Spirituality and quality of life in low-income men with metastatic prostate cancer
Article first published online: 5 DEC 2008
Copyright © 2008 John Wiley & Sons, Ltd.
Volume 18, Issue 7, pages 753–761, July 2009
How to Cite
Zavala, M. W., Maliski, S. L., Kwan, L., Fink, A. and Litwin, M. S. (2009), Spirituality and quality of life in low-income men with metastatic prostate cancer. Psycho-Oncology, 18: 753–761. doi: 10.1002/pon.1460
- Issue published online: 29 JUN 2009
- Article first published online: 5 DEC 2008
- Manuscript Accepted: 22 AUG 2008
- Manuscript Revised: 18 AUG 2008
- Manuscript Received: 30 MAY 2008
- prostate cancer;
- quality of life
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. Copyright © 2008 John Wiley & Sons, Ltd.