ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026
Relationship between spiritual pain, physical pain, and existential wellbeing among cancer patients: a correlational study.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeCancer profoundly affects patients' physical and psychological well-being, yet spiritual pain remains underexplored within supportive oncology care. This study examined relationships between spiritual pain, physical pain, and existential well-being among Iranian cancer patients.
methodsIn a cross-sectional descriptive-correlational design, 147 cancer patients were recruited via convenience sampling from oncology settings in Iran. Participants completed the Groves and Klauser Spiritual Pain Scale, the Ellison and Paloutzian Existential Well-Being Scale, and a physical pain questionnaire. Data were analyzed using descriptive statistics and correlation analyses in SPSS.
resultsOver half of participants reported moderate spiritual pain; the majority had average existential well-being, and 40% reported no physical pain. Spiritual pain correlated negatively with existential well-being (r = -0.58, p < 0.001), while physical pain correlated positively with spiritual pain (r = 0.20, p = 0.01), indicating that higher physical discomfort is associated with greater spiritual distress.
conclusionsThe findings reveal a significant interplay between spiritual pain, physical pain, and existential well-being in cancer patients, underscoring the importance of spiritual distress as part of the symptom burden. Integrating spiritual care into oncology practice may enhance supportive care beyond physical symptom management.
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