Spirituality is associated with less treatment regret in men with localized prostate cancer
Background Some patients with prostate cancer regret their treatment choice. Treatment regret is associated with lower physical and mental quality of life. We investigated whether, in men with prostate cancer, spirituality is associated with lower decisional regret 6 months after treatment and wheth...
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| Veröffentlicht in: | Psycho-oncology (Chichester, England) England), 2017-11, Vol.26 (11), p.1839-1845 |
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| creator | Mollica, Michelle A. Underwood, Willie Homish, Gregory G. Homish, D. Lynn Orom, Heather |
| description | Background
Some patients with prostate cancer regret their treatment choice. Treatment regret is associated with lower physical and mental quality of life. We investigated whether, in men with prostate cancer, spirituality is associated with lower decisional regret 6 months after treatment and whether this is, in part, because men with stronger spiritual beliefs experience lower decisional conflict when they are deciding how to treat their cancer.
Methods
One thousand ninety three patients with prostate cancer (84% white, 10% black, and 6% Hispanic; mean age = 63.18; SD = 7.75) completed measures of spiritual beliefs and decisional conflict after diagnosis and decisional regret 6 months after treatment. We used multivariable linear regression to test whether there is an association between spirituality and decisional regret and structural equation modeling to test whether decisional conflict mediated this relationship.
Results
Stronger spiritual beliefs were associated with less decisional regret (b = −0.39, 95% CI = −0.53, −0.26, P |
| doi_str_mv | 10.1002/pon.4248 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7895488</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1961765470</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5088-b764da11e98514056237df05e01c019c7ba3e8b21bdf1a926bd06de9e0c7bd0a3</originalsourceid><addsrcrecordid>eNp1kc1rFTEUxYMotlbBv0ACbtxMvclMvjaCFL-gtIK6chEymfvalHmTMclYXv_65tlna4WuknB_53BuDiEvGRwyAP52jtNhxzv9iOwzMKZhkrHH27tQjeGd2SPPcr4AqLCRT8keV6IFbmCf_Pw2hxTK4sZQNjRk6nKOPriCA70M5ZyOmDMtCV1Z41RowrOEhYaJ1ueOiL6qr6pgTjGXKqXeTR7Tc_Jk5caML3bnAfnx8cP3o8_N8emnL0fvjxsvQOumV7IbHGNotGAdCMlbNaxAIDAPzHjVuxZ1z1k_rJgzXPYDyAENQh0N4NoD8u7Gd176NQ6-5kxutHMKa5c2Nrpg70-mcG7P4m-rtBGd1tXgzc4gxV8L5mLXIXscRzdhXLJlWhjVaslVRV__h17EJU11PcuMZEqKTsGdoa8_khOubsMwsNvGbG3Mbhur6Kt_w9-CfyuqQHMDXIYRNw8a2a-nJ38MrwGPCqGD</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1961765470</pqid></control><display><type>article</type><title>Spirituality is associated with less treatment regret in men with localized prostate cancer</title><source>MEDLINE</source><source>Wiley Journals</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><creator>Mollica, Michelle A. ; Underwood, Willie ; Homish, Gregory G. ; Homish, D. Lynn ; Orom, Heather</creator><creatorcontrib>Mollica, Michelle A. ; Underwood, Willie ; Homish, Gregory G. ; Homish, D. Lynn ; Orom, Heather</creatorcontrib><description>Background
Some patients with prostate cancer regret their treatment choice. Treatment regret is associated with lower physical and mental quality of life. We investigated whether, in men with prostate cancer, spirituality is associated with lower decisional regret 6 months after treatment and whether this is, in part, because men with stronger spiritual beliefs experience lower decisional conflict when they are deciding how to treat their cancer.
Methods
One thousand ninety three patients with prostate cancer (84% white, 10% black, and 6% Hispanic; mean age = 63.18; SD = 7.75) completed measures of spiritual beliefs and decisional conflict after diagnosis and decisional regret 6 months after treatment. We used multivariable linear regression to test whether there is an association between spirituality and decisional regret and structural equation modeling to test whether decisional conflict mediated this relationship.
Results
Stronger spiritual beliefs were associated with less decisional regret (b = −0.39, 95% CI = −0.53, −0.26, P < .001, partial η2 = 0.024, confidence interval = −0.55, 39%, P < .001, partial η2 = 0.03), after controlling for covariates. Decisional conflict partially (38%) mediated the effect of spirituality on regret (indirect effect: b = −0.16, 95% CI = −0.21, −0.12, P < .001).
