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Do spiritual patients want spiritual interventions?: A qualitative exploration of underserved cancer patients' perspectives on religion and spirituality

Published online by Cambridge University Press:  06 August 2013

Emma M. Stein ,
Evelyn Kolidas  and
Alyson Moadel
Emma M. Stein*
Affiliation:
Ferkauf Graduate School of Psychology, Bronx, New York
Evelyn Kolidas
Affiliation:
Albert Einstein College of Medicine, Department of Epidemiology & Population Health, Bronx, New York
Alyson Moadel
Affiliation:
Albert Einstein College of Medicine, Department of Epidemiology & Population Health, Bronx, New York
*
Address correspondence and reprint requests to: Emma Stein, Ferkauf Graduate School of Psychology, 1165 Morris Park Avenue, Bronx, NY 10461. E-mail: [email protected]
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Abstract

Objective:

This study examines religion and spirituality among advanced cancer patients from an underserved, ethnically-diverse population by exploring patient conceptualizations of religion and spirituality, the role of religion and spirituality in coping with cancer, and patient interest in spiritual support.

Method:

Qualitative semi-structured interviews were conducted with patients who had participated in a study of a “mind-body” support group for patients with all cancer types. Analysis based on grounded theory was utilized to identify themes and theoretical constructs.

Results:

With regard to patient conceptualizations of religion and spirituality, three categories emerged: (1) Spirituality is intertwined with organized religion; (2) Religion is one manifestation of the broader construct of spirituality; (3) Religion and spirituality are completely independent, with spirituality being desirable and religion not. Religion and spirituality played a central role in patients' coping with cancer, providing comfort, hope, and meaning. Patients diverged when it came to spiritual support, with some enthusiastic about interventions incorporating their spiritual values and others stating that they already get this support through religious communities.

Significance of results:

Spirituality plays a central role in the cancer experience of this underserved ethnically-diverse population. While spirituality seems to be a universal concern in advanced cancer patients, the meaning of spirituality differs across individuals, with some equating it with organized religion and others taking a more individualized approach. It is important that psychosocial interventions are developed to address this concern. Future research is needed to further explore the different ways that patients conceptualize spirituality and to develop spiritually-based treatments that are not “one size fits all.”

Keywords

OncologyMinoritySpiritualityPatient PreferenceAdvanced Cancer
Type
Original Articles
Information
Palliative & Supportive Care , Volume 13 , Issue 1 , February 2015 , pp. 19 - 25
Copyright
Copyright © Cambridge University Press 2013 

