Skip to main content

Advertisement

Log in

Power of Religious Beliefs and Coping with Cancer: Opinions of Iranian Parents

  • Original Paper
  • Published:
Journal of Religion and Health Aims and scope Submit manuscript

Abstract

Childhood cancer as a stressful event has many consequences for both the parents and their children. The aim of the study was to assess the coping strategies used by Iranian parents of children with cancer. The present study was conducted through convenience sampling with the participation of 205 parents with at least one child with cancer referred to the oncology ward, in the southeast of Iran. The Coping Health Inventory for Parents was used to measure parental coping strategies. Results showed that the highest and the lowest mean coping score belonged to the dimensions of social support and medical factors, respectively. Briefly, “Belief in God” and “Gratefulness for his Blessings” were the most helpful coping strategies among parents. Based on results of this study, it seems necessary for nurses to be aware of all aspects of human existence, including religion and spirituality as strong sources of power for parents to adapt with the illness of their child. Also, providing interventions to teach effective coping skills to parents may reduce their distress and improve their quality of life.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Aguilar-Vafaie, M. E. (2008). Coping-health inventory for parents: Assessing coping among Iranian parents in the care of children with cancer and introductory development of an adapted Iranian coping-health inventory for parents. Children’s Health Care, 37, 237–260.

    Article  Google Scholar 

  • Akbarbegloo, M., & Habibpour, Z. (2010). Investigating the relationship between mental health and using coping strategies in patients of Thalassemia and Hemophilia children. The Journal of Urmia Nursing and Midwifery Faculty, 8, 191–196.

    Google Scholar 

  • Bagheri, S. H. S., Iranmanesh, S., Rayyani, M., Dehghan, M., Tirgari, B., & Hosseini, S. H. (2018a). Post-traumatic stress and growth among CPR survivors in the southeast of Iran. International Journal of Adolescent Medicine and Health. https://doi.org/10.1515/ijamh-2017-0138.

    Article  Google Scholar 

  • Bagheri, S. H. S., Rayyani, M., Iranmanesh, S., Dehghan, M., Tirgari, B., & Hosseini, S. H. (2018b). Growth: A journey from experience to higher perception among Iranian muslim CPR survivors. Journal of Religion and Health. https://doi.org/10.1007/s10943-018-0614-2.

    Article  Google Scholar 

  • Brody, A. C., & Simmons, L. A. (2007). Family resiliency during childhood cancer: The father’s perspective. Journal of Pediatric Oncology Nursing, 24, 152–165.

    Article  PubMed  Google Scholar 

  • Chao, C.-C., Chen, S.-H., Wang, C.-Y., Wu, Y.-C., & Yeh, C.-H. (2003). Psychosocial adjustment among pediatric cancer patients and their parents. Psychiatry and Clinical Neurosciences, 57, 75–81.

    Article  PubMed  Google Scholar 

  • Clarke, N. E., McCarthy, M. C., Downie, P., Ashley, D. M., & Anderson, V. A. (2009). Gender differences in the psychosocial experience of parents of children with cancer: a review of the literature. Psycho-Oncology: Journal of the Psychological, Social and Behavioral Dimensions of Cancer, 18, 907–915.

    Article  Google Scholar 

  • Compas, B. E., Bemis, H., Gerhardt, C. A., Dunn, M. J., Rodriguez, E. M., Desjardins, L., et al. (2015). Mothers and fathers coping with their children’s cancer: Individual and interpersonal processes. Health Psychology, 34, 783.

    Article  PubMed  PubMed Central  Google Scholar 

  • Elkin, T. D., Jensen, S. A., McNeil, L., Gilbert, M. E., Pullen, J., & McComb, L. (2007). Religiosity and coping in mothers of children diagnosed with cancer: An exploratory analysis. Journal of Pediatric Oncology Nursing, 24, 274–278.

    Article  PubMed  Google Scholar 

  • Fallahi, S., Rassouli, M., & Mojen, L. K. (2017). Cultural aspects of palliative cancer care in Iran. Palliative Medicine and Hospice Care – Open Journal, 1, 44–50.

    Article  Google Scholar 

  • Fehl, S. (2012). Spirituality and existentialism. Posted on November 5, 2012—New existentialists posts. https://www.saybrook.edu/blog/2012/11/05/11-05-12/.

  • Folkman, S., & Moskowitz, J. T. (2000). Positive affect and the other side of coping. American Psychologist, 55, 647.

    Article  CAS  PubMed  Google Scholar 

  • Garro, A. (2004). Coping patterns in mothers/caregivers of children with chronic feeding problems. Journal of Pediatric Health Care, 18, 138–144.

