Swipe om te navigeren naar een ander artikel
Higher levels of religious and spiritual engagement have been shown to be associated with better adjustment in dealing with serious illness. Nevertheless, the pattern of such engagement may vary substantially among individuals. This paper presents exploratory research with the goal of identifying subgroups of individuals with non-terminal cancer who vary along multiple dimensions of religious/spiritual (R/S) involvement and well-being. Cluster analysis utilized both R/S (FACIT-Sp) and quality of life variables (e.g., FACT-G) to identify subgroups within 114 individuals (Median age = 65; 59% female) under care for cancer. Additional R/S and adjustment variables were used to explore further distinctions among these groups. Four clusters were identified: High R/S (45%), with the lowest depression; Low R /High S (25%), also with good adjustment; Negative Religious Copers (14%), with the highest depression; and Low R/S (16%), with the poorest adjustment to cancer. The results support the value of differentiating patterns of religious and spiritual engagement in relation to well-being, with implications for matching psycho-social interventions with individuals.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Aldenderfer, M. S., & Blashfield, R. K. (1984). Cluster analysis (Vol. 44). Newbury Park, CA: Sage.
Balboni, T. A., Vanderwerker, L. C., Block, S. D., Paulk, M. E., Lathan, C. S., Peteet, J. R., 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. PubMedCrossRef
Breckenridge, J. N. (2000). Validating cluster analysis: Consistent replication and symmetry. Multivariate Behavioral Research, 35, 261–285. CrossRef
Cella, D. F., Tulsky, D. S., Gray, G., Sarafian, B., Linn, E., Bonomi, A., et al. (1993). The Functional Assessment of Cancer Therapy scale: Development and validation of the general measure. Journal of Clinical Oncology, 11, 570–579. PubMed
Cohen, D., Yoon, D. P., & Johnstone, B. (2009). Differentiating the impact of spiritual experiences, religious practices, and congregational support on the mental health of individuals with heterogeneous medical disorders. International Journal for the Psychology of Religion, 19, 121–138. doi: 10.1080/10508610802711335. CrossRef
Cruess, D. G., Antoni, M. H., McGregor, B. A., Kilbourn, K. M., Boyers, A. E., Alferi, S. M., et al. (2000). Cognitive-behavioral stress management reduces serum cortisol by enhancing benefit finding among women being treated for early stage breast cancer. Psychosomatic Medicine, 62, 304–308. PubMed
Diekhoff, G. (1992). Statistics for the social and behavioral sciences: Univariate, bivariate, multivariate. Dubuque, IA: Wm. C. Brown.
Drerup, M. L., Johnson, T. J., & Bindl, S. V. (under review). Mediators of the relationship between religiousness/spirituality and alcohol problems in an adult community sample.
Fetzer. (1999). Multidimensional measurement of religiousness/spirituality for use in health research: Fetzer Institute/ National Institute on Aging Working Group. Kalamazoo, MI: Fetzer Institute.
Gallup, G., Jr., & Lindsay, D. M. (1999). Surveying the religious landscape: Trends in US beliefs. Harrisburg, PA: Morehouse.
Hair, J. F., & Black, W. C. (2000). Cluster analysis. In L. G. Grimm & P. R. Yarnold (Eds.), Reading and understanding more multivariate statistics. Washington, DC: American Psychological Association.
