Religious beliefs, social support, self-efficacy and adjustment to cancer

Religious beliefs, social support, self-efficacy and adjustment to cancer
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DOI:
10.1002/pon.1442
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发表时间:
2009-10-01
期刊:
影响因子:
3.6
通讯作者:
Merluzzi, Thomas V.
Merluzzi, Thomas V.
中科院分区:
医学2区
文献类型:
--
作者:
Howsepian, Barbara A.;Merluzzi, Thomas V.

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目的:宗教信仰在应对癌症的研究中受到的关注相对较少。本研究以自我效能感为中介变量,探讨宗教信仰、知觉社会支持与癌症适应的关系。特别感兴趣的是宗教信仰和社会支持之间的关系。数据收集自164名接受治疗的癌症患者。他们完成了宗教信仰,社会支持,身体功能,自我效能的应对措施,和调整。一个模型比较的方法被用来评估模型,包括或排除宗教信仰的贡献,同时测试宗教信仰和社会support.Results之间的关系:宗教信仰更强烈地连接到感知社会支持比其他结构的模型。重要的是,包括宗教信仰的应对模型比没有与宗教信仰相关的路径的模型更适合数据。自我效能部分介导的关系,年龄,身体功能,和感知支持调整,但不是宗教信仰。讨论:宗教信仰可能不会直接影响自我效能和调整,但是,癌症患者谁有宗教信仰可能会经历一个增强的社会支持感,从一个社区,他们与他们分享这些信念。版权所有(C)2009约翰威利父子有限公司
Purpose: Religious beliefs have received relatively little attention in research on coping with cancer. In this study, the relationship of religious beliefs and perceived social support with adjustment to cancer was studied in a coping model that included self-efficacy for coping as a mediator. Of particular interest was the relationship between religious beliefs and social support.Method. Data were collected from 164 in-treatment cancer patients. They completed measures of religious beliefs, social support, physical functioning, self-efficacy for coping, and adjustment. A model comparison approach was used to assess the fit of models that included or excluded the contribution of religious beliefs while testing the relationship between religious beliefs and social support.Results: Religious beliefs were more strongly connected to perceived social support than with other constructs. Importantly, a coping model that included religious beliefs fit the data significantly better than a model without paths related to religious beliefs. Self-efficacy partially mediated the relation of age, physical functioning, and perceived support to adjustment, but not religious beliefs.Discussion: Religious beliefs may not directly affect self-efficacy and adjustment; however, cancer patients who have religious beliefs may experience an enhanced sense of social support from a community with whom they share those beliefs. Copyright (C) 2009 John Wiley & Sons, Ltd.