    PubMed  Google Scholar 

  • Glidden, L. M., Billings, F. J., & Jobe, B. M. (2006). Personality, coping style and well-being of parents rearing children with developmental disabilities. Journal of Intellectual Disability Research, 50, 949–962.

    Article  CAS  PubMed  Google Scholar 

  • Goldbeck, L. (2001). Parental coping with the diagnosis of childhood cancer: Gender effects, dissimilarity within couples, and quality of life. Psycho-Oncology, 10, 325–335.

    Article  CAS  PubMed  Google Scholar 

  • Gomes, I. P., Lima, K. A., Rodrigues, L. V., de Lima, R. A. G., & Collet, N. (2013). From diagnosis to survival of pediatric cancer: Children’s perspective. Text Context Nursing, Florianópolis, 22, 671–679.

    Article  Google Scholar 

  • Gothwal, V. K., Bharani, S., & Reddy, S. P. (2015). Measuring Coping in Parents of Children with Disabilities: A Rasch Model Approach. PLoS ONE, 10, e0118189.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Han, H.-R., Cho, E. J., Kim, D., & Kim, J. (2009). The report of coping strategies and psychosocial adjustment in Korean mothers of children with cancer. Psycho-Oncology, 18, 956–964.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hashemi, F., Razavi, S., Sharif, F., & Shahriari, M. M. (2007). Coping strategies used by parents of children with cancer in Shiraz, Southern Iran. Iranian Red Crescent Medical Journal, 2007, 124–128.

    Google Scholar 

  • Hayat, I., & Zafar, M. (2015). Relationship between psychological well-being and coping strategies among parents with down syndrome children. IJHSS, 7, 109.

    Google Scholar 

  • Hexem, K. R., Mollen, C. J., Carroll, K., Lanctot, D. A., & Feudtner, C. (2011). How parents of children receiving pediatric palliative care use religion, spirituality, or life philosophy in tough times. Journal of Palliative Medicine, 14, 39–44.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hildenbrand, A. K., Clawson, K. J., Alderfer, M. A., & Marsac, M. L. (2011). Coping with pediatric cancer strategies employed by children and their parents to manage cancer-related stressors during treatment. Journal of Pediatric Oncology Nursing, 28, 344–354.

    Article  PubMed  Google Scholar 

  • Howlader, N., Noone, A., & Krapcho, M. (2013). SEER cancer statistics review, 1975–2010. Bethesda, MD: National Cancer Institute.

    Google Scholar 

  • Jadidi, R., Hekmatpou, D., Eghbali, A., Memari, F., & Anbari, Z. (2014). “Parents a dead end life”: The main experiences of parents of children with leukemia. Iranian Journal of Nursing and Midwifery Research, 19, 600.

    PubMed  PubMed Central  Google Scholar 

  • Joshi, S., & Kumari, S. (2011). Religious beliefs and mental health: An empirical review. Delhi Psychiatry Journal, 14, 40–50.

    Google Scholar 

  • Kazemi, A. (2006). Security aspect and dimensions in the Quran. Journal of Islamic Studies, 75, 12–39.

    Google Scholar 

  • Khalili, R., & Rahimi, A. (2014). The concept of stress adjustment in caregivers of children with cancer: A hybrid concept analysis. Journal of Qualitative Research in Health Sciences, 3, 190–201.

    Google Scholar 

  • Khatamsaz, Z., & Maarefvand, M. (2014). Coping strategies of the parents of the children with cancer. Quarterly Journal of Social Work, 3, 3–9.

    Google Scholar 

  • Khoshnood, Z., Dehghan, M., Iranmanesh, S., & Rayyani, M. (2019). Informational needs of patients with cancer: a qualitative content analysis. Asian Pacific Journal of Cancer Prevention, 20, 557–562.

    Article  PubMed  PubMed Central  Google Scholar 

  • Khoshnood, Z., Iranmanesh, S., Rayyani, M., & Dehghan, M. (2018). Body-mind healing strategies in patients with cancer: A qualitative content analysis. Asian Pacific Journal of Cancer Prevention: APJCP, 19, 1691.

    PubMed  PubMed Central  Google Scholar 

  • Klassen, A. F., Gulati, S., Granek, L., Rosenberg-Yunger, Z. R., Watt, L., Sung, L., et al. (2012). Understanding the health impact of caregiving: A qualitative study of immigrant parents and single parents of children with cancer. Quality of Life Research, 21, 1595–1605.

    Article  PubMed  Google Scholar 

  • Koenig, H. G. (2009). Research on religion, spirituality, and mental health: A review. The Canadian Journal of Psychiatry, 54, 283–291.

    Article  PubMed  Google Scholar 

  • Kohlsdorf, M., & Junior, Á. L. C. (2012). Psychosocial impact of pediatric cancer on parents: A literature review. Paidéia (Ribeirão Preto), 22, 119–129.