Idler, E. L., Musick, M. A., Ellison, C. G., George, L. K., Krause, N., Ory, M. G., et al. (2003). Measuring multiple dimensions of religion and spirituality for health research: Conceptual background and findings from the 1998 General Social Survey. Research on Aging, 25, 327–365. doi: 10.1177/0164027503025004001. CrossRef
Jenkins, R. A., & Pargament, K. I. (1995). Religion and spirituality as resources for coping with cancer. Journal of Psycho-Social Oncology, 13, 51–74. CrossRef
Kapuscinski, A. N., & Masters, K. S. (2010). The current status of measures of spirituality: A critical review of scale development. Psychology of Religion and Spirituality, 2, 191–205. CrossRef
Koenig, H. G., McCullough, M. E., & Larson, D. B. (2001). Handbook of religion and health. New York, NY: Oxford University Press. CrossRef
Masters, K. S., Carey, K. B., Maisto, S. A., Caldwell, P. E., Wolfe, T. V., Hackney, H. L., et al. (2009). Psychometric examination of the brief multidimensional measure of religiousness/spirituality among college students. International Journal for the Psychology of Religion, 19, 106–120. doi: 10.1080/10508610802711194. CrossRef
Nelson, C., Jacobson, C. M., Weinberger, M. I., Bhaskaran, V., Rosenfeld, B., Breitbart, W., et al. (2009). The role of spirituality in the relationship between religiosity and depression in prostate cancer patients. Annals of Behavioral Medicine, 38, 105–114. doi: 10.1007/s12160-009-9139-y. PubMedCrossRef
Pargament, K. I. (1999). Religious/spiritual coping. In Fetzer (Eds.), Multidimensional measurement of religiousness/spirituality for use in health research (pp. 43–50). Fetzer Institute/ National Institute on Aging Working Group.
Pargament, K. I. (2007). Spiritually integrated psychotherapy: Understanding and addressing the sacred. New York, NY: Guilford.
Pargament, K. I., Koenig, H. G., & Perez, L. M. (2000). The many methods of religious coping: Development and initial validation of the RCOPE. Journal of Clinical Psychology, 56, 519–543. doi: 10.1002/(sici)1097-4679(200004)56:4<519:aid-jclp6>3.0.co;2-1. PubMedCrossRef
Pargament, K. I., Koenig, H. G., Tarakeshwar, N., & Hahn, J. (2004). Religious coping methods as predictors of psychological, physical and spiritual outcomes among medically ill elderly patients: A two-year longitudinal study. Journal of Health Psychology, 9, 713–730. doi: 10.1177/1359105304045366. PubMedCrossRef
Pargament, K. I., Murray-Swank, N. A., Magyar, G. M., & Ano, G. G. (2005). Spiritual struggle: A phenomenon of interest to psychology and religion. In W. R. Miller & H. D. Delaney (Eds.), Judeo-Christian perspectives on psychology: Human nature, motivation, and change (pp. 245–268). Washington, DC: American Psychological Association. CrossRef
Purnell, J. Q., & Andersen, B. L. (2009). Religious practice and spirituality in the psychological adjustment of survivors of breast cancer. Counseling and Values, 53, 165–182. PubMed
Taylor, S. E. (1983). Adjustment to threatening events: A theory of cognitive adaptation. American Psychologist, 41, 1161–1173. CrossRef
Thuné-Boyle, I. C., Stygall, J. A., Keshtgar, M. R., & Newman, S. P. (2006). Do religious/spiritual coping strategies affect illness adjustment in patients with cancer? A systematic review of the literature. Social Science and Medicine, 63, 151–164. doi: 10.1016/j.socscimed.2005.11.055. PubMedCrossRef
Underwood, L. G., & Teresi, J. A. (2002). The Daily Spiritual Experience Scale: Development, theoretical description, reliability, exploratory factor analysis, and preliminary construct validity using health-related data. Annals of Behavioral Medicine, 24, 22–33. doi: 10.1207/s15324796abm2401_04. PubMedCrossRef
Yanez, B., Edmondson, D., Stanton, A. L., Park, C. L., Kwan, L., Ganz, P. A., et al. (2009). Facets of spirituality as predictors of adjustment to cancer: Relative contributions of having faith and finding meaning. Journal of Consulting and Clinical Psychology, 77, 730–741. doi: 10.1037/a0015820. PubMedCrossRef
- Understanding religious and spiritual influences on adjustment to cancer: individual patterns and differences
Jean L. Kristeller
- Springer US