DOI QR코드

DOI QR Code

Religious Coping and Quality of Life in Women with Breast Cancer

  • Zamanian, Hadi (Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences) ;
  • Eftekhar-Ardebili, Hasan (Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences) ;
  • Eftekhar-Ardebili, Mehrdad (Mental Health Research Center, Iran University of Medical Sciences) ;
  • Shojaeizadeh, Davood (Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences) ;
  • Nedjat, Saharnaz (Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences) ;
  • Taheri-Kharameh, Zahra (Qom University of Medical Sciences) ;
  • Daryaafzoon, Mona (Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences)
  • Published : 2015.12.03

Abstract

Background: The aim of this study was to assess the predictive role of religious coping in quality of life of breast cancer patients. Materials and Methods: This multi-center cross-sectional study was conducted in Tehran, Iran, from October 2014 to May 2015. A total of 224 women with breast cancer completed measures of socio-demographic information, religious coping (brief RCOPE), and quality of life (FACT-B). Data were analyzed using descriptive statistics and the t-test, ANOVA, and linear regression analysis. Results: The mean age was 47.1 (SD=9.07) years and the majority were married (81.3%). The mean score for positive religious coping was 22.98 (SD=4.09) while it was 10.13 (SD=3.90) for negative religious coping. Multiple linear regression showed positive and negative religious coping as predictor variables explained a significant amount of variance in overall QOL score ($R^2=.22$, P=.001) after controlling for socio-demographic, and clinical variables. Positive religious coping was associated with improved QOL (${\beta}=0.29$; p=0.001). In contrast, negative religious coping was significantly associated with worse QOL (${\beta}=-0.26$; p=0.005). Conclusions: The results indicated the used types of religious coping strategies are related to better or poorer QOL and highlight the importance of religious support in breast cancer care.

