ArticlePsycho-oncology2022
Relations of perceived injustice to psycho-spiritual outcomes in advanced lung and prostate cancer: Examining the role of acceptance and meaning making.
Article in Psycho-oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- "Fear Has Big Eyes": Illness Perception, Fear of Recurrence, and Generalized Anxiety in Post-Treatment Thoracic Cancer Patients: A Serial Multiple Analysis.Journal of clinical medicine · 2026Article
- Acceptance in Patients With Cancer: A Scoping Review.Cancer reports (Hoboken, N.J.) · 2025Article
- Spirituality and health-related quality of life in patients with lung cancer.Revista brasileira de enfermagem · 2025Article
- Article
- Correlation of death anxiety with coping strategies among Palestinian women with breast cancer: a cross-sectional study.Frontiers in public health · 2024Article
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12 authors.
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Abstract
objectiveMany advanced cancer patients struggle with anxiety, depressive symptoms, and anger toward God and illness-related stressors. Patients may perceive their illness as an injustice (i.e., appraise their illness as unfair, severe, and irreparable or blame others for their illness), which may be a risk factor for poor psychological and spiritual outcomes. This study examined relations between cancer-related perceived injustice and psycho-spiritual outcomes as well as potential mediators of these relationships.
methodsAdvanced lung (n = 102) and prostate (n = 99) cancer patients completed a one-time survey. Using path analyses, we examined a parallel mediation model including the direct effects of perceived injustice on psycho-spiritual outcomes (i.e., anxiety, depressive symptoms, anger about cancer, anger towards God) and the indirect effects of perceived injustice on psycho-spiritual outcomes through two parallel mediators: meaning making and acceptance of cancer. We then explored whether these relations differed by cancer type.
resultsPath analyses indicated that perceived injustice was directly and indirectly-through acceptance of cancer but not meaning making-associated with psycho-spiritual outcomes. Results did not differ between lung and prostate cancer patients.
conclusionsAdvanced cancer patients with greater perceived injustice are at higher risk for poor psycho-spiritual outcomes. Acceptance of cancer, but not meaning making, explained relationships between cancer-related perceived injustice and psycho-spiritual outcomes. Findings support testing acceptance-based interventions to address perceived injustice in advanced cancer patients.
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