Cited by 232Religion, Spirituality, and PsychologyCancer survivorship and careWorkplace Spirituality and Leadership

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A meta‐analytic approach to examining the correlation between religion/spirituality and mental health in cancer

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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. Cancer 2015;121:3769–3778. © 2015 American Cancer Society.

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  1. 10.1002/0470870168.ch1 · DOI · Paper page
  2. Stanton AL, 2006, Handbook of Post‐Traumatic Growth: Research and Practice, 138
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Metadata

Authors
Salsman, J. M., Pustejovsky, J. E., Jim, H. S. L., Munoz, A. R., Merluzzi, T. V., George, L., Park, C. L., Danhauer, S. C., Sherman, A. C., Snyder, M. A., & Fitchett, G.
Affiliations
  • Northwestern University (US)
  • The University of Texas at Austin (US)
  • Moffitt Cancer Center (US)
  • University of Illinois Chicago (US)
  • University of Notre Dame (US)
  • University of Connecticut (US)
  • Wake Forest University (US)
  • University of Arkansas for Medical Sciences (US)
  • Rush University Medical Center (US)
Corresponding author
Salsman, John M.
Venue
Cancer
Publisher
Wiley
Published
2015-08-10
Volume
121
Issue
21
Pages
3769-3778
ISSN
  • 0008-543X (ISSN-L)
  • 1097-0142
OpenAlex
W2127587946
Cited by
232
References
36
Citations by year
2026: 9 · 2025: 15 · 2024: 13 · 2023: 56 · 2022: 18 · 2021: 18 · 2020: 27 · 2019: 19 · 2018: 26 · 2017: 16 · 2016: 8 · 2015: 7
FWCI
3.36
Type
journal article
Language
en
Open access
Locations
  • Cancer (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Cancer Institute (K07CA158008)
Topics
  • Social Sciences › Health › Religion, Spirituality, and Psychology
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Workplace Spirituality and Leadership
Keywords
religion and spirituality, mental health, cancer patients, depression, anxiety, well-being, coping
MeSH terms
Adaptation, Psychological, Cognition, Depression, Female, Humans, Male, Mental Health, Middle Aged, Neoplasms, Quality of Life, Religion and Medicine, Stress, Psychological, Prevalence, Spirituality

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