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Pace R, Goldstein KM, Williams AR, Clayton-Stiglbauer K, Meernik C, Shepherd-Banigan M, Chawla N, Moss H, Skalla LA, Colonna S, Kelley MJ, Zullig LL. The Landscape of Care for Women Veterans with Cancer: An Evidence Map. J Gen Intern Med 2024; 39:2300-2316. [PMID: 38965201 PMCID: PMC11347519 DOI: 10.1007/s11606-024-08903-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2024] [Accepted: 06/17/2024] [Indexed: 07/06/2024]
Abstract
BACKGROUND Women are the fastest growing veteran group in the US and the number of women veterans (WVs) with cancer is rising; however, little is known about this population. Cancer care for WVs is complex and it is essential to understand their unique needs and care coordination challenges to provide evidence-based care. The purpose of this review is to map the quantity, distribution, and characteristics of literature describing cancer and its treatment among WVs. METHODS We searched MEDLINE (via PubMed), Embase (Elsevier), and Web of Science Core Collection (Clarivate) from inception through January, 2024. Publications were eligible that reported gender-specific data on any aspect of cancer care among WVs. Data was abstracted by a single investigator with over-reading. RESULTS Forty-six reports were included; 44 were observational and 19 had a women-only sample. There were no interventional reports and no qualitative reports had a patient sample. Breast cancer was the most commonly addressed (n = 19). There were six additional reports on sex-specific cancers. Many reports used large VA databases or previous trial data, creating the potential for patient overlap between reports. Among VA-specific areas of interest, only three reports evaluated the potential implications of racial differences and only two included a transgender population. No reports examined the effects of toxic exposures on cancer. Within the NCI Cancer Control Continuum, crosscutting areas were more commonly represented; over half (25) of the reports addressed epidemiology. There were few reports on focus areas and little overlap between focus and crosscutting areas. DISCUSSION Existing literature provides an inadequate understanding of the population of WVs with cancer. There is scant information regarding the population of WVs with cancer, their care preferences or experiences, or how to best identify and address unmet healthcare needs. It is imperative to expand research to provide evidence-based care for this population.
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Affiliation(s)
- Rachel Pace
- Center of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Healthcare System, Durham, NC, USA.
| | - Karen M Goldstein
- Center of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Healthcare System, Durham, NC, USA
- Division of General Internal Medicine, Duke University School of Medicine, Durham, NC, USA
| | - April R Williams
- Division of Hematology and Oncology, Durham VA Healthcare System, Durham, NC, USA
- Cooperative Studies Program Epidemiology Center, Durham VA Healthcare System, Durham, NC, USA
- Million Veteran Program, Boston Coordinating Center, Boston, MA, USA
| | | | | | - Megan Shepherd-Banigan
- Center of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Healthcare System, Durham, NC, USA
- Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA
- Duke-Margolis Institute for Health Policy, Duke University, Durham, NC, USA
- Mid-Atlantic Mental Illness Research Education and Clinical Center (MIRECC), Durham VA Healthcare System, Durham, NC, USA
| | - Neetu Chawla
- VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA
| | - Haley Moss
- Division of Hematology and Oncology, Durham VA Healthcare System, Durham, NC, USA
- Department of Obstetrics and Gynecology, Duke University Healthcare System, Durham, NC, USA
| | - Lesley A Skalla
- Duke University Medical Center Library and Archives, Duke University School of Medicine, Durham, NC, USA
| | | | - Michael J Kelley
- Division of Hematology and Oncology, Durham VA Healthcare System, Durham, NC, USA
- Duke Cancer Institute, Duke University Medical Center, Durham, NC, USA
- National Oncology Program, Department of Veterans Affairs, Washington, DC, USA
| | - Leah L Zullig
- Center of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Healthcare System, Durham, NC, USA
- Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA
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Módis LV, Aradi Z, Horváth IF, Pikó P, Papp G, Osváth M, Szántó A, Bugán A. Spirituality is associated with immune parameters and disease activity in primary Sjögren's syndrome: a cross-sectional study. Sci Rep 2024; 14:12473. [PMID: 38816520 PMCID: PMC11139944 DOI: 10.1038/s41598-024-62801-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2023] [Accepted: 05/21/2024] [Indexed: 06/01/2024] Open
Abstract
The role of spirituality in health and disease is a complex and emerging area of research. Incorporating spirituality into the bio-psycho-social model of health and disease leading to the bio-psycho-social-spiritual model provides a more comprehensive framework. In this context, chronic disorders like primary Sjögren's syndrome (pSS) are of interest due to their intricate interactions between biological, psychological, and spiritual factors. This study explored the relationship between spirituality, immune parameters, and disease activity in pSS patients. Data from 108 patients were analyzed, including self-assessed spirituality (answering to direct questions and completing the Spiritual Transcendence Scale), immunological parameters and disease activity scores. The findings revealed several associations. Individuals with spiritual attitudes or engaged in regular prayer/meditation showed lower serum levels of autoantibodies specific to pSS and lower disease activity scores. Spiritual engagement was also linked to decreased perceived skin and tracheal dryness, suggesting potential benefits for physical symptoms. These findings suggest that spirituality may play a significant role in modulating immune responses and disease activity in pSS patients. The study underscores the importance of considering spirituality as an integral part of the holistic approach to health and disease, further expanding the understanding of the interconnectedness of biological, psychological, and spiritual dimensions.
