Religion, Spirituality and Coping with Breast Cancer: A Phenomenological Study

Authors

  • Esmat Mehrabi Department of midwifery & reproductive health, Faculty of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • Sepideh Hajian Department of midwifery & reproductive health, Faculty of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • Masoomeh Simbar Department of midwifery & reproductive health, Faculty of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • Mohammad Hoshyari Department of Radiation Oncology, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Abstract

For downloading the full-text of this article please click here.

Background and Objectives: Breast cancer is the most common cancer among women worldwide and in addition to the physical complications, caused multiple mental and emotional challenges for patients. Present study was performed through phenomenological qualitative approach in a sample of Iranian women to deep exploration and better understanding of coping ways that patients use when face with cancer, with a focus on methods based on religion and spirituality based.

Materials and Methods: Data were collected through in-depth semi-structured interviews with 27 eligible patients. Interviews were transcribed and analyzed using Van Manen thematic approach. Data collection and analysis were carried out simultaneously. In addition, Maxqda (Ver10) software was used for data management.

Results: The mean age of participants was 50±8.77years, ranging from 32 to 68 years. About 22% of these patients had Lumpectomy (remove part of breast tissue) and others (78%), mastectomy (remove of all breast), respectively. By analyzing and extracting the primary codes from the interviews, the final codes were extracted and divided into 6  sub and 2 conceptual categories, and relation between the conceptual categories led to emerge of the study main theme “Transcendence-oriented effort to adjustment”.

Conclusion: Breast cancer patients in this study predominantly employed dynamic processes and coping strategies to deal with the reality of disease that had been formed from their religious and spiritual beliefs. Therefore, it is necessary to health care providers, while maintaining respect for patients and considering their spiritual and religious beliefs, make available religious counseling in order to providing spiritual health promotion for patients.

Keywords: Spirituality, Religious Attitudes, Coping, Compatibility, Breast Cancer, Phenomenology

For downloading the full-text of this article please click here.

References

World health organization.int [homepage on the Internet]: Breast cancer. [Updated 2016 Feb 16; cited 2015 Jul 9]. Available from:

http://www.who.int/cancer/detection/breastcancer/en.

Etemad k, Goya M.M, Ramezani R, Modirian M, Partovi pour A, Arjomandi pour M, and et al. Cancer book: countery report of cancer regesteries until 1388. Iran, Thehran: Ministry of Health and Medical Education. (Full Text in persian)

World health organization.int [homepage on the Internet]: Breast cancer. [Updated 2016 Feb 16; cited 2015 Jul 9]. Available from:

http://www.who.int/cancer/detection/breastcancer/en/

Campbell H.S, Sanson-Fisher R, Turner D, Hayward L, Wang X.S, Taylor-Brown J. Psychometric properties of cancer survivors’ unmet needs survey. Supportive Care in Cancer. 2011;19(2):221-30.

Zucca A, Lambert S.D, Boyes A.W, Pallant J.F. Rasch analysis of the Mini-Mental Adjustment to Cancer Scale (mini-MAC) among a heterogeneous sample of long-term cancer survivors: A cross-sectional study. Health and Quality of Life Outcomes. 2012;10(1):1-12.

Matsuda A, Yamaoka K, Tango T, Matsuda T, Nishimoto H. Effectiveness of psychoeducational support on quality of life in early-stage breast cancer patients: A systematic review and meta-analysis of randomized controlled trials. Quality of Life Research. 2014;23(1):21-30.

Knobf M.T, Ferrucci L.M, Cartmel B, Jones B.A, Stevens D, Smith M, et al. Needs assessment of cancer survivors in Connecticut. Journal of Cancer Survivorship. 2012;6(1):1-10.

Khalili N, Farajzadegan Z, Mokarian F, Bahrami F. Coping strategies, quality of life and pain in women with breast cancer. Iranian journal of nursing and midwifery research. 2013;18(2):105-111.

Fergus K, McLeod D, Carter W, Warner E, Gardner S, Granek L, et al. Development and pilot testing of an online intervention to support young couples' coping and adjustmentto breast cancer. European journal of cancer care.2014;23:481-92.

Carey M.L, Clinton-McHarg T, Sanson-Fisher R.W, Shakeshaft A. Development of cancer needs questionnaire for parents and carers of adolescents and young adults with cancer. Supportive Care in Cancer. 2012;20(5):991-1010.

Anusasananun B.A, Pothiban L, Kasemkitwatana S, Soivong P, Trakultivakorn H. Coping Behaviors and Predicting Factors among Breast Cancer Survivors During Each Phase of Cancer Survivorship. Pacific Rim International Journal of Nursing Research. 2013;17(2):148-66.

Vaziri S, Lotfi K.F. Sexuality After Breast Cancer: Need for Guideline. Iranian Journal of Cancer Prevention. 2012;5(1): 10-5.

Günüşen N.P, İnan F.Ş, Üstün B. Experiences of Turkish women with breast cancer during the treatment process and facilitating coping factors. Asian Pacific. Journal of Cancer Prevention. 2013;14(5):3143-9.

Cebeci F, Yangın H.B, Tekeli A. Life experiences of women with breast cancer in south western Turkey: A qualitative study. European Journalof Oncology Nursing. 2012;16(4):406-12.

Drageset S, Lindstrøm T.C, Underlid K. Coping with breast cancer: between diagnosis and surgery. Journal of Advanced Nursing. 2010;66(1):149-58.

Kinsinger S.W, Laurenceau J.P, Carver C.S, Antoni M.H. Perceived partner support and psychosexual adjustment to breast cancer. Psychology & health. 2011;26(12):1571-88.

Miedema B, Easley J. Barriers to rehabilitative care for young breast cancer survivors: a qualitative understanding. Supportive Care in Cancer. 2012;20 (6):1193-201.

