Title

Spiritual Well-Being, Social Support, and Depression Among American Indian Women Cancer Survivors: The Mediating Effect of Perceived Quality of Life

Journal Title

Families in Society: The Journal of Contemporary Social Services

Publication Date

2019

Abstract

This study aims to examine the mediating effect of quality of life on associations between both spiritual well-being and social support and depression among American Indian (AI) women cancer survivors. We collected cross-sectional data from AI women in the Midwest who were cancer survivors (n = 73) with a self-administered survey. We employed a series of linear regression to examine the mediation model. We found spiritual well-being and social support were negatively associated with depression. These results indicate the importance of spiritual well-being and social support as protective and resilient factors in reducing the risk of depression. Moreover, these associations were fully mediated by the women’s self-perception of their quality of life. Considering cultural-specific resilience, our findings would be useful for the design, adjustment, and implementation of future psychotherapeutic protocols for AI cancer survivors.

Keywords

quality of life, social support, spiritual well-being, depression, American Indian women, cancer survivors

Document Type

Article

Disciplines

Social and Behavioral Sciences | Social Work

Volume

101

Issue

1

First Page

83

Last Page

94

DOI

10.1177/1044389419853113

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