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Affiliation(s)
- László V Módis
- Faculty of Medicine, Department of Behavioural Sciences, University of Debrecen, Debrecen, 4032, Hungary.
- Szabolcs-Szatmár-Bereg County Teaching Hospital, Nagykálló Sántha Kálmán Member Hospital, Nagykálló, 4320, Hungary.
| | - Zsófia Aradi
- Faculty of Medicine, Department of Internal Medicine, Division of Clinical Immunology, University of Debrecen, Debrecen, 4032, Hungary
| | - Ildikó Fanny Horváth
- Faculty of Medicine, Department of Internal Medicine, Division of Clinical Immunology, University of Debrecen, Debrecen, 4032, Hungary
| | - Péter Pikó
- Faculty of Medicine, Department of Public Health and Epidemiology, University of Debrecen, Debrecen, 4028, Hungary
- National Laboratory for Health Security, Center for Epidemiology and Surveillance, Semmelweis University, Budapest, 1089, Hungary
| | | | - Mátyás Osváth
- Faculty of Medicine, Department of Behavioural Sciences, University of Debrecen, Debrecen, 4032, Hungary
| | - Antónia Szántó
- Faculty of Medicine, Department of Internal Medicine, Division of Clinical Immunology, University of Debrecen, Debrecen, 4032, Hungary
| | - Antal Bugán
- Faculty of Medicine, Department of Behavioural Sciences, University of Debrecen, Debrecen, 4032, Hungary
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Rashid MAUH, Muneeb SA, Manzoor MM, Fischer F. Religious coping, care burden and psychological distress among informal caregivers of COVID-19 patients: Results of a cross-sectional survey in Pakistan. Int J Soc Psychiatry 2023; 69:1369-1376. [PMID: 36951388 PMCID: PMC10037130 DOI: 10.1177/00207640231162277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/24/2023]
Abstract
BACKGROUND There is a complex relationship between health and religiosity. People may use religion to cope with difficulties and uncertainties in their life - such as induced by the COVID-19 pandemic. AIMS The purpose of this study is to investigate the relationship between religious coping, care burden and psychological distress among caregivers during COVID-19 in Pakistan. METHOD We conducted a cross-sectional survey in Pakistan. We used the Religious Coping Scale (RCOPE), Care Burden Scale (CB), and Depression, Anxiety and Stress Scale (DASS-21) to measure psychological stress from 303 caregivers. Data were analyzed using a hierarchical linear regression model for each of the three outcome variables, which are depression, anxiety, and stress. This analysis allows to investigate whether adding variables significantly improves a model's ability to predict the criterion variable. RESULTS The findings reveal that emotional care burden, physical care burden, negative religious coping, and social care burden explain a significant amount of the variance of three components of psychological distress among caregivers. CONCLUSIONS Health experts, psychologists, and policymakers can make better strategies to combat pandemics like COVID-19 by incorporating religious coping methods.
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Affiliation(s)
| | | | | | - Florian Fischer
- Institute of Public Health, Charité – Universitätsmedizin Berlin, Berlin, Germany
- Bavarian Research Center for Digital Health and Social Care, Kempten University of Applied Sciences, Kempten, Germany
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Fatima S, Mehmood N, Shakil M. Mediated Associations Between Religious Coping, Self-Regulation, and Psychological Distress Vary for Young Muslim Men and Women in Lahore, Pakistan. JOURNAL OF RELIGION AND HEALTH 2022; 61:109-124. [PMID: 34480690 DOI: 10.1007/s10943-021-01413-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 08/25/2021] [Indexed: 06/13/2023]
Abstract
The main aim of the study was to assess the direct, mediated, and conditional mediated associations among religious coping, self-regulation, and psychological distress in young Muslim adults while analyzing gender as a moderator of these mediated associations. Based on a sample of 247 young adults from Lahore, Pakistan (M age = 21.31, SD = 2.40; 51% women, 49% men), it was found that self-regulation mediated the negative associations of positive religious coping with stress and anxiety and the positive association of negative religious coping with stress. Further, it was found that mediated associations were stronger and significant in young men compared to women. The implications of the findings concerning gender differences in association between religious coping, self-regulation, and psychological distress are discussed.
