Positive and negative religious coping and well-being in women with breast cancer
Open accessAbstract
BACKGROUND: Although religions is important to many people with cancer, few studies have explored the relationship between religious coping and well-being in a prospective manner, using validated measures, while controlling for important covariates. METHODS: One hundred ninety-eight women with stage I or II and 86 women with stage IV stage breast cancer were recruited. Standardized assessment instruments and structured questions were used to collect data at study entry and 8 to 12 months later. Religious coping was measured with validated measures of positive and negative religious coping. Linear regression models were used to explore the relationships between positive and negative religious coping and overall physical and mental well-being, depression, and life satisfaction. RESULTS: The percentage of women who used positive religious coping (i.e., partnering with God or looking to God for strength, support, or guidance) "a moderate amount" or "a lot" was 76%. Negative religious coping (i.e., feeling abandoned by or anger at God) was much less prevalent; 15% of women reported feeling abandoned by or angry at God at least "a little." Positive religious coping was not associated with any measures of well-being. Negative religious coping predicted worse overall mental health, depressive symptoms, and lower life satisfaction after controlling for sociodemographics and other covariates. In addition, changes in negative religious coping from study entry to follow-up predicted changes in these well-being measures over the same time period. Cancer stage did not moderate the relationships between religious coping and well-being. CONCLUSIONS: Negative religious coping methods predict worse mental heath and life satisfaction in women with breast cancer.
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Negative religious coping, such as punitive religious reappraisals and religious discontent, is correlated with poorer health outcomes.
“In contrast, negative religious coping, such as punitive religious reappraisals and religious discontent [63], is correlated with poorer health outcomes [64].”
From Coping strategies among family caregivers of community-dwelling older adults in Lebanon amid the economic crisis (2026) · cites this paper as [63]
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 Hebert et al., 2009
Positive religious coping (PRC) is much more prevalent than negative religious coping (NRC) but has shown mixed relationships with various types of psychological well-being in cancer patients.
“PRC is much more prevalent than NRC (Hebert et al., 2009) but has shown mixed relationships with various types of psychological well-being in cancer patients (Gall et al., 2011).”
From Advancing our understanding of religion and spirituality in the context of behavioral medicine (2017) · cites this paper as Hebert et al., 2009
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- Authors
- Hebert, R., Zdaniuk, B., Schulz, R., & Scheier, M.
- Affiliations
- Forbes Hospice, Pittsburgh, Pennsylvania.
- Department of Center for Social and Urban Research, University of Pittsburgh, Pittsburgh, Pennsylvania.
- University of Pittsburgh (US)
- Carnegie Mellon University (US)
- Corresponding author
- Hebert, Randy
- Venue
- Journal of Palliative Medicine
- Publisher
- SAGE Publications
- Published
- 2009-06
- Volume
- 12
- Issue
- 6
- Pages
- 537-545
- ISSN
- 1096-6218 (ISSN-L)
- 1557-7740
- PMC
- PMC2789454
- OpenAlex
- W2089503153
- Cited by
- 285
- References
- 51
- Citations by year
- 2026: 7 · 2025: 49 · 2024: 11 · 2023: 22 · 2022: 15 · 2021: 25 · 2020: 21 · 2019: 13 · 2018: 20 · 2017: 22 · 2016: 9 · 2015: 10 · 2014: 15 · 2013: 12 · 2012: 18
- FWCI
- 11.75
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Palliative Medicine (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- KiltHub Repository (submittedVersion)
- Figshare (submittedVersion, cc-by)
- KiltHub Repository
- Funders
- National Institutes of Health (5k23mh074963-02)
- National Institute on Aging (R01AG026010, AG026010, AG15321, R01AG015321)
- National Heart, Lung, and Blood Institute (HL 076858, HL 076852, R24HL076852, R24HL076858)
- National Institute of Mental Health (MH-071944, K23 MH074963, P30MH071944)
- National Institute of Nursing Research (R01NR008272, NR 09573, NR 08272, R01NR009573)
- National Center on Minority Health and Health Disparities
- National Institute on Minority Health and Health Disparities (MD 000207, P60MD000207)
- 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, positive religious coping, negative religious coping, breast cancer, women, well-being, mental health, depression, life satisfaction, tumor stage, spiritual distress
- MeSH terms
- Adaptation, Psychological, Adult, Breast Neoplasms, Female, Humans, Pennsylvania, Personal Satisfaction, Surveys and Questionnaires, Religion and Medicine
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