主观幸福感在癌症患者宗教虔诚度和宗教信仰与生活质量关联中的中介作用：一项横断面研究。

Mediated effects of subjective well-being in the association of religiosity and religious belief with quality of life among patients with cancer: A cross-sectional study.

作者信息

El Abiddine Fares Zine, Hallouche Mustapha, Belhaouari Fatima, Aljaberi Musheer A, Dadfar Mahboubeh, Alduais Ahmed, Lin Chung-Ying, Griffiths Mark D

机构信息

Psychological and Educational Research Lab, Department of Psychology, University Djilali Liabes, Sidi Bel Abbes, Algeria.

Department of Internal Medicine, Section Nursing Science, Erasmus University Medical Center (Erasmus MC), Rotterdam, the Netherlands; Research Centre Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, the Netherlands.

出版信息

Eur J Oncol Nurs. 2025 Jun;76:102901. doi: 10.1016/j.ejon.2025.102901. Epub 2025 May 13.

DOI:10.1016/j.ejon.2025.102901

PMID:40441010

Abstract

PURPOSE

The present study examined the associations between religiosity, religious beliefs, and quality of life (QoL) and evaluated the potential mediating role of well-being components in these associations among cancer patients.

METHODS

A cross-sectional study was conducted among Algerian cancer patients recruited from the University Hospital of Sidi Bel Abbes Cancer Center. Participants completed Arabic versions of the World Health Organization Quality of Life Brief and questions assessing well-being, religiosity, and religious beliefs.

RESULTS

Religiosity was significantly associated with religious beliefs, well-being domains, and the physical and psychological QoL domains. Religious beliefs were significantly associated with three well-being domains (happiness, life satisfaction, and mental and physical health) and three QoL domains (physical, psychological, and environmental). All well-being domains were significantly associated with QoL domains, except for life satisfaction and physical health with social QoL. Structural equation modeling showed significant paths from religiosity to well-being (β = 0.38, p<.001), religious beliefs to well-being (β = 0.21, p = 0.013), and well-being to QoL (β = 0.72, p < 0.001). Mediated effects of well-being were significant in the associations of religiosity (β = 0.28, p < 0.001) and religious beliefs (β = 0.15, p = 0.034) with QoL.

CONCLUSION

The findings highlight the pivotal role of well-being in mediating the positive associations between religiosity, religious beliefs, and QoL among Algerian cancer patients. Integrating religious interventions to enhance well-being may optimize QoL. The present study is one of the first to explicitly examine the mediating pathways through which religiosity impacts the QoL among Muslim Arabic-speaking cancer patients, shedding light on potential cultural nuances in how religious beliefs and practices may foster well-being, indirectly enhancing QoL.

摘要

目的

本研究探讨了宗教虔诚度、宗教信仰与生活质量（QoL）之间的关联，并评估了幸福感各组成部分在癌症患者这些关联中的潜在中介作用。

方法

对从西迪贝勒阿巴斯大学医院癌症中心招募的阿尔及利亚癌症患者进行了一项横断面研究。参与者完成了世界卫生组织生活质量简表的阿拉伯语版本以及评估幸福感、宗教虔诚度和宗教信仰的问题。

结果

宗教虔诚度与宗教信仰、幸福感领域以及生理和心理生活质量领域显著相关。宗教信仰与三个幸福感领域（幸福、生活满意度以及身心健康）和三个生活质量领域（生理、心理和环境）显著相关。所有幸福感领域均与生活质量领域显著相关，但生活满意度和身体健康与社会生活质量除外。结构方程模型显示，从宗教虔诚度到幸福感有显著路径（β = 0.38，p <.001），从宗教信仰到幸福感有显著路径（β = 0.21，p = 0.013），从幸福感到生活质量有显著路径（β = 0.72，p < 0.001）。幸福感在宗教虔诚度（β = 0.28，p < 0.001）和宗教信仰（β = 0.15，p = 0.034）与生活质量的关联中具有显著的中介效应。

结论

研究结果突出了幸福感在调节阿尔及利亚癌症患者宗教虔诚度、宗教信仰与生活质量之间的正向关联中的关键作用。整合宗教干预措施以提升幸福感可能会优化生活质量。本研究是首批明确考察宗教虔诚度影响讲阿拉伯语的穆斯林癌症患者生活质量的中介途径的研究之一，揭示了宗教信仰和实践可能促进幸福感从而间接提升生活质量方面潜在的文化细微差别。