The Role of Spiritual Well-Being in Spanish Cancer Patients: Exploring the Relationship Between Health, Religiosity and Spirituality, and the Underlying Psychosocial and Behavioral Pathways

This study aims to examine the interactions of spiritual well-being with different psychosocial and behavioral aspects that have been proposed in the literature as pathways underlying the relationship of religiosity and spirituality (R/S) with physical health, specifically in cancer patients (N = 351). Using a cross-sectional research design, a series of hierarchical regression analyses show the predictive power of different elements of R/S (attachment to God, religious practice, commitment and coping, and spiritual experiences) on spiritual well-being. In turn, spiritual well-being (meaning/peace and faith) predicts gratitude and compassion (as psychological pathways). Thus, finally, spiritual well-being, together with gratitude and compassion, correlates to the rest of the psychological (positive and negative emotions), social (social support) and behavioral (healthy behaviors) pathways to different extents. Spiritual well-being may play an important role in understanding the relationships between R/S and health, so considering it along with its associated factors may be key to improving the health and quality of life of people affected by cancer in Spain.