017). Spiritual and existential factors predict pain relief in a pain management program with a meaning-based component. Journal of Pain Management, 10(2), In press.Google Scholar
Monod, S.M., Rochat, E., Büla, C.J., et al. (2010). The Spiritual Distress Assessment Tool: An instrument to assess spiritual distress in hospitalised elderly persons. BMC Geriatrics, 10, 88. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3017043/pdf/1471-2318-10-88.pdf.CrossRefGoogle ScholarPubMed
Monod, S., Brennan, M., Rochat, E., et al. (2011). Instruments measuring spirituality in clinical research: A systematic review. Journal of General Internal Medicine, 26(11), 13451357. Epub ahead of print Jul 2. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3208480/.Google Scholar
Moore, A.M., Gamblin, T.C., Geller, D.A., et al. (2011). A prospective study of posttraumatic growth as assessed by self-report and family caregiver in the context of advanced cancer. Psycho-Oncology, 20(5), 479487. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3290514/pdf/nihms356294.pdf,Google Scholar
Murphy, P.E., Canada, A.L., Fitchett, G., et al. (2010). An examination of the 3-factor model and structural invariance across racial/ethnic groups for the FACIT–Sp: A report from the American Cancer Society's Study of Cancer Survivors–II (SCS–II). Psycho-Oncology, 19(3), 264272.Google Scholar
Nidich, S.I., Fields, J.Z., Rainforth, M.V., et al. (2009). A randomized controlled trial of the effects of transcendental meditation on quality of life in older breast cancer patients. Integrative Cancer Therapies, 8(3), 228234. Available from http://ict.sagepub.com/content/8/3/228.long.CrossRefGoogle ScholarPubMed
O'Callaghan, C. (2006). Clinical issues: Music therapy in an adult cancer inpatient treatment setting. Journal of the Society for Integrative Oncology, 4(2), 5761.CrossRefGoogle Scholar
Park, C.L., George, L., Aldwin, C.M., et al. (2016). Spiritual peace predicts 5-year mortality in congestive heart failure patients. Health Psychology, 35(3), 203210. Epub ahead of print Sep 28, 2015. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4760860/.Google Scholar
Pearce, M.J., Koenig, H.G., Robins, , et al. (2015). Religiously integrated cognitive behavioral therapy: A new method of treatment for major depression in patients with chronic medical illness. Psychotherapy (Chicago, Ill.), 52(1), 5666. Epub ahead of print Nov 3, 2014. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4457450/.Google Scholar
Peterman, A.H., Fitchett, G., Brady, M.J., et al. (2002). Measuring spiritual well-being in people with cancer: The functional assessment of chronic illness therapy. Spiritual Well-Being Scale (FACIT–Sp). Annals of Behavioral Medicine, 24(1), 4958.Google Scholar
Peterman, A.H., Reeve, C.L., Winford, E.C., et al. (2014). Measuring meaning and peace with the FACIT–Spiritual Well-Being Scale: Distinction without a difference? Psychological Assessment, 26(1), 127137. Epub ahead of print Nov 4, 2013. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4081471/.Google Scholar
Predeger, E. (1996). Womanspirit: A journey into healing through art in breast cancer. ANS: Advances in Nursing Science, 18(3), 4858.Google Scholar
Puchalski, C.M., Vitillo, R., Hull, S.K., (2014). Improving the spiritual dimension of whole person care: Reaching national and international consensus. Journal of Palliative Medicine, 17(6), 642656. Epub ahead of print May 19. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4038982/.Google Scholar
Puig, A., Lee, S.M., Goodwin, L., et al. (2006). The efficacy of creative arts therapies to enhance emotional expression, spirituality, and psychological well-being of newly diagnosed stage I and stage II breast cancer patients: A preliminary study. The Arts in Psychotherapy, 33(3), 218228.Google Scholar
Ray, A., Block, S.D., Friedlander, R.J., et al. (2006). Peaceful awareness in patients with advanced cancer. Journal of Palliative Medicine, 9(6), 13591368.Google Scholar
Roberts, K.T. & Aspy, C.B. (1993). Development of the Serenity Scale. Journal of Nursing Measurement, 1(2), 145164.Google ScholarPubMed
Roberts, K. & Cunningham, G. (1990). Serenity: Concept analysis and measurement. Educational Gerontology, 16(6), 577589.CrossRefGoogle Scholar
Ruland, C.M. & Moore, S.M. (1998). Theory construction based on standards of care: A proposed theory of the peaceful end of life. Nursing Outlook, 46(4), 169175.Google Scholar
Sabo, C.E. & Michael, S.R. (1996). The influence of personal message with music on anxiety and side effects associated with chemotherapy. Cancer Nursing, 19(4), 283289.Google Scholar
