Spiritual Complexity in Palliative Home Care in Spain: A Multi-center Prospective Study
This study examined spiritual complexity in end-of-life patients cared for by palliative care teams in Catalonia, Spain, using the HexCom model. Among 1818 patients (55.9% men, average age 75.7), spiritual complexity remained stable (37.5% initially, 35.5% final), while high complexity increased from 8.3 to 11.2%. Intrapersonal complexity was the most common (19.7%), followed by transpersonal (18.4%), and interpersonal (6.8%). Emotional complexity was strongly correlated with spiritual complexity. Key factors included cognitive impairment as a protector and how spiritual complexity sub-areas relate to desires to hasten death, family relationships, and end-of-life circumstances. The findings emphasize integrating spiritual care into routine interdisciplinary care.
Authors
- Xavier Busquet-Duran (ORCID: https://orcid.org/0000-0003-2441-2651)
- Eduard Moreno‐Gabriel (ORCID: https://orcid.org/0000-0001-8184-6232)
- Pere Torán‐Monserrat (ORCID: https://orcid.org/0000-0002-9865-7427)
- Maria Verdaguer (ORCID: https://orcid.org/0009-0009-0950-8373)
- Eva María Jiménez-Zafra
- Josep Maria Manresa‐Domínguez (ORCID: https://orcid.org/0000-0001-8306-5798)
Institutions
- Universitat Autònoma de Barcelona (ES)
- Universitat de Girona (ES)
- Multiple Sclerosis Society (GB)
- Hospital General de Granollers (ES)
- Catalan Society of Family and Community Medicine (ES)
- Institut Universitari d'Investigació en Atenció Primària Jordi Gol (ES)
Publication Details
- Journal
- Journal of Religion and Health
- Published
- 2025-04-07
- DOI
- https://doi.org/10.1007/s10943-025-02300-y
- Primary Topic
- Religion, Spirituality, and Psychology
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Generalitat de Catalunya
- Universitat Autònoma de Barcelona