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The role of spirituality in the psychological adjustment to cancer: A test of the transactional model of stress and coping
Abstract
Recent studies in the oncology literature have shown that spirituality, defined as the combination of existential and religious well-being (RWB), is related to both emotional well-being and quality of life. Indeed, spirituality may be particularly important in coping with the potential life threat of the disease. Based on Frankl's (1963) existential theory, in this study, we examined whether the relations between spirituality and emotional well-being are moderated by degree of perceived life threat (PLT). In addition, in this study, we examined the relative importance of religious versus existential well-being in relation to psychological adjustment. Patients diagnosed with various types of cancer (N = 95) completed questionnaires assessing spirituality, PLT, quality of life, and distress. Contrary to theoretical predictions, spirituality was associated with less distress and better quality of life regardless of PLT. Interestingly, existential but not RWB accounted for a major portion of the variance in these outcomes. Taken together, these findings suggest that spirituality, particularly the existential component, may be associated with reduced symptoms of distress in cancer patients regardless of life threat.
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Metadata
- Authors
- Laubmeier, K. K., Zakowski, S. G., & Bair, J. P.
- Affiliations
- United States Department of Veterans Affairs (US)
- Corresponding author
- Laubmeier, Kimberly K.
- Venue
- International Journal of Behavioral Medicine
- Published
- 2004-03
- Volume
- 11
- Issue
- 1
- Pages
- 48-55
- ISSN
- 1070-5503 (ISSN-L)
- 1532-7558
- OpenAlex
- W2084710911
- Cited by
- 213
- References
- 48
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 3 · 2023: 5 · 2022: 9 · 2021: 14 · 2020: 7 · 2019: 9 · 2018: 8 · 2017: 2 · 2016: 7 · 2015: 8 · 2014: 11 · 2013: 15 · 2012: 17
- FWCI
- 10.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- 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
- spirituality, cancer, psychological adjustment, transactional model of stress and coping, existential well-being, religious well-being, perceived life threat, emotional well-being, quality of life, distress
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Attitude to Health, Female, Holistic Health, Humans, Life Change Events, Male, Middle Aged, Models, Psychological, Neoplasms, Quality of Life, Surveys and Questionnaires, Religion and Psychology, Stress, Psychological, United States, Urban Population, Spirituality
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