Journal of Religion and Health

, Volume 58, Issue 3, pp 881–890 | Cite as

Evaluation of Distress and Religious Coping Among Cancer Patients in Turkey

  • Elanur Yılmaz KarabulutluEmail author
  • Süheyla Yaralı
  • Seda Karaman
Original Paper


The purpose of this study was to determine distress levels and religious coping styles of cancer patients and the relationship between religious coping styles and distress. This study was conducted as descriptive design. It was determined that 60.7% of the patients experienced distress related to the disease. The field of problem from which the patients mostly experienced distress was physical problems. It was observed that positive coping scores of the patients were higher. There was a negative correlation between their mean scores for positive religious styles and distress total scores.


Cancer patients Distress Religion coping 


Authors’ Contributions

The first and third authors determined the subject of research, the first author was involved in statistical analysis and manuscript of the research, and the second and third authors contributed to research data collection.

Compliance with Ethical Standards

Conflict of interest

The authors declare no conflict of interest.


  1. Abrahamson, K. (2010). Dealing with cancer-related distress. The American Journal of Nursing, 110, 9–67.CrossRefGoogle Scholar
  2. Al Ahwal Shaheen, M., Al Zaben, F., Sehlo, M. G., Khalifa, D. A., & Koening, H. G. (2016). Religious beliefs, practices, and health in colorectal cancer patients in Saudi Arabia. Psycho-Oncology, 25, 292–299.CrossRefGoogle Scholar
  3. Alaloul, F., Schreiber, J. A., Al Nusairat, T., & Andrykowski, M. (2016). Spirituality in arab muslim hematopoietic stem cell transplantation survivors. Cancer Nursing, 39, 39–47.CrossRefGoogle Scholar
  4. Altınova, H. H., & Duyan, V. (2013). Oncological social work. Turkish Journal of Family Medicine and Primary Care, 7, 40–45. (in Turkish).CrossRefGoogle Scholar
  5. Asuzu, C. C., & Elumelu, T. N. (2013). Assessing cancer patients’ quality of life and coping mechanisms in Radiotherapy Department of the University College Hospital, Ibadan. Psycho-Oncology, 22, 2306–2312.Google Scholar
  6. Ayten, A. (2015). A psychosocial research on refuge in god/religious coping (2nd ed.). İstanbul: İz Yayıncılık. (in Turkish).Google Scholar
  7. Bultz, B. D., & Carlson, L. E. (2005). Emotional distress: The sixth vital sign in cancer care. Journal of Clinical Oncology, 23, 6440–6441.CrossRefGoogle Scholar
  8. Bultz, B. D., & Carlson, L. E. (2010). Emotional distress: The sixth vital sign-future directions in cancer care. Psycho-Oncology, 15, 93–95.CrossRefGoogle Scholar
  9. Can, G. (2006). Fatigue in cancer patients. Journal of Nursing Education and Research, 3, 10–17. (in Turkish).Google Scholar
  10. Carlson, L. E., & Bultz, B. D. (2004). Efficacy and medical cost off set of psychosocial interventions in cancer care: Making the case for economic analyses. Psycho-Oncology, 13, 837–849.CrossRefGoogle Scholar
  11. Celasin, H., Karakoyun, R., Yılmaz, S., Elhan, A. H., Erkek, B., & Kuzu, M. A. (2011). Quality of life measures in Islamic rectal carcinoma patients receiving counselling. Colorectal Disease, 13, 170–175.CrossRefGoogle Scholar
  12. Cleeland, C. S., Zhao, F., Chang, V. T., Sloan, J. A., O’Mara, A. M., Gilman, P. B., et al. (2013). The symptom burden of cancer: Evidence for a core set of cancer-related and treatment-related symptoms from the eastern cooperative oncology group symptom outcomes and practice patterns study. Cancer, 119, 4333–4340.CrossRefGoogle Scholar
  13. Dedeli, O., Yildiz, E., & Yuksel, S. (2015). Assessing the spiritual needs and practices of oncology patients in Turkey. Holistic Nursing Practice, 29, 103–113.CrossRefGoogle Scholar
  14. Delgado-Guay, M. O., Hui, D., Parsons, H. A., Govan, K., De la Cruz, M., Thorney, S., et al. (2011). Spirituality, religiosity, and spiritual pain in advanced cancer patients. Journal of Pain and Symptom Management, 41, 986–994.CrossRefGoogle Scholar
