Negative Religious Coping As a Correlate of Suicidal Ideation in Patients with Advanced Cancer

Overview

Journal Psychooncology

Publisher Wiley

Specialties Oncology
Psychology

Date 2014 Mar 1

PMID 24577802

Citations 17

Authors

K M Trevino

M Balboni

A Zollfrank

T Balboni

H G Prigerson

Affiliations

Soon will be listed here.

Abstract

Objective: The purpose of this study is to examine the relationship between negative religious coping (NRC) and suicidal ideation in patients with advanced cancer, controlling for demographic and disease characteristics and risk and protective factors for suicidal ideation.

Methods: Adult patients with advanced cancer (life expectancy ≤6 months) were recruited from seven medical centers in the northeastern and southwestern USA (n = 603). Trained raters verbally administered the examined measures to patients upon study entry. Multivariable logistic regression analyses regressed suicidal ideation on NRC controlling for significant demographic, disease, risk, and protective factors.

Results: Negative religious coping was associated with an increased risk for suicidal ideation (OR, 2.65 [95% CI, 1.22, 5.74], p = 0.01) after controlling for demographic and disease characteristics, mental and physical health, self-efficacy, secular coping, social support, spiritual care received, global religiousness and spirituality, and positive religious coping.

Conclusions: Negative religious coping is a robust correlate of suicidal ideation. Assessment of NRC in patients with advanced cancer may identify patients experiencing spiritual distress and those at risk for suicidal ideation. Confirmation of these results in future studies would suggest the need for interventions targeting the reduction of NRC to reduce suicidal ideation among advanced cancer patients.

Citing Articles

Prevalence and Correlates of Suicidal Ideation among Psycho-Oncology Outpatients.

Park C, Kim H, Kim Y, Park S, Joo Y Yonsei Med J. 2024; 65(10):578-587.

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Risk factors associated with suicidal ideation among cancer patients: a systematic review and meta-analysis.

Chen J, Ping Z, Hu D, Wang J, Liu Y Front Psychol. 2024; 14:1287290.

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Holistic care in healthy aging: Caring for the wholly and holy human.

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PMID: 37873723 PMC: 10776114. DOI: 10.1111/acel.14021.

Coping Strategies and Associated Symptom Burden Among Patients With Advanced Cancer.

Dev R, Agosta M, Fellman B, Reddy A, Baldwin S, Arthur J Oncologist. 2023; 29(2):166-175.

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Relationship of religion with suicidal ideation, suicide plan, suicide attempt, and suicide death: a meta-analysis.

Poorolajal J, Goudarzi M, Gohari-Ensaf F, Darvishi N J Res Health Sci. 2022; 22(1):e00537.

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References

Tedrus G, Fonseca L, De Pietro Magri F, Mendes P . Spiritual/religious coping in patients with epilepsy: relationship with sociodemographic and clinical aspects and quality of life. Epilepsy Behav. 2013; 28(3):386-90. DOI: 10.1016/j.yebeh.2013.05.011. View

Dervic K, Oquendo M, Grunebaum M, Ellis S, Burke A, Mann J . Religious affiliation and suicide attempt. Am J Psychiatry. 2004; 161(12):2303-8. DOI: 10.1176/appi.ajp.161.12.2303. View

Manning-Walsh J . Spiritual struggle: effect on quality of life and life satisfaction in women with breast cancer. J Holist Nurs. 2005; 23(2):120-40. DOI: 10.1177/0898010104272019. View

Breitbart W, Rosenfeld B, Gibson C, Pessin H, Poppito S, Nelson C . Meaning-centered group psychotherapy for patients with advanced cancer: a pilot randomized controlled trial. Psychooncology. 2009; 19(1):21-8. PMC: 3648880. DOI: 10.1002/pon.1556. View

Ano G, Vasconcelles E . Religious coping and psychological adjustment to stress: a meta-analysis. J Clin Psychol. 2004; 61(4):461-80. DOI: 10.1002/jclp.20049. View

Wattebot OBrien C, Moorey S . Outlook and adaptation in advanced cancer: a systematic review. Psychooncology. 2010; 19(12):1239-49. DOI: 10.1002/pon.1704. View

