The Effect of Religious Coping on Hope Level of Cancer Patients Receiving Chemotherapy

  • Selma SabanciogullariEmail author
  • Feride Taskin Yilmaz
Original Paper


Religious coping and hope are among factors that affect the disease, treatment compliance, psychological health and quality of life of cancer patients. The aim of this study was to determine the level of hope and religious coping styles of cancer patients, and to determine the relationship between religious coping and hope. The study was carried out descriptively and cross-sectionally with 133 patients receiving chemotherapy in an oncology center. In the study, the level of hope and positive religious coping of the patients were high and their level of negative religious coping was low. It was determined that there was a positive relationship between positive religious coping style and hope levels of patients, and positive religious coping style was a significant predictor of hope level. While patients are dealing with cancer diagnosis and treatment, it is recommended that health care professionals primarily focus on providing these patients a service with a holistic care approach and developing their hope with practices that will strengthen their positive religious coping styles.


Cancer Hope Religion Religious coping Turkey 


Compliance with Ethical Standards

Conflict of interest

All the authors declare that there is no conflict of interest.

Ethical Approval

Before the research, written permission was obtained from an University Non-Interventional Clinical Research Ethics Committee (Decision Number: 2018-04/19). It was stated that no private information would be disclosed someone else besides the researcher, since confidentiality of patients and their privacy were respected by the researcher. Informed consent was taken from the individuals who agreed to participate in the study. The study was conducted in accordance with the ethical standards of the Declaration of Helsinki.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


