Hope, meaning in life and religious/spiritual struggle predicts the quality of life in cancer patients with early and advanced malignancy: a structural equation modeling approach

Purpose This study examined hope, meaning in life (MIL), and religious/spiritual struggle (RSS) as predictors of the quality of life (QOL) in cancer patients. We hypothesized a positive association of QOL with hope and MIL, whereas a negative association with RSS. The stage of cancer was hypothesize...

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Main Authors: Fauzia Nazam, Akbar Husain
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Health Psychology and Behavioral Medicine
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Online Access:https://www.tandfonline.com/doi/10.1080/21642850.2024.2351936
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author Fauzia Nazam
Akbar Husain
author_facet Fauzia Nazam
Akbar Husain
author_sort Fauzia Nazam
collection DOAJ
description Purpose This study examined hope, meaning in life (MIL), and religious/spiritual struggle (RSS) as predictors of the quality of life (QOL) in cancer patients. We hypothesized a positive association of QOL with hope and MIL, whereas a negative association with RSS. The stage of cancer was hypothesized as a moderator variable between QOL and hope. Hope and MIL were assumed as positive predictors and RSS as negative predictor of QOL.Methods Data stem from the cross-sectional survey study of 300 cancer patients (Mean age = 50.97 ± 13.50 SD). Herth Hope Index, Meaning in Life Scale, Religious Spiritual Struggle Scale and WHO-QOL-BRIEF were used. The correlation coefficient and partial least square structural equation modeling approach (PLS-SEM) were used for assessing the measurement model and the structural model.Results As hypothesized, QOL was found positively associated with Hope and MIL, but negatively associated with RSS. The stage of cancer was hypothesized as a negative moderator. The three predictors significantly predicted QOL in cancer patients and explained 75.3% of the variance in QOL, and the overall model fit was adequate (SRMR = 0.075). Hope and MIL had a positive impact on QOL (β = .356, p < 0.01; β = .355 p < 0.01, respectively), whereas RSS had a negative impact (β =  –.102, p < .05). The Stage of cancer did not moderate the path coefficient between the hope and QOL to a significant degree (β = .097, p > 0.01).Conclusion In cancer patients, hope and MIL are facilitators of QOL. Addressing religious and spiritual concerns and struggles is critical to overall QOL improvement.
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spelling doaj-art-a070a40f0a114c23809c76de31ced2c72024-12-05T15:52:34ZengTaylor & Francis GroupHealth Psychology and Behavioral Medicine2164-28502024-12-0112110.1080/21642850.2024.2351936Hope, meaning in life and religious/spiritual struggle predicts the quality of life in cancer patients with early and advanced malignancy: a structural equation modeling approachFauzia Nazam0Akbar Husain1Department of Psychology, Aligarh Muslim University, Aligarh, IndiaFaculty of Humanities and Social Sciences, Integral University, Lucknow, IndiaPurpose This study examined hope, meaning in life (MIL), and religious/spiritual struggle (RSS) as predictors of the quality of life (QOL) in cancer patients. We hypothesized a positive association of QOL with hope and MIL, whereas a negative association with RSS. The stage of cancer was hypothesized as a moderator variable between QOL and hope. Hope and MIL were assumed as positive predictors and RSS as negative predictor of QOL.Methods Data stem from the cross-sectional survey study of 300 cancer patients (Mean age = 50.97 ± 13.50 SD). Herth Hope Index, Meaning in Life Scale, Religious Spiritual Struggle Scale and WHO-QOL-BRIEF were used. The correlation coefficient and partial least square structural equation modeling approach (PLS-SEM) were used for assessing the measurement model and the structural model.Results As hypothesized, QOL was found positively associated with Hope and MIL, but negatively associated with RSS. The stage of cancer was hypothesized as a negative moderator. The three predictors significantly predicted QOL in cancer patients and explained 75.3% of the variance in QOL, and the overall model fit was adequate (SRMR = 0.075). Hope and MIL had a positive impact on QOL (β = .356, p < 0.01; β = .355 p < 0.01, respectively), whereas RSS had a negative impact (β =  –.102, p < .05). The Stage of cancer did not moderate the path coefficient between the hope and QOL to a significant degree (β = .097, p > 0.01).Conclusion In cancer patients, hope and MIL are facilitators of QOL. Addressing religious and spiritual concerns and struggles is critical to overall QOL improvement.https://www.tandfonline.com/doi/10.1080/21642850.2024.2351936Hopemeaning in lifereligious/spiritual strugglequality of lifecancer patients
spellingShingle Fauzia Nazam
Akbar Husain
Hope, meaning in life and religious/spiritual struggle predicts the quality of life in cancer patients with early and advanced malignancy: a structural equation modeling approach
Health Psychology and Behavioral Medicine
Hope
meaning in life
religious/spiritual struggle
quality of life
cancer patients
title Hope, meaning in life and religious/spiritual struggle predicts the quality of life in cancer patients with early and advanced malignancy: a structural equation modeling approach
title_full Hope, meaning in life and religious/spiritual struggle predicts the quality of life in cancer patients with early and advanced malignancy: a structural equation modeling approach
title_fullStr Hope, meaning in life and religious/spiritual struggle predicts the quality of life in cancer patients with early and advanced malignancy: a structural equation modeling approach
title_full_unstemmed Hope, meaning in life and religious/spiritual struggle predicts the quality of life in cancer patients with early and advanced malignancy: a structural equation modeling approach
title_short Hope, meaning in life and religious/spiritual struggle predicts the quality of life in cancer patients with early and advanced malignancy: a structural equation modeling approach
title_sort hope meaning in life and religious spiritual struggle predicts the quality of life in cancer patients with early and advanced malignancy a structural equation modeling approach
topic Hope
meaning in life
religious/spiritual struggle
quality of life
cancer patients
url https://www.tandfonline.com/doi/10.1080/21642850.2024.2351936
work_keys_str_mv AT fauzianazam hopemeaninginlifeandreligiousspiritualstrugglepredictsthequalityoflifeincancerpatientswithearlyandadvancedmalignancyastructuralequationmodelingapproach
AT akbarhusain hopemeaninginlifeandreligiousspiritualstrugglepredictsthequalityoflifeincancerpatientswithearlyandadvancedmalignancyastructuralequationmodelingapproach