It is out of my hands: how deferring control to God can decrease quality of life for breast cancer patients (original) (raw)
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Objective: This paper seeks to contribute to the understanding of how and why religion affects psychosocial health outcomes. We propose a theoretical model predicting that when women with breast cancer defer control to God they will experience fewer breast cancer related concerns. Deferring control to God, however, should also reduce the likelihood that they take a proactive coping approach, which will be exacerbated by lowered breast cancer concerns. We therefore predict that this passive coping style will ultimately result in lower levels of quality of life.
Journal For the Study of Religions and Ideologies, 2014
Even though there are several studies showing a clear connection between religious coping and distress, only few of them illustrate models of mediation between religious coping and its psychological effects. In this paper we investigate the mediation effect that response expectancies have in the relation between religious coping and nonvolitional responses (distress, fatigue and weakness). The study was made on 38 females diagnosed with breast cancer and which were following a treatment with radiotherapy sessions. The results confirmed the presence of a mediation effect in the case of negative religious coping. When the mediator was present we registered significant indirect effects ranging from 37% to 47% of the Total effect that negative religious coping had on its outcomes. Our results suggested that religious coping could act like a placebo, the appearance of its effects being mediated by response expectancies. Due to its significant prediction effect upon non-volitional responses, we propose the introduction of the concept of religious response expectancies.
Cancer, 2015
Religion and spirituality (R/S) are patient-centered factors and often are resources for managing the emotional sequelae of the cancer experience. Studies investigating the correlation between R/S (eg, beliefs, experiences, coping) and mental health (eg, depression, anxiety, well being) in cancer have used very heterogeneous measures and have produced correspondingly inconsistent results. A meaningful synthesis of these findings has been lacking; thus, the objective of this review was to conduct a meta-analysis of the research on R/S and mental health. Four electronic databases were systematically reviewed, and 2073 abstracts met initial selection criteria. Reviewer pairs applied standardized coding schemes to extract indices of the correlation between R/S and mental health. In total, 617 effect sizes from 148 eligible studies were synthesized using meta-analytic generalized estimating equations, and subgroup analyses were performed to examine moderators of effects. The estimated me...
Health and Quality of Life Outcomes, 2015
Background: There is disagreement among studies of health-related quality of life (HRQoL) changes in breast cancer patients over time. Reportedly, assessment of HRQoL prior to diagnosis may be crucial to provide a clear point of comparison for later measurements. The aims of this study were (1) to investigate changes in HRQoL, sense of coherence (SOC), spirituality and religious coping in a group of women with breast cancer from the pre-diagnosis phase to 6 months later in comparison with a control group, and (2) to explore the predictor role of SOC, spirituality, and religious coping within the breast cancer group at the 6-month follow-up. Methods: A sample of women with breast cancer (n = 162) and a matched control group (n = 210) responded to the following instruments on both occasions: the European Organization for Research and Treatment of Cancer QLQ-C30, the SOC Scale, the Spiritual Perspective Scale and the Brief Religious Coping Scale. A series of General Linear Model (GLM) Repeated Measures was used to determine changes between the groups over time. Also, Multiple Linear Regression analyses were applied to each of the HRQoL dimensions, as dependent variable at the 6 months follow-up. Results: Physical and role function, fatigue, and financial difficulties were rated worse by the women with breast cancer during the first 6 months in comparison to the controls, which was both a statistically (p < 0.001) and clinically significant difference. Women had better scores for global quality of life (p < 0.001), and emotional functioning (p < 0.01) during the same period of time. The degree of SOC (p < 0.01) and baseline ratings of several dimensions of HRQoL (p < 0.05) were the most important predictors of HRQoL changes.