Keywords

References

  1. Afsharfard A, Mozaffar M, Orang E, et al (2013). Trends in epidemiology, clinical and histopathological characteristics of breast cancer in Iran: results of a 17 year study. Asian Pac J Cancer Prev, 14, 6905-11. https://doi.org/10.7314/APJCP.2013.14.11.6905
  2. Alacacioglu A, Ulger E, Varol U, et al (2013). Depression, anxiety and sexual satisfaction in breast cancer patients and their partners-izmir oncology group study. Asian Pac J Cancer Prev, 15, 10631-6.
  3. Ano GG,Vasconcelles EB (2005). Religious coping and psychological adjustment to stress: A meta-analysis. J Clin Psychol, 61, 461-80. https://doi.org/10.1002/jclp.20049
  4. Burker EJ, Evon DM, Sedway JA, et al (2004). Religious coping, psychological distress and disability among patients with end-stage pulmonary disease. J Clin Psychol Med Settings, 11, 179-93. https://doi.org/10.1023/B:JOCS.0000037612.31730.56
  5. Chang O, Choi EK, Kim IR, et al (2013). Association between socioeconomic status and altered appearance distress, body image, and quality of life among breast cancer patients. Asian Pac J Cancer Prev, 15, 8607-12.
  6. Cotton S, Weekes JC, Mcgrady ME, et al (2012). Spirituality and religiosity in urban adolescents with asthma. J Relig Health, 51, 118-31. https://doi.org/10.1007/s10943-010-9408-x
  7. Enjedany E, Daryaafzoun M, Zamanian H, et al (2010). Religious coping and quality of life in Iranian cancer patients: Do coping styles affect quality of life? psychology & health, taylor & francis ltd 4 park square, milton park, abingdon ox14 4rn, oxon, england.
  8. Gaston-Johansson F, Haisfield-Wolfe ME, Reddick B, et al (2013). The relationships among coping strategies, religious coping, and spirituality in African American women with breast cancer receiving chemotherapy. Oncol Nurs Forum.
  9. Ghiami Z (2005). An investigation about the relation of attachment styles with religious coping styles. J Psychol Educat, 35, 221-33.
  10. Harirchi I, Kolahdoozan S, Karbakhsh M, et al (2011). Twenty years of breast cancer in Iran: downstaging without a formal screening program. Ann Oncol, 22, 93-97. https://doi.org/10.1093/annonc/mdq303
  11. Hassan MR, Shah SA, Ghazi HF, et al (2015). Anxiety and depression among breast cancer patients in an urban setting in Malaysia. Asian Pac J Cancer Prev, 16, 4031. https://doi.org/10.7314/APJCP.2015.16.9.4031
  12. Hebert R, Zdaniuk B, Schulz R, et al (2009). Positive and negative religious coping and well-being in women with breast cancer. J Palliative Med, 12, 537-45. https://doi.org/10.1089/jpm.2008.0250
  13. Keramatinia A, Mousavi-Jarrahi SH, Hiteh M, et al (2013). Trends in incidence of breast cancer among women under 40 in Asia. Asian Pac J Cancer Prev, 15, 1387-90.
  14. Khalili N, Farajzadegan Z, Mokarian F, et al (2013). Coping strategies, quality of life and pain in women with breast cancer. Iranian J Nurs Midwifery Res, 18, 105.
  15. Kharame ZT, Zamanian H, Foroozanfar S, et al (2014). Religious wellbeing as a predictor for quality of life in Iranian hemodialysis patients. Global J Health Sci, 6, 261.
  16. Khoramirad A, Mousavi M, Dadkhahtehrani T, et al (2014). Relationship between sleep quality and spiritual well-being/ religious activities in muslim women with breast cancer. J Relig Health, 1-10.
  17. Knott V, Turnbull D, Olver I, et al (2012). A grounded theory approach to understand the cancer-coping process. British J Health Psychol, 17, 551-64. https://doi.org/10.1111/j.2044-8287.2011.02054.x
  18. Montazeri A (2008). Health-related quality of life in breast cancer patients: a bibliographic review of the literature from 1974 to 2007. J Exp Clin Cancer Res, 27, 32. https://doi.org/10.1186/1756-9966-27-32
  19. Niu HY, Niu CY, Wang JH, et al (2013). Health-related quality of life in women with breast cancer: a literature-based review of psychometric properties of breast cancer-specific measures. Asian Pac J Cancer Prev, 15, 3533-6.
  20. Pargament KI (2001). The psychology of religion and coping: theory, research, practice, Guilford Press.
  21. Pargament KI, Koenig HG, Perez LM (2000). The many methods of religious coping: Development and initial validation of the RCOPE. J Clin Psychol, 56, 519-43. https://doi.org/10.1002/(SICI)1097-4679(200004)56:4<519::AID-JCLP6>3.0.CO;2-1
  22. Pargament KI, Koenig HG, Tarakeshwar N, et al (2004). Religious coping methods as predictors of psychological, physical and spiritual outcomes among medically ill elderly patients: A two-year longitudinal study. J Health Psychol, 9, 713-30. https://doi.org/10.1177/1359105304045366
  23. Pargament KI, Smith BW, Koenig HG, et al (1998). Patterns of positive and negative religious coping with major life stressors. J Sci Study Religion, 710-24.
  24. Patoo M, Allahyari A, Moradi A, et al (2015). Persian version of functional assessment of cancer therapy-breast (FACT-B) scale: confirmatory factor analysis and psychometric properties. Asian Pac J Cancer Prev, 16, 3799. https://doi.org/10.7314/APJCP.2015.16.9.3799
  25. Ramirez SP, Macedo DS, Sales PMG, et al (2012). The relationship between religious coping, psychological distress and quality of life in hemodialysis patients. J Psychosomatic Res, 72, 129-135. https://doi.org/10.1016/j.jpsychores.2011.11.012
  26. Rammohan A, Rao K,Subbakrishna D (2002). Religious coping and psychological wellbeing in carers of relatives with schizophrenia. Acta Psychiatr Scand, 105, 356-362. https://doi.org/10.1034/j.1600-0447.2002.1o149.x
  27. Rippentrop AE, Altmaier EM, Chen JJ, et al (2005). The relationship between religion/spirituality and physical health, mental health, and pain in a chronic pain population. Pain, 116, 311-21. https://doi.org/10.1016/j.pain.2005.05.008
  28. Sanchez R, Ballesteros M,Arnold BJ (2011). Validation of the FACT-G scale for evaluating quality of life in cancer patients in Colombia. Quality Life Res, 20, 19-29. https://doi.org/10.1007/s11136-010-9727-0
  29. Tarakeshwar N, Vanderwerker LC, Paulk E, et al (2006). Religious coping is associated with the quality of life of patients with advanced cancer. J Palliative Med, 9, 646-57. https://doi.org/10.1089/jpm.2006.9.646
  30. Tedrus GMaS, Fonseca LC, Magri FDP, et al (2013). Spiritual/ religious coping in patients with epilepsy: Relationship with sociodemographic and clinical aspects and quality of life. Epilepsy Behavior, 28, 386-390. https://doi.org/10.1016/j.yebeh.2013.05.011
  31. Teo I, Fingeret MC, Liu J, et al (2015). Coping and quality of life of patients following microsurgical treajavascript:checkRefBr('', 'next');tment for breast cancer-related lymphedema. J Health Psychol, 1359105315589801. [Epub ahead of print]
  32. Trevino KM, Pargament KI, Cotton S, et al (2010). Religious coping and physiological, psychological, social, and spiritual outcomes in patients with HIV/AIDS: Cross-sectional and longitudinal findings. AIDS Behavior, 14, 379-89. https://doi.org/10.1007/s10461-007-9332-6
  33. Tuncer G,Yucel SC (2013). Comfort and anxiety levels of women with early stage breast cancer who receive radiotherapy. Asian Pac J Cancer Prev, 15, 2109-14.
  34. Vallurupalli MM, Lauderdale MK, Balboni MJ, et al (2012). The role of spirituality and religious coping in the quality of life of patients with advanced cancer receiving palliative radiation therapy. J Support Oncol, 10, 81. https://doi.org/10.1016/j.suponc.2011.09.003
  35. Yi MS, Mrus JM, Wade TJ, et al (2006). Religion, spirituality, and depressive symptoms in patients with HIV/AIDS. J General Internal Med, 21, S21-S27.
  36. Zamanian H, Kiaee N, Daryaafzoun M, et al (2010). The effect of spirituality and religiosity on mental health and quality of life in cancer patients. psychology & health, taylor & francis ltd 4 park square, milton park, abingdon ox14 4rn, oxon, england.
  37. Zwingmann C, Wirtz M, Muller C, et al (2006). Positive and negative religious coping in German breast cancer patients. J Beh Med, 29, 533-547. https://doi.org/10.1007/s10865-006-9074-3

