title: Spirituality is associated with better prostate cancer treatment decision making experiences.
abstract: This study examined whether spiritual beliefs are associated with greater decision-making satisfaction, lower decisional conflict and decision-making difficulty with the decision-making process in newly diagnosed men with prostate cancer. Participants were 1114 men diagnosed with localized prostate cancer who had recently made their treatment decision, but had not yet been treated. We used multivariable linear regression to analyze relationships between spirituality and decision-making satisfaction, decisional conflict, and decision-making difficulty, controlling for optimism and resilience, and clinical and sociodemographic factors. Results indicated that greater spirituality was associated with greater decision-making satisfaction (B = 0.02; p < 0.001), less decisional conflict (B = -0.42; p < 0.001), and less decision-making difficulty (B = -0.08; p < 0.001). These results confirm that spiritual beliefs may be a coping resource during the treatment decision-making process. Providing opportunities for patients to integrate their spiritual beliefs and their perceptions of their cancer diagnosis and trajectory could help reduce patient uncertainty and stress during this important phase of cancer care continuum.
authors.affiliation: Department of Community Health and Health Behavior, School of Public Health and Health Professions, University at Buffalo, 320 Kimball Tower, 3435 Main St., Buffalo, NY, 14214, USA. mm89@buffalo.edu.|Division of Cancer Prevention, National Cancer Institute, Rockville, MD, USA. mm89@buffalo.edu.
authors.forename: Michelle A
authors.initials: MA
authors.lastname: Mollica
authors.affiliation: Department of Urology, Roswell Park Cancer Institute, Buffalo, NY, USA. Willie.underwood@roswellpark.org.
authors.forename: Willie
authors.initials: W
authors.lastname: Underwood
authors.affiliation: Department of Community Health and Health Behavior, School of Public Health and Health Professions, University at Buffalo, 320 Kimball Tower, 3435 Main St., Buffalo, NY, 14214, USA. ghomish@buffalo.edu.
authors.forename: Gregory G
authors.initials: GG
authors.lastname: Homish
authors.affiliation: Department of Community Health and Health Behavior, School of Public Health and Health Professions, University at Buffalo, 320 Kimball Tower, 3435 Main St., Buffalo, NY, 14214, USA. dlhomish@buffalo.edu.
authors.forename: D Lynn
authors.initials: DL
authors.lastname: Homish
authors.affiliation: Department of Community Health and Health Behavior, School of Public Health and Health Professions, University at Buffalo, 320 Kimball Tower, 3435 Main St., Buffalo, NY, 14214, USA. horom@buffalo.edu.
authors.forename: Heather
authors.initials: H
authors.lastname: Orom
mesh_terms: D000368:Aged; D003657:Decision Making; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011471:Prostatic Neoplasms / Q000523:psychology / Q000628:therapy*; D029181:Spirituality
keywords: Conflict; Decision making; Localized; Prostate cancer; Spirituality