Religion and Spirituality in Coping with Advanced Breast Cancer: Perspectives from Malaysian Muslim Women

This article is part of a larger study on the role of spirituality in coping with breast cancer among Malaysian Muslim women. The study seeks to reveal the meaning of the experience through the stories of three Muslim women surviving advanced breast cancer, to better understand the deep meanings that inform their experiences with spirituality and transformation as they cope with the challenges of breast cancer. Data were gathered using in-depth interview. Qualitative methods were used in identifying two themes—illness as an awakening and hope and freedom comes from surrendering to God. The themes were discussed in the context of two broad areas: (1) what are the new meanings these women discovered in their experiences with cancer; and (2) how did the new meanings change their lives? The study suggests that cancer survivors’ experiences with cancer and their learning processes must be understood within the appropriate cultural context. This is especially so for spirituality. The common emphasis of spirituality on relationship with God, self and others, may significantly influence how people learn to live with cancer.     

Non-work Domain Control as an Additional Dimension of Psychological Empowerment of Women Teachers

This paper extends Work/Family Border Theory in the context of psychological empowerment. It describes the development, validation and application of an additional dimension of empowerment, termed as “non-work domain control”. This dimension incorporates an employee’s ability to take decisions at household and immediate community level, not related to formal workplace. The study has three parts involving women primary school teachers of India. It included development of a measure and examining the pattern of variation in non-work domain control (n=401) among primary school teachers. The results showed that age, educational qualification, salary, and class-size affect some scale items. The result of structural equation modeling confirmed that non-work domain control is an additional dimension of psychological empowerment.     

Posttraumatic Stress in Women with Breast Cancer and Their Daughters

Using the PTSD Reaction Index, posttraumatic stress was assessed in 133 women with breast cancer and 64 of their daughters. Twenty-one percent of patients and 13% of daughters reported symptoms consistent with PTSD. PTSD in these patients without bone marrow transplants may be higher than reported in other samples, and the prevalence of PTSD symptoms in the daughters appear comparable to women with breast cancer. For patients, cancer stage at diagnosis was positively associated with posttraumatic stress severity. Mothers experiencing PTSD symptoms were significantly more likely to have daughters experiencing PTSD symptoms. Intergenerational patterns in reaction to breast cancer are discussed.     

Focusing and Expressive Arts Therapy as a Complementary Treatment for Women with Breast Cancer

Abstract

This pilot study (N = 18) explored the effectiveness of focusing and expressive arts therapies intervention on the quality of life of women with breast cancer. The format was a 2-day (7 hours per day) retreat/support group in which complementary treatments (focusing, writing, art, and movement) were provided in an intensive format. Our hypothesis was that an integrated approach of multimodal expressive arts therapy would result in improvements in several measures of the participants' qualities of life. There was a 6-week post-group follow-up telephone interview, during which several participants reported positive results. This suggests that the intervention was beneficial.     

Psycho-Spiritual Integrative Therapy for Women with Primary Breast Cancer

Breast cancer presents physical and psychological challenges, but can also result in posttraumatic growth (PTG). Twenty-four women completed Psycho-Spiritual Integrative Therapy (PSIT) treatment and completed assessments for PTG and QOL before, immediately following, and 1 month after treatment. Women showed improvement (p?相似文献   

The Effect of Hypophysectomy on Personality in Women with Metastatic Breast Cancer as Revealed by the Rorschach Test

This study tested the hypothesis that assertive and nonassertive people have different personality profiles and self-actualizing values. Results indicated that assertive and nonassertive groups differed significantly, in terms of their personality profiles based on the Personality Research Form, and their self-actualization profiles based on the Personal Orientation Inventory, supporting the tested hypothesis.     

Narrative and Propositional Reasoning in an Instructional Context

This study examined the influence of narrative and propositional reasoning in a classroom context. Students viewed 1 of 4 videotaped instructional simulations that varied the controversial issue presented by the teacher and ways of reasoning about it. After viewing a videotape, students rated the expertness, trustworthiness, and attractiveness of the teacher, and the effectiveness of instruction. They rated the teacher as more attractive and the presentation more effective when he used a narrative rather than a propositional approach.     