Cited by

  1. Coping Well with Advanced Cancer: A Serial Qualitative Interview Study with Patients and Family Carers vol.12, pp.1, 2017, https://doi.org/10.1371/journal.pone.0169071
  2. Demographic differences of perceived service quality in emergency rooms of hospital organizations vol.25, pp.2, 2017, https://doi.org/10.1108/IJOA-08-2016-1052
  3. Isolation and prayer as means of solace for Arab women with breast cancer: An in-depth interview study vol.26, pp.11, 2017, https://doi.org/10.1002/pon.4402
  4. Anxiety and Depression in Cancer Patients: The Association with Religiosity and Religious Coping vol.56, pp.2, 2017, https://doi.org/10.1007/s10943-016-0267-y
  5. Two Sides of the Same Coin: The Positive and Negative Impact of Spiritual Religious Coping on Quality of Life and Depression in Dialysis Patients pp.1552-5724, 2017, https://doi.org/10.1177/0898010117725429
  6. Spiritual needs and their associated factors among cancer patients in China: a cross-sectional study vol.26, pp.10, 2018, https://doi.org/10.1007/s00520-018-4119-z
  7. Health-related quality of life of Iranian breast cancer patients: a meta-analysis and systematic review vol.170, pp.2, 2018, https://doi.org/10.1007/s10549-018-4750-x
  8. Religious coping and death depression in Iranian patients with cancer: relationships to disease stage vol.26, pp.8, 2018, https://doi.org/10.1007/s00520-018-4088-2
  9. Health-related quality of life of breast cancer patients in the Eastern Mediterranean region: a systematic review and meta-analysis pp.1573-7217, 2019, https://doi.org/10.1007/s10549-019-05131-0
  10. Spiritual Pain Is Associated with Decreased Quality of Life in Advanced Cancer Patients in Palliative Care: An Exploratory Study pp.1557-7740, 2019, https://doi.org/10.1089/jpm.2018.0340