Prospective study of religious coping among patients undergoing autologous stem cell transplantation
Abstract
Considerable attention has focused on relationships between religious or spiritual coping and health outcomes among cancer patients. However, few studies have differentiated among discrete dimensions of religious coping, and there have been surprisingly few prospective investigations. Negative or conflicted aspects of religious coping, in particular, represent a compelling area for investigation. This prospective study examined negative religious coping, positive religious coping, and general religious orientation among 94 myeloma patients undergoing autologous stem cell transplantation. Participants were assessed during stem cell collection, and again in the immediate aftermath of transplantation, when risks for morbidity are most elevated. Outcomes included Brief Symptom Inventory anxiety and depression and Functional Assessment of Cancer Therapy-Bone Marrow Transplant (FACT-BMI) scales. Negative religious coping at baseline predicted worse post-transplant anxiety, depression, emotional well-being, and transplant-related concerns, after controlling for outcome scores at baseline and other significant covariates. Post-transplant physical well-being was predicted by an interaction between baseline positive and negative religious coping. Results suggest that religious struggle may contribute to adverse changes in health outcomes for transplant patients, and highlight the importance of negative or strained religious responses to illness.
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PRC has also been associated with greater transplant concerns in multiple myeloma patients and more physical symptoms in advanced cancer patients.
“However, PRC has also been associated with greater transplant concerns in multiple myeloma patients (Sherman et al., 2009) and more physical symptoms in advanced cancer patients (Tarakeshwar et al., 2006).”
From Advancing our understanding of religion and spirituality in the context of behavioral medicine (2017) · cites this paper as Sherman et al., 2009
NRC is consistently associated with greater psychological distress, including higher levels of depression and lower levels of life satisfaction and quality of life, higher levels of anxiety and poorer physical health, and worse mental health and adjustment to illness.
“Though endorsed at far lower rates than PRC, NRC is consistently associated with greater psychological distress, including higher levels of depression and lower levels of life satisfaction and quality of life (Hebert et al., 2009), higher levels of anxiety and poorer physical health (Sherman et al., 2009), and worse mental health (Pérez & Smith, 2015) and adjustment to illness (Exline et al., 2011”
From Advancing our understanding of religion and spirituality in the context of behavioral medicine (2017) · cites this paper as Sherman et al., 2009
Spiritual distress is associated with increased depression and decreased adherence to medication and medical advice among cancer patients.
“spiritual distress, or feelings of abandonment by God and/or one's religious community, is associated with increased depression and decreased adherence to medication and medical advice among cancer patients, suggesting a plausible pathway by which such an association could occur.16, 33, 34”
From Religion, spirituality, and physical health in cancer patients: A meta‐analysis (2015) · cites this paper as [34]
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- Authors
- Sherman, A. C., Plante, T. G., Simonton, S., Latif, U., & Anaissie, E. J.
- Affiliations
- University of Arkansas for Medical Sciences (US)
- Santa Clara University (US)
- Methodist Dallas Medical Center (US)
- Corresponding author
- Sherman, Allen C.
- Venue
- Journal of Behavioral Medicine
- Published
- 2008-10-15
- Volume
- 32
- Issue
- 1
- Pages
- 118-128
- ISSN
- 0160-7715 (ISSN-L)
- 1573-3521
- OpenAlex
- W1967013046
- Cited by
- 141
- References
- 62
- Citations by year
- 2025: 5 · 2024: 3 · 2023: 46 · 2022: 6 · 2021: 9 · 2020: 7 · 2019: 1 · 2018: 6 · 2017: 8 · 2016: 6 · 2015: 9 · 2014: 5 · 2013: 7 · 2012: 9
- FWCI
- 4.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Scholar Commons (Santa Clara University) (submittedVersion)
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Keywords
- religious coping, negative religious coping, positive religious coping, autologous stem cell transplantation, multiple myeloma, anxiety, depression, emotional well-being, physical well-being, spiritual distress, cancer patients
- MeSH terms
- Adaptation, Psychological, Female, Humans, Male, Middle Aged, Multiple Myeloma, Prospective Studies, Regression Analysis, Religion and Medicine, Religion and Psychology, Transplantation, Autologous, Models, Statistical, Treatment Outcome, Stem Cell Transplantation
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