  1. Abernethy, A. D., Chang, H. T., Seidlitz, L., Evinger, J. S., & Duberstein, P. R. (2002). Religious coping and depression among spouses of people with lung cancer. Psychosomatics,43, 456–463.CrossRefGoogle Scholar
  2. Abu Raiya, H., Pargament, K. I., Mahoney, A., & Stein, C. (2008). A psychological measure of islamic religiousness: reliability and validity. The International Journal for the Psychology of Religion, 182, 91–315.Google Scholar
  3. Ahmadi, Z., Darabzadeh, F., Nasiri, M., & Askari, M. (2015). The effects of spirituality and religiosity on well-being of people with cancer: A literature review on current evidences. Jundishapur Journal of Chronic Disease Care,4, e28386.Google Scholar
  4. Aslan, O., Sekmen, K., Komurcu, S., & Ozet, A. (2007). Hope among cancer patients. Journal of Cumhuriyet University School of Nursing,11, 18–24.Google Scholar
  5. Balboni, T. A., Vanderwerker, L. C., Block, S. D., Paulk, M. E., Lathan, C., Peteet, J., et al. (2007). Religiousness and spiritual support among advanced cancer patients and associations with end-of-life treatment preferences and quality of life. Journal of Clinical Oncology,25, 555–560.CrossRefGoogle Scholar
  6. Baljani, E., Kazemi, M., Amanpour, E., & Tizhafm, T. (2014). The relationship between religion, spiritual well-being, hope and quality of life in patients with cancer. Basic and Clinical Cancer Research,6, 28–36.Google Scholar
  7. Bonomo, A. A., Gragefe, C. K., Gerbasi, A. R. V., Carvalho, M. D. B., & Fontes, K. B. (2015). Religious/spiritual coping in cancer patients under treatment. Journal of Nursing UFPE on Line Recife,9, 7539–7546.Google Scholar
  8. Chen, M. L. (2003). Pain and hope in patients with cancer. Cancer Nursing,26, 61–67.CrossRefGoogle Scholar
  9. Duggleby, W., Ghosh, S., Cooper, D., & Dwernychuk, L. (2013). Hope in newly diagnosed cancer patients. Journal of Pain and Symptom Management,46, 661–670.CrossRefGoogle Scholar
  10. Eksi, H. & Sayin, M. (2016). The adaptation of Religious Coping Scale into Turkish language: A study of bilingual equivalance, validity and reliability. AGP humanities and social sciences conference. BAU International Berlin University, 19–22 May, Berlin, Germany.Google Scholar
  11. Eliott, J. A., & Olver, I. N. (2009). Hope, life, and death: a qualitative analysis of dying cancer patients’ talk about hope. Death Studies,33, 609–638.CrossRefGoogle Scholar
  12. Esmaeili, R., Hesamzadeh, A., Bagheri-Nesami, M., & Berger, V. L. (2015). Exploring the religious and spiritual coping experience of cases via cancer: A qualitative research. Journal of Medicine and Life,8, 222–228.PubMedPubMedCentralGoogle Scholar
  13. Felder, B. E. (2004). Hope and coping in patients with cancer diagnoses. Cancer Nursing,27, 320–324.CrossRefGoogle Scholar
  14. Fornazari, S. A., & Ferreira, R. E. R. (2010). Religiousness/spirituality in oncological patientes: Life quality and health. Psicologia: Teoria e Pesquisa,26, 265–272.Google Scholar
  15. Haghighi, F. (2013). Correlation between religious coping and depression in cancer patients. Psychiatria Danubina,25, 236–240.PubMedGoogle Scholar
  16. Hasson-Ohayon, I., Braun, M., Galinsky, D., & Baider, L. (2009). Religiosity and hope: A path for women coping with a diagnosis of breast cancer. Psychosomatics,50, 525–533.CrossRefGoogle Scholar
  17. Hebert, R., Zdaniuk, B., Schulz, R., & Scheier, M. (2009). Positive and negative religious coping and well-being in women with breast cancer. Journal of Palliative Medicine,12, 537–545.CrossRefGoogle Scholar
  18. Herth, K., & Cutcliffe, J. R. (2002). The concept of hope in nursing 3: Hope and palliative care nursing. British Journal of Nursing,11, 977–982.CrossRefGoogle Scholar
  19. Hsu, T. H., Lu, M. S., Tsou, T. S., & Lin, C. C. (2003). The relationship of pain, uncertainty, and hope among Taiwanese lung cancer patients. Journal of Pain and Symptom Management,26, 835–842.CrossRefGoogle Scholar
  20. Jafari, E., Najafi, M., Sohrabi, F., Dehshiri, G. R., Soleymani, E., & Heshmati, R. (2010). Life satisfaction, spirituality well-being and hope in cancer patients. Procedia Social and Behavioral Sciences,5, 1362–1366.CrossRefGoogle Scholar
  21. Karekla, M., & Constantinou, M. (2010). Religious coping and cancer: Proposing an acceptance and commitment therapy approach. Cognitive and Behavioral Practice,17, 371–381.CrossRefGoogle Scholar
  22. Kavradim, S. T., & Ozer, Z. C. (2014). Hope in patients with cancer. Current Approaches in Psychiatry,6, 154–164.Google Scholar
  23. Kurt, Z. (2005). The role of the moral values in the recovery of the cancerous patients. Ankara University Institute of Social Sciences, Master Thesis: Ankara.Google Scholar
