Department of Psychology.
Department of Behavioral Sciences and Health Education.
Health Psychol. 2020 Jul;39(7):589-599. doi: 10.1037/hea0000878. Epub 2020 May 7.
This study aimed to (a) examine the relationships of 3 facets of spirituality (i.e., meaning, peace, faith), and their interaction, with depressive symptoms among Black, Latino, and White cancer survivors; and (b) test fear of cancer recurrence (FCR) and social support (SS) as mediators of these relationships.
Data were analyzed from the American Cancer Society's Study of Cancer Survivors-I, a longitudinal population-based study of cancer survivors' quality of life. A national sample of Black ( = 194), Latino ( = 90), and White ( = 2,775) survivors of the top 10 incident cancers completed measures 1 year (Time 1, T1), 2 years (Time 2, T2), and 9 years (Time 3, T3) postdiagnosis.
After controlling for T1 depressed mood and demographic and medical characteristics, T1 lower meaning and lower peace, but not faith, predicted greater depressive symptoms at T3 in the total sample. A significant interaction showed that higher faith predicted greater depressive symptoms specifically in the context of lower meaning. Race/ethnicity did not affect these relationships. FCR at T2 partially mediated the relationships of T1 meaning and peace with T3 depressive symptoms, and SS partially mediated the relationship between T1 meaning and T3 depressive symptoms.
Cancer survivors with greater meaning and peace appear better able to integrate the cancer experience into their lives. An interaction between T1 meaning and faith on T3 depressive symptoms replicated previous findings. Future research should treat spirituality as a multidimensional construct and focus on identifying and influencing malleable mechanisms of the associations between spirituality and mental health. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
本研究旨在：(a) 考察 3 个灵性层面（即意义、平和、信仰）及其相互作用与黑种人、拉丁裔和白种癌症幸存者抑郁症状的关系；(b) 检验对癌症复发的恐惧（FCR）和社会支持（SS）作为这些关系的中介。
数据来自美国癌症协会的癌症幸存者研究-I，这是一项基于人群的癌症幸存者生活质量的纵向研究。一项针对前 10 种癌症的黑种人（=194）、拉丁裔（=90）和白种人（=2775）幸存者的全国性样本在诊断后 1 年（第 1 次时间，T1）、2 年（第 2 次时间，T2）和 9 年（第 3 次时间，T3）完成了测量。
在控制 T1 抑郁情绪和人口统计学及医学特征后，T1 时较低的意义和平和，而非信仰，预测了总样本中 T3 时更大的抑郁症状。一个显著的相互作用表明，更高的信仰预测了在意义较低的情况下更大的抑郁症状。种族/族裔并没有影响这些关系。T2 时的 FCR 部分中介了 T1 时意义和平和与 T3 时抑郁症状的关系，SS 部分中介了 T1 时意义与 T3 时抑郁症状的关系。
有更多意义和更平和的癌症幸存者似乎更能将癌症经历融入他们的生活。T1 时意义和信仰对 T3 时抑郁症状的相互作用复制了之前的发现。未来的研究应该将灵性视为一个多维的结构，并专注于识别和影响灵性与心理健康之间关联的可塑机制。
