OBJECTIVE This study aimed to (a) examine the relationships of 3 facets of spirituality (i.e., meaning, peace, faith), and their interaction, with depressive symptoms among Black, Latino, and White cancer survivors; and (b) test fear of cancer recurrence (FCR) and social support (SS) as mediators of these relationships. METHOD Data were analyzed from the American Cancer Society's Study of Cancer Survivors-I, a longitudinal population-based study of cancer survivors' quality of life. A national sample of Black (n = 194), Latino (n = 90), and White (n = 2,775) survivors of the top 10 incident cancers completed measures 1 year (Time 1, T1), 2 years (Time 2, T2), and 9 years (Time 3, T3) postdiagnosis. RESULTS After controlling for T1 depressed mood and demographic and medical characteristics, T1 lower meaning and lower peace, but not faith, predicted greater depressive symptoms at T3 in the total sample. A significant interaction showed that higher faith predicted greater depressive symptoms specifically in the context of lower meaning. Race/ethnicity did not affect these relationships. FCR at T2 partially mediated the relationships of T1 meaning and peace with T3 depressive symptoms, and SS partially mediated the relationship between T1 meaning and T3 depressive symptoms. CONCLUSIONS Cancer survivors with greater meaning and peace appear better able to integrate the cancer experience into their lives. An interaction between T1 meaning and faith on T3 depressive symptoms replicated previous findings. Future research should treat spirituality as a multidimensional construct and focus on identifying and influencing malleable mechanisms of the associations between spirituality and mental health. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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多种族癌症幸存者样本中的精神和抑郁症状。

目的这项研究旨在（a）研究三个方面的灵性（即意义，和平，信仰）及其相互作用，以及黑人，拉丁裔和白人癌症幸存者之间的抑郁症状之间的关系；（b）测试对这些关系的调节者对癌症复发（FCR）和社会支持（SS）的恐惧。方法分析数据来自美国癌症协会的癌症幸存者研究I，这是一项基于人群的纵向研究，研究癌症幸存者的生活质量。全国黑人样本（n = 194），拉丁裔（n = 90）和白人（n = 2,775）在十大事件中的幸存者的生存时间分别为1年（时间1，T1），2年（时间2，T2） ）和9年（时间3，T3）的诊断后时间。结果在控制了T1的抑郁情绪，人口统计学和医学特征之后，T1的含义降低了，和平度降低了，但信仰降低了，预测总样本中T3会出现更大的抑郁症状。重大的交互作用表明，较高的信心会特别在较低含义的情况下预示更大的抑郁症状。种族/民族没有影响这些关系。T2处的FCR部分介导了T1含义与和平与T3抑郁症状的关系，SS介导了T1含义与T3抑郁症状之间的关系。结论具有更大意义和和平的癌症幸存者似乎能够更好地将癌症经历融入他们的生活。T1含义与对T3抑郁症状的信念之间的相互作用重复了先前的发现。未来的研究应将灵性视为一个多维结构，并着重于识别和影响灵性与心理健康之间联系的可塑机制。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。