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Cited by 118Religion, Spirituality, and PsychologyCancer survivorship and careWorkplace Spirituality and Leadership

The Role of Spirituality in the Relationship Between Religiosity and Depression in Prostate Cancer Patients

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Nelson, Christian, Jacobson, Colleen M., Weinberger, Mark I., Bhaskaran, Vidhya, Rosenfeld, Barry, Breitbart, William, Roth, Andrew J.·2009·Annals of Behavioral Medicine
DOI 10.1007/s12160-009-9139-yPMC PMC2877207
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Abstract

PURPOSE: This study aims to develop a theoretical framework of the relationship among religiosity, spirituality, and depression, potentially explaining the often mixed and inconsistent associations between religiosity and depression. METHODS: In this cross-sectional study, 367 men (average age of 66 +/- 9 years) with prostate cancer completed measures of religiosity (extrinsic/intrinsic), spirituality (Functional Assessment of Chronic Illness Therapy Spiritual Well-Being Scale), quality of life (FACT-G), and depression (Hospital Anxiety and Depression Scale). RESULTS: There was a small relationship between intrinsic religiosity and depression (r = -0.23, p < 0.05) but a strong association between spirituality and depression (r = -0.58, p < 0.01). Using a mediation model, the meaning/peace subscale of the spirituality measure mediated the relationship between intrinsic religiosity and depression. This model controlled for age, marital status, stage of disease, time since diagnosis, hormone therapy, quality of life, and anxiety. CONCLUSIONS: When examining religiosity and spirituality, the main component that may help reduce depression is a sense of meaning and peace. These results highlight the potential importance of developing a patient's sense of meaning through activities/interventions (not exclusive to religious involvement) to achieve this goal.

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  • The Functional Assessment of Chronic Illness Therapy Spiritual Well-Being Scale meaning/peace subscale is validated and widely employed in studies with cancer patients and survivors to assess a sense of meaning and purpose not specific to any particular religious or spiritual orientation.

    “This validated measure has been widely employed in studies with cancer patients and survivors (e.g., [86, 87]) to assess a sense of meaning and purpose that is not specific to any particular religious or spiritual orientation.”

    From A randomized controlled trial of a group acceptance-based intervention for cancer survivors experiencing anxiety at re-entry ('Valued Living'): Study protocol (2019) · cites this paper as [86]

    Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.

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  • Among cancer populations, the FACIT-Sp meaning/peace subscale shows good psychometrics (α = 0.84-0.87, good convergent and divergent validity) and has been widely employed to assess a sense of meaning and purpose that is not specific to any particular religious or spiritual orientation.

    “Among cancer populations, this validated measure shows good psychometrics (α = 0.84-0.87, good convergent and divergent validity) and has been widely employed (e.g., [60, 61]) to assess a sense of meaning and purpose that is not specific to any particular religious or spiritual orientation.”

    From A randomized controlled trial of a multi-modal palliative care intervention to promote advance care planning and psychological well-being among adults with advanced cancer: study protocol. (2022) · cites this paper as [60]

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  1. [55]Nelson CJ Holland J Roth AJ Assessing depression in geriatric cancer patients: Do we have appropriate measures? Abstract to be Presented at the Annual Conference of the American Psych-Oncology Society Irvine, CA 2008

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Authors
Nelson, C., Jacobson, C. M., Weinberger, M. I., Bhaskaran, V., Rosenfeld, B., Breitbart, W., & Roth, A. J.
Affiliations
Memorial Sloan Kettering Cancer Center (US)
Corresponding author
Nelson, Christian
ORCID
Venue
Annals of Behavioral Medicine
Publisher
Oxford University Press (OUP)
Published
2009-10
Volume
38
Issue
2
Pages
105-114
ISSN
  • 0742-5554 (ISSN-L)
  • 0883-6612
  • 1532-4796
DOI
10.1007/s12160-009-9139-y
PMC
PMC2877207
OpenAlex
W2123753626
Cited by
118
References
76
Citations by year
2026: 1 · 2025: 4 · 2024: 4 · 2023: 5 · 2022: 7 · 2021: 5 · 2020: 8 · 2019: 6 · 2018: 10 · 2017: 7 · 2016: 4 · 2015: 6 · 2014: 13 · 2013: 7 · 2012: 15
FWCI
10.63
Type
journal article
Language
en
Open access
Locations
  • Annals of Behavioral Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Mental Health (T32MH073553)
Topics
  • Social Sciences › Health › Religion, Spirituality, and Psychology
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Social Sciences › Demography › Workplace Spirituality and Leadership
Keywords
spirituality, religiosity, depression, prostate cancer, intrinsic religiosity, extrinsic religiosity, meaning in life, peace, spiritual well-being, mediation, quality of life, anxiety, hormone therapy
MeSH terms
Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Cross-Sectional Studies, Depression, Humans, Male, Middle Aged, Personal Satisfaction, Prostatic Neoplasms, Psychiatric Status Rating Scales, Quality of Life, Surveys and Questionnaires, Religion, Spirituality

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