We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Religious/Spiritual Struggle in Young Adult Hematopoietic Cell Transplant Survivors.
- Authors
King, Stephen D.W.; Fitchett, George; Murphy, Patricia E.; Rajaee, Geila; Pargament, Kenneth I.; Loggers, Elizabeth Trice; Harrison, David A.; Johnson, Rebecca H.
- Abstract
<bold><italic>Purpose:</italic></bold> This study describes the prevalence of religious and/or spiritual (R/S) struggle in long-term young adult (YA) survivors following hematopoietic cell transplantation (HCT) as well as existential concerns (EC), social support, and demographic, medical, and emotional correlates of R/S struggle. <bold><italic>Methods:</italic></bold> Data were collected as part of an annual survey of survivors of HCT aged 18–39 years at survey completion; age at HCT was 1–39 years. Study measures included measures of R/S struggle (defined as any non-zero response on the negative religious coping subscale from Brief RCOPE), quality of life (QOL), and depression. Factors associated with R/S struggle were identified using multivariable logistic regression models. <bold><italic>Results:</italic></bold> Fifty-two of the 172 respondents (30%), who ranged from less than a year to 33 years after HCT, had some R/S struggle. In bivariate analysis, depression was associated with R/S struggle. In a multivariable logistic regression model, individuals with greater EC were nearly five times more likely to report R/S struggle. R/S struggle was not associated with age at transplant, time since transplant, gender, race, R/S self-identification, or medical variables. <bold><italic>Conclusion:</italic></bold> R/S struggle is common among YA HCT survivors, even many years after HCT. There is a strong correlation between EC and R/S struggle. Given the prevalence of R/S struggle and its associations with EC, survivors should be screened and referred to professionals with expertise in EC and R/S struggle as appropriate. Further study is needed to determine longitudinal trajectory, impact of struggle intensity, causal relationships, and effects of R/S struggle on health, mood, and QOL for YA HCT survivors.
- Subjects
MENTAL depression; HEMATOPOIETIC stem cell transplantation; MULTIVARIATE analysis; QUALITY of life; RELIGION; STATISTICS; SURVEYS; LOGISTIC regression analysis; SOCIAL support; DISEASE prevalence
- Publication
Journal of Adolescent & Young Adult Oncology, 2018, Vol 7, Issue 2, p210
- ISSN
2156-5333
- Publication type
Article
- DOI
10.1089/jayao.2017.0069