Attachment to God and coping with the diagnosis and treatment of breast cancer: a longitudinal study
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Religious/spiritual factors are important for some individuals in the context of life stress. To the authors’ knowledge, the present study is the first to explore the role of women’s attachment to God (anxious vs secure) in their adjustment to breast cancer.
To explore the (1) pattern of change in women’s attachment to God across time and (2) relationship between attachment to God and coping behaviors and depression.
All English-speaking women who were scheduled to receive a core breast biopsy at a women’s breast health center were eligible to participate in the study. Women were assessed on attachment to God, positive and negative coping, and depression at pre-diagnosis and 3, 6, and 12 months post-diagnosis. Women who received a benign diagnosis and those with a diagnosis of breast cancer participated in the study.
Attachment to God remained stable across time for both diagnostic groups (cancer, benign). Women from both groups who had a more anxious attachment to God utilized more avoidance coping and reported more depression at different points across time. Breast cancer patients with a more anxious attachment to God reported engaging in less acceptance coping post-diagnosis. Finally, the association between attachment to God and depression was partially mediated by avoidance coping at pre-diagnosis.
Findings indicate that a more anxious attachment to God may contribute to negative patterns of adjustment while a secure attachment may help women remain more directly engaged in their coping with the threat of breast cancer and related diagnostic procedures.
Implications for practice
It is suggested that clinicians remain sensitive to and assess the role of spiritual beliefs in women’s adjustment to the threat of breast cancer from pre-diagnosis up to 1 year post-diagnosis. In particular, women’s belief in and experience of a secure or an anxious attachment with God or higher power may function as a potential resource or as an exacerbating factor, respectively, in their adjustment to breast cancer.
KeywordsReligious/spiritual beliefs Coping Attachment Breast cancer Longitudinal
This research was supported by a Standard Research Grant (No. 410-2006-0880) from the Social Sciences and Humanities Research Council of Canada.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
- 3.Gall TL, Guirguis-Younger M (2013) Religious and spiritual coping: current theory and research. In: Pargament KI, Exline JJ, Jones JW (eds) APA handbook of psychology, religion and spirituality: Vol. 1. Context, theory and research. American Psychological Association, Washington, DC, pp 349–364Google Scholar
- 4.Pargament KI (1997) The psychology of religion and coping. Guilford Press, New YorkGoogle Scholar
- 14.Pargament KI, Koenig HG, Tarakeshwar N, Hahn J (2004) Religious coping methods as predictors of psychological, physical, and social outcomes among medically ill elderly patients: a two-year longitudinal study. J Health Psychol 9:713–730. https://doi.org/10.1177/1359105304045366 CrossRefPubMedGoogle Scholar
- 16.Kirkpatrick L (2005) Attachment, evolution and the psychology of religion. Guilford Press, New YorkGoogle Scholar
- 17.Bowlby J (1988) A secure base: clinical applications of attachment theory. Routledge, LondonGoogle Scholar
- 18.Cassidy J, Shaver PR (eds) (1999) Handbook of attachment: theory, research, and clinical applications. Guilford Press, New YorkGoogle Scholar
- 23.Larose S, Boivin M, Doyle AB (2001) Parental representations and attachment style as predictors of support seeking behaviors and perceptions of support in an academic counseling relationship. Pers Relat 8:93–113. https://doi.org/10.1111/j.1475-6811.2001.tb00030.x CrossRefGoogle Scholar
- 26.Schottenbauer MA, Klimes-Dougan B, Rodriguez BF, Arnkoff DB, Glass CR, Lasalle VH (2006) Attachment and affective resolution following a stressful event: general and religious coping as possible mediators. Ment Health Relig Cult 9:448–471. https://doi.org/10.1080/13694670500440684 CrossRefGoogle Scholar
- 36.Mikulincer M, Shaver PR (2007) Attachment in adulthood: structure, dynamics and change. The Guilford Press, New YorkGoogle Scholar
- 44.Hayes (2014); http://processmacro.org/download.html
- 45.Hayes AF (2017) Introduction to mediation, moderation, and conditional process analysis: a regression-based approach, 2nd edn. The Guilford Press, New YorkGoogle Scholar