Religious coping among women with obstetric fistula in Tanzania.

Journal Article

Religion is an important aspect of Tanzanian culture, and is often used to cope with adversity and distress. This study aimed to examine religious coping among women with obstetric fistulae. Fifty-four women receiving fistula repair at a Tanzanian hospital completed a structured survey. The Brief RCOPE assessed positive and negative religious coping strategies. Analyses included associations between negative religious coping and key variables (demographics, religiosity, depression, social support and stigma). Forty-five women also completed individual in-depth interviews where religion was discussed. Although participants utilised positive religious coping strategies more frequently than negative strategies (p < .001), 76% reported at least one form of negative religious coping. In univariate analysis, negative religious coping was associated with stigma, depression and low social support. In multivariate analysis, only depression remained significant, explaining 42% of the variance in coping. Qualitative data confirmed reliance upon religion to deal with fistula-related distress, and suggested that negative forms of religious coping may be an expression of depressive symptoms. Results suggest that negative religious coping could reflect cognitive distortions and negative emotionality, characteristic of depression. Religious leaders should be engaged to recognise signs of depression and provide appropriate pastoral/spiritual counselling and general psychosocial support for this population.

Full Text

Duke Authors

Cited Authors

  • Watt, MH; Wilson, SM; Joseph, M; Masenga, G; MacFarlane, JC; Oneko, O; Sikkema, KJ

Published Date

  • January 2014

Published In

Volume / Issue

  • 9 / 5

Start / End Page

  • 516 - 527

PubMed ID

  • 24735435

Electronic International Standard Serial Number (EISSN)

  • 1744-1706

International Standard Serial Number (ISSN)

  • 1744-1692

Digital Object Identifier (DOI)

  • 10.1080/17441692.2014.903988

Language

  • eng