Cancer Genetics Service Interest in Women with a Limited Family History of Breast Cancer

Women with a limited family history of breast cancer may be interested in cancer genetics information although their objective risk of breast cancer may not indicate routine referral to cancer genetics services. This study examined factors related to interest and use of cancer genetics services in a community sample of women with a limited family history of breast cancer (N = 187) who had no previous contact with cancer genetics services. Participants provided demographic information and ratings of perceived risk, cancer distress, attitudes, and intentions to initiate cancer genetics services. Participants were given information about a cancer genetics clinic that served women having concerns about their breast cancer risk. Women were contacted within 6 weeks and 8 months following their study appointment. Six weeks following their study appointment, 25% of women had initiated cancer genetics services. Eight months following their study appointment, 18% of women reported having completed a cancer genetics service appointment. Baseline intentions independently predicted both initiation at 6 weeks and appointment at 8 months. Cancer distress was positively associated with cancer genetics service initiation and appointment. Results suggest that some women with a limited family history of breast cancer are interested in seeking out cancer genetics information. Women with a limited family history of breast cancer may benefit from the availability of cancer genetics information provided through primary healthcare settings.     

Virtual Religion in Context

This article explores the notion of ‘virtual religion’ in various ways. In part, it is a response to a number of ideas found in the articles by Philip P. Arnold, Shawn Arthur, Christopher Helland, Anastasia Karaflogka and Mark MacWilliams which appear in this issue of Religion, but it also discusses religion in online contexts in relation to various important themes such as the character of cyberspace both present and future, the multimedia Web and its alleged postmodern orientations, virtual identity, the dynamics of virtual community, and the controversies concerning the positive and negative ramifications of online life and experience, as discussed by technomystics, technophobes and others who hold more moderate views. The article ends by raising some questions about the future character of religion and spirituality in cyberspace.     

Rates and Correlates of DSM-IV Diagnoses in Women Newly Diagnosed with Breast Cancer

Although the presence of psychological distress has been documented in women with breast cancer, previous studies have not established rates of DSM-IV diagnoses in this population, nor have prior investigations compared the utility of diagnostic interviewing vs. symptom checklists to assess distress. DSM-IV diagnoses of anxiety disorders and major depression, symptoms of anxiety and depression, and quality of life were examined in 207 women with newly diagnosed breast cancer. Eighteen percent of breast cancer patients met criteria for a current DSM-IV anxiety or depressive disorder and 54% met criteria for a disorder at some point in their lifetime. These rates are comparable to those found in recent community epidemiological studies (e.g., R. C. Kessler, K. A. McGonagle, S. Zhao, C. B. Nelson, M. Hughes, S. Esheman, et al., 1994). Sensitivity, specificity, and positive predictive value for anxiety and depression symptoms as predictors of DSM disorders were relatively poor. However, after accounting for demographic, treatment, and cancer variables, self-reported anxiety symptoms were significantly related to the presence of an anxiety disorder and self-reported depressive symptoms were significantly related to a diagnosis of a depressive disorder. Symptoms of anxiety and depression contributed significantly and uniquely to physical, medical, and sexual quality of life; DSM-IV diagnoses were not significantly related to quality of life after controlling for symptoms of depression and anxiety. The importance of measuring both symptoms of distress and psychiatric diagnoses in cancer patients and the clinical practice implications of the results are discussed.     

Evaluation of Religious Coping in Tunisian Muslim Women with Newly Diagnosed Breast Cancer

Journal of Religion and Health - Studies evaluating religious coping in Arab-Muslim populations are few. We aimed to evaluate religiosity and religious coping in a sample of breast cancer women,...     

生命健康视野下的叙事闭锁

从弗里曼的叙事闭锁理论出发,将“叙事闭锁”重新定义为“将自己禁锢在停滞的故事空间里,无法吸纳推动叙事进程向前发展的生命状态”,并将其进一步分为职业型、创伤型、疑虑型和老年型四种类型。叙事闭锁不仅在老年人群中高发,在其他年龄阶段人群中也不少见,以至于人生故事提前进入结束状态或者处于无法更新的停滞状态。对叙事闭锁者开展叙事介入可以帮助他们提升叙事素养,重启再次体验和阐释人生的按钮,赋予他们由内而外突破闭锁的能量。当人处于一种叙事稳定性和叙事开放性的平衡状态之中时,主体经历的就是一种健康和谐的生命进程。     

Guided Imagery and Relaxation for Women with Early Stage Breast Cancer

Abstract

Fifty-two women with Stage I and Stage II breast cancer agreed to participate in a study to determine the effectiveness of two interventions, guided imagery and relaxation, to enhance psychological well-being. Participants were randomly assigned to either a guided imagery or relaxation group. Forty women completed the study. A student's t-test was used to analyze the quantitative results. Depression, anxiety and fatigue were significantly improved for the guided imagery group. There were no changes reported by the relaxation group. Women in both groups reportedly enjoyed the experience, found it helpful, and would recommend it to others. The majority of the women in both groups perceived that the treatment helped them to relax.     

