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The present study tested a mediational model of the role of religious involvement, spirituality, and physical/emotional functioning in a sample of African American men and women with cancer. Several mediators were proposed based on theory and previous research, including sense of meaning, positive and negative affect, and positive and negative religious coping. One hundred patients were recruited through oncologist offices, key community leaders and community organizations, and interviewed by telephone. Participants completed an established measure of religious involvement, the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale (FACIT-SP-12 version 4), the Positive and Negative Affect Schedule (PANAS), the Meaning in Life Scale, the Brief RCOPE, and the SF-12, which assesses physical and emotional functioning. Positive affect completely mediated the relationship between religious behaviors and emotional functioning. Though several other constructs showed relationships with study variables, evidence of mediation was not supported. Mediational models were not significant for the physical functioning outcome, nor were there significant main effects of religious involvement or spirituality for this outcome. Implications for cancer survivorship interventions are discussed.
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Ader, R., Feiten, D. L., & Cohen, N. (Eds.). (1991). Psychoneuroimmunology (2nd ed.). San Diego: Academic Press.
Altekruse, S. F., Kosary, C. L., Krapcho, M., Neyman, N., Aminou, R., Waldron, W., Ruhl, J., Howlader, N., Tatalovich, Z., Cho, H., Mariotto, A., Eisner, M. P., Lewis, D. R., Cronin, K., Chen, H. S., Feuer, E. J., Stinchcomb, D. G., & Edwards, B. K. (Eds.). (2009). SEER cancer statistics review, 1975– 2007, National Cancer Institute. Bethesda, MD, based on November 2009 SEER data submission, posted to the SEER Web site, 2010.
American Cancer Society. (2009). Cancer facts & figures for African Americans 2009–2010. [cited 2009 January 23, 2009]; Cancer epidemiological data for African Americans]. Available from: http://www.cancer.org/downloads/STT/CAFF2007AAacspdf2007.pdf.
Bowie, J., Curbo, B., Laveist, T., Fitzgerald, S., & Pargament, K. (2001). The relationship between religious coping style and anxiety over breast cancer in African-American women. Journal of Religion and Health, 40, 411–424. CrossRef
Bowie, J., Sydnor, K. D., & Granot, M. (2003). Spirituality and care of prostate cancer patients: A pilot study. Journal of the National Medical Association, 95, 951–954. PubMed
Cella, D. F., Tulsky, D. S., Gray, G., Sarafian, B., & Linn, E. (1993). The functional assessment of cancer therapy scale: Development and validation of the general measure. Journal of Clinical Oncology, 11, 570–579. PubMed
Emmons, R. A. (2008). Gratitude: The science and spirit of thankfulness. In D. Goleman, G. Small, G. Braden, B. Lipton, & L. McTaggart (Eds.), Measuring the immeasurable: The scientific case for spirituality (pp. 121–134). Boulder, CO: Sounds True.
Farhadian, C., & Emmons, R. A. (2009). The psychology of forgiveness in religions. In A. Kalayjian & R. F. Paloutzian (Eds.), Forgiveness and reconciliation: Psychological pathways to conflict transformation and peace building (pp. 55–70). New York: Springer.
Fredrickson, B. L. (2002). How does religion benefit health and well-being? Are positive emotions active ingredients? Psychological Inquiry, 13, 209–213.
Gall, T. L. (2000). Integrating religious resources within a general model of stress and coping: Long-term adjustment to breast cancer. Journal of Religion and Health, 64, 65–92.
George, L. K., Larson, D. B., Koenig, H. G., & McCullough, M. E. (2000). Spirituality and health: What we know, what we need to know. Journal of Social and Clinical Psychology, 19, 102–116. CrossRef
Gibson, L. M., & Parker, V. (2003). Inner resources as predictors of psychological well-being in middle-income African American breast cancer survivors. Cancer Control, 10, 52–59. PubMed
Henderson, P. D., & Fogel, J. (2003). Support networks used by African American breast cancer support group participants. Association of Black Nursing Faculty Journal, 14, 95–98.