Latham A, Prigerson H . Suicidality and bereavement: complicated grief as psychiatric disorder presenting greatest risk for suicidality. Suicide Life Threat Behav. 2004; 34(4):350-62. PMC: 1459278. DOI: 10.1521/suli.34.4.350.53737. View

McConnell T, Trevino K, Klinger T . Demographic differences in religious coping after a first-time cardiac event. J Cardiopulm Rehabil Prev. 2011; 31(5):298-302. DOI: 10.1097/HCR.0b013e31821c41f0. View

Gaston-Johansson F, Haisfield-Wolfe M, Reddick B, Goldstein N, Lawal T . The relationships among coping strategies, religious coping, and spirituality in African American women with breast cancer receiving chemotherapy. Oncol Nurs Forum. 2013; 40(2):120-31. DOI: 10.1188/13.ONF.120-131. View

10.

Maciejewski P, Phelps A, Kacel E, Balboni T, Balboni M, Wright A . Religious coping and behavioral disengagement: opposing influences on advance care planning and receipt of intensive care near death. Psychooncology. 2011; 21(7):714-23. PMC: 3134563. DOI: 10.1002/pon.1967. View

11.

Stratta P, Capanna C, Riccardi I, Carmassi C, Piccinni A, DellOsso L . Suicidal intention and negative spiritual coping one year after the earthquake of L'Aquila (Italy). J Affect Disord. 2011; 136(3):1227-31. DOI: 10.1016/j.jad.2011.10.006. View

12.

Rasic D, Belik S, Bolton J, Chochinov H, Sareen J . Cancer, mental disorders, suicidal ideation and attempts in a large community sample. Psychooncology. 2007; 17(7):660-7. DOI: 10.1002/pon.1292. View

13.

Zaza C, Sellick S, Hillier L . Coping with cancer: what do patients do. J Psychosoc Oncol. 2006; 23(1):55-73. DOI: 10.1300/J077v23n01_04. View

14.

Lutgendorf S, Anderson B, Rothrock N, Buller R, Sood A, Sorosky J . Quality of life and mood in women receiving extensive chemotherapy for gynecologic cancer. Cancer. 2000; 89(6):1402-11. View

15.

Thomsen T, Rydahl-Hansen S, Wagner L . A review of potential factors relevant to coping in patients with advanced cancer. J Clin Nurs. 2010; 19(23-24):3410-26. DOI: 10.1111/j.1365-2702.2009.03154.x. View

16.

Trevino K, Abbott C, Fisch M, Friedlander R, Duberstein P, Prigerson H . Patient-oncologist alliance as protection against suicidal ideation in young adults with advanced cancer. Cancer. 2014; 120(15):2272-81. PMC: 4356118. DOI: 10.1002/cncr.28740. View

17.

Vallurupalli M, Lauderdale K, Balboni M, Phelps A, Block S, Ng A . The role of spirituality and religious coping in the quality of life of patients with advanced cancer receiving palliative radiation therapy. J Support Oncol. 2011; 10(2):81-7. PMC: 3391969. DOI: 10.1016/j.suponc.2011.09.003. View

18.

Koenig H, Cohen H, Blazer D, Pieper C, Meador K, Shelp F . Religious coping and depression among elderly, hospitalized medically ill men. Am J Psychiatry. 1992; 149(12):1693-700. DOI: 10.1176/ajp.149.12.1693. View

19.

Fitchett G, Murphy P, Kim J, Gibbons J, Cameron J, Davis J . Religious struggle: prevalence, correlates and mental health risks in diabetic, congestive heart failure, and oncology patients. Int J Psychiatry Med. 2004; 34(2):179-96. DOI: 10.2190/UCJ9-DP4M-9C0X-835M. View

20.

Mor V, Laliberte L, Morris J, Wiemann M . The Karnofsky Performance Status Scale. An examination of its reliability and validity in a research setting. Cancer. 1984; 53(9):2002-7. DOI: 10.1002/1097-0142(19840501)53:9<2002::aid-cncr2820530933>3.0.co;2-w. View