Salsman, J.M., Pustejovsky, J.E., Jim, H.S.L., et al. (2015). A meta-analytic approach to examining the correlation between religion/spirituality and mental health in cancer. Cancer, 121(21), 37693778. Epub ahead of print Aug 10. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4618157/.Google Scholar
Sandy, L. & Perkins, R. (2008). The nature of peace and its implications for peace education. In Topics in international law and human rights, pp. 16. Oslo: Faculty of Law, University of Oslo. Available from http://www.uio.no/studier/emner/jus/jus/ENGSEMJ/v08/undervisningsmateriale/IL%20&%20HR/Topic%202%20-%20Reading.pdf.Google Scholar
Selman, L., Speck, P., Gysels, M., et al. (2013). “Peace” and “life worthwhile” as measures of spiritual well-being in African palliative care: A mixed-methods study. Health and Quality of Life Outcomes, 11, 94. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3687576/.Google Scholar
Sherwood, P., Given, B.A., Given, C.W., et al. (2005). A cognitive behavioral intervention for symptom management in patients with advanced cancer. Oncology Nursing Forum, 32(6), 11901198. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1805479/.Google Scholar
Singer, P.A., Martin, D.K. & Kelner, M. (1999). Quality end-of-life care: Patients' perspectives. The Journal of the American Medical Association, 281(2), 163168.Google Scholar
Spinale, J., Cohen, S.D., Khetpal, P., et al. (2008). Spirituality, social support, and survival in hemodialysis patients. Clinical Journal of the American Society of Nephrology, 3(6), 16201627. Epub ahead of print Oct 15. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2572290/.Google Scholar
Steinhauser, K.E., Clipp, E.C., McNeilly, M., et al. (2000). In search of a good death: Observations of patients, families, and providers. Annals of Internal Medicine, 132(10), 825832. Available from http://annals.org/aim/article/713475/search-good-death-observations-patients-families-providers.CrossRefGoogle ScholarPubMed
Steinhauser, K.E., Clipp, E.C., Bosworth, H.B., et al. (2004). Measuring quality of life at the end of life: Validation of the QUAL–E. Palliative & Supportive Care, 2(1), 314.Google Scholar
Steinhauser, K.E., Voils, C.I., Clipp, E.C., et al. (2006). “Are you at peace?”: One item to probe spiritual concerns at the end of life. Archives of Internal Medicine, 166(1), 101105. Available from http://jamanetwork.com/journals/jamainternalmedicine/fullarticle/409431.Google Scholar
Steinhauser, K.E., Voils, C.I., Bosworth, H.B., et al. (2014). Validation of a measure of family experience of patients with serious illness: The QUAL–E (Fam). Journal of Pain and Symptom Management, 48(6), 11681181. Available from http://www.jpsmjournal.com/article/S0885-3924(14)00254-1/pdf.CrossRefGoogle ScholarPubMed
Stewart, A.L., Teno, J., Patrick, D.L., et al. (1998). The concept of quality of life of dying persons in the context of health care. Journal of Pain and Symptom Management, 17(2), 93108.Google Scholar
Stuckey, H.L. & Nobel, J. (2010). The connection between art, healing, and public health: A review of current literature. American Journal of Public Health, 100(2), 254263. Epub ahead of print Dec 17, 2009. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2804629/.Google Scholar
Tan, S.B., Ng, C.G., Subramaniam, P., et al. (2012). Inner peace in palliative care patients: A qualitative study using grounded theory. BMJ Supportive & Palliative Care, 2(Suppl. 1), A37.Google Scholar
Underwood, L.G. & Teresi, J.A. (2002). The daily spiritual experience scale: Development, theoretical description, reliability, exploratory factor analysis, and preliminary construct validity using health-related data. Annals of Behavioral Medicine, 24(1), 2233. Available from http://www.dsescale.org/underwoodteresi.pdf.Google Scholar
Whitford, H.S. & Olver, I.N. (2012). The multidimensionality of spiritual well-being: Peace, meaning, and faith and their association with quality of life and coping in oncology. Psycho-Oncology, 21(6), 602610.Google Scholar
Wilkinson, A., Slatyer, S., McCullough, K., et al. (2014). Exploring the quality of life at the end of life (QUAL–E) instrument with Australian palliative care hospital patients: Hurdles and directions. Journal of Palliative Care, 30(1), 1623.Google Scholar
Wlodarczyk, N. (2007). The effect of music therapy on the spirituality of persons in an in-patient hospice unit as measured by self-report. Journal of Music Therapy, 44(2), 113122. Available from http://diginole.lib.fsu.edu/islandora/object/fsu:169061/datastream/PDF/view.Google Scholar
Zucker, H., Ahn, R., Sinclair, S.J., et al. (2014). Development of a scale to measure individuals' ratings of peace. Conflict and Health, 8, 17. Available from https://conflictandhealth.biomedcentral.com/articles/10.1186/1752-1505-8-17.Google Scholar