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Religiosity, depression, and quality of life in Korean patients with breast cancer: a 1-year prospective longitudinal study

Authors

  • Ji-Eun Jang,

    1. Department of Psychiatry, Chonnam National University Medical School, Gwangju, Korea
    2. Depression Clinical Research Center, Chonnam National University Hospital, Gwangju, Korea
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  • Sung-Wan Kim,

    Corresponding author
    1. Depression Clinical Research Center, Chonnam National University Hospital, Gwangju, Korea
    2. Mental Health Clinic, Chonnam National University Hwasun Hospital, Hwasun, Korea
    • Department of Psychiatry, Chonnam National University Medical School, Gwangju, Korea
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  • Seon-Young Kim,

    1. Department of Psychiatry, Chonnam National University Medical School, Gwangju, Korea
    2. Depression Clinical Research Center, Chonnam National University Hospital, Gwangju, Korea
    3. Mental Health Clinic, Chonnam National University Hwasun Hospital, Hwasun, Korea
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  • Jae-Min Kim,

    1. Department of Psychiatry, Chonnam National University Medical School, Gwangju, Korea
    2. Depression Clinical Research Center, Chonnam National University Hospital, Gwangju, Korea
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  • Min-Ho Park,

    1. Breast and Endocrine Tumor Clinic, Chonnam National University Hwasun Hospital, Hwasun, Korea
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  • Jung-Han Yoon,

    1. Breast and Endocrine Tumor Clinic, Chonnam National University Hwasun Hospital, Hwasun, Korea
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  • Hee-Young Shin,

    1. Department of Biomedical Science, Chonnam National University Medical School, Gwangju, Korea
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  • Hee-Ju Kang,

    1. Department of Psychiatry, Chonnam National University Medical School, Gwangju, Korea
    2. Depression Clinical Research Center, Chonnam National University Hospital, Gwangju, Korea
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  • Kyung-Yeol Bae,

    1. Department of Psychiatry, Chonnam National University Medical School, Gwangju, Korea
    2. Depression Clinical Research Center, Chonnam National University Hospital, Gwangju, Korea
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  • Il-Seon Shin,

    1. Department of Psychiatry, Chonnam National University Medical School, Gwangju, Korea
    2. Depression Clinical Research Center, Chonnam National University Hospital, Gwangju, Korea
    3. Mental Health Clinic, Chonnam National University Hwasun Hospital, Hwasun, Korea
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  • Jin-Sang Yoon

    1. Department of Psychiatry, Chonnam National University Medical School, Gwangju, Korea
    2. Depression Clinical Research Center, Chonnam National University Hospital, Gwangju, Korea
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Correspondence to: Department of Psychiatry, Chonnam National University Medical School, 5 Hak-dong, Dong-gu, Gwangju 501-746, Republic of Korea. E-mail: swkim@chonnam.ac.kr

Abstract

Objective

To investigate the association among religiosity and depression, anxiety, and quality of life in women with breast cancer.

Method

The sample consisted of 284 patients with breast cancer who were undergoing surgery. They were assessed with the following instruments at baseline and at 1 year after surgery: the Duke Religious Index (DRI), the Montgomery–Asberg Depression Rating Scale, the Hospital Anxiety Depression Scale, and the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30. Depression was diagnosed with the Mini International Neuropsychiatric Interview.

Results

The prevalence of depression at baseline and at 1 year was 22.5% and 16.5%, respectively. The religious groups did not differ significantly with respect to the prevalence of depression or scores on psychiatric measures at either baseline or at 1 year. The prevalence of depression significantly decreased only in the Protestant group, from 30.1% to 15.7%. Scores on the DRI were significantly negatively correlated with scores on all of the anxiety and depression scales at 1 year after surgery in this group. In contrast, scores on the religious activity subscale of the DRI were significantly positively correlated with scores on the Hospital Anxiety Depression Scale at baseline or at 1 year among Catholic participants. The DRI scores of Protestant respondents were significantly positively correlated with scores on the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30 at 1 year after surgery.

Conclusion

Religiosity plays an important role in the emotional state and quality of life of Korean women with breast cancer. However, its clinical meaning may differ according to the type of religious affiliation and the stage of illness. Copyright © 2012 John Wiley & Sons, Ltd.

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