JAMA Network Open, 2020
IMPORTANCE The associations of spiritual and religious factors with patient-reported outcomes among adolescents with cancer are unknown. OBJECTIVE To model the association of spiritual and religious constructs with patient-reported outcomes of anxiety, depressive symptoms, fatigue, and pain interference. DESIGN, SETTING, AND PARTICIPANTS This cross-sectional study used baseline data, collected from 2016 to 2019, from an ongoing 5-year randomized clinical trial being conducted at 4 tertiaryreferral pediatric medical centers in the US. A total of 366 adolescents were eligible for the clinical trial, and 126 were randomized; participants had to be aged 14 to 21 years at enrollment and be diagnosed with any form of cancer. Exclusion criteria included developmental delay, scoring greater than 26 on the Beck Depression Inventory II, non-English speaking, or unaware of cancer diagnosis. EXPOSURES Spiritual experiences, values, and beliefs; religious practices; and overall self-ranking of spirituality's importance. MAIN OUTCOMES AND MEASURES Variables were taken from the Brief Multidimensional Measurement of Religiousness/Spirituality (ie, feeling God's presence, daily prayer, religious service attendance, being very religious, and being very spiritual) and the spiritual well-being subscales of the Functional Assessment of Chronic Illness Therapy (meaning/peace and faith). Predefined outcome variables were anxiety, depressive symptoms, fatigue, and pain interference from Patient-Reported Outcomes Measurement Information System pediatric measures. RESULTS A total of 126 individuals participated (72 [57.1%] female participants; 100 [79.4%] white participants; mean [SD] age, 16.9 [1.9] years). Structural equation modeling showed that meaning and peace were inversely associated with anxiety (β =-7.94; 95% CI,-12.88 to-4.12), depressive symptoms (β =-10.49; 95% CI,-15.92 to-6.50), and fatigue (β =-8.90; 95% CI,-15.34 to-3.61). Feeling God's presence daily was indirectly associated with anxiety (β =-3.37; 95% CI,-6.82 to-0.95), depressive symptoms (β =-4.50; 95% CI,-8.51 to-1.40), and fatigue (β =-3.73; 95% CI,-8.03 to-0.90) through meaning and peace. Considering oneself very religious was indirectly associated with anxiety (β =-2.81; 95% CI,-6.06 to-0.45), depressive symptoms (β = −3.787; 95% CI,-7.68 to-0.61), and fatigue (β =-3.11, 95% CI,-7.31 to-0.40) through meaning and peace. Considering oneself very spiritual was indirectly associated with anxiety (β = 2.11; 95% CI, 0.05 to 4.95) and depression (β = 2.8, 95% CI, 0.07 to 6.29) through meaning and peace. No associations were found between spiritual scales and pain interference.
Journal of Health Psychology, 2005
This article explored advantages of canonical correlation using the Multidimensional Health Locus of Control (MHLC) scales in relation to measures of coping, affect and values. Survey data collected from 659 participants demonstrated significant canonical correlations between the MHLC and synthetic variables representing all three of these constructs. Results verified some previously hypothesized relations (e.g. external health control relates to passive coping) and introduced new findings pertaining to the relations between networks of MHLC variables and networks of the other three constructs (e.g. positive affect relates to collaborative control between self and God regarding health). Canonical correlation promotes greater understanding of relations between health loci of control and other multidimensional variables than can be obtained through simpler analytic strategies.
Journal of Research Development in Nursing and Midwifery, 2018
Introduction: Quality of life is an important issue in chronic diseases, especially in cancer. Considering the religion in quality of life is important. Therefore, this study aimed to determine the role of religious coping in predicting the quality of life dimensions in patients with breast cancer. Methods: The study was a descriptive- correlation. The study population was the patients with breast cancer referred to the referral medical center of Kerman city in 2015. The sample included 121 patients who were selected by available sampling method. The variables were measured using the religious coping questionnaire and the quality of life questionnaire for breast cancer patients. Data were analyzed using Pearson correlation coefficient and Step-Wise Regression Test. Results: The results showed that there was a positive and significant relationship between functional dimension with religious activities, benevolent assessment, and active religious activities. The symptoms dimension had an inverse and significant relationship with religious activities. There was also a positive and significant relationship between the general health dimension with religious activities, benevolent assessments and active religious activities. The regression analysis indicated that benevolent assessment was a predictor for functional dimension (Beta=0.26). ReIigious activities were an inverse predictor for symptoms dimension (Beta= - 0. 1 8), and active religious activities were a predictor for general health quality of life (Beta=0.31). Conclusion: The dimensions of positive religious coping including religious activities, benevolent assessment, active religious activities can improve the quality of life of patients with breast cancer in functional, symptoms and general health dimension.
International Health, 2019
Background To explore and characterize the inter-relationship between psychological well-being, spirituality, social support, comorbidity, demographic and lifestyle factors and quality of life (QoL). Methods This cross-sectional study was conducted with 305 breast cancer survivors in northern Iran in 2017. The demographic and socio-economic data and physical activity were measured with a standard questionnaire. The standard European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 QoL scale, a system-of-belief inventory questionnaire, the social support scale, the short form of the Hospital Anxiety and Depression Scale and the fatigue severity scale (FSS) were used in data collection. In structural equation modelling analysis, we used the maximum likelihood procedure to estimate the direct and indirect effects of relevant factors on QoL. Results The median age (quartile 1 [Q1], quartile 3 [Q3]) of patients was 50 y (43, 55). The psychological factors designated by a...