{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,19]],"date-time":"2026-07-19T00:52:48Z","timestamp":1784422368075,"version":"3.55.0"},"reference-count":40,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T00:00:00Z","timestamp":1755043200000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To learn about spiritual and psychosocial palliative care needs of Muslim Americans with advanced cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional English\/Arabic (patient preference) survey was conducted with 120 Muslim Americans with advanced cancer in New York City (2022\u20132023). Survey instruments included Functional Assessment of Cancer Therapy\u2010General (FACT\u2010G, quality of life), Hospital Anxiety and Depression Scale (HADS\u20142 subscales), Medical Outcomes Study (MOS\u2014emotional, tangible, affectionate support, positive social interactions), Functional Assessment of Chronic Illness Therapy\u2013Spiritual Wellbeing (FACIT\u2010SP\u2014spiritual wellbeing, Modified Duke Religious Index (DUREL\u2014religious involvement), Distress Thermometer and Problems List.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      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\u2010G), little anxiety\/depression (HADS), and high social support (MOS), spiritual wellbeing (FACIT\u2010Sp), and religious involvement (DUREL); 51.7% had clinically high Distress Thermometer scores (4\u201310). We found strong positive correlations between FACIT\u2010Sp and both total FACT\u2010G (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001) and MOS (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). There was a moderate positive correlation between FACIT\u2010Sp and DUREL\u2010intrinsic religiosity (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.002). There was a strong positive correlation between total FACT\u2010G and MOS (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). There were strong negative correlations between Distress and FACT\u2010G (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), FACIT\u2010Sp (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), and MOS (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). There were strong negative correlations between the HADS scales and FACT\u2010G (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), FACIT\u2010Sp (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), and MOS (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). The HADS scales showed strong positive correlations with distress (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001) and each other (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70255","type":"journal-article","created":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T02:47:08Z","timestamp":1755139628000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Spiritual Well\u2010Being, Religiosity, Quality of Life, Distress, Social Support, Depression, and Anxiety Among English\u2010 and Arabic\u2010Speaking Muslim Americans With Advanced Cancer: A Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"34","author":[{"given":"Claudia","family":"Ayash","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Immigrant Health and Cancer Disparities Service Memorial Sloan Kettering Cancer Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Jdid","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Immigrant Health and Cancer Disparities Service Memorial Sloan Kettering Cancer Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anagha","family":"Kakade","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Immigrant Health and Cancer Disparities Service Memorial Sloan Kettering Cancer Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minlun","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Immigrant Health and Cancer Disparities Service Memorial Sloan Kettering Cancer Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bharat","family":"Narang","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Immigrant Health and Cancer Disparities Service Memorial Sloan Kettering Cancer Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Lazenby","sequence":"additional","affiliation":[{"name":"University of California Irvine School of Nursing  Irvine California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Gany","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Immigrant Health and Cancer Disparities Service Memorial Sloan Kettering Cancer Center  New York New York USA"},{"name":"Department of Medicine Department of Population Health Sciences Weill Cornell Medical College  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,13]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"National Cancer Institute. \u201cPalliative Care in Cancer \u201d Accessed May 1 2024 https:\/\/www.cancer.gov\/about\u2010cancer\/advanced\u2010cancer\/care\u2010choices\/palliative\u2010care\u2010fact\u2010sheet#when\u2010is\u2010palliative\u2010care\u2010used\u2010in\u2010cancer\u2010care."},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1200\/jco.19.02108"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12904\u2010019\u20100508\u20104"},{"key":"e_1_2_11_5_1","unstructured":"Pew Research Center. \u201cU.S. Muslims Concerned about Their Place in Society but Continue to Believe in the American Dream: Findings From the Pew Research Center's 2017 Survey of U.S. Muslims \u201d (2017) 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