    Article  Google Scholar 

  • Li, J., & Lambert, V. A. (2007). Coping strategies and predictors of general well-being in women with breast cancer in the People’s Republic of China. Nursing & Health Sciences, 9, 199–204.

    Article  Google Scholar 

  • Linley, P. A., & Joseph, S. (2004). Positive change following trauma and adversity: A review. Journal of Traumatic Stress: Official Publication of The International Society for Traumatic Stress Studies, 17, 11–21.

    Article  Google Scholar 

  • Little, L. (2002). Differences in stress and coping for mothers and fathers of children with Asperger’s syndrome and nonverbal learning disorders. Pediatric Nursing, 28, 565.

    PubMed  Google Scholar 

  • Lotfi Kashani, F., Vaziri, S., Gheysar, S., Mosavi, M., & Hashemiye, M. (2012). Effectiveness of spiritual intervention to improve the quality of life of mothers of children with cancer. Medical Ethics, 11, 125–149.

    Google Scholar 

  • Luszczynska, A., Mohamed, N. E., & Schwarzer, R. (2005). Self-efficacy and social support predict benefit finding 12 months after cancer surgery: The mediating role of coping strategies. Psychology, Health & Medicine, 10, 365–375.

    Article  Google Scholar 

  • Marceau, K., Zahn-Waxler, C., Shirtcliff, E. A., Schreiber, J. E., Hastings, P., & Klimes-Dougan, B. (2015). Adolescents’, mothers’, and fathers’ gendered coping strategies during conflict: Youth and parent influences on conflict resolution and psychopathology. Development and Psychopathology, 27, 1025–1044.

    Article  PubMed  PubMed Central  Google Scholar 

  • Mojen, L. K. (2016). Palliative care in Iran: The past, the present and the future. Supportive & Palliative Care in Cancer, 1, 8–11.

    Google Scholar 

  • Mousavi, S. M., Pourfeizi, A., & Dastgiri, S. (2010). Childhood cancer in Iran. Journal of Pediatric Hematology/oncology, 32, 376–382.

    Article  PubMed  Google Scholar 

  • Mu, P. F., Kuo, H. C., & Chang, K. P. (2005). Boundary ambiguity, coping patterns and depression in mothers caring for children with epilepsy in Taiwan. International Journal of Nursing Studies, 42, 273–282.

    Article  PubMed  Google Scholar 

  • Nemati, S., Rassouli, M., Ilkhani, M., & Baghestani, A. R. (2018). Perceptions of family caregivers of cancer patients about the challenges of caregiving: A qualitative study. Scandinavian Journal of Caring Sciences, 32, 309–316.

    Article  PubMed  Google Scholar 

  • Nikfarid, L., Rassouli, M., & Borimnejad, L. (2018). Religious coping in Iranian mothers of children with cancer: A qualitative content analysis. Journal of Pediatric Oncology Nursing, 35, 188–198.

    Article  PubMed  Google Scholar 

  • Noone, A. M., Howlader, N., Krapcho, M., Miller, D., Brest, A., Yu, M., et al. (2018). SEER cancer statistics review, 1975–2015. Bethesda, MD: National Cancer Institute.

    Google Scholar 

  • Norberg, A. L., Lindblad, F., & Boman, K. K. (2005). Coping strategies in parents of children with cancer. Social Science and Medicine, 60, 965–975.

    Article  PubMed  Google Scholar 

  • Pai, A. L., Greenley, R. N., Lewandowski, A., Drotar, D., Youngstrom, E., & Peterson, C. C. (2007). A meta-analytic review of the influence of pediatric cancer on parent and family functioning. Journal of Family Psychology, 21, 407.

    Article  PubMed  Google Scholar 

  • Panganiban, C. A., & Medina, M., Jr. (2011). Family resources study: Part 1: Family resources, family function and caregiver strain in childhood cancer. Asia Pacific Family Medicine, 10, 1–11.

    Article  Google Scholar 

  • Parvareh, M., Khanjani, N., Frahmandinia, Z., & Nouri, B. (2015). The survival of childhood leukemia and its related factors in Kerman, Iran. Iranian Journal of Health Sciences, 3, 22–34.

    Google Scholar 

  • Paster, A., Brandwein, D., & Walsh, J. (2009). A comparison of coping strategies used by parents of children with disabilities and parents of children without disabilities. Research in Developmental Disabilities, 30, 1337–1342.

    Article  PubMed  Google Scholar 

  • Penley, J. A., Tomaka, J., & Wiebe, J. S. (2002). The association of coping to physical and psychological health outcomes: A meta-analytic review. Journal of Behavioral Medicine, 25, 551–603.