  24. Larbi, M., Lartey, J. K. S., & Osafo, J. (2017). Depression and religious coping mechanisms among cancer patients in Ghana. NUMID HORIZON: An International Journal of Nursing and Midwifery,1, 49–58.Google Scholar
  25. Liu, H. X., Shi, H. W., Yang, Q. Q., Rowlands, A., & Han, M. H. (2015). Use of religion: An effective method of coping among Chinese patients with cancer. Open Journal of Nursing,5, 893–899.CrossRefGoogle Scholar
  26. Martins, H., & Caldeira, S. (2018). Spiritual distress in cancer patients: A synthesis of qualitative studies. Religions,9, 285.CrossRefGoogle Scholar
  27. McClement, S. E., & Chochinov, H. M. (2008). Hope in advanced cancer patients. European Journal of Cancer,44, 1169–1174.CrossRefGoogle Scholar
  28. Mesquita, A. C., Chaves Ede, C., Avelino, C. C., Nogueira, D. A., Panzini, R. G., & de Carvalho, E. C. (2013). The use of religious/spiritual coping among patients with cancer undergoing chemotherapy treatment. The Revista Latino-Americana de Enfermagem,21, 539–545.CrossRefGoogle Scholar
  29. Peteet, J. R., & Balboni, M. J. (2013). Spirituality and religion in oncology. CA: A Cancer Journal for Clinicians,63, 280–289.Google Scholar
  30. Reb, A. M. (2007). Transforming the death sentence: Elements of hope in women with advanced ovarian cancer. Oncology Nursing Forum,34, 70–81.CrossRefGoogle Scholar
  31. Rustoen, T., Cooper, B. A., & Miaskowski, C. H. (2010). The importance of hope as a mediator of psychological distress and life satisfaction in a community sample of cancer patients. Cancer Nursing,33, 258–267.CrossRefGoogle Scholar
  32. Sanatani, M., Schreier, G., & Stitt, L. (2008). Level and direction of hope in cancer patients: An exploratory longitudinal study. Supportive Care in Cancer,16, 493–499.CrossRefGoogle Scholar
  33. Shamsalinia, A., Pourghaznein, T., & Parsa, M. (2016). The relationship between hope and religious coping among patients with type 2 diabetes. Global Journal of Health Science,8, 208–216.CrossRefGoogle Scholar
  34. Sousa, F. F. P. R. D., Freitas, S. M. F. M., Farias, A. G. S., Cunha, M. C. S. O., Araújo, M. F. M., & Veras, V. S. (2017). Religious/spiritual coping by people with cancer undergoing chemotherapy: Integrative literature review. SMAD, Revista eletrônica saúde mental álcool e drogas,13, 45–51.CrossRefGoogle Scholar
  35. Taleghani, F., Yekta, Z. P., & Nasrabadi, A. N. (2006). Coping with breast cancer in newly diagnosed Iranian women. Journal of Advanced Nursing,54, 265–272.CrossRefGoogle Scholar
  36. Tarakeshwar, N., Vanderwerker, L. C., Paulk, E., Pearce, M. J., Kasl, S. V., & Prigerson, H. G. (2006). Religious coping is associated with the quality of life of patients with advanced cancer. Journal of Palliative Medicine,9, 646–657.CrossRefGoogle Scholar
  37. Trevino, K. M., Archambault, E., Schuster, J., Richardson, P., & Moye, J. (2012). Religious coping and psychological distress in military veteran cancer survivors. Journal of Religion and Health,51, 87–98.CrossRefGoogle Scholar
  38. Turkey Cancer Statistics 2015. (2018). Republic of Turkey Ministry of Health. General Directorate of Public Health: Ankara.Google Scholar
  39. Utne, I., Miaskowski, C., Bjordal, K., Paul, S. M., Jakobsen, G., & Rustoen, T. (2008). The relationship between hope and pain in a sample of hospitalized oncology patients. Palliat Support Care,6, 327–334.CrossRefGoogle Scholar
  40. Uysal, V., Goktepe, A. K., Karagoz, S., & Ilerisoy, M. (2017). A research about the relationships and interactions between religious coping, hope, life satisfaction and psychological resilience. Journal of Marmara University Faculty of Divinity,52, 139–160.Google Scholar
  41. Vellone, E., Rega, M. L., Galletti, C., & Cohen, M. Z. (2006). Hope and related variables in Italian cancer patients. Cancer Nursing,29, 356–366.CrossRefGoogle Scholar
  42. Zamanian, H., Eftekhar-Ardebili, H., Eftekhar-Ardebili, M., Shojaeizadeh, D., Nedjat, S., Taheri-Kharameh, Z., et al. (2015). Religious coping and quality of life in women with breast cancer. Asian Pacific Journal of Cancer Prevention,16, 7721–7725.CrossRefGoogle Scholar
  43. Zwingmann, C., Wirtz, M., Muller, C., Korber, J., & Murken, S. (2006). Positive and negative religious coping in German breast cancer patients. Journal of Behavioural Medicine,29, 533–547.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Psychiatric Nursing, School of Susehri Health HighSivas Cumhuriyet UniversitySivasTurkey
  2. 2.Department of Internal Diseases Nursing, School of Susehri Health HighSivas Cumhuriyet UniversitySivasTurkey

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