Conclusions
Spirituality may help men feel less conflicted about their cancer treatment decisions and ultimately experience less decisional regret. Psychosocial support post‐diagnosis could include clarification of spiritual values and opportunities to reappraise the treatment decision‐making challenge in light of these beliefs.</description><identifier>ISSN: 1057-9249</identifier><identifier>EISSN: 1099-1611</identifier><identifier>DOI: 10.1002/pon.4248</identifier><identifier>PMID: 27530290</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; cancer ; Cancer therapies ; Choice Behavior ; Clinical decision making ; Clinical outcomes ; Confidence intervals ; Conflict ; Conflict, Psychological ; Decision Making ; Emotions ; Health psychology ; Humans ; Male ; Medical diagnosis ; Men ; Mens health ; Mental health ; Middle Aged ; oncology ; Prostate ; Prostate cancer ; Prostatic Neoplasms - psychology ; Prostatic Neoplasms - therapy ; Psychosocial factors ; Psychosocial support ; Quality of Life ; Quantitative analysis ; Regret ; Religion ; Religious beliefs ; Spirituality ; treatment decision making ; treatment regret</subject><ispartof>Psycho-oncology (Chichester, England), 2017-11, Vol.26 (11), p.1839-1845</ispartof><rights>Copyright © 2016 John Wiley & Sons, Ltd.</rights><rights>Copyright © 2017 John Wiley & Sons, Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5088-b764da11e98514056237df05e01c019c7ba3e8b21bdf1a926bd06de9e0c7bd0a3</citedby><cites>FETCH-LOGICAL-c5088-b764da11e98514056237df05e01c019c7ba3e8b21bdf1a926bd06de9e0c7bd0a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpon.4248$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpon.4248$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,315,781,785,886,1418,27929,27930,31004,45579,45580</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27530290$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mollica, Michelle A.</creatorcontrib><creatorcontrib>Underwood, Willie</creatorcontrib><creatorcontrib>Homish, Gregory G.</creatorcontrib><creatorcontrib>Homish, D. Lynn</creatorcontrib><creatorcontrib>Orom, Heather</creatorcontrib><title>Spirituality is associated with less treatment regret in men with localized prostate cancer</title><title>Psycho-oncology (Chichester, England)</title><addtitle>Psychooncology</addtitle><description>Background
Some patients with prostate cancer regret their treatment choice. Treatment regret is associated with lower physical and mental quality of life. We investigated whether, in men with prostate cancer, spirituality is associated with lower decisional regret 6 months after treatment and whether this is, in part, because men with stronger spiritual beliefs experience lower decisional conflict when they are deciding how to treat their cancer.
Methods
One thousand ninety three patients with prostate cancer (84% white, 10% black, and 6% Hispanic; mean age = 63.18; SD = 7.75) completed measures of spiritual beliefs and decisional conflict after diagnosis and decisional regret 6 months after treatment. We used multivariable linear regression to test whether there is an association between spirituality and decisional regret and structural equation modeling to test whether decisional conflict mediated this relationship.
Results
Stronger spiritual beliefs were associated with less decisional regret (b = −0.39, 95% CI = −0.53, −0.26, P < .001, partial η2 = 0.024, confidence interval = −0.55, 39%, P < .001, partial η2 = 0.03), after controlling for covariates. Decisional conflict partially (38%) mediated the effect of spirituality on regret (indirect effect: b = −0.16, 95% CI = −0.21, −0.12, P < .001).
Conclusions
Spirituality may help men feel less conflicted about their cancer treatment decisions and ultimately experience less decisional regret. Psychosocial support post‐diagnosis could include clarification of spiritual values and opportunities to reappraise the treatment decision‐making challenge in light of these beliefs.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>cancer</subject><subject>Cancer therapies</subject><subject>Choice Behavior</subject><subject>Clinical decision making</subject><subject>Clinical outcomes</subject><subject>Confidence intervals</subject><subject>Conflict</subject><subject>Conflict, Psychological</subject><subject>Decision Making</subject><subject>Emotions</subject><subject>Health psychology</subject><subject>Humans</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Men</subject><subject>Mens health</subject><subject>Mental health</subject><subject>Middle Aged</subject><subject>oncology</subject><subject>Prostate</subject><subject>Prostate cancer</subject><subject>Prostatic Neoplasms - psychology</subject><subject>Prostatic Neoplasms - therapy</subject><subject>Psychosocial factors</subject><subject>Psychosocial support</subject><subject>Quality of Life</subject><subject>Quantitative analysis</subject><subject>Regret</subject><subject>Religion</subject><subject>Religious beliefs</subject><subject>Spirituality</subject><subject>treatment decision making</subject><subject>treatment regret</subject><issn>1057-9249</issn><issn>1099-1611</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kc1rFTEUxYMotlbBv0ACbtxMvclMvjaCFL-gtIK6chEymfvalHmTMclYXv_65tlna4WuknB_53BuDiEvGRwyAP52jtNhxzv9iOwzMKZhkrHH27tQjeGd2SPPcr4AqLCRT8keV6IFbmCf_Pw2hxTK4sZQNjRk6nKOPriCA70M5ZyOmDMtCV1Z41RowrOEhYaJ1ueOiL6qr6pgTjGXKqXeTR7Tc_Jk5caML3bnAfnx8cP3o8_N8emnL0fvjxsvQOumV7IbHGNotGAdCMlbNaxAIDAPzHjVuxZ1z1k_rJgzXPYDyAENQh0N4NoD8u7Gd176NQ6-5kxutHMKa5c2Nrpg70-mcG7P4m-rtBGd1tXgzc4gxV8L5mLXIXscRzdhXLJlWhjVaslVRV__h17EJU11PcuMZEqKTsGdoa8_khOubsMwsNvGbG3Mbhur6Kt_w9-CfyuqQHMDXIYRNw8a2a-nJ38MrwGPCqGD</recordid><startdate>201711</startdate><enddate>201711</enddate><creator>Mollica, Michelle A.