Religious coping and death depression in Iranian patients with cancer: relationships to disease stage
The study investigated relationships among the extent of disease, religious coping, and death depression in Iranian patients with cancer.
A descriptive cross-sectional study was conducted with a convenience sample of 482 Iranian cancer patients. Participants completed demographic and health, death depression, and religious coping surveys.
After controlling for demographic and health characteristics, positive and negative religious coping behaviors were significantly related to the experience of death depression. There was an interaction effect between negative religious coping and extent of disease with significant positive relationships to the experience of death depression.
Negative religious coping was found to be more closely associated with death depression in patients with earlier stage disease than those with advanced stages of cancer in this sample of patients with cancer from Iran. Findings support assessing patients for use of religious coping strategies. Muslim patients who are religiously alienated and have existential anguish may be vulnerable and need heightened support following diagnosis and during treatment of early stage cancer.
KeywordsCancer Culture Death depression Religious coping Muslim
The authors would also like to thank patients and officials of selected hospitals for their participation in this study.
The research committee of Mazandaran University of medical sciences (Sari, Iran) financially supported this study.
Compliance with ethical standards
All study procedures were approved by the Ethics Committee (Ethical Code: IR.MAZUMS.REC.1396.10189) of Mazandaran University of Medical Sciences, Sari, Iran. Prior to obtaining written informed consent, patients were apprised relative to the study purpose, what the investigation entailed, and voluntary nature. The confidentiality of patients’ information was ensured with no identifiers used in any surveys and all data were collected in private locations.
Conflict of interest
The authors declare that they have no competing interests.
- 2.Sharif Nia H, Pahlevan Sharif S, Esmaeili R, Goudarzian AH, Tahmasbi B, Yaghoobzadeh A, Kaveh O (2017) Factors influencing the level of death depression in patients with cancer: a path analysis. J Mazandaran Univ Med Sci 26(145):318–331Google Scholar
- 7.Braam AW, Schrier AC, Tuinebreijer WC, Beekman AT, Dekker JJ, de Wit MA (2010) Religious coping and depression in multicultural Amsterdam: a comparison between native Dutch citizens and Turkish, Moroccan and Surinamese/Antillean migrants. J Affect Disord 125(1–3):269–278. https://doi.org/10.1016/j.jad.2010.02.116 CrossRefPubMedGoogle Scholar
- 9.Zamanian H, Eftekhar-Ardebili H, Eftekhar-Ardebili M, Shojaeizadeh D, Nedjat S, Taheri-Kharameh Z, Daryaafzoon M (2015) Religious coping and quality of life in women with breast cancer. Asian Pac J Cancer Prev: APJCP 16(17):7721–7725. https://doi.org/10.7314/APJCP.2015.16.17.7721 CrossRefPubMedGoogle Scholar
- 11.Templer DI, Lavoie M, Chalgujian H, Thomas-Dobson S (1990) The measurement of death depression. J Clin Psychol 46(6):834–839. https://doi.org/10.1002/1097-4679(199011)46:6<834::AID-JCLP2270460623>3.0.CO;2-0 CrossRefPubMedGoogle Scholar
- 19.Vallurupalli MM, Lauderdale MK, Balboni MJ, Phelps AC, Block SD, Ng AK, Kachnic LA, VanderWeele TJ, Balboni TA (2012) The role of spirituality and religious coping in the quality of life of patients with advanced cancer receiving palliative radiation therapy. J Support Oncol 10(2):81–87. https://doi.org/10.1016/j.suponc.2011.09.003 CrossRefPubMedGoogle Scholar
- 22.Pargament KI, Koenig HG, Perez LM (2000) The many methods of religious coping: development and initial validation of the RCOPE. J Clin Psychol 56(4):519–543. https://doi.org/10.1002/(SICI)1097-4679(200004)56:4<519::AID-JCLP6>3.0.CO;2-1 CrossRefPubMedGoogle Scholar
- 23.Gaston-Johansson F, Haisfield-Wolfe ME, Reddick B, Goldstein N, Lawal TA (2013) The relationships among coping strategies, religious coping, and spirituality in African American women with breast cancer receiving chemotherapy. Oncol Nurs Forum 40(2):120–131. https://doi.org/10.1188/13.onf.120-131 CrossRefPubMedGoogle Scholar
- 24.Pargament KI, Tarakeshwar N, Ellison CG, Wulff KM (2001) Religious coping among the religious: the relationships between religious coping and well-being in a National Sample of Presbyterian Clergy, Elders, and Members. J Sci Study Relig 40(3):497–513. https://doi.org/10.1111/0021-8294.00073 CrossRefGoogle Scholar
- 25.Neimeyer RA, Currier JM, Coleman R, Tomer A, Samuel E (2011) Confronting suffering and death at the end of life: the impact of religiosity, psychosocial factors, and life regret among hospice patients. Death studies 35(9):777–800. https://doi.org/10.1080/07481187.2011.583200 CrossRefPubMedGoogle Scholar
- 27.Paiva CE, Paiva BS, de Castro RA, Souza Cde P, de Paiva Maia YC, Ayres JA, Michelin OC (2013) A pilot study addressing the impact of religious practice on quality of life of breast cancer patients during chemotherapy. J Relig Health 52(1):184–193. https://doi.org/10.1007/s10943-011-9468-6 CrossRefPubMedGoogle Scholar
- 31.Sharif Nia H, Pahlevan Sharif S, Lehto RH, Boyle C, Yaghoobzadeh A, Kaveh O, Goudarzian AH (2017) Development and psychometric evaluation of a Persian version of the death depression scale-revised: a cross-cultural adaptation for patients with advanced cancer. Jpn J Clin Oncol 47(8):1–7. https://doi.org/10.1093/jjco/hyx065 CrossRefGoogle Scholar
- 36.Pahlevan Sharif S, Mahdavian V (2015) Structural equation modeling by the use of AMOS. Fazel, TehranGoogle Scholar
- 38.Hayes AF (2013) Introduction to mediation, moderation, and conditional process analysis: a regression-based approach, 1st edn. Guilford Press, New YorkGoogle Scholar
- 39.Malhotra NK, Dash S (2011) Marketing research an applied orientation (paperback). Pearson Publishing, LondonGoogle Scholar
- 40.Babapour J, Sh Z, Zarezade F, Nejati B (2016) The structural association of religious attitude and soping style with quality of life and fatigue in cancer patients. J Health Care 18(1):45–54Google Scholar
- 41.D’Souza CA, Antony S, Thomas B, Murthy SG (2016) Coping strategies used by cancer patients to deal with physical and psychological problems of chemotherapy. Int J Innov Res Dev 5(3):36–41Google Scholar
- 45.Balboni TA, Paulk ME, Balboni MJ, Phelps AC, Loggers ET, Wright AA, Block SD, Lewis EF, Peteet JR, Prigerson HG (2009) Provision of spiritual care to patients with advanced cancer: associations with medical care and quality of life near death. J Clin Oncol 28(3):445–452. https://doi.org/10.1200/JCO.2009.24.8005 CrossRefPubMedPubMedCentralGoogle Scholar