Abstract
The aim of this study was to assess the predictive role of religious coping in quality of life of breast cancer patients. This multi-center cross-sectional study was conducted in Tehran, Iran, from October 2014 to May 2015. A total of 224 women with breast cancer completed measures of socio-demographic information, religious coping (brief RCOPE), and quality of life (FACT-B). Data were analyzed using descriptive statistics and the t-test, ANOVA, and linear regression analysis. The mean age was 47.1 (SD=9.07) years and the majority were married (81.3%). The mean score for positive religious coping was 22.98 (SD=4.09) while it was 10.13 (SD=3.90) for negative religious coping. Multiple linear regression showed positive and negative religious coping as predictor variables explained a significant amount of variance in overall QOL score (R(2)=.22, P=.001) after controlling for socio-demographic, and clinical variables. Positive religious coping was associated with improved QOL (β=0.29; p=0.001). In contrast, negative religious coping was significantly associated with worse QOL (β=-0.26; p=0.005). The results indicated the used types of religious coping strategies are related to better or poorer QOL and highlight the importance of religious support in breast cancer care.
Highlights
Breast cancer is the most common malignancy in women worldwide which has accounted for about forty-six thousand deaths in 2013 (Khoramirad et al, 2014)
The relationship between negative religious coping and quality of life (QOL) scores suggests that breast cancer patients with negative religious behaviors or cognitions to cope cancer stress, such as feelings of being abandoned or punished by God or their church, or questioning God’s love or devotion, may have poorer QOL
The relationship between positive religious coping and QOL scores suggest that those who look to God for strength and love may have better QOL
Summary
Breast cancer is the most common malignancy in women worldwide which has accounted for about forty-six thousand deaths in 2013 (Khoramirad et al, 2014). In Iran, the incidence rate of female breast cancer was 22 per 100,000 populations. The aim of this study was to assess the predictive role of religious coping in quality of life of breast cancer patients. A total of 224 women with breast cancer completed measures of sociodemographic information, religious coping (brief RCOPE), and quality of life (FACT-B). Multiple linear regression showed positive and negative religious coping as predictor variables explained a significant amount of variance in overall QOL score (R2=.22, P=.001) after controlling for socio-demographic, and clinical variables. Conclusions: The results indicated the used types of religious coping strategies are related to better or poorer QOL and highlight the importance of religious support in breast cancer care
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