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Affiliation(s)
- Shameem Fatima
- Department of Humanities, COMSATS University Islamabad, Defence Road, Off Raiwind Road, Lahore, Pakistan.
| | - Nida Mehmood
- Department of Psychology, Govt. College University, Lahore, Pakistan
| | - Muneeba Shakil
- Department of Humanities, COMSATS University Islamabad, Defence Road, Off Raiwind Road, Lahore, Pakistan
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5
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Jin J, Lee E, Lee S. Factors associated with distress among female cancer survivors at the workplace: A cross-sectional study. J Occup Health 2022; 64:e12364. [PMID: 36261233 PMCID: PMC9581752 DOI: 10.1002/1348-9585.12364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2022] [Revised: 08/02/2022] [Accepted: 09/10/2022] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVES This study aimed to investigate the levels of fatigue, social support, spiritual well-being, and distress of female cancer survivors at the workplace, and identify factors associated with distress. METHODS One hundred and eighty-two working female cancer survivors participated from the outpatient ward in two medical institutions in South Korea and they completed questionnaires assessing their general characteristics, fatigue, social support (colleagues and superiors), and spiritual well-being distress (existential and religious well-being). The data were analyzed using descriptive statistics, T-test, one-way ANOVA, correlation, and multiple linear regression with SPSS /WIN18 version. RESULTS Most of the participants were breast and thyroid cancer (78.5%), married (46.2%), working periods below 10 years (62.7%) and the average age was 49.7 years. Distress positively correlated with fatigue and significant predictors of distress were "type of work" and "main source of household income" among general characteristics, fatigue, religious well-being, and existential well-being. CONCLUSIONS Our findings suggest that integrated program including educational and practical factors to reduce fatigue and increase spiritual well-being (i.e., peace, faith, meaning, et al.) can decrease distress. Whereas, the "ambivalence" of God accompanied by high religious well-being (i.e., punishment, abandon, blame, and so on) can rather increase distress. The development of an integrated management system of distress at work can be applied as a practical factor to improve job satisfaction, organizational performance, and quality of life.
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Affiliation(s)
- Juhyun Jin
- Research Institute of Nursing Science, College of Nursing, Daegu Catholic UniversityDaeguRepublic of Korea
| | - Eunju Lee
- College of Nursing, Keimyung UniversityDaeguRepublic of Korea
| | - Suin Lee
- Yeungjin UniversityDaeguRepublic of Korea
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Dolcos F, Hohl K, Hu Y, Dolcos S. Religiosity and Resilience: Cognitive Reappraisal and Coping Self-Efficacy Mediate the Link between Religious Coping and Well-Being. JOURNAL OF RELIGION AND HEALTH 2021; 60:2892-2905. [PMID: 33415601 PMCID: PMC7790337 DOI: 10.1007/s10943-020-01160-y] [Citation(s) in RCA: 28] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/07/2020] [Indexed: 05/26/2023]
Abstract
Qualitative evidence points to the engagement of religious coping strategies when facing adversity, and evidence also highlights the effectiveness of cognitive reappraisal in reducing the impact of distressing emotions on well-being. It has been suggested that religious practices could facilitate the use of reappraisal, by promoting reframing of negative cognitions to alter emotional states. However, the link between religiosity and reappraisal in influencing resilience against symptoms of distress is not known. The current study (N = 203) examined connections among these aspects, using self-reported measures of religious coping, habitual use of specific coping strategies (positive reappraisal) and perceived confidence in using coping strategies, as well as questionnaires assessing symptoms of distress (anxiety and depression). Results point to a mediating role of reappraisal and coping self-efficacy as part of mechanisms that provide a protecting role of religious coping against emotional distress. These results provide novel scientific evidence further validating millennia-old traditional coping practices and shed light on psychological factors influencing adaptive behaviors that promote increased resilience, reduce symptoms of distress, and maintain emotional well-being. These findings inform general counseling practices and counseling of religious clients alike.
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Affiliation(s)
- Florin Dolcos
- Psychology Department, University of Illinois at Urbana-Champaign, Urbana, IL, 61820, USA.
- Beckman Institute for Advanced Science & Technology, University of Illinois at Urbana-Champaign, Urbana, IL, 61801, USA.
- Neuroscience Program, University of Illinois at Urbana-Champaign, Urbana, IL, 61801, USA.
| | - Kelly Hohl
- Psychology Department, University of Illinois at Urbana-Champaign, Urbana, IL, 61820, USA
- Beckman Institute for Advanced Science & Technology, University of Illinois at Urbana-Champaign, Urbana, IL, 61801, USA
| | - Yifan Hu
- Psychology Department, University of Illinois at Urbana-Champaign, Urbana, IL, 61820, USA
- Beckman Institute for Advanced Science & Technology, University of Illinois at Urbana-Champaign, Urbana, IL, 61801, USA
| | - Sanda Dolcos
- Psychology Department, University of Illinois at Urbana-Champaign, Urbana, IL, 61820, USA.
