Objectives. This study investigated the role of religion/spirituality (R/S) and coping in quality of life (QOL) in 129 women immediately prior to a course of adjuvant chemotherapy for ovarian cancer. Methods. Particip...Objectives. This study investigated the role of religion/spirituality (R/S) and coping in quality of life (QOL) in 129 women immediately prior to a course of adjuvant chemotherapy for ovarian cancer. Methods. Participants completed the COPE, the Functional Assessment of Cancer Therapy- Ovarian (FACT- O), and the Systems of Belief Inventory- 15R (SBI- 15R).Women averaged 58.9 years of age (SD = 11.5) and were primarily Caucasian (86% ), married (74% ), and had received at least some college education (67% ). Eighty- five percent of the participants had stage III or IV ovarian cancer at study entry. Results. Correlational analyses revealed that R/S was associated with active coping (r = 0.23, P = 0.022), overall QOL (r = 0.25, P = 0.012), emotional and functional well- being (r = 0.24, P = 0.014 and r = 0.28, P = 0.004), and fewer ovarian cancer- specific concerns (r = 0.27, P = 0.006). In addition, active coping was related to overall QOL (r = 0.22, P = 0.029)- and social and functional well- being (r = 0.20, P = 0.042 and r = 0.33, P = 0.001). Tests of mediation between these variables suggested that the positive associations between R/S and functional well- being and R/S and overall QOL were mediated through the use of active coping. Conclusion. Future studies are needed to better understand the complex relationships between R/S, coping, and QOL throughout the ovarian cancer treatment experience.展开更多
文摘Objectives. This study investigated the role of religion/spirituality (R/S) and coping in quality of life (QOL) in 129 women immediately prior to a course of adjuvant chemotherapy for ovarian cancer. Methods. Participants completed the COPE, the Functional Assessment of Cancer Therapy- Ovarian (FACT- O), and the Systems of Belief Inventory- 15R (SBI- 15R).Women averaged 58.9 years of age (SD = 11.5) and were primarily Caucasian (86% ), married (74% ), and had received at least some college education (67% ). Eighty- five percent of the participants had stage III or IV ovarian cancer at study entry. Results. Correlational analyses revealed that R/S was associated with active coping (r = 0.23, P = 0.022), overall QOL (r = 0.25, P = 0.012), emotional and functional well- being (r = 0.24, P = 0.014 and r = 0.28, P = 0.004), and fewer ovarian cancer- specific concerns (r = 0.27, P = 0.006). In addition, active coping was related to overall QOL (r = 0.22, P = 0.029)- and social and functional well- being (r = 0.20, P = 0.042 and r = 0.33, P = 0.001). Tests of mediation between these variables suggested that the positive associations between R/S and functional well- being and R/S and overall QOL were mediated through the use of active coping. Conclusion. Future studies are needed to better understand the complex relationships between R/S, coping, and QOL throughout the ovarian cancer treatment experience.
