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Psychooncology. 2009 Jul;18(7):753-61. doi: 10.1002/pon.1460.

Spirituality and quality of life in low-income men with metastatic prostate cancer.

Author information

1
Department of Urology, David Geffen School of Medicine, University of California, Los Angeles, CA 90095, USA. mzavala@mednet.ucla.edu

Abstract

OBJECTIVE:

To determine how spirituality is associated with health-related quality of life (HRQOL) in an ethnically diverse cohort of low-income men with metastatic prostate cancer.

METHODS:

Eighty-six participants in a state-funded program that provides free prostate cancer treatment to uninsured, low-income men completed written surveys and telephone interviews containing validated measures of spirituality, and general and disease-specific HRQOL. Assessments were made following diagnosis of metastatic disease. We used multivariate analyses to assess the effect of spirituality and its two subscales, faith and meaning/peace, on HRQOL.

RESULTS:

African American and Latino men, and men with less than a high-school education had the highest spirituality scores. Spirituality was significantly associated with general and disease-specific HRQOL. We also found a significant interaction between faith and meaning/peace in the physical and pain domains.

CONCLUSION:

Greater spirituality was associated with better HRQOL and psychosocial function. Meaning/peace closely tracks with HRQOL. Higher faith scores, in the absence of high meaning/peace scores, are negatively associated with HRQOL.

PMID:
19061194
DOI:
10.1002/pon.1460
[Indexed for MEDLINE]

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