- Beckman Institute for Advanced Science & Technology, University of Illinois at Urbana-Champaign, Urbana, IL, 61801, USA.
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Sabanciogullari S, Yilmaz FT. The Effect of Religious Coping on Hope Level of Cancer Patients Receiving Chemotherapy. JOURNAL OF RELIGION AND HEALTH 2021; 60:2756-2769. [PMID: 31701322 DOI: 10.1007/s10943-019-00944-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Religious coping and hope are among factors that affect the disease, treatment compliance, psychological health and quality of life of cancer patients. The aim of this study was to determine the level of hope and religious coping styles of cancer patients, and to determine the relationship between religious coping and hope. The study was carried out descriptively and cross-sectionally with 133 patients receiving chemotherapy in an oncology center. In the study, the level of hope and positive religious coping of the patients were high and their level of negative religious coping was low. It was determined that there was a positive relationship between positive religious coping style and hope levels of patients, and positive religious coping style was a significant predictor of hope level. While patients are dealing with cancer diagnosis and treatment, it is recommended that health care professionals primarily focus on providing these patients a service with a holistic care approach and developing their hope with practices that will strengthen their positive religious coping styles.
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Affiliation(s)
- Selma Sabanciogullari
- Department of Psychiatric Nursing, School of Susehri Health High, Sivas Cumhuriyet University, Sivas, Turkey.
| | - Feride Taskin Yilmaz
- Department of Internal Diseases Nursing, School of Susehri Health High, Sivas Cumhuriyet University, Sivas, Turkey
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8
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Gall TL, Bilodeau C. The role of positive and negative religious/spiritual coping in women’s adjustment to breast cancer: A longitudinal study. J Psychosoc Oncol 2019; 38:103-117. [DOI: 10.1080/07347332.2019.1641581] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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9
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Koenig HG, Youssef NA, Oliver RJP, Ames D, Haynes K, Volk F, Teng EJ. Religious Involvement, Anxiety/Depression, and PTSD Symptoms in US Veterans and Active Duty Military. JOURNAL OF RELIGION AND HEALTH 2018; 57:2325-2342. [PMID: 30120690 DOI: 10.1007/s10943-018-0692-1] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Religious involvement is associated with mental health and well-being in non-military populations. This study examines the relationship between religiosity and PTSD symptoms, and the mediating effects of anxiety and depression in Veterans and Active Duty Military (V/ADM). This was a cross-sectional multi-site study involving 585 V/ADM recruited from across the USA. Inclusion criteria were having served in a combat theater and PTSD symptoms. Demographics, military characteristics, and social factors were assessed, along with measurement of religiosity, PTSD symptoms, depression, and anxiety. Bivariate and multivariate analyses examined the religiosity-PTSD relationship and the mediating effects of anxiety/depression on that relationship in the overall sample and stratified by race/ethnic group (White, Black, Hispanic). In bivariate analyses, the religiosity-PTSD relationship was not significant in the overall sample or in Whites. However, the relationship was significant in Blacks (r = - 0.16, p = 0.01) and in Hispanics (r = 0.30, p = 0.03), but in opposite directions. In the overall sample, religiosity was inversely related to anxiety (r = - 0.07, p = 0.07) and depression (r = - 0.21, p < 0.0001), especially in Blacks (r = - 0.21, p = 0.001, and r = - 0.34, p < 0.0001, respectively); however, in Hispanics, religiosity was positively related to anxiety (r = 0.32, p = 0.02) as it was to PTSD symptoms. When anxiety/depression was controlled for in multivariate analyses, the religiosity-PTSD relationship in the overall sample reversed from negative to positive, approaching statistical significance (B = 0.05, SE = 0.03, p = 0.079). In Blacks, the inverse association between religiosity and PTSD was explained by quality of relationships, whereas the positive relationship in Hispanics was explained by anxiety symptoms. In conclusion, religiosity was inversely related to PTSD symptoms in Blacks, positively related to PTSD in Hispanics, and unrelated to PTSD in the overall sample and in Whites. Anxiety/depression partially mediated the relationship in the overall sample and in Hispanics. Although longitudinal studies will be necessary to determine how these relationships come about, consideration should be given to spiritual/religious interventions that target anxiety/depression in V/ADM with PTSD.
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Affiliation(s)
- Harold G Koenig
- Duke University Medical Center, Box 3400, 2301 Erwin Rd, Durham, NC, 27710, USA.
- Durham Veterans Affairs Health Care System, Durham, NC, USA.
- Ningxia Medical University, 692 Shengli St, Xingqing Qu, Yinchuan Shi, 750000, Ningxia Huizuzizhiqu, China.