  15. Ekşi, H. (2001). A research on the relationship between coping, religious coping and mental health: Comparison of students from the faculty of education, theology and engineering. Thesis submitted for the degree of ‘‘Doctor of Social Sciences”. Submitted to the Uludağ University (in Turkish).Google Scholar
  16. Estes, J. M., & Karten, C. (2014). Nursing expertise and the evaluation of psychosocial distress in patients with cancer and survivors. Clinical Journal of Oncology Nursing, 18, 598–600.CrossRefGoogle Scholar
  17. Exline, J. J., Yali, A. M., & Lobel, M. (1999). When God disappoints: Difficulty for giving God and its role in negative emotions. Journal of Health Psychology, 4, 364–379.CrossRefGoogle Scholar
  18. Finney, J., Hamilton, J. B., Hodges, E. A., Pierre-Louis, B. J., Crandell, J. L., & Muss, H. B. (2014). African American cancer survivors: Do cultural factors influence symptom distress? Journal of Transcultural Nursing, 26, 294–300.CrossRefGoogle Scholar
  19. Gemalmaz, A., & Avşar, G. (2015). Cancer diagnosis and after experiences: A qualitative study. Journal of Nursing Education and Research, 12, 93–98. (in Turkish).Google Scholar
  20. Gil, F., Grassi, L., Travado, L., Tomamichel, M., & Gonzalez, J. R. (2005). Use of distress and depression thermometers to measure psychosocial morbidity among southern European cancer patients. Supportive Care in Cancer, 13, 600–606.CrossRefGoogle Scholar
  21. Hiçdurmaz, D., & Öz, F. (2013). Spirituality as a dimension of coping. Journal of Anatolia Nursing and Health Sciences, 16, 50–5699. (in Turkish).Google Scholar
  22. Holt, C. L., Oster, R. A., Clay, K. S., Urmie, J., & Fouad, M. (2011). Religiosity and physical and emotional functioning among African American and white colorectal and lung cancer patients. Journal Psychosocial Oncology, 29, 372–393.Google Scholar
  23. Jacobsen, P. B., & Ransom, S. (2007). Implementation of NCCN distress management guidelines by member institutions. Journal of the National Comprehensive Cancer Network, 5, 99–103.CrossRefGoogle Scholar
  24. Khalili, N., Farajzadegan, Z., Mokarian, F., & Bahrami, F. (2013). Coping strategies, quality of life and pain in women with breast cancer. Iranian Journal of Nursing and Midwifery Research, 18, 105–111.Google Scholar
  25. Kula, N. (2006). A survey on the relationship between the attitudes towards disabled persons and religious attitudes. Journal of Islamic Research, 19, 511–524. (in Turkish).Google Scholar
  26. Mansourabadi, A., Moogooei, M., & Nozari, S. (2014). Evaluation of distress and stress in cancer patients in AMIR oncology hospital in Shiraz. Iranian Journal of Nursing and Midwifery Research, 4, 131–140.Google Scholar
  27. Mesquita, A. C., Chaves, E. C. L., Avelino, C. C. V., Nogueira, D. A., Panzini, R. G., & Carvalho, E. C. (2013). The use of religious/spiritual coping among patients with cancer undergoing chemotherapy treatment. Revista latino-americana de enfermagem, 21, 539–545.CrossRefGoogle Scholar
  28. Minton, O., Berger, A., Barsevick, A., Cramp, F., Goedendorp, M., Mitchell, S. A., et al. (2013). Cancer-related fatigue and its impact on functioning. Cancer, 11, 2124–2130.CrossRefGoogle Scholar
  29. Musiello, T., Dixon, G., O'Connor, M., Cook, D., Miller, L., Petterson, A., et al. (2017). A pilot study of routine screening for distress by a nurse and psychologist in an outpatient haematological oncology clinic. Applied Nursing Research, 33, 15–18.CrossRefGoogle Scholar
  30. Nairn, R. C., & Merluzzi, T. V. (2003). The role of religious coping in adjustment to cancer. Psycho-Oncology, 12, 428–441.CrossRefGoogle Scholar
  31. Ng, G. C., Mohamed, S., Sulaiman A. H., & Zainal, N. Z. (2017). Anxiety and depression in cancer patients: The association with religiosity and religious coping. Journal of Religion Health, 56, 575–590.CrossRefGoogle Scholar
  32. Özalp, E., Cankurtaran, E. S., Soygür, H., Geyik Özdemir, P., & Jacobsen, P. B. (2007). Screening for psychological distress in Turkish cancer patients. Psycho-Oncology, 16, 304–311.CrossRefGoogle Scholar
  33. Pargament, K. I. (2002). The bitter and the sweet: An evaluation of the costs and benefits of religiousness. Psychological Inquiry, 13, 168–181.CrossRefGoogle Scholar
