PURPOSE/OBJECTIVES: To determine whether the perceived level of spirituality in 
family caregivers of patients with primary malignant brain tumors (PMBTs) 
changes across the disease trajectory.
DESIGN: Ongoing descriptive, longitudinal study.
SETTING: Southwestern Pennsylvania.
SAMPLE: 50 family caregivers of patients with PMBT.
METHODS: Caregivers and care recipients were recruited at time of diagnosis. 
Participants were interviewed at two subsequent time points, four and eight 
months following diagnosis.
MAIN RESEARCH VARIABLES: Care recipients' symptoms, neuropsychologic status, and 
physical function, as well as caregiver social support.
FINDINGS: Results showed no significant difference in spirituality scores 
reported at baseline and eight months (p = 0.8), suggesting that spirituality 
may be a stable trait across the disease trajectory.
CONCLUSIONS: Spirituality remains relatively stable along the course of the 
disease trajectory. Reports of caregiver depressive symptoms and anxiety were 
lower when paired with higher reports of spirituality.
IMPLICATIONS FOR NURSING: Clinicians can better identify caregivers at risk for 
negative outcomes by identifying those who report lower levels of spirituality. 
Future interventions should focus on the development and implementation of 
interventions that provide protective buffers such as increased social support.
KNOWLEDGE TRANSLATION: Spirituality is a relatively stable trait. High levels of 
spirituality can serve as a protective buffer from negative mental health 
outcomes. Caregivers with low levels of spirituality may be at risk for greater 
levels of burden, anxiety, and stress.