Objective: To examine: (1) daily religious and spiritual
experiences among localized prostate cancer patients as compared to a
national age and race-matched male sample; (2) cognitive-affective and
clinical predictors of prostate cancer diagnosis-related increases in
religiosity and spirituality; (3) short-term impact of daily religious and
spiritual experiences on cancer recurrence worry.
Methods: Analyses of data from a longitudinal questionnaire
study among patients (N = 254) diagnosed with localized prostate
cancer and data from a random sample (N = 238) of respondents to
the national General Social Survey.
Results: Compared to the national sample, prostate cancer
patients reported higher levels of daily spiritual experiences. Patients
with higher worry about prostate cancer and elevated levels of
prostate-related symptoms around diagnosis were more likely to report a
diagnosis-related increase in religiosity and spirituality. Positive
benefits (reduced recurrence worry) of religious coping/practices were
restricted to those patients with higher versus lower level of
postdiagnosis increase in religiosity; patients not reporting
postdiagnosis increases in religion who are not engaging in religious
coping/practice adjusted equally well. Results suggest that the
development of religious/spiritual interventions is premature.
Significance of results: This is the first prospective study
to report on the prevalence and influence of daily spiritual and religious
experiences among prostate cancer patients.