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Relations of perceived injustice to psycho-spiritual outcomes in advanced lung and prostate cancer: Examining the role of acceptance and meaning making.
Secinti, Ekin; Wu, Wei; Krueger, Ellen F; Hirsh, Adam T; Torke, Alexia M; Hanna, Nasser H; Adra, Nabil; Durm, Gregory A; Einhorn, Lawrence; Pili, Roberto; Jalal, Shadia I; Mosher, Catherine E.
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  • Secinti E; Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana, USA.
  • Wu W; Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana, USA.
  • Krueger EF; Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana, USA.
  • Hirsh AT; Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana, USA.
  • Torke AM; Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.
  • Hanna NH; Daniel F. Evans Center for Spiritual and Religious Values in Healthcare, Indiana University Health, Indianapolis, Indiana, USA.
  • Adra N; Center for Aging Research, Regenstrief Institute, Indianapolis, Indiana, USA.
  • Durm GA; Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.
  • Einhorn L; Indiana University Melvin and Bren Simon Comprehensive Cancer Center, Indianapolis, Indiana, USA.
  • Pili R; Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.
  • Jalal SI; Indiana University Melvin and Bren Simon Comprehensive Cancer Center, Indianapolis, Indiana, USA.
  • Mosher CE; Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Psychooncology ; 31(12): 2177-2184, 2022 12.
Article en En | MEDLINE | ID: mdl-36336876
OBJECTIVE: Many advanced cancer patients struggle with anxiety, depressive symptoms, and anger toward God and illness-related stressors. Patients may perceive their illness as an injustice (i.e., appraise their illness as unfair, severe, and irreparable or blame others for their illness), which may be a risk factor for poor psychological and spiritual outcomes. This study examined relations between cancer-related perceived injustice and psycho-spiritual outcomes as well as potential mediators of these relationships. METHODS: Advanced lung (n = 102) and prostate (n = 99) cancer patients completed a one-time survey. Using path analyses, we examined a parallel mediation model including the direct effects of perceived injustice on psycho-spiritual outcomes (i.e., anxiety, depressive symptoms, anger about cancer, anger towards God) and the indirect effects of perceived injustice on psycho-spiritual outcomes through two parallel mediators: meaning making and acceptance of cancer. We then explored whether these relations differed by cancer type. RESULTS: Path analyses indicated that perceived injustice was directly and indirectly-through acceptance of cancer but not meaning making-associated with psycho-spiritual outcomes. Results did not differ between lung and prostate cancer patients. CONCLUSIONS: Advanced cancer patients with greater perceived injustice are at higher risk for poor psycho-spiritual outcomes. Acceptance of cancer, but not meaning making, explained relationships between cancer-related perceived injustice and psycho-spiritual outcomes. Findings support testing acceptance-based interventions to address perceived injustice in advanced cancer patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Próstata / Ira Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Humans / Male Idioma: En Revista: Psychooncology Asunto de la revista: NEOPLASIAS / PSICOLOGIA Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Próstata / Ira Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Humans / Male Idioma: En Revista: Psychooncology Asunto de la revista: NEOPLASIAS / PSICOLOGIA Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido