ORIGINAL RESEARCH ARTICLE
Spirituality, A Method of Coping with Depression in Cancer Patients Who Received Chemotherapy in the Southwest of Turkey (PRAYER Study)
Received Date : 02 Jul 2019
Accepted Date : 07 Dec 2019
Available Online : 10 Feb 2020
Doi: 10.37047/jos.2019-73128 - Article's Language: EN
J Oncol Sci. 2020;6(1):35-42
Objective: Previous studies have shown that positive and negative approaches toward religious orientation are significant coping
methods in cancer patients and their relatives. However, the results of these studies are controversial as to how the religious system is being
used in cancer patients and their relatives for overcoming depression and how often it is used are unclear. The aim of this study was to determine
the spiritual orientation as a method of coping with depression in cancer patients and their primary caregivers. Material and Methods:
A survey was conducted including a face-to-face meeting with cancer patients and only one primary caregiver of these patients. For statistical
analyses, the chi-squared test, Fischer’s exact test, Wilcoxon test, and logistic regression analyses were performed. Results: A total of 123
cancer patients (group 1) and their primary relatives (group 2) were included in this study. The majority of patients in group 1 were male (n=69),
married (n=81), not educated (n=69), of low economic status (n=85), and older than 65 years (n=65). Most of the participants in group 2 were
female (n=74), married (n=69), educated (n=71), of low economic status (n=82), and younger than 65 years (n=64). Depression rate was 63%
(n=78) in group 1 and 74% (n=91) in group 2. In group 1, positive religious coping was significant. However, in group 2, negative religious
coping was leading. In stepwise multiple regression analysis, negative religious coping was a significant and independent risk factor for depression
in groups 1 and 2 (odds ratio [OR]: 2.14; 95% CI, 1.41-3.11; p=0.044 for group 1 and OR: 2.48; 95% CI, 1.38-4.35 for group 2). Conclusion:
The use of spiritual orientation as a coping method for depression, which is the most common psychological problem in cancer, can
have a positive effect on cancer patients and their relatives.
Keywords: Religious; depression; coping; cancer; caregivers
- Tanriverdi O. A medical oncologist's perspective on communication skills and burnout syndrome with psycho-oncological approach (to die with each patient one more time: the fate of the oncologists). Med Oncol. 2013;30(2):530. [Crossref] [PubMed]
- Hebert RS, Weinstein E, Martire LM, Schulz R. Religion, spiritually and the well-being of informal caregivers: a review, critique, and research prospectus. Aging Ment Health. 2006;10(5):497-520. [Crossref] [PubMed]
- Honea NJ, Brintnall R, Given B, et al. Putting evidence into practice: nursing assessment and interventions to reduce family caregiver strain and burden. Clin J Oncol Nurs. 2008;12(3):507-516. [Crossref] [PubMed]
- Lambert SD, Harrison JD, Smith E, et al. The unmet needs of partners and caregivers of adults diagnosed with cancer: a systematic review. BMJ Support Palliat Care. 2012;2(3):224-230. [Crossref] [PubMed]
- Saevarsdottir T, Fridriksdottir N, Gunnarsdottir S. Quality of life and symptoms of anxiety and depression of patients receiving cancer chemotherapy: longitudinal study. Cancer Nurs. 2010;33(1):e1-e10. [Crossref] [PubMed]
- Mukwato KP, Mweemba P, Makukula MK, Makoleka MM. Stress and coping mechanisms among breast cancer patients and family caregivers: a review of literature. Med J Zambia. 2010;37(1):40-45.
- Ellis A. Psychotherapy and atheistic values: a response to AE Bergin's "Psychotherapy and religious values". J Consult Clin Psychol. 1980;48(5):635-639. [Crossref] [PubMed]
- Bergin AE. Religiosity and mental health: a critical reevaluation and meta-analysis. Professional Psychology: Research and Practice. 1983;14(2):170-184. [Crossref]
- Fenix JB, Cherlin EJ, Prigerson HG, Johnson-Hurzeler R, Kasl SV, Bradley EH. Religiousness and major depression among bereaved family caregivers: a 13-month follow-up study. J Palliat Care. 2006;22(4):286-292. [Crossref] [PubMed]
- Pargement KI, Koenig HG, Perez LM. The many methods of religious coping: development and initial validation of the RCOPE. J Clin Psychol. 2000;56(4):519-543. [Crossref]
- Beck AT, Steer RA, Ball R, Ranieri W. Comparison of Beck Depression Inventories -IA and -II in psychiatric outpatients. J Pers Assess. 1996;67(3):588-597. [Crossref] [PubMed]
- Hisli N. Reliability and validity of Beck Depression Inventory among university students. Turk Psikoloji Dergisi. 1989;7(23):3-13.
- Lazarus RS, Folkman S. Stress, Appraisal and Coping. 1st ed. New York: Springer Publishing; 1984.
- Folkman S, Lazarus RS, Dunkel-Scheter C, DeLongis A, Gruen RJ. Dynamics of a stressful encounter: cognitive appraisal, coping and encounter outcomes. J Pers Soc Psychol. 1968;50(5):992-1003. [Crossref] [PubMed]
- Landmark BT, Bøhler A, Loberg A, Wahl AK. Women with newly diagnosed breast cancer and their perceptions needs in a health-care context. J Clin Nurs. 2008;17(7B):192-200. [Crossref] [PubMed]
- Atef-Vahid MK, Nasr-Esfahani M, Esfeedvajani MS, et al. Quality of life, religious attitude and cancer coping in a sample of Iranian patients with cancer. J Res Med Sci. 2011;16(7):928-937.
- Zwingmann C, Wirtz M, Müller C, Körber J, Murken S. Positive and negative religious coping in German breast cancer patients. J Behav Med. 2006;29(6):533-547. [Crossref] [PubMed]
- Daher M. Cultural beliefs and values in cancer patients. Ann Oncol. 2012;23 suppl 3:66-69. [Crossref] [PubMed]
- Haghighi F. Correlation between religious coping and depression in cancer patients. Psychiatr Danub. 2013;25(3):236-240.
- Hebert R, Zdaniuk B, Schulz R, Scheier M. Positive and negative religious coping and well-being in women with breast cancer. J Palliat Med. 2009;12(6):537-545. [Crossref] [PubMed] [PMC]
- Karekla M, Constantinou M. Religious coping and cancer: proposing an acceptance and commitment therapy approach. Cogn Behav Pract. 2010;17(4):371-381. [Crossref]