Ethnicity and spirituality in breast cancer survivors

被引:64
作者
Levine E.G. [1 ]
Yoo G. [2 ]
Aviv C. [3 ]
Ewing C. [4 ,5 ]
Au A. [5 ]
机构
[1] BioBehavioral Research Center, San Francisco State University, San Francisco, CA 94132
[2] Asian-American Studies, San Francisco State University, San Francisco, CA
[3] Center for Judaic Studies, University of Denver, Denver, CO
[4] Department of Surgery, University of California San Francisco, Comprehensive Cancer Center, San Francisco, CA
[5] University of California San Francisco, Comprehensive Cancer Center, San Francisco, CA
基金
美国国家卫生研究院;
关键词
Breast cancer survivors; Ethnic differences; Quality of life; Spirituality;
D O I
10.1007/s11764-007-0024-z
中图分类号
学科分类号
摘要
Many women are incorporating spirituality as a way of coping with cancer. However, few studies have examined the role of spirituality in mood and quality of life among breast cancer survivors from different ethnic groups. One hundred and seventy-five women who had completed treatment for breast cancer participated in in-depth interviews about their experiences. Transcripts were available for 161 women. The majority (83%) of the women talked about their spirituality. The main themes were: (1) God as a Comforting Presence; (2) Questioning Faith; (3) Anger at God; (4) Spiritual Transformation of Self and Attitude Towards Others/Recognition of Own Mortality; (5) Deepening of Faith; (6) Acceptance; and (7) Prayer by Self. A higher percentage of African-Americans, Latinas, and Christians felt comforted by God than the other groups. These results are consistent with the common assumption that more African-American and Latinas engage in spiritual activities and that African-Americans are more fatalistic than the other groups. Implications for Cancer Survivors: The present findings suggest that there are several dimensions of spirituality experienced among cancer survivors. For many the trauma of a cancer diagnosis might deepen their faith and appreciation of life as well as changing the way they view at themselves, their lives, and how they relate to those around them, including God. © 2007 Springer Science+Business Media, LLC.
引用
收藏
页码:212 / 225
页数:13
相关论文
共 69 条
[21]  
Mueller P.S., Plevak D.J., Rummans T.A., Religious involvement, spirituality, and medicine: Implications for clinical practice, Mayo Clin Proc, 76, pp. 1225-1235, (2001)
[22]  
Pargament K.I., Koenig H.G., Tarakeshwar N., Hahn J., Religious struggle as a predictor of mortality among medically ill elderly patients, Arch Intern Med, 161, pp. 1881-1885, (2001)
[23]  
Dulin P.L., Social support as a moderator of the relationship between religious participation and psychological distress in a sample of community dwelling older adults, Ment Health Relig Cult, 8, pp. 81-86, (2005)
[24]  
Koenig H.G., Religion, spirituality, and medicine: Research findings and implications for clinical practice, South Med J, 97, pp. 1194-1200, (2004)
[25]  
Lengacher C.A., Bennett M.P., Kip K.E., Gonzalez L., Jacobsen P., Cox C.E., Relief of symptoms, side effects, and psychological distress through use of complementary and alternative medicine in women with breast cancer, Oncol Nurs Forum, 33, pp. 97-104, (2006)
[26]  
Vandecreek L., Rogers E., Lester J., Use of alternative therapies among breast cancer out patients compared with the general population, Altern Ther Health Med, 5, pp. 71-76, (1999)
[27]  
Shaw A., Joseph S., Linley P.A., Religion, spirituality, and posttraumatic growth: A systematic review, Ment Health Relig Cult, 8, pp. 1-11, (2005)
[28]  
Levine E.G., Targ E., Spiritual correlates of functional well-being in women with breast cancer, Integrative Cancer Therapy, 1, pp. 166-174, (2002)
[29]  
Brady M., Peterman A.H., Mo M., Cella D., A case for including spirituality in quality of life measurement in oncology, Psycho-Oncol, 8, pp. 417-428, (1999)
[30]  
Yates J.S., Mustian K.M., Morrow G.R., Gillies L.J., Padmanaban D., Et al., Prevalence of complementary and alternative medicine use in cancer patients during treatment, Supportive Care Cancer, 13, pp. 806-811, (2005)