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Focus group and qualitative methodology with a cultural interpretive lens was utilized. The Model of Integrated Spirituality provided the conceptual framework for understanding the narratives. Findings: AAs and WHs did not differ on demographics, pain status, or integrative therapies. Three spirituality themes emerged: 1) pain and distress as antecedents to the use of spirituality; 2) active and existential attributes of the use of spirituality; and 3) mobilization of internal and external resources as outcomes. There were commonalities between AAs and WHs but greater frequency of certain subthemes and keywords in AAs. Conclusions: Future studies should examine whether differences in overt expressions translate into different types and levels of spiritual usage. Implications for Practice: Clinicians should recognizing similar as well as different uses and descriptions of spirituality between African Americans and Whites.<\/jats:p>","DOI":"10.1177\/0898010111423420","type":"journal-article","created":{"date-parts":[[2011,10,24]],"date-time":"2011-10-24T22:21:24Z","timestamp":1319494884000},"page":"107-116","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Spiritual Expressions of African Americans and Whites in Cancer Pain"],"prefix":"10.1177","volume":"30","author":[{"given":"Harleah G.","family":"Buck","sequence":"first","affiliation":[{"name":"The Pennsylvania State University, University Park"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salimah H.","family":"Meghani","sequence":"additional","affiliation":[{"name":"University of Pennsylvania, Philadelphia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2011,10,24]]},"reference":[{"key":"bibr1-0898010111423420","doi-asserted-by":"publisher","DOI":"10.1007\/s10943-007-9148-8"},{"key":"bibr2-0898010111423420","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.20049"},{"key":"bibr3-0898010111423420","doi-asserted-by":"publisher","DOI":"10.1067\/mcp.2002.126180"},{"key":"bibr4-0898010111423420","doi-asserted-by":"publisher","DOI":"10.1300\/J077v22n02_03"},{"key":"bibr5-0898010111423420","doi-asserted-by":"publisher","DOI":"10.1097\/00004650-200611000-00006"},{"key":"bibr6-0898010111423420","doi-asserted-by":"publisher","DOI":"10.1097\/01.NCC.0000305702.07035.4d"},{"key":"bibr7-0898010111423420","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.23.12.1780"},{"key":"bibr8-0898010111423420","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2006.9.1454"},{"key":"bibr9-0898010111423420","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2004.03053.x"},{"key":"bibr10-0898010111423420","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4637.2005.05007.x"},{"issue":"2","key":"bibr11-0898010111423420","first-page":"67","volume":"17","author":"Gibson L. 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