- King Abdulaziz University, Jeddah, 21589, Saudi Arabia.
| | - Nagy A Youssef
- Medical College of Georgia, Augusta University, Augusta, GA, USA
- Charlie Norwood VA Medical Center Augusta, Augusta, GA, USA
| | | | - Donna Ames
- Duke University Medical Center, Box 3400, 2301 Erwin Rd, Durham, NC, 27710, USA
- VA Greater Los Angeles Healthcare System, 11301 Wilshire Blvd, Los Angeles, CA, 90073, USA
- University of California - Los Angeles, 760 Westwood Plaza, Los Angeles, CA, 90024, USA
| | - Kerry Haynes
- South Texas Veterans Healthcare System, San Antonio, TX, USA
| | - Fred Volk
- Department of Counselor Education and Family Studies, School of Behavioral Sciences, Liberty University, Lynchburg, VA, USA
| | - Ellen J Teng
- Michael E. DeBakey VA Medical Center, Baylor College of Medicine, Houston, TX, USA
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Ng GC, Mohamed S, Sulaiman AH, Zainal NZ. Anxiety and Depression in Cancer Patients: The Association with Religiosity and Religious Coping. JOURNAL OF RELIGION AND HEALTH 2017; 56:575-590. [PMID: 27287259 DOI: 10.1007/s10943-016-0267-y] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/09/2023]
Abstract
There is a lack of studies looking into religiosity and religious coping in cancer patient. In this cross-sectional study, we examined the religiosity using Duke University Religion Index, religious coping using Brief Religious Coping Scale, anxiety and depression based on Hospital Anxiety and Depression Scale among 200 cancer patients. The association between religiosity and religious coping with anxiety and depression was studied. The findings showed that subjects with anxiety or depression used more negative religious coping and had lower non-organization religiosity. Hence, measurements in reducing negative religious coping and encouraging religious activities could help to reduce psychological distress in cancer patients.
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Affiliation(s)
- Guan Chong Ng
- Department of Psychological Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
| | - Salina Mohamed
- Department of Psychological & Behavioural Medicine, Faculty of Medicine, Universiti Teknologi MARA, Kuala Lumpur, Malaysia
| | - Ahmad Hatim Sulaiman
- Department of Psychological Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Nor Zuraida Zainal
- Department of Psychological Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
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Parenteau SC. Religious Coping and Substance Use: The Moderating Role of Sex. JOURNAL OF RELIGION AND HEALTH 2017; 56:380-387. [PMID: 26693721 DOI: 10.1007/s10943-015-0166-7] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
The objectives of this study were to ascertain whether positive and negative religious coping are associated with substance use and to determine whether sex moderates this association. This study utilized a cross-sectional design and examined 349 undergraduate students (103 males and 246 females) at a midsize southeastern university. Participants completed a demographic questionnaire, the Brief RCOPE, and the Drinking and Drug Habits Questionnaire. Results revealed a positive association between negative religious coping and substance use only for males. While positive religious coping was significantly negatively associated with substance use, sex did not moderate this association. These results suggest that males may be especially vulnerable to engaging in substance use when utilizing negative religious coping. It may be important for university counseling centers to be cognizant of the types of religious coping used by students, as well as sex differences regarding the association between negative religious coping and substance use.
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Affiliation(s)
- Stacy C Parenteau
- Department of Psychology, Auburn University at Montgomery, 210I Goodwyn Hall, Montgomery, AL, 36117, USA.
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12
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Rationale for Spiritually Oriented Cognitive Processing Therapy for Moral Injury in Active Duty Military and Veterans With Posttraumatic Stress Disorder. J Nerv Ment Dis 2017; 205:147-153. [PMID: 28129259 DOI: 10.1097/nmd.0000000000000554] [Citation(s) in RCA: 63] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Wartime experiences have long been known to cause ethical conflict, guilt, self-condemnation, difficulty forgiving, loss of trust, lack of meaning and purpose, and spiritual struggles. "Moral injury" (MI) (also sometimes called "inner conflict") is the term used to capture this emotional, cognitive, and behavioral state. In this article, we provide rationale for developing and testing Spiritually Oriented Cognitive Processing Therapy, a version of standard cognitive processing therapy for the treatment of MI in active duty and veteran service members (SMs) with posttraumatic stress disorder symptoms who are spiritual or religious (S/R). Many SMs have S/R beliefs that could increase vulnerability to MI. Because the injury is to deeply held moral standards and ethical values and often adversely affects spiritual beliefs and worldview, we believe that those who are S/R will respond more favorably to a therapy that directly targets this injury from a spiritually oriented perspective. An evidence-based treatment for MI in posttraumatic stress disorder that not only respects but also utilizes SMs' spiritual beliefs/behaviors may open the door to treatment for many S/R military personnel.
