Evidence map›Paper›PMID 26258536›Full record

SynthesisCancer2015

A meta-analytic approach to examining the correlation between religion/spirituality and mental health in cancer.

John M Salsman, James E Pustejovsky, Heather S L Jim, Alexis R Munoz, Thomas V Merluzzi, Login George, Crystal L Park, Suzanne C Danhauer, Allen C Sherman, Mallory A Snyder and 1 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in Cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 8 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Psychological interventions to foster resilience in healthcare students.The Cochrane database of systematic reviews · 2020
    Pooled it
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  8. Distress Management, Version 3.2019, NCCN Clinical Practice Guidelines in Oncology.Journal of the National Comprehensive Cancer Network : JNCCN · 2019
    Guideline
  9. Trial
  10. Examining the effect of peer helping in a coping skills intervention: a randomized controlled trial for advanced gastrointestinal cancer patients and their family caregivers.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2018
    Trial
  11. Article
  12. Article
  13. Article
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  15. Christian cancer survivors' global meaning violations and well-being.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  16. Spiritual care in outpatient oncology: a qualitative study of focus groups with cancer center chaplains.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  17. Article
  18. Article
  19. Article
  20. Article

7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

John M SalsmanDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
James E PustejovskyDepartment of Educational Psychology, University of Texas at Austin, Austin, Texas.
Heather S L JimHealth Outcomes and Behavior Department, Moffitt Cancer Center, Tampa, Florida.
Alexis R MunozSchool of Public Health, University of Illinois at Chicago, Chicago, Illinois.
Thomas V MerluzziDepartment of Psychology, University of Notre Dame, Notre Dame, Indiana.
Login GeorgeDepartment of Psychology, University of Connecticut, Storrs, Connecticut.
Crystal L ParkDepartment of Psychology, University of Connecticut, Storrs, Connecticut.
Suzanne C DanhauerDepartment of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston Salem, North Carolina.
Allen C ShermanBehavioral Medicine, Winthrop P. Rockefeller Cancer Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Mallory A SnyderDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
George FitchettDepartment of Religion, Health and Human Values, Rush University Medical Center, Chicago, Illinois.

Funding

Assessment, Development and Application of Positive Psychology Science for CancerK07CA158008 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI SALSMAN, JOHN · 2011 to 2015
$668k
NCI NIH HHS K07 CA158008NCI NIH HHS K07CA158008
6 · The paper itself

Abstract

Religion and spirituality (R/S) are patient-centered factors and often are resources for managing the emotional sequelae of the cancer experience. Studies investigating the correlation between R/S (eg, beliefs, experiences, coping) and mental health (eg, depression, anxiety, well being) in cancer have used very heterogeneous measures and have produced correspondingly inconsistent results. A meaningful synthesis of these findings has been lacking; thus, the objective of this review was to conduct a meta-analysis of the research on R/S and mental health. Four electronic databases were systematically reviewed, and 2073 abstracts met initial selection criteria. Reviewer pairs applied standardized coding schemes to extract indices of the correlation between R/S and mental health. In total, 617 effect sizes from 148 eligible studies were synthesized using meta-analytic generalized estimating equations, and subgroup analyses were performed to examine moderators of effects. The estimated mean correlation (Fisher z) was 0.19 (95% confidence interval [CI], 0.16-0.23), which varied as a function of R/S dimensions: affective R/S (z = 0.38; 95% CI, 0.33-0.43), behavioral R/S (z = 0.03; 95% CI, -0.02-0.08), cognitive R/S (z = 0.10; 95% CI, 0.06-0.14), and 'other' R/S (z = 0.08; 95% CI, 0.03-0.13). Aggregate, study-level demographic and clinical factors were not predictive of the relation between R/S and mental health. There was little indication of publication or reporting biases. The correlation between R/S and mental health generally was positive. The strength of that correlation was modest and varied as a function of the R/S dimensions and mental health domains assessed. The identification of optimal R/S measures and more sophisticated methodological approaches are needed to advance research.

Indexed as

Mental HealthReligion and MedicineSpiritualityAdaptation, PsychologicalCognitionDepressionFemaleHumansMaleMiddle AgedNeoplasmsPrevalenceQuality of LifeStress, Psychologicalanxietycancerdepressiondistressmeta-analysisquality of lifereligionspirituality

Identifiers

PMID26258536
PMCPMC4618157

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.