Stephen Duane King1, George Fitchett2, Patricia E Murphy2, Kenneth I Pargament3, Paul J Martin4,5, Rebecca H Johnson6, David A Harrison7, Elizabeth Trice Loggers4,5. 1. Chaplaincy, Seattle Cancer Care Alliance, Seattle, WA, USA. 2. Department of Religion, Health & Human Values, Rush University Medical Center, Chicago, IL, USA. 3. Department of Psychology, Bowling Green State University, Bowling Green, OH, USA. 4. Division of Clinical Research, Fred Hutchinson Cancer Research Center, Seattle, WA, USA. 5. Department of Medicine, University of Washington, Seattle, WA, USA. 6. Adolescent and Young Adult Oncology, Seattle Children's Hospital, Seattle, WA, USA. 7. Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA, USA.
Abstract
BACKGROUND: This study describes the prevalence of religious or spiritual (R/S) struggle in long-term survivors after hematopoietic cell transplantation (HCT), demographic and medical correlates of R/S struggle, and its associations with depression and quality of life. METHODS: Data were collected in conjunction with an annual survey of adult (age ≥18 years) survivors of HCT. Study measures included R/S struggle (negative religious coping, NRC, from Brief RCOPE), measures of quality of life (subscales from 36-item Short Form Health Survey and McGill), and the Patient Health Questionnaire 8. R/S struggle was defined as any non-zero response on the NRC. Factors associated with R/S struggle were identified using multi-variable logistic regression models. RESULTS: The study analyzed data from 1449 respondents who ranged from 6 months to 40 years after HCT. Twenty-seven percent had some R/S struggle. In a multi-variable logistic regression model, R/S struggle was associated with greater depression and poorer quality of life. R/S struggle was also associated with younger age, non-White race, and self-identification as either religious but not spiritual or spiritual but not religious. R/S struggle was not associated with any medical variables, including time since transplant. CONCLUSIONS: Religious or spiritual struggle is common among HCT survivors, even many years after HCT. Survivors should be screened and, as indicated, referred to a professional with expertise in R/S struggle. Further study is needed to determine causal relationships, longitudinal trajectory, impact of struggle intensity, and effects of R/S struggle on health, mood, and social roles for HCT survivors.
BACKGROUND: This study describes the prevalence of religious or spiritual (R/S) struggle in long-term survivors after hematopoietic cell transplantation (HCT), demographic and medical correlates of R/S struggle, and its associations with depression and quality of life. METHODS: Data were collected in conjunction with an annual survey of adult (age ≥18 years) survivors of HCT. Study measures included R/S struggle (negative religious coping, NRC, from Brief RCOPE), measures of quality of life (subscales from 36-item Short Form Health Survey and McGill), and the Patient Health Questionnaire 8. R/S struggle was defined as any non-zero response on the NRC. Factors associated with R/S struggle were identified using multi-variable logistic regression models. RESULTS: The study analyzed data from 1449 respondents who ranged from 6 months to 40 years after HCT. Twenty-seven percent had some R/S struggle. In a multi-variable logistic regression model, R/S struggle was associated with greater depression and poorer quality of life. R/S struggle was also associated with younger age, non-White race, and self-identification as either religious but not spiritual or spiritual but not religious. R/S struggle was not associated with any medical variables, including time since transplant. CONCLUSIONS: Religious or spiritual struggle is common among HCT survivors, even many years after HCT. Survivors should be screened and, as indicated, referred to a professional with expertise in R/S struggle. Further study is needed to determine causal relationships, longitudinal trajectory, impact of struggle intensity, and effects of R/S struggle on health, mood, and social roles for HCT survivors.
Authors: Stephen D W King; George Fitchett; Patricia E Murphy; Geila Rajaee; Kenneth I Pargament; Elizabeth Trice Loggers; David A Harrison; Rebecca H Johnson Journal: J Adolesc Young Adult Oncol Date: 2017-11-03 Impact factor: 2.223
Authors: Stephen D W King; George Fitchett; Patricia E Murphy; Kenneth I Pargament; David A Harrison; Elizabeth Trice Loggers Journal: Support Care Cancer Date: 2016-10-06 Impact factor: 3.603
Authors: David Almaraz; Jesús Saiz; Florentino Moreno Martín; Iván Sánchez-Iglesias; Antonio J Molina; Tamara L Goldsby; David H Rosmarin Journal: Healthcare (Basel) Date: 2022-06-18
Authors: Betty Ferrell; Vincent Chung; Marianna Koczywas; Tami Borneman; Terry L Irish; Nora H Ruel; Nilofer S Azad; Rhonda S Cooper; Thomas J Smith Journal: Psychooncology Date: 2020-04-06 Impact factor: 3.955