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13
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Trevino KM, Naik AD, Moye J. Perceived and Actual Change in Religion/Spirituality in Cancer Survivors: Longitudinal Relationships With Distress and Perceived Growth. PSYCHOLOGY OF RELIGION AND SPIRITUALITY 2016; 8:195-205. [PMID: 27453768 PMCID: PMC4956338 DOI: 10.1037/rel0000030] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
This observational cohort study examined the relationships between actual and perceived R/S change at 12 months post cancer diagnosis with depression, anxiety, and perceived growth 6 months later. Older adult military veteran cancer survivors (n = 111) completed self-report surveys at 6, 12, and 18 months post cancer diagnosis. Perceived R/S change was assessed at 12 months postdiagnosis with "Have your religious or spiritual beliefs changed as a result of your cancer" (more R/S, less R/S, other). Actual R/S change was assessed at 6 and 12 months postdiagnosis on a single item, "I have faith in God or a Higher Power" (no, somewhat, yes). A notable minority reported perceived (18.9%) and actual (14.4%) change. Greater perceived R/S change predicted more severe symptoms of depression and anxiety and greater perceived growth at 18 months postdiagnosis; perceived growth was positively associated with anxiety. Cancer survivors who report R/S changes may benefit from spiritual and/or psychological support.
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Affiliation(s)
- Kelly M Trevino
- Department of Medicine, Weill Cornell Medical College, and New York Presbyterian Hospital, New York, New York
| | - Aanand D Naik
- Center for Innovations in Quality, Effectiveness, and Safety (IQuESt), Michael E. DeBakey VA Medical Center, Houston, Texas, and Department of Medicine, Baylor College of Medicine
| | - Jennifer Moye
- VA Boston Healthcare System, Boston, Massachusetts, and Department of Psychiatry, Harvard Medical School
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Salsman JM, Pustejovsky JE, Jim HS, Munoz AR, Merluzzi TV, George L, Park CL, Danhauer SC, Sherman AC, Snyder MA, Fitchett G. A meta-analytic approach to examining the correlation between religion/spirituality and mental health in cancer. Cancer 2015; 121:3769-78. [PMID: 26258536 PMCID: PMC4618157 DOI: 10.1002/cncr.29350] [Citation(s) in RCA: 103] [Impact Index Per Article: 11.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2014] [Revised: 10/09/2014] [Accepted: 11/10/2014] [Indexed: 11/11/2022]
Abstract
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 mean correlation (Fisher z) was 0.19 (95% confidence interval [CI], 0.16-0.23), which varied as a function of R/S dimensions: affective R/S (z = 0.38; 95% CI, 0.33-0.43), behavioral R/S (z = 0.03; 95% CI, -0.02-0.08), cognitive R/S (z = 0.10; 95% CI, 0.06-0.14), and 'other' R/S (z = 0.08; 95% CI, 0.03-0.13). Aggregate, study-level demographic and clinical factors were not predictive of the relation between R/S and mental health. There was little indication of publication or reporting biases. The correlation between R/S and mental health generally was positive. The strength of that correlation was modest and varied as a function of the R/S dimensions and mental health domains assessed. The identification of optimal R/S measures and more sophisticated methodological approaches are needed to advance research.
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Affiliation(s)
- John M. Salsman
- Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
- The Robert H. Lurie Comprehensive Cancer Center of Northwestern University, Chicago, IL, USA
| | - James E. Pustejovsky
- Department of Educational Psychology, University of Texas at Austin, Austin, TX, USA
| | - Heather S.L. Jim
- Health Outcomes and Behavior Department, Moffitt Cancer Center, Tampa, FL, USA
| | - Alexis R. Munoz
- School of Public Health, University of Illinois at Chicago, Chicago, IL, USA
| | | | - Login George
- Department of Psychology, University of Connecticut, Storrs, CT, USA
| | - Crystal L. Park
- Department of Psychology, University of Connecticut, Storrs, CT, USA
| | - Suzanne C. Danhauer
- Department of Social Sciences & Health Policy, Wake Forest School of Medicine, Winston Salem, NC, USA
| | - Allen C. Sherman
- Behavioral Medicine, Winthrop P. Rockefeller Cancer Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - Mallory A. Snyder
- Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - George Fitchett
- Department of Religion, Health and Human Values, Rush University Medical Center, Chicago, IL, USA
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15
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Abstract
PURPOSE OF REVIEW There has been increased interest in the relationship between religion and spirituality and mental health in recent years. This article reviews recent research into the capacity of religion and spirituality to benefit or harm the mental health of believers. We also examine the implications this may have for assessment and treatment in psychiatric settings. RECENT FINDINGS Studies indicate that religion and spirituality can promote mental health through positive religious coping, community and support, and positive beliefs. Research also shows that religion and spirituality can be damaging to mental health by means of negative religious coping, misunderstanding and miscommunication, and negative beliefs. Tools for the assessment of patients' spiritual needs have been studied, and incorporation of spiritual themes into treatment has shown some promise. SUMMARY Religion and spirituality have the ability to promote or damage mental health. This potential demands an increased awareness of religious matters by practitioners in the mental health field as well as ongoing attention in psychiatric research.