Jenkins, R. A., & Pargament, K. I. (1995). Religion and spirituality as resources for coping with cancer. Journal of Psychosocial Oncology, 13, 51–74. CrossRef
Kaplan, B. H., Monroe-Blum, H., & Blazer, D. G. (1994). Religion, health, and forgiveness: Traditions and challenges. In J. S. Levin (Ed.), Religion in aging and health: Theoretical foundations and methodological frontiers (pp. 52–77). Thousand Oaks, CA: Sage.
Kappeli, S. (2000). Between suffering and redemption. Religious motives in Jewish and Christian cancer patients’ coping. Scandinavian Journal of Caring Science, 14, 82–88. CrossRef
Kenny, D. A. (2009). Mediation. [online]. Accessed 10/5/2009. Available: http://davidakenny.net/cm/mediate.htm.
Krause, N. (2004). Stressors arising in highly valued roles, meaning in life, and the physical health status of older adults. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 59, S287–S297. CrossRef
Lincoln, C. E., & Mamiya, L. H. (1990). The black church in the African American experience. Durham, NC: Duke University Press.
Lukwago, S. L., Kreuter, M. W., Bucholtz, D. C., Holt, C. L., & Clark, E. M. (2001). Development and validation of brief scales to measure collectivism, religiosity, racial pride, and time orientation in urban African American women. Family and Community Health, 24, 63–71. PubMed
Moschella, V. D., Pressman, K. R., Pressman, P., & Weissman, D. E. (1997). The problem of theodicy and religious response to cancer. Journal of Religion and Health, 36, 17–20. CrossRef
Mullen, K. (1990). Religion and health: A review of the literature. International Journal of Sociology and Social Policy, 101, 85–96. CrossRef
Musick, M. A., Traphagan, J. W., Koenig, H. G., & Larson, D. B. (2000). Spirituality in physical health and aging. Journal of Adult Development, 7, 73–86. CrossRef
Pargament, K. I., Kennell, J., Hathaway, W., Grevengoed, N., Newman, J., & Jones, W. (1988). Religion and the problem-solving process: Three styles of religious coping. Journal for the Scientific Study of Religion, 27, 90–104. CrossRef
Pargament, K. I., Smith, B. W., Koenig, H. G., & Perez, L. (1998). Patterns of positive and negative religious coping with major life stressors. Journal for the Scientific Study of Religion, 37, 710–724. CrossRef
Pargament, K. I., Tarakeshwar, N., Ellison, C. G., & Wulff, K. M. (2001). Religious coping among the religious: The relationships between religious coping and well-being in a national sample of Presbyterian clergy, elders, and members. Journal for the Scientific Study of Religion, 40, 497–515. CrossRef
Phillips, R. E., Pargament, K. I., Lynn, Q. K., & Crossley, C. D. (2004). Self-directing religious coping: A deistic God, abandoning God, or no God at all? Journal for the Scientific Study of Religion, 43, 409–418. CrossRef
Siegel, K., Anderman, S. J., & Scrimshaw, E. W. (2001). Religion and coping with health-related stress. Psychology and Health, 16, 631–653. CrossRef
Swensen, C. H., Fuller, S., & Clements, R. (1993). Stage of religious faith and reactions to cancer. Journal of Psychology and Theology, 21, 238–245.
Taylor, E. J., & Amenta, M. (1994). Cancer nurses’ perspectives on spiritual care: Implications for pastoral care. The Journal of Pastoral Care, 48, 259–265.
Thoresen, C. E. (1998). Spirituality, health, and science: The coming revival? In S. Roth-Roemer & S. R. Kurpius (Eds.), The emerging role of counseling psychology in health care (pp. 409–431). New York: W. W. Norton.
Wagner, G. B. (1999). Cancer recovery and the spirit. Journal of Religion and Health, 38, 27–38. CrossRef
Zebrack, B. (2000). Quality of life of long-term survivors of leukemia and lymphoma. Journal of Psychosocial Oncology, 18, 39–59. CrossRef
- Role of religious involvement and spirituality in functioning among African Americans with cancer: testing a mediational model
Cheryl L. Holt
Min Qi Wang
Vivian L. Southward
- Springer US