Spiritual Struggle

Manning-Walsh, Juanita

doi:10.1177/0898010104272019

Cited by 75 publications

(32 citation statements)

References 43 publications

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“…Our finding of a higher likelihood of R/S struggle among those with 6 months or less since their diagnosis is consistent with some prior findings [23] but not all [18, 20, 37]. Further research is needed to clarify what factors impact the development and trajectory of R/S struggle.…”

Section: Discussionsupporting

confidence: 91%

“…This acknowledged, current thought articulates three dimensions of R/S struggle or negative R/S coping: transpersonal (e.g., relationship with God), interpersonal (e.g., relationship with R/S community or leadership), and intrapersonal (e.g., meaning, doubt). The current standard for measuring R/S struggle is the negative religious coping subscale of the Brief RCOPE [17, 18, 20, 22, 23, 25]. Other measures of negative religious coping from the full RCOPE [33] have also been employed.…”

Section: Discussionmentioning

confidence: 99%

“…For example, in a study of 100 women who had breast cancer, R/S struggle was associated with poorer overall quality of life and lower life satisfaction [18]. Among 100 women recently diagnosed with gynecological cancer, in well-adjusted models, higher levels of R/S struggle were associated with more depression and anxiety [19].…”

Section: Introductionmentioning

confidence: 99%

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Screening for religious/spiritual struggle in blood and marrow transplant patients

King

Fitchett

Berry

2012

Support Care Cancer

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Purpose A growing body of research documents the harmful effects of religious/spiritual (R/S) struggle (e.g., feeling abandoned or punished by God) among patients with a wide variety of diagnoses. Documented effects include poorer quality of life, greater emotional distress, poorer recovery, and increased disability. This study reports the use of a screening protocol that identified patients who may have been experiencing R/S struggle. We also examined the prevalence and correlates of possible R/S struggle, its association with quality of life, pain, and depressive symptoms and compared the results from the screening protocol with social workers’ assessments. Methods One hundred seventy-eight blood and marrow transplant patients completed the Electronic Self-Report Assessment—Cancer (ESRA-C) which included the Rush Religious Struggle Screening Protocol and other measures of quality of life, pain, and depressive symptoms prior to transplant therapy. All participants were assessed by a social worker, 90 % within 2 weeks of the ESRA-C assessment. Results Using the Rush Protocol, 18 % of the patients were identified as potentially experiencing R/S struggle. R/S struggle was not reported in any social work assessments. In a multivariable model, potential R/S struggle was more likely in patients who were more recently diagnosed, male, and Asian/Pacific Islanders. There were no significant associations between potential R/S struggle and quality of life, pain, or depressive symptoms. Conclusions Early identification of patients with R/S struggle will facilitate their referral for further assessment and appropriate intervention. Further research is needed to identify the best methods of screening patients for R/S struggle.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

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Screening for religious/spiritual struggle in blood and marrow transplant patients

King

Fitchett

Berry

2012

Support Care Cancer

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“…However, the literature has shown inconsistent findings in the relationship between spiritual well-being and health outcomes, including psychological well-being outcomes [10–14]. It is unclear whether spiritual well-being based coping may benefit or hinder cancer survivor’s psychological adjustment.…”

Section: Introductionmentioning

confidence: 99%

“…Some studies suggest that spiritual well-being aids in the coping response by providing cancer patients with a framework to discover meaning and ascertain purpose in life despite occurrence of a potentially fatal disease [11–13]. In contrast, other studies have reported that spiritual well-being may create distress in patients, possibly contributing to depression, if patients experience “spiritual conflict” where they question their beliefs and/or faith in God in the context of their disease [10,14]. …”

Section: Introductionmentioning

confidence: 99%

Spiritual well-being and depressive symptoms among cancer survivors

González

Castañeda

Dale

et al. 2014

Support Care Cancer

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Purpose Depression is common among patients diagnosed with cancer and may be inversely associated with spiritual well-being. While numerous strategies are employed to manage and cope with illness, spiritual well-being has become increasingly important in cancer survivorship research. This study examined the association between spiritual well-being and depressive symptoms. Methods This cross-sectional study utilized self-report data from 102 diverse cancer survivors recruited from peer-based cancer support groups in San Diego County. Depression was measured with the Patient Health Questionnaire-8 (PHQ-8) and spiritual well-being was measured with the Functional Assessment of Chronic Illness Therapy--Spiritual Well-being (FACIT-Sp) comprised of two subscales (Meaning/Peace and Faith). Results Hierarchal regression analysis indicated that Meaning/Peace significantly predicted depressive symptoms after adjusting for socio-demographics, cancer stage, time since diagnosis, and Faith (p < .001). Conclusions Findings suggest that spiritual well-being is a valuable coping mechanism and that Meaning/Peace has a unique advantage over Faith in protecting cancer survivors from the effects of depression symptoms; therefore, turning to Meaning/Peace as source of strength may improve psychological well-being during survivorship. Implications Future programs and healthcare providers should be cognizant of the influential role of spiritual well-being in depression symptoms in an effort to improve psychological well-being among cancer survivors.

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When Religion Goes Awry: Religious Risk Factors for Poorer Health and Well‐Being

Raiya¹,

Pargäment²,

Magyar‐Russell³

2009

Religion and Psychiatry

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Spiritual Struggle

Abstract: Assessment of and assistance with managing spiritual struggle are necessary to promote QOL and life satisfaction among those facing difficult health problems.

Cited by 75 publications

References 43 publications

Screening for religious/spiritual struggle in blood and marrow transplant patients

Screening for religious/spiritual struggle in blood and marrow transplant patients

Spiritual well-being and depressive symptoms among cancer survivors

When Religion Goes Awry: Religious Risk Factors for Poorer Health and Well‐Being

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