</creator><creator>Underwood, Willie</creator><creator>Homish, Gregory G.</creator><creator>Homish, D. Lynn</creator><creator>Orom, Heather</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201711</creationdate><title>Spirituality is associated with less treatment regret in men with localized prostate cancer</title><author>Mollica, Michelle A. ; Underwood, Willie ; Homish, Gregory G. ; Homish, D. Lynn ; Orom, Heather</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5088-b764da11e98514056237df05e01c019c7ba3e8b21bdf1a926bd06de9e0c7bd0a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>cancer</topic><topic>Cancer therapies</topic><topic>Choice Behavior</topic><topic>Clinical decision making</topic><topic>Clinical outcomes</topic><topic>Confidence intervals</topic><topic>Conflict</topic><topic>Conflict, Psychological</topic><topic>Decision Making</topic><topic>Emotions</topic><topic>Health psychology</topic><topic>Humans</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Men</topic><topic>Mens health</topic><topic>Mental health</topic><topic>Middle Aged</topic><topic>oncology</topic><topic>Prostate</topic><topic>Prostate cancer</topic><topic>Prostatic Neoplasms - psychology</topic><topic>Prostatic Neoplasms - therapy</topic><topic>Psychosocial factors</topic><topic>Psychosocial support</topic><topic>Quality of Life</topic><topic>Quantitative analysis</topic><topic>Regret</topic><topic>Religion</topic><topic>Religious beliefs</topic><topic>Spirituality</topic><topic>treatment decision making</topic><topic>treatment regret</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mollica, Michelle A.</creatorcontrib><creatorcontrib>Underwood, Willie</creatorcontrib><creatorcontrib>Homish, Gregory G.</creatorcontrib><creatorcontrib>Homish, D. Lynn</creatorcontrib><creatorcontrib>Orom, Heather</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Psycho-oncology (Chichester, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mollica, Michelle A.</au><au>Underwood, Willie</au><au>Homish, Gregory G.</au><au>Homish, D. Lynn</au><au>Orom, Heather</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Spirituality is associated with less treatment regret in men with localized prostate cancer</atitle><jtitle>Psycho-oncology (Chichester, England)</jtitle><addtitle>Psychooncology</addtitle><date>2017-11</date><risdate>2017</risdate><volume>26</volume><issue>11</issue><spage>1839</spage><epage>1845</epage><pages>1839-1845</pages><issn>1057-9249</issn><eissn>1099-1611</eissn><abstract>Background
Some patients with prostate cancer regret their treatment choice. Treatment regret is associated with lower physical and mental quality of life. We investigated whether, in men with prostate cancer, spirituality is associated with lower decisional regret 6 months after treatment and whether this is, in part, because men with stronger spiritual beliefs experience lower decisional conflict when they are deciding how to treat their cancer.
Methods
One thousand ninety three patients with prostate cancer (84% white, 10% black, and 6% Hispanic; mean age = 63.18; SD = 7.75) completed measures of spiritual beliefs and decisional conflict after diagnosis and decisional regret 6 months after treatment. We used multivariable linear regression to test whether there is an association between spirituality and decisional regret and structural equation modeling to test whether decisional conflict mediated this relationship.
Results
Stronger spiritual beliefs were associated with less decisional regret (b = −0.39, 95% CI = −0.53, −0.26, P < .001, partial η2 = 0.024, confidence interval = −0.55, 39%, P < .001, partial η2 = 0.03), after controlling for covariates. Decisional conflict partially (38%) mediated the effect of spirituality on regret (indirect effect: b = −0.16, 95% CI = −0.21, −0.12, P < .001).
Conclusions
Spirituality may help men feel less conflicted about their cancer treatment decisions and ultimately experience less decisional regret. Psychosocial support post‐diagnosis could include clarification of spiritual values and opportunities to reappraise the treatment decision‐making challenge in light of these beliefs.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>27530290</pmid><doi>10.1002/pon.4248</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Wiley Journals; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Adult Aged Aged, 80 and over cancer Cancer therapies Choice Behavior Clinical decision making Clinical outcomes Confidence intervals Conflict Conflict, Psychological Decision Making Emotions Health psychology Humans Male Medical diagnosis Men Mens health Mental health Middle Aged oncology Prostate Prostate cancer Prostatic Neoplasms - psychology Prostatic Neoplasms - therapy Psychosocial factors Psychosocial support Quality of Life Quantitative analysis Regret Religion Religious beliefs Spirituality treatment decision making treatment regret |
| title | Spirituality is associated with less treatment regret in men with localized prostate cancer |
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