    Article  PubMed  Google Scholar 

  • Pirbodaghi, M., Rasouli, M., Ilkhani, M., & Alavi Majd, H. (2016). An investigation of factors associated adaptation of mothers to disease of child with cancer based on roy model testing. QOM University of Medical Sciences Journal, 9, 41–50.

    Google Scholar 

  • Rassouli, M., & Sajjadi, M. (2014). Palliative care in the Islamic Republic of Iran. In Palliative care to the cancer patient: The Middle East as a model for emerging countries (pp. 39–51). New York: Nova Scientific Publisher.

  • Reisi-Dehkordi, N., Baratian, H., & Zargham-Boroujeni, A. (2014). Challenges of children with cancer and their mothers: A qualitative research. Iranian Journal of Nursing and Midwifery Research, 19, 334.

    PubMed  PubMed Central  Google Scholar 

  • Roohafza, H. R., Afshar, H., Keshteli, A. H., Mohammadi, N., Feizi, A., Taslimi, M., et al. (2014). What’s the role of perceived social support and coping styles in depression and anxiety? Journal of Research in Medical Sciences: the Official Journal of Isfahan University of Medical Sciences, 19, 944.

    Google Scholar 

  • Sajjadi, H., Vameghi, M., Ghazinour, M., & KhodaeiArdakani, M. (2013). Caregivers’ quality of life and quality of services for children with cancer: A review from Iran. Global Journal of Health Science, 5, 173.

    PubMed  PubMed Central  Google Scholar 

  • Scheier, M. F., Carver, C. S., & Bridges, M. W. (2001). Optimism, pessimism, and psychological well-being. Optimism and pessimism: Implications for theory, research, and practice, 1, 189–216.

    Google Scholar 

  • Seyed Bagheri, S. H., Dehghan, M., Alavi, S. H., Iranmanesh, S., & Khoshab, H. (2017). Burst out of the dead land by the help of spirituality: A case study of living with blindness and cancer. Journal of Religion and Health, 56, 896–906.

    Article  PubMed  Google Scholar 

  • Shamsi, A., Azizzadeh Forouzi, M., & Iranmanesh, S. (2016). Psychosocial risks among parents of children with cancer. Iranian Journal of Pediatric Nursing, 2, 44–55.

    Google Scholar 

  • Shields, L., & Hallström, I. K. (2004). We have needs, too: Parental needs during a child’s hospitalisation. Online Brazilian Journal of Nursing, 3, 3–16.

    Article  Google Scholar 

  • Taleghani, F., Fathizadeh, N., & Naseri, N. (2012). The lived experiences of parents of children diagnosed with cancer in Iran. European Journal of Cancer Care, 21, 340–348.

    Article  CAS  PubMed  Google Scholar 

  • Taleghani, F., Parsa, Z. Y., NikbakhtNasrabadi, A., & Käppeli, S. (2008). Adjustment process in Iranian women with breast cancer. Cancer Nursing, 31, 32–41.

    Article  Google Scholar 

  • Xu, J. (2015). Pargament’s theory of religious coping: implications for spiritually sensitive social work practice. British Journal of Social Work, 46, 1394–1410.

    Article  PubMed  PubMed Central  Google Scholar 

  • Yazdi, K. H., Sanagoo, A., & Joybari, L. (2007). Psychosocial, social and financial problems with coping strategies among families with thalassemic patients. Journal of Gorgan University of Medical Sciences, 9, 71–75.

    Google Scholar 

  • Yeh, C.-H., Lee, T.-T., Chen, M.-L., & Li, W. (2000). Adaptational process of parents of pediatric oncology patients. Pediatric Hematology and Oncology, 17, 119–131.

    Article  CAS  PubMed  Google Scholar 

  • Zareifar, S., Almasi-Hashiani, A., Karimi, M., Tabatabaee, S. H., & Ghiasvand, R. (2012). Five-year survival rate of pediatric leukemia and its determinants. Koomesh, 14, 13–19.

    Google Scholar 

  • Zaza, C., Sellick, S. M., & Hillier, L. M. (2005). Coping with cancer: What do patients do? Journal of Psychosocial Oncology, 23, 55–73.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

The present study was derived from a nursing Ph.D. dissertation conducted at Kerman University of Medical Sciences carried out under the approval code of 96000109. The authors thank the Research and Technology Administration of Kerman University of Medical Sciences, for funding this thesis and Special thanks to all parents who participated in this study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Masoud Rayyani.

Ethics declarations

Conflict of interest

The authors have no conflict of interest.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Mazhari, F., Rayyani, M., Iranmanesh, S. et al. Power of Religious Beliefs and Coping with Cancer: Opinions of Iranian Parents. J Relig Health 60, 2878–2891 (2021). https://doi.org/10.1007/s10943-019-00959-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10943-019-00959-8

Keywords

Navigation