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References

REFERENCES

Alferi, S.M., Carver, C.S., Antoni, M.H., et al. (2001). An exploratory study of social support, distress, and life disruption among low-income Hispanic women under treatment for early stage breast cancer. Health Psychology, 20, 41–46.CrossRefGoogle ScholarPubMed
Balboni, T.A., Vanderwerker, L.C., Block, S.D., et al. (2007). Religiousness and spiritual support among advanced cancer patients and associations with end-of-life treatment preferences and quality of life. Journal of Clinical Oncology, 25, 555–560.CrossRefGoogle ScholarPubMed
Bibby, R.W. (1995, November). Beyond headlines, hype, and hope: Shedding some light on spirituality. Paper presented at the annual meeting of the Society for the Scientific Study of Religion, St. Louis, MO.Google Scholar
Bourjolly, J.N. & Hirshman, K.B. (2001). Similarities in coping strategies but differences in sources of support among African American and white women coping with breast cancer. Journal of Psychosocial Oncology, 19, 17–35.CrossRefGoogle Scholar
Bourjolly, J.N., Kerson, T.S. & Nuamah, I.F. (1999). A comparison of social functioning among black and white women with breast cancer. Social Work in Health Care, 28, 1–20.CrossRefGoogle ScholarPubMed
Brady, M.J., Peterman, A.H., Fitchett, G., et al. (1999). A case for including spirituality in quality of life measurement in oncology. Psychooncology, 8, 417–428.Google Scholar
Breitbart, W., Rosenfeld, B., Gibson, C., et al. (2010). Meaning-centered group psychotherapy for patients with advanced cancer: A pilot randomized controlled trial. Psychooncology, 19, 21–28.CrossRefGoogle Scholar
Cole, B. & Pargament, K. (1999). Re-creating your life: a spiritual/psychotherapeutic intervention for people diagnosed with cancer. Psychooncology, 8, 395–407.3.0.CO;2-B>CrossRefGoogle ScholarPubMed
Culver, J., Arena, P., Wimberly, S., et al. (2004). Coping among African-American, Hispanic, and non-Hispanic White women recently treated for early stage breast cancer. Psychology and Health, 19, 157–166.CrossRefGoogle Scholar
Hill, P.C. & Pargament, K.I. (2003). Advances in the conceptualization and measurement of religion and spirituality. Implications for physical and mental health research. American Psychologist, 58, 64–74.CrossRefGoogle ScholarPubMed
Hodgkinson, K., Butow, P., Hunt, G.E., et al. (2007). The development and evaluation of a measure to assess cancer survivors' unmet supportive care needs: The CaSUN (Cancer Survivors' Unmet Needs measure). Psychooncology, 16, 796–804.CrossRefGoogle ScholarPubMed
James, W. (1902). The Varieties of Religious Experience. New York: Random House.Google Scholar
Jenkins, R. & Pargament, K. (1995). Religion and spirituality as resources for coping with cancer. Journal of Psychosocial Oncology, 13, 51–74.CrossRefGoogle Scholar
Koenig, H.G. (1998). Religious attitudes and practices of hospitalized medically ill older adults. International Journal of Geriatric Psychiatry, 13, 213–224.3.0.CO;2-5>CrossRefGoogle ScholarPubMed
Koenig, H.G. (2004). Religion, spirituality, and medicine: Research findings and implications for clinical practice. Southern Medical Journal, 97, 1194–1200.CrossRefGoogle ScholarPubMed
Koenig, H.G. (2009). Research on religion, spirituality, and mental health: A review Canadian Journal of Psychiatry, 54, 283–291.CrossRefGoogle ScholarPubMed
Koenig, H.G., McCullough, M.E. & Larson, D.B. (2001). Handbook of Religion and Health. New York: Oxford University Press.Google Scholar
Kristeller, J.L., Rhodes, M., Cripe, L.D., et al. (2005). Oncologist assisted spiritual intervention study (OASIS): patient acceptability and initial evidence of effects. The International Journal of Psychiatry in Medicine, 35, 329–347.CrossRefGoogle ScholarPubMed
Kristeller, J.L., Sheets, V., Johnson, T., et al. (2011). Understanding religious and spiritual influences on adjustment to cancer: individual patterns and differences. Journal of Behavioral Medicine, 34, 550–561.CrossRefGoogle ScholarPubMed
Lee, M.M., Lin, S.S., Wrensch, M.R., et al. (2000). Alternative therapies used by women with breast cancer in four ethnic populations. Journal of the National Cancer Institute, 92, 42–47.CrossRefGoogle ScholarPubMed
Lin, H.R. & Bauer-Wu, S.M. (2003). Psycho-spiritual well-being in patients with advanced cancer: an integrative review of the literature. Journal of Advanced Nursing, 44, 69–80.CrossRefGoogle ScholarPubMed
Maugans, T.A. (1996). The Spiritual history. Archives of Family Medicine, 5, 11–16.CrossRefGoogle ScholarPubMed
McClain, C.S., Rosenfeld, B. & Breitbart, W. (2003). Effect of spiritual well-being on end-of- life despair in terminally-ill cancer patients. Lancet, 361, 1603–1607.CrossRefGoogle ScholarPubMed
Mickley, J. & Soeken, K. (1993). Religiousness and hope in Hispanic- and Anglo-American women with breast cancer. Oncology Nursing Forum, 20, 1171–1177.Google ScholarPubMed
Miller, B.E., Pittman, B. & Strong, C. (2003). Gynecologic cancer patients' psychosocial needs and their views on the physician's role in meeting those needs. International Journal of Gynecological Cancer, 13, 111–119.CrossRefGoogle ScholarPubMed
Moadel, A., Morgan, C., Fatone, A., et al. (1999). Seeking meaning and hope: Self-reported spiritual and existential needs among an ethnically-diverse cancer patient population. Psychooncology, 8, 378–385.3.0.CO;2-A>CrossRefGoogle ScholarPubMed
Moadel, A.B., Harris, M., Kolidas, E., et al. (2012). Psycho-educational and spiritual interventions for low income cancer patients: Results of randomized and patient preference trials. In Cancer Disparities: Causes and Evidence-based Solutions, Elk, R. & Landrine, H. (eds.), pp. 433–454. New York: Springer.Google Scholar
Nelson, C.J., Rosenfeld, B., Breitbart, W., et al. (2002). Spirituality, religion, and depression in the terminally ill. Psychosomatics, 43, 213–220.CrossRefGoogle ScholarPubMed
Peteet, J.R. (1985). Religious issues presented by cancer patients seen in psychiatric consultation. Journal of Psychosocial Oncology, 3, 53–66.CrossRefGoogle Scholar
Puchalski, C.M. (2002). Spirituality and end-of-life care: a time for listening and caring. Journal of Palliative Medicine, 5, 289–294.CrossRefGoogle ScholarPubMed
Roberts, J.A., Brown, D., Elkins, T., et al. (1997). Factors influencing views of patients with gynecologic cancer about end-of-life decisions. American Journal of Obstetrics and Gynecology, 176, 166–172.Google Scholar
True, G., Phipps, E.J., Braitman, L.E., et al. (2005). Treatment preferences and advance care planning at end of life: the role of ethnicity and spiritual coping in cancer patients. Annals of Behavioral Medicine, 30, 174–179.Google Scholar
United States Census. (2010). State and County Quickfacts: Bronx, New York.Google Scholar
Vellone, E., Rega, M.L., Galletti, C., et al. (2006). Hope and related variables in Italian cancer patients. Cancer Nursing, 29, 356–366.CrossRefGoogle ScholarPubMed
Zinnbauer, B.J., Pargament, K.I., Cole, B C., et al. (1997). Religion and spirituality: Unfuzzying the fuzzy. Journal for the Scientific Study of Religion, 36, 549–564.CrossRefGoogle Scholar