Spiritual well-being, religiosity, quality of life, distress, social support, depression, and anxiety among English- and Arabic-speaking Muslim Americans with advanced cancer: A cross-sectional study Journal Article


Authors: Ayash, C.; Jdid, M.; Kakade, A.; Wu, M.; Narang, B.; Lazenby, M.; Gany, F.
Article Title: Spiritual well-being, religiosity, quality of life, distress, social support, depression, and anxiety among English- and Arabic-speaking Muslim Americans with advanced cancer: A cross-sectional study
Abstract: Objective: To learn about spiritual and psychosocial palliative care needs of Muslim Americans with advanced cancer. Methods: A cross-sectional English/Arabic (patient preference) survey was conducted with 120 Muslim Americans with advanced cancer in New York City (2022–2023). Survey instruments included Functional Assessment of Cancer Therapy-General (FACT-G, quality of life), Hospital Anxiety and Depression Scale (HADS—2 subscales), Medical Outcomes Study (MOS—emotional, tangible, affectionate support, positive social interactions), Functional Assessment of Chronic Illness Therapy–Spiritual Wellbeing (FACIT-SP—spiritual wellbeing, Modified Duke Religious Index (DUREL—religious involvement), Distress Thermometer and Problems List. Results: Most participants were from South Asia (30.8%), Middle East/North Africa (30.8%), and US (21.7%). On average, patients had high quality of life (FACT-G), little anxiety/depression (HADS), and high social support (MOS), spiritual wellbeing (FACIT-Sp), and religious involvement (DUREL); 51.7% had clinically high Distress Thermometer scores (4–10). We found strong positive correlations between FACIT-Sp and both total FACT-G (p < 0.001) and MOS (p < 0.001). There was a moderate positive correlation between FACIT-Sp and DUREL-intrinsic religiosity (p = 0.002). There was a strong positive correlation between total FACT-G and MOS (p < 0.001). There were strong negative correlations between Distress and FACT-G (p < 0.001), FACIT-Sp (p < 0.001), and MOS (p < 0.001). There were strong negative correlations between the HADS scales and FACT-G (p < 0.001), FACIT-Sp (p < 0.001), and MOS (p < 0.001). The HADS scales showed strong positive correlations with distress (p < 0.001) and each other (p < 0.001). Conclusions: Spirituality, religiosity, and social support may be assets in palliative care for Muslim Americans. Providers should work with patients to determine their individual palliative care needs. © 2025 Elsevier B.V., All rights reserved.
Keywords: adult; major clinical study; advanced cancer; colorectal cancer; palliative care; quality of life; breast cancer; palliative therapy; lung cancer; oncology; social support; depression; diagnosis; distress syndrome; cross-sectional study; cross-sectional studies; anxiety; new york; religion; spirituality; speech; therapy; hospital anxiety and depression scale; patient preference; thermometer; spiritual well-being; south asia; social interaction; middle east; spiritual healing; functional assessment of chronic illness therapy spiritual well being scale; kolmogorov smirnov test; cancer; religiosity; human; male; female; article; electronic health record; functional assessment of cancer therapy general; physical well-being; functional assessment of chronic illness therapy; north africa; islam; spss v29 software; muslim
Journal Title: Psycho-Oncology
Volume: 34
Issue: 8
ISSN: 1057-9249
Publisher: John Wiley & Sons  
Date Published: 2025-08-01
Start Page: e70255
Language: English
DOI: 10.1002/pon.70255
PUBMED: 40804021
PROVIDER: scopus
DOI/URL:
Notes: Article -- MSK Cancer Center Support Grant (P30 CA008748) acknowledged in PubMed and PDF -- MSK corresponding author is Francesca Dany -- Source: Scopus
Altmetric
Citation Impact
BMJ Impact Analytics
MSK Authors
  1. Francesca Mara Gany
    225 Gany
  2. Claudia Lori Ayash
    10 Ayash
  3. Bharat Narang
    35 Narang
  4. Minlun Wu
    14 Wu
  5. Maria Jdid
    2 Jdid
  6. Anagha C Kakade
    3 Kakade