{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T16:45:10Z","timestamp":1783529110034,"version":"3.55.0"},"reference-count":49,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T00:00:00Z","timestamp":1769558400000},"content-version":"unspecified","delay-in-days":27,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1478951525101387_sec1a\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine associations between spiritual well-being (faith and meaning dimensions) with emotional suffering (anxiety, depression, hopelessness, and quality of life) in Latinos with advanced cancer and examine themes of existential coping.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951525101387_sec2b\">\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>In a mixed-methods study, participants were recruited from cancer clinics in New York and Puerto Rico. Measures included the Functional Assessment of Chronic Illness Therapy \u2013 Spiritual Well-Being Scale, the Hospital Anxiety and Depression Scale, and the Beck Hopelessness Scale. A subset of participants completed in-depth semi-structured interviews exploring the roles of existential and religious factors in adjustment to cancer. Correlations were conducted, and the interviews were analyzed with a thematic analysis approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951525101387_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A sample of 142 Latinos with advanced cancer participated (67.6% stage IV and 32.4% stage III). The spiritual well-being, faith and meaning factor were associated with anxiety and depression symptoms. Meaning was associated with lower hopelessness and showed stronger associations with emotional suffering than the faith dimension. Lower acculturation was associated with higher hopelessness but not with depression\/anxiety. In semi-structured interviews (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a024), recurrent themes were: (1) receiving existential support from counselors; (2) receiving spiritual support from family and\/or friends; (3) focusing on being spiritual and finding purpose rather than on a specific religion or faith; (4) religious coping; and (5) spiritual coping, focused on self-growth, finding meaning, and helping others to cope. Patients identified sources of meaning, including helping others, having a fighting spirit, a spirit of learning, enjoying work, enjoying life, family and children, confidence in providers\/treatment, God\/faith, and spirituality.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951525101387_sec4d\">\n                    <jats:title>Significance of results<\/jats:title>\n                    <jats:p>Meaning had a more significant influence than faith on emotional suffering. Participants emphasized the importance of finding meaning and purpose, self-growth, and helping others as ways to cope with an advanced diagnosis. Interventions with a meaning-making approach, emphasizing finding purpose and growth, are needed for Latinos with advanced cancer.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951525101387","type":"journal-article","created":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T09:12:04Z","timestamp":1769591524000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["\u201cFinding meaning in life after a cancer diagnosis\u201d: A mixed methods study with Latinos with advanced cancer"],"prefix":"10.1017","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0942-5657","authenticated-orcid":false,"given":"Rosario","family":"Costas-Muniz","sequence":"first","affiliation":[{"name":"Memorial Sloan Kettering Cancer Center"},{"name":"Weill Cornell Medical 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Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e44"}}