Claudia Ayash, Maria Jdid, Anagha Kakade, Minlun Wu, Bharat Narang, Mark Lazenby, Francesca Gany
{"title":"精神健康，宗教信仰，生活质量，痛苦，社会支持，抑郁和焦虑在说英语和阿拉伯语的美国穆斯林癌症晚期：一项横断面研究。","authors":"Claudia Ayash, Maria Jdid, Anagha Kakade, Minlun Wu, Bharat Narang, Mark Lazenby, Francesca Gany","doi":"10.1002/pon.70255","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To learn about spiritual and psychosocial palliative care needs of Muslim Americans with advanced cancer.</p><p><strong>Methods: </strong>A cross-sectional English/Arabic (patient preference) survey was conducted with 120 Muslim Americans with advanced cancer in New York City (2022-2023). Survey instruments included Functional Assessment of Cancer Therapy-General (FACT-G, quality of life), Hospital Anxiety and Depression Scale (HADS-2 subscales), Medical Outcomes Study (MOS-emotional, tangible, affectionate support, positive social interactions), Functional Assessment of Chronic Illness Therapy-Spiritual Wellbeing (FACIT-SP-spiritual wellbeing, Modified Duke Religious Index (DUREL-religious involvement), Distress Thermometer and Problems List.</p><p><strong>Results: </strong>Most participants were from South Asia (30.8%), Middle East/North Africa (30.8%), and US (21.7%). On average, patients had high quality of life (FACT-G), little anxiety/depression (HADS), and high social support (MOS), spiritual wellbeing (FACIT-Sp), and religious involvement (DUREL); 51.7% had clinically high Distress Thermometer scores (4-10). We found strong positive correlations between FACIT-Sp and both total FACT-G (p < 0.001) and MOS (p < 0.001). There was a moderate positive correlation between FACIT-Sp and DUREL-intrinsic religiosity (p = 0.002). There was a strong positive correlation between total FACT-G and MOS (p < 0.001). There were strong negative correlations between Distress and FACT-G (p < 0.001), FACIT-Sp (p < 0.001), and MOS (p < 0.001). There were strong negative correlations between the HADS scales and FACT-G (p < 0.001), FACIT-Sp (p < 0.001), and MOS (p < 0.001). The HADS scales showed strong positive correlations with distress (p < 0.001) and each other (p < 0.001).</p><p><strong>Conclusions: </strong>Spirituality, religiosity, and social support may be assets in palliative care for Muslim Americans. Providers should work with patients to determine their individual palliative care needs.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 8","pages":"e70255"},"PeriodicalIF":3.5000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Spiritual Well-Being, Religiosity, Quality of Life, Distress, Social Support, Depression, and Anxiety Among English- and Arabic-Speaking Muslim Americans With Advanced Cancer: A Cross-Sectional Study.\",\"authors\":\"Claudia Ayash, Maria Jdid, Anagha Kakade, Minlun Wu, Bharat Narang, Mark Lazenby, Francesca Gany\",\"doi\":\"10.1002/pon.70255\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To learn about spiritual and psychosocial palliative care needs of Muslim Americans with advanced cancer.</p><p><strong>Methods: </strong>A cross-sectional English/Arabic (patient preference) survey was conducted with 120 Muslim Americans with advanced cancer in New York City (2022-2023). Survey instruments included Functional Assessment of Cancer Therapy-General (FACT-G, quality of life), Hospital Anxiety and Depression Scale (HADS-2 subscales), Medical Outcomes Study (MOS-emotional, tangible, affectionate support, positive social interactions), Functional Assessment of Chronic Illness Therapy-Spiritual Wellbeing (FACIT-SP-spiritual wellbeing, Modified Duke Religious Index (DUREL-religious involvement), Distress Thermometer and Problems List.</p><p><strong>Results: </strong>Most participants were from South Asia (30.8%), Middle East/North Africa (30.8%), and US (21.7%). On average, patients had high quality of life (FACT-G), little anxiety/depression (HADS), and high social support (MOS), spiritual wellbeing (FACIT-Sp), and religious involvement (DUREL); 51.7% had clinically high Distress Thermometer scores (4-10). We found strong positive correlations between FACIT-Sp and both total FACT-G (p < 0.001) and MOS (p < 0.001). There was a moderate positive correlation between FACIT-Sp and DUREL-intrinsic religiosity (p = 0.002). There was a strong positive correlation between total FACT-G and MOS (p < 0.001). There were strong negative correlations between Distress and FACT-G (p < 0.001), FACIT-Sp (p < 0.001), and MOS (p < 0.001). There were strong negative correlations between the HADS scales and FACT-G (p < 0.001), FACIT-Sp (p < 0.001), and MOS (p < 0.001). The HADS scales showed strong positive correlations with distress (p < 0.001) and each other (p < 0.001).</p><p><strong>Conclusions: </strong>Spirituality, religiosity, and social support may be assets in palliative care for Muslim Americans. Providers should work with patients to determine their individual palliative care needs.</p>\",\"PeriodicalId\":20779,\"journal\":{\"name\":\"Psycho‐Oncology\",\"volume\":\"34 8\",\"pages\":\"e70255\"},\"PeriodicalIF\":3.5000,\"publicationDate\":\"2025-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psycho‐Oncology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/pon.70255\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ONCOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psycho‐Oncology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/pon.70255","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ONCOLOGY","Score":null,"Total":0}
Spiritual Well-Being, Religiosity, Quality of Life, Distress, Social Support, Depression, and Anxiety Among English- and Arabic-Speaking Muslim Americans With Advanced Cancer: A Cross-Sectional Study.
Objective: To learn about spiritual and psychosocial palliative care needs of Muslim Americans with advanced cancer.
Methods: A cross-sectional English/Arabic (patient preference) survey was conducted with 120 Muslim Americans with advanced cancer in New York City (2022-2023). Survey instruments included Functional Assessment of Cancer Therapy-General (FACT-G, quality of life), Hospital Anxiety and Depression Scale (HADS-2 subscales), Medical Outcomes Study (MOS-emotional, tangible, affectionate support, positive social interactions), Functional Assessment of Chronic Illness Therapy-Spiritual Wellbeing (FACIT-SP-spiritual wellbeing, Modified Duke Religious Index (DUREL-religious involvement), Distress Thermometer and Problems List.
Results: Most participants were from South Asia (30.8%), Middle East/North Africa (30.8%), and US (21.7%). On average, patients had high quality of life (FACT-G), little anxiety/depression (HADS), and high social support (MOS), spiritual wellbeing (FACIT-Sp), and religious involvement (DUREL); 51.7% had clinically high Distress Thermometer scores (4-10). We found strong positive correlations between FACIT-Sp and both total FACT-G (p < 0.001) and MOS (p < 0.001). There was a moderate positive correlation between FACIT-Sp and DUREL-intrinsic religiosity (p = 0.002). There was a strong positive correlation between total FACT-G and MOS (p < 0.001). There were strong negative correlations between Distress and FACT-G (p < 0.001), FACIT-Sp (p < 0.001), and MOS (p < 0.001). There were strong negative correlations between the HADS scales and FACT-G (p < 0.001), FACIT-Sp (p < 0.001), and MOS (p < 0.001). The HADS scales showed strong positive correlations with distress (p < 0.001) and each other (p < 0.001).
Conclusions: Spirituality, religiosity, and social support may be assets in palliative care for Muslim Americans. Providers should work with patients to determine their individual palliative care needs.
期刊介绍：
Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology.
This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues.
Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.
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