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Assari S. Chronic Medical Conditions and Major Depressive Disorder: Differential Role of Positive Religious Coping among African Americans, Caribbean Blacks and Non-Hispanic Whites. Int J Prev Med 2014; 5:405-13. [PMID: 24829727 PMCID: PMC4018588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2013] [Accepted: 12/12/2013] [Indexed: 12/04/2022] Open
Abstract
BACKGROUND This study was aimed to investigate the main and buffering effects of positive religious coping on the association between the number of chronic medical conditions and major depressive disorder (MDD) among African Americans, Caribbean Blacks and Non-Hispanic Whites. METHODS This cross-sectional study used data from the National Survey of American Life, 2001 and 2003. This study enrolled 3,570 African Americans, 1,438 Caribbean Blacks and 891 Non-Hispanic Whites. Number of chronic conditions and positive religious coping were independent variables, 12-month MDD was the outcome and socio-economic characteristics were controls. We fitted the following three ethnic-specific logistic regressions for data analysis. In Model I, we included the number of chronic conditions and controls. In Model II, we added the main effect of religious coping. In Model III, we included an interaction between religious coping and number of chronic conditions. RESULTS Based on Model I, number of chronic conditions was associated with higher odds of 12-month MDD among all race/ethnic groups. Model II showed a significant and negative association between religious coping and MDD among Caribbean Blacks (odds ratio [OR] =0.55, 95% confidence Interval [CI] =0.39-0.77), but not African Americans or Hispanic Whites. Model III suggested that, only among Caribbean Blacks, the effect of chronic medical conditions on MDD is smaller in the presence of high positive religious coping (OR for interaction = 0.73, 95% CI = 0.55-0.96). CONCLUSIONS Although the association between multiple chronic conditions and MDD may exist regardless of race and ethnicity, race/ethnicity may shape how positive religious coping buffers this association. This finding sheds more light onto race and ethnic differences in protective effects of religiosity on mental health of populations.
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Affiliation(s)
- Shervin Assari
- Center for Research on Ethnicity, Culture, and Health, University of Michigan School of Public Health, Ann Arbor, MI, USA,Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, USA,Correspondence to: Dr. Assari, Shervin, Center for Research on Ethnicity, Culture, and Health, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI 48109-2029, USA. E-mail:
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17
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Magyar-Russell G, Brown IT, Edara IR, Smith MT, Marine JE, Ziegelstein RC. In search of serenity: religious struggle among patients hospitalized for suspected acute coronary syndrome. JOURNAL OF RELIGION AND HEALTH 2014; 53:562-78. [PMID: 23605644 DOI: 10.1007/s10943-013-9713-2] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
Hospitalization for a sudden cardiac event is a frightening experience, one that is often marked by uncertainty about health status, fear of recurrent cardiac problems, and related existential, religious, and spiritual concerns. Religious struggle, reflecting tension and strain regarding religious and spiritual issues, may arise in response to symptoms of acute coronary syndrome (ACS). The present study examined the prevalence and types of religious struggle using the Brief RCOPE, as well as associations between religious struggle, psychological distress, and self-reported sleep habits among 62 patients hospitalized with suspected ACS. Fifty-eight percent of the sample reported some degree of religious struggle. Questioning the power of God was the most frequently endorsed struggle. Those struggling religiously reported significantly more symptoms of anxiety, depression, and sleep disturbance. Non-White participants endorsed greater use of positive religious coping strategies and religious struggle. Results suggest that patients hospitalized for suspected ACS experiencing even low levels of religious struggle might benefit from referral to a hospital chaplain or appropriately trained mental health professional for more detailed religious and spiritual assessment. Practical means of efficiently screening for religious struggle during the often brief hospitalization period for suspected ACS are discussed.