Factors Influencing Perceptions of Breast Cancer Genetic Counseling among Women in an Urban Health Care System

The study assessed perceptions of breast cancer genetic counseling. Focus groups were conducted with twenty women (ages < = 50 years) in a Midwestern, urban health system identified as at above average risk of developing hereditary breast cancer and referred for breast cancer genetic counseling following mammography. All participants associated the words “breast cancer” with fear. African American women who received breast cancer genetic counseling may have channeled their fear into increased vigilance related to breast health. African American women who did not receive breast cancer genetic counseling were most knowledgeable about it. In contrast, Caucasian women who did not receive it reported uncertainty about the role of genetic counseling and testing in assessing breast cancer risk, mistrust in medical professionals, and lack of trust in the accuracy of genetic tests. The results could be used to help develop interventions to improve informed decision-making regarding breast cancer genetic counseling.     

Impact of Genetic Counseling in Women with a Family History of Breast Cancer in Italy

As the impact of breast cancer (BC) risk assessment in asymptomatic women with a family history of BC had never been explored in Italy, we performed a study on a retrospective series of women who had undergone BC risk assessment. To this aim, a semi-structured telephone interview was administered to 82 women. Most participants considered the information received as clear (96.2 %) and helpful (76.8 %). Thirty-eight (46.3 %) stated that their perceived risk of BC had changed after the counseling: for 40.2 % it had decreased, for 6.1 % increased; however, women highly overestimating their risk at the baseline (≥4-fold) failed to show improvements in risk perception accuracy. Sixty-six women (80.5 %) stated they had followed the recommended surveillance, while 19.5 % had not, mainly due to difficulties in arranging examinations. Most women (89.0 %) had shared the information with their relatives, with 57.3 % reporting other family members had undertaken the recommended surveillance. BC risk assessment was associated with high rates of satisfaction and had a favorable impact on risk perception in a subgroup of women. The impact on surveillance adhesion extended to relatives. Organized programs for identification and surveillance may help identify a larger fraction of at-risk women and overcome the reported difficulties in arranging surveillance.     

Posttraumatic Stress Among Women With Breast Cancer and Their Daughters: Relationship With Daughters' Breast Cancer Screening

Cancer-related posttraumatic stress (PTS) in women with breast cancer, perceived risk of cancer in these women's daughters, and daughters' PTS related to their mothers' breast cancer were tested for relationships to daughters' breast self-examination (BSE) and mammography activity. Daughters' mammography frequency was related to her own PTS, but not to her perceived risk or her mothers' PTS. In contrast, daughters who overperformed BSE had mothers reporting significantly greater PTS than those performing BSE at recommended rates or underperforming BSE. Daughters' BSE and mammography frequency were not correlated. Differing demands related to BSE and mammography, and their relationship to different distress variables are discussed.     

Mental Health Issues of Breast Cancer Patients: The Kerala Context

The present study was a qualitative enquiry into the mental health issues of breast cancer patients in Kerala. The sample consisted of thirty mastectomy inpatients in the age range 20–60 years, undergoing chemotherapy/radiation therapy for the past 6 months to 1 year. The interview data were thematically analysed, and the major emergent themes elicited were psychopharmacological and socio-economic in nature. Treatment-related issues included dizziness and fatigue, whereas fear of death, fear of recurrence, discrimination, inability to take care of their children, and the escalating cost of treatment were the main psychological concerns.     

The Role of Social Context in Religion

SUMMARY

A vast research literature examines how religion has been defined and assessed, the inter-relationships of these measures, and their associations with psychological and social well being in later life. This article considers the advantages and disadvantages of various measurement strategies, with particular emphasis on the importance of diverse social contexts in defining, measuring and interpreting religious phenomena. The concept of social context is discussed as being pivotal for how religion is defined and for appreciating the various mechanisms and pathways through which religion is thought to affect well being.