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Mediating effect of interpersonal coping on meaning in spirituality and quality of life and the influences of depression and anxiety thereon in cancer patients

Authors
Cha, KM; Kang, SY; Hyun, SY; Noh, JS; Shin, YM; Kim, NH
Citation
Palliative & supportive care, 17(4). : 388-395, 2019
Journal Title
Palliative & supportive care
ISSN
1478-95151478-9523
Abstract
OBJECTIVE: This study aimed to investigate associations among spirituality, coping strategies, quality of life (QOL), and the effects of depression and anxiety thereon in cancer patients.
METHOD: In total, 237 cancer patients referred to a psycho-oncology clinic at a university hospital in Korea were enrolled. After identifying predictors of patient QOL in a stepwise regression model, we developed a hypothetical path model wherein interpersonal coping was considered as a mediating variable between spirituality (meaning/peace) and QOL and wherein depression and anxiety affected each of these three variables.
RESULT: The direct effect of spirituality (meaning/peace) on QOL was 36.7%. In an indirect model, interpersonal coping significantly mediated the relationship between spirituality (meaning/peace) and QOL. Depression exerted the largest negative effect on spirituality (meaning/peace), interpersonal coping, and QOL. Anxiety had negative effects on spirituality (meaning/peace) and QOL, but a positive effect on interpersonal coping.
SIGNIFICANCE OF RESULTS: Interpersonal coping strategies work as a partial mediator of the relationship between meaning/peace subscales of spirituality and QOL. Effective management of depression may help in achieving better outcomes associated therewith. Greater attention and efforts to improve social connectedness and meaning of life in spiritual well-being may improve the QOL of cancer patients.
Keywords
CancerCopingDepressionQuality of lifeSpirituality
MeSH terms
Adaptation, PsychologicalAdultAnxiety / complicationsAnxiety / etiologyAnxiety / psychologyDepression / complicationsDepression / etiologyDepression / psychologyFemaleHospitals, University / organization & administrationHospitals, University / statistics & numerical dataHumansInterpersonal Relations*MaleMental Disorders / complicationsMental Disorders / etiologyMental Disorders / psychology*Middle AgedNeoplasms / complications*Neoplasms / psychologyPsychometrics / instrumentationPsychometrics / methodsQuality of Life / psychology*Republic of KoreaSpirituality*
DOI
10.1017/S1478951518000731
PMID
30394253
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Psychiatry & Behavioural Sciences
AJOU Authors
노, 재성신, 윤미
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