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Affiliation(s)
- Gina Magyar-Russell
- Department of Pastoral Counseling, Loyola University Maryland, 8890 McGaw Rd, Suite 380, Columbia, MD, 21045, USA,
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18
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Trevino KM, Balboni M, Zollfrank A, Balboni T, Prigerson HG. Negative religious coping as a correlate of suicidal ideation in patients with advanced cancer. Psychooncology 2014; 23:936-45. [PMID: 24577802 DOI: 10.1002/pon.3505] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2013] [Revised: 01/08/2014] [Accepted: 01/27/2014] [Indexed: 12/12/2022]
Abstract
OBJECTIVE The purpose of this study is to examine the relationship between negative religious coping (NRC) and suicidal ideation in patients with advanced cancer, controlling for demographic and disease characteristics and risk and protective factors for suicidal ideation. METHODS Adult patients with advanced cancer (life expectancy ≤6 months) were recruited from seven medical centers in the northeastern and southwestern USA (n = 603). Trained raters verbally administered the examined measures to patients upon study entry. Multivariable logistic regression analyses regressed suicidal ideation on NRC controlling for significant demographic, disease, risk, and protective factors. RESULTS Negative religious coping was associated with an increased risk for suicidal ideation (OR, 2.65 [95% CI, 1.22, 5.74], p = 0.01) after controlling for demographic and disease characteristics, mental and physical health, self-efficacy, secular coping, social support, spiritual care received, global religiousness and spirituality, and positive religious coping. CONCLUSIONS Negative religious coping is a robust correlate of suicidal ideation. Assessment of NRC in patients with advanced cancer may identify patients experiencing spiritual distress and those at risk for suicidal ideation. Confirmation of these results in future studies would suggest the need for interventions targeting the reduction of NRC to reduce suicidal ideation among advanced cancer patients.
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Affiliation(s)
- K M Trevino
- Rowan University, 201 Mullica Hill Rd, Glassboro, NJ, USA
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19
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Taku K, Cann A. Cross-National and Religious Relationships With Posttraumatic Growth. JOURNAL OF CROSS-CULTURAL PSYCHOLOGY 2014. [DOI: 10.1177/0022022113520074] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Posttraumatic growth (PTG)—positive changes experienced as a result of psychological struggle with highly challenging life circumstances—generally correlates with greater religiosity and optimism, and often shows gender and cross-national differences. The current study examined the relationship of national background and religion with PTG, as well as individual differences variables (i.e., optimism, pessimism, and gender) and individuals’ appraisal or perceptions of the event (i.e., whether the event was perceived as having a direct or indirect impact, and whether the event was perceived as deliberate or accidental). American and Japanese college students identified a highly stressful life event and completed the PTG Inventory and the revised Life Orientation Test. Results showed that national background and religiosity (religious affiliation and strengths of religious beliefs) predicted the level of overall PTG. In addition to the national and religious associations, gender and optimism had positive associations with PTG. The role of individual differences variables and perceptions of the triggering event varied cross-nationally across the PTG domains. Limitations and future directions are discussed.
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Affiliation(s)
| | - Arnie Cann
- University of North Carolina at Charlotte, Charlotte, NC, USA
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20
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Beehler GP, Rodrigues AE, Kay MA, Kiviniemi MT, Steinbrenner L. Lasting Impact: Understanding the Psychosocial Implications of Cancer Among Military Veterans. J Psychosoc Oncol 2013; 31:430-50. [DOI: 10.1080/07347332.2013.798762] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Cancer survivor rehabilitation and recovery: protocol for the Veterans Cancer Rehabilitation Study (Vet-CaRes). BMC Health Serv Res 2013; 13:93. [PMID: 23497430 PMCID: PMC3626766 DOI: 10.1186/1472-6963-13-93] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2013] [Accepted: 03/06/2013] [Indexed: 12/16/2022] Open
Abstract
Background Cancer survivors are a rapidly growing and aging population in the U.S., but there are many challenges associated with the survivorship experience such as functional disabilities and psychosocial distress. When viewed next to the general population, Veterans are especially at risk for these challenges as they are older and have a high incidence of co-morbid conditions. While the Institute of Medicine (IOM) has called for further cancer survivorship research to address these challenges, we still know little about this experience from the perspective of aging Veterans. Methods/design We conducted a longitudinal, mixed-methods study over the course of three and a half years at the Boston and Houston VA Medical Centers. We recruited 170 Veterans diagnosed with head and neck, colorectal and esophageal/gastric cancers that were identified from the VA tumor registry. Veterans completed three in-depth interviews, conducted at 6, 12 and 18 months after pathology confirmation, measuring the physical, social and psychological factors related to cancer survivorship. The longitudinal design allowed us to assess any changes in cancer related disability and distress over time. Discussion Weekly teleconference study team meetings were a key aspect to the research process. Issues related to recruitment, data management and analysis, and the dissemination of research results was discussed. Interviewers presented detailed case reports of completed interviews that allowed us to refine our interview protocols. We also discussed issues relevant to the Veteran population of which we were previously unaware and some of the challenges of the research process itself. This novel study produced a robust data set that documents the functional and psychosocial cancer survivorship experiences of aging Veterans. The longitudinal design will help us more fully understand the recovery patterns for this specific population, and identify the unique needs and gaps in health services.
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Olson MM, Trevino DB, Geske JA, Vanderpool H. Religious Coping and Mental Health Outcomes: An Exploratory Study of Socioeconomically Disadvantaged Patients. Explore (NY) 2012; 8:172-6. [DOI: 10.1016/j.explore.2012.02.005] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2011] [Indexed: 11/25/2022]
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