Segrin C, Badger T.A. Psychological and physical distress are interdependent in breast cancer survivors and their partners. Psychology, health & medicine. 2014;19(6):716-23.

Ghaffari F, Shali M, Shoghi M, Joolaee S. Psychometric properties of the persian version of the self-assessed support needs questionnaire for breast cancer cases. Asian Pacific journal of cancer prevention: APJCP. 2014;15(3):1435-40.

Folkman S, Lazarus R.S. Ways of Coping Questionnaire: Palo Alto, CA: Consulting: Psychological Press; 1988.

Sherman A.C, Simonton S, Plante T. Spirituality and cancer. Spirit, science, and health: How the spiritual mind fuels physical wellness.Greenwood Publishing Group. 2007:157-75

Tix A.P, Frazier P.A. The use of religious coping during stressful life events: main effects, moderation, and mediation. Journal of consulting and clinical psychology. 1998;66(2):411-22.

Pargament K.I, Smith B.W, Koenig H.G, Perez L. Patterns of positive and negative religious coping with major life stressors. Journalfor the scientific study of religion. 1998;37(4):710-24.

Vallurupalli M.M, Lauderdale M.K, Balboni M.J, Phelps A.C, Block S.D, Ng A.K, et al. The role of spirituality and religious coping in the quality of life of patients with advanced cancer receiving palliative radiation therapy. The journal of supportive oncology. 2012;10(2):81-7.

Garssen B, Uwland-Sikkema N.F, Visser A. How spirituality helps cancer patients with the adjustment to their disease. Journal of religion and health. 2014;54(4):1245-65.

Van Manen M. Researching lived experience: Human science for an action sensitive pedagogy: Suny Press; 1990.

Speziale H.S, Streubert H.J, Carpenter D.R. Qualitative research in nursing: Advancing the humanistic imperative: Lippincott Williams & Wilkins; 2011.

Polit D.F, Beck C.T. Essentials of nursing research: Appraising evidence for nursing practice: Lippincott Williams & Wilkins; 2013.

Van Manen M. Phenomenology of practice: Meaning-giving methods in phenomenological research and writing. Vol 1. Left Coast Press; 2007.

Elsheshtawy E.A, Abo-Elez W.F, Ashour H.S, Farouk O, El Zaafarany M.I. Coping strategies in egyptian ladies with breast cancer. Breast Cancer. 2014;8:97-102.

Thune-Boyle I.C, Stygall J.A, Keshtgar M.R, Newman S.P. Do religious/spiritual coping strategies affect illness adjustment in patients withcancer? A systematic review of the literature. Social science & medicine. 2006;63(1):151-64.

Doumit M.A, Huijer HA-S, Kelley J.H, El Saghir N, Nassar N. Coping with breast cancer: a phenomenological study. Cancer nursing. 2010;33(2):33-9.

Taleghani F, Yekta Z.P, Nasrabadi A.N, Käppeli S. Adjustment process in Iranian women with breast cancer. Cancer nursing. 2008;31(3):32-41.

Revheim N, Greenberg WM. Spirituality matters: Creating a time and place for hope. Psychiatric rehabilitation journal.2007;30(4):307-10.

Taleghani, F, Yekta, Z. P, Nasrabadi A.N. Coping with breast cancer in newly diagnosed Iranian women. Journal of Advanced Nursing.2006; 54(3): 265-72.

Joulaee A, Joolaee S, Kadivar M, Hajibabaee F. Living with breast cancer: Iranian women's lived experiences. Int Nurs Rev. 2012;59(3):362-8.

Koszycki D, Raab K, Aldosary F, Bradwejn J. A multifaith spiritually based intervention for generalized anxiety disorder: A pilot randomized trial. Journal of clinical psychology. 2010;66(4):430-41.

Paukert A.L, Phillips L, Cully J.A, Loboprabhu S.M, Lomax J.W, Stanley M.A. Integration of religion into cognitive-behavioral therapy for geriatric anxiety and depression. Journal of Psychiatric Practice. 2009;15(2):103-12.

Cebeci F, Yangın H.B, Tekeli A. Life experiences of women with breast cancer in south western Turkey: A qualitative study. European Journal of Oncology Nursing. 2012;16(4):406-12.

Brix S.A, Bidstrup P.E, Christensen J, Rottmann N, Olsen A, Tjønneland A, et al. Post-traumatic growth among elderly women with breast cancer compared to breast cancer-free women. Acta Oncol. 2013;52(2):345-54.

Kucukkaya P.G. An exploratory study of positive life changes in Turkish women diagnosed with breast cancer. Eur J Oncol Nurs. 2010;14(2):166-73.

Gall T.L, Charbonneau C, Florack P. The relationship between religious/spiritual factors and perceived growth following a diagnosis of breast cancer. Psychology and Health. 2011;26(3):287-305.

Vonarx N, Hyppolite S.R. Religion, Spirituality, and Cancer The Question of Individual Empowerment. Integrative cancer therapies. 2013;12(1):69-80.

Park C.L, Chmielewski J, Blank T.O. Post‐traumatic growth: finding positive meaning in cancer survivorship moderates the impact of intrusive thoughts onadjustment in younger adults. Psycho‐Oncology. 2010;19(11):1139-47.

Meraviglia M, editor. Effects of spirituality in breast cancer survivors. Oncology Nursing Forum; 2006.

Taghizadeh M.A, Mir alaei M.S. Study of group spiritual thrapy on resilience among women with Multiple Sclerosis in Esfahan. Journal of Health Psychology. 2013; 7(2):82-102.(Full Text in persian)

Published

2016-04-22

Issue

Section

Original Article