{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T23:12:36Z","timestamp":1790205156589,"version":"4.1.0"},"reference-count":30,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2020,12,16]],"date-time":"2020-12-16T00:00:00Z","timestamp":1608076800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100012400","name":"Sigma Theta Tau International","doi-asserted-by":"publisher","award":["Beta Psi Chapter: Naomi Ballard Nursing Research A"],"award-info":[{"award-number":["Beta Psi Chapter: Naomi Ballard Nursing Research A"]}],"id":[{"id":"10.13039\/100012400","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["West J Nurs Res"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:p>In this investigational cross-sectional study, we explored the relationships among caregiver burden, depressive symptoms, spirituality, and quality of life (QOL) in 58 parental caregivers of adolescents with spina bifida (SB). A hierarchical linear regression analysis provided evidence that depressive symptoms and caregiver burden were negatively related to QOL scores, but spirituality was positively related. We found a significant interaction between caregiver burden and spirituality, suggesting that spirituality moderates the relationship between caregiver burden and quality of life. The negative effect of caregiver burden on QOL decreased as spirituality increased. These results warrant further research into how caregiver burden and spirituality intersect and impact QOL in parental caregivers of adolescents with SB.<\/jats:p>","DOI":"10.1177\/0193945920976407","type":"journal-article","created":{"date-parts":[[2020,12,16]],"date-time":"2020-12-16T09:00:30Z","timestamp":1608109230000},"page":"742-750","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Spirituality and Quality of Life among Parents of Adolescents with Spina Bifida"],"prefix":"10.1177","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1911-2753","authenticated-orcid":false,"given":"Asma A.","family":"Taha","sequence":"first","affiliation":[{"name":"School of Nursing, Oregon Health &amp; Science University, Portland, OR, USA"},{"name":"Child Development and Rehabilitation Center (CDRC), Portland, OR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron M.","family":"Eisen","sequence":"additional","affiliation":[{"name":"School of Nursing, Oregon Health &amp; Science University, Portland, OR, USA"},{"name":"National University of Natural Medicine, Helfgott Research Institute, Portland, OR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hana Q.","family":"Abdul-Rahman","sequence":"additional","affiliation":[{"name":"School of Nursing, Oregon Health &amp; Science University, Portland, OR, USA"},{"name":"Portland State University, Portland, OR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tariq Q.","family":"Abdul-Rahman","sequence":"additional","affiliation":[{"name":"California State University San Bernardino, San Bernardino, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacey","family":"La","sequence":"additional","affiliation":[{"name":"California State University Fullerton, Fullerton, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas","family":"Hanes","sequence":"additional","affiliation":[{"name":"National University of Natural Medicine, Helfgott Research Institute, Portland, OR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Zouros","sequence":"additional","affiliation":[{"name":"St. Luke\u2019s Children\u2019s Hospital, St. Luke\u2019s Idaho Elk\u2019s Children\u2019s Pavilion, Boise, ID, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,12,16]]},"reference":[{"issue":"2","key":"e_1_3_3_2_1","first-page":"42","article-title":"Spirituality and quality of life in chronic illness","volume":"10","author":"Adegbola M. 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