{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T09:48:22Z","timestamp":1792057702289,"version":"4.4.0"},"reference-count":52,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"unspecified","delay-in-days":287,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S147895152610368X_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to examine religious and post-Christian spiritual orientations, types of spiritual and ritual activities, coping strategies of patients with advanced illness and explore associations between spiritual needs, practices, well-being, quality of life, and coping styles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S147895152610368X_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>One hundred and two patients completed validated instruments: Post-Christian Spirituality Scale, Spiritual Needs Questionnaire, Spiritual Practices Questionnaire, Functional Assessment of Chronic Illness Therapy\u2013Spiritual Well-Being Scale, Global Quality of Life Scale, and Brief-COPE Questionnaire. Descriptive statistics summarized participant characteristics and scale distributions. Spearman correlations (Bonferroni-adjusted) examined associations between spiritual needs, practices, and coping modes. Multivariate regression analyses assessed whether ritual practices predicted spiritual needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S147895152610368X_sec3c\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Inner peace (median, 1.4; IQR, 1, 2) and humanistic\/prosocial practices (median, 66.6; IQR, 44.4, 83.2) were prominent spiritual needs and frequently used rituals, respectively. Strong correlations were observed between religious needs and religious rituals (rho\u00a0=\u00a00.87). Existential, inner peace, and giving\/generativity needs correlated moderately with existentialistic practices (rho\u00a0=\u00a00.56\u20130.69). Humanistic\/prosocial spiritual practices were moderately associated with giving\/generativity (rho\u00a0=\u00a00.52) and inner peace needs (rho\u00a0=\u00a00.42). Emotion-focused coping, particularly acceptance and emotional support, was most consistently associated with spiritual needs and practices, reinforcing the centrality of relational and embodied forms of spirituality at the end of life. Regression analyses confirmed existentialistic practices predicted existential and inner peace needs, while humanistic practices predicted generativity needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S147895152610368X_sec4d\">\n                    <jats:title>Significance of results<\/jats:title>\n                    <jats:p>Findings demonstrate strong alignment between spiritual needs and ritual activity, supporting development of personalized, ritual-based spiritual care frameworks. Determining individual orientations toward embodied, relational, and humanistic practices may offer an adaptable\u00a0means of addressing spiritual suffering.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s147895152610368x","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T09:21:49Z","timestamp":1792056109000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Examining spiritual needs, spiritual practices, ritual, and coping in palliative care: An Australian cohort study"],"prefix":"10.1017","volume":"24","author":[{"given":"Chrystabel","family":"Butler","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02stey378","id-type":"ROR","asserted-by":"publisher"}],"name":"Medical School University of Notre Dame Sydney NSW"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dana","family":"Hince","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02stey378","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Notre Dame Australia"},{"id":[{"id":"https:\/\/ror.org\/047272k79","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Western Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Gorelik","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02bfwt286","id-type":"ROR","asserted-by":"publisher"}],"name":"Monash University"},{"id":[{"id":"https:\/\/ror.org\/005bvs909","id-type":"ROR","asserted-by":"publisher"}],"name":"Royal Melbourne Hospital Melbourne"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Kissane","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02stey378","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Notre Dame Australia - Fremantle Campus"},{"name":"Monash University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3603-1258","authenticated-orcid":false,"given":"Natasha","family":"Michael","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02stey378","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Notre Dame Australia"},{"id":[{"id":"https:\/\/ror.org\/04cxm4j25","id-type":"ROR","asserted-by":"publisher"}],"name":"Plunkett Centre for Ethics Sydney NSW"},{"id":[{"id":"https:\/\/ror.org\/03w6p2n94","id-type":"ROR","asserted-by":"publisher"}],"name":"Bendigo Health Bendigo"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,10,15]]},"reference":[{"key":"S147895152610368X_ref24","doi-asserted-by":"publisher","DOI":"10.1177\/082585970101700103"},{"key":"S147895152610368X_ref3","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-013-2091-1"},{"key":"S147895152610368X_ref45","doi-asserted-by":"publisher","DOI":"10.5708\/EJMH.11.2016.1-2.1"},{"key":"S147895152610368X_ref18","first-page":"72","article-title":"Convenience sampling","volume":"1","author":"Golzar","year":"2022","journal-title":"International Journal of Education and Language Studies"},{"key":"S147895152610368X_ref28","doi-asserted-by":"publisher","DOI":"10.1007\/s11135-011-9640-9"},{"key":"S147895152610368X_ref30","doi-asserted-by":"publisher","DOI":"10.1080\/15265160701710329"},{"key":"S147895152610368X_ref31","doi-asserted-by":"publisher","DOI":"10.1080\/2194587X.2017.1411276"},{"key":"S147895152610368X_ref34","doi-asserted-by":"publisher","DOI":"10.1177\/1049909119877351"},{"key":"S147895152610368X_ref23","doi-asserted-by":"publisher","DOI":"10.58680\/ej196126763"},{"key":"S147895152610368X_ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-016-3135-0"},{"key":"S147895152610368X_ref46","first-page":"357","volume-title":"Spirituality and Religion within the Culture of Medicine","author":"VanderWeele","year":"2017"},{"key":"S147895152610368X_ref5","doi-asserted-by":"publisher","DOI":"10.2190\/1QQD-KVHM-FUD1-5V1M"},{"key":"S147895152610368X_ref25","doi-asserted-by":"publisher","DOI":"10.1080\/13537903.2020.1759897"},{"key":"S147895152610368X_ref51","doi-asserted-by":"publisher","DOI":"10.1002\/wps.21191"},{"key":"S147895152610368X_ref12","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1307"},{"key":"S147895152610368X_ref6","doi-asserted-by":"publisher","DOI":"10.1007\/s10943-021-01421-4"},{"key":"S147895152610368X_ref8","article-title":"Rituals in palliative care: An integrative review","author":"Butler","year":"2025a","journal-title":"BMJ Supportive and Palliative Care"},{"key":"S147895152610368X_ref1","doi-asserted-by":"publisher","DOI":"10.1177\/02692163241287650"},{"key":"S147895152610368X_ref10","unstructured":"Butters, M (2021) Death and Dying Mediated by Medicine, Rituals, and Aesthetics: An Ethnographic Study on the Experiences of Palliative Patients in Finland. 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Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e273"}}