  34. 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.CrossRefGoogle Scholar
  35. Pargament, K. I., Koenig, H., Tarakeshwar, N., & Hahn, J. (2001). Religious struggle as a predictor of mortality among medically ill elderly patients. Archives of Internal Medicine, 161, 1881–1885.CrossRefGoogle Scholar
  36. Pranjic, N., Bajraktarevic, A., & Ramic, E. (2016). Distress and PTSD in patients with cancer: Cohort study case. Materia Sociomedica, 28, 12–16.CrossRefGoogle Scholar
  37. Rezaei, M., Adib-Hajbaghery, M., Seyedfatemi, N., & Hoseini, F. (2008). Prayer in Iranian cancer patients undergoing chemotherapy. Complementary Therapies in Clinical Practice, 14, 90–97.CrossRefGoogle Scholar
  38. Roth, A. J., Kornblinth, A. B., Batel-Copel, L., Peabody, E., Scher, H. I., & Holland, J. C. (1998). Rapid screening for psychologic distress in men with prostate carcinoma: A pilot study. Cancer, 82, 1904–1908.CrossRefGoogle Scholar
  39. Ryan, D. A., Gallagher, P., Wright, S., & Cassidy, E. M. (2012). Sensitivity and specificity of the Distress Thermometer and a two-item depression screen (Patient Health Questionnaire-2) with a ‘help’ question for psychological distress and psychiatric morbidity in patients with advanced cancer. Psycho-Oncology, 21, 1275–1284.CrossRefGoogle Scholar
  40. Sarıhan, E., Kadıoğlu, E., & İğde, A. F. (2012). Cancer pain and the principles of cancer pain management and world health organization analgesic ladder. Nobel Medicus, 8, 5–15. (in Turkish).Google Scholar
  41. Sherman, A. C., Simonton, S., Latif, U., Spohn, R., & Tricot, G. (2005). Religious struggle and religious comfort in response to illness: Health outcomes among stem cell transplant patients. Journal of Behavioral Medicine, 28, 359–367.CrossRefGoogle Scholar
  42. Shim, E. J., Shin, Y. W., Jeon, H. J., & Hahm, B. J. (2008). Distress and its correlates in Korean cancer patients: Pilot use of the distress thermometer and the problem list. Psycho-Oncology, 17, 548–555.CrossRefGoogle Scholar
  43. Thuné-Boyle, I. C., Stygall, J., Keshtgar, M. R., Davidson, T. I., & Newman, S. P. (2013). Religious/spiritual coping resources and their relationship with adjustment in patients newly diagnosed with breast cancer in the UK. Psycho-Oncology, 22, 646–658.CrossRefGoogle Scholar
  44. Trevino, K. M., Balboni, M., Zollfrank, A., Balboni, T., & Prigerson, H. G. (2014). Negative religious coping as a correlate of suicidal ideation in patients with advanced cancer. Psycho-Oncology, 23, 936–945.CrossRefGoogle Scholar
  45. Ursaru, M., Crumpeib, I., & Crumpeic, G. (2014). Quality of life and religious coping in women with breast cancer. Procedia—Social and Behavioral Sciences, 114, 322–326.CrossRefGoogle Scholar
  46. Vallurupalli, M., Lauderdale, K., Balboni, M. J., Phelps, A. C., Block, S. D., Ng, A. K., et al. (2012). The role of spirituality and religious coping in the quality of life of patients with advanced cancer receiving palliative radiation therapy. The Journal of Supportive Oncology, 10, 81–87.CrossRefGoogle Scholar
  47. Wang, Y., Zou, L., Jiang, M., Wei, Y., & Jiang, Y. (2013). Measurement of distress in Chinese in patients with lymphoma. Psycho-Oncology, 22, 1581–1586.CrossRefGoogle Scholar
  48. Woll, M. L., Hinshaw, D. B., & Pawlik, T. M. (2008). Spirituality and religion in the care of surgical oncology patients with life-threatening or advanced illnesses. Annals of Surgical Oncology, 15, 3048–3057.CrossRefGoogle Scholar
  49. Yates, P., Miaskowski, C., Cataldo, J. K., Paul, S. M., Cooper, B. A., Alexander, K., et al. (2015). Differences in composition of symptom clusters between older and younger oncology patients. Journal of Pain and Symptom Management, 49, 1025–1034.CrossRefGoogle Scholar
  50. Zordan, R., Manitta, V., Nandurkar, H., Cole-Sinclair, M., & Philip, J. (2014). Prevalence and predictors of fatigue in haemo-oncological patients. Internal Medicine Journal, 44, 1013–1017.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  • Elanur Yılmaz Karabulutlu
    • 1
    Email author
  • Süheyla Yaralı
    • 1
  • Seda Karaman
    • 1
  1. 1.Faculty of Health SciencesAtatürk UniversityErzurumTurkey

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