Spiritual Surrender: Initial Appraisals of Cancer Diagnoses in Black Christian Women

The meaning-making model proposes that distress results from discrepancies between one's global meaning system and one's situational appraisals of negative life events. This model suggests a preventative function for religion when religious global beliefs inform situational appraisals in ways that minimize distress. Using consensual qualitative research, we evaluated the initial reactions to a cancer diagnosis of 29 Black Christian women. We examined how the women appraised the cancer diagnosis and how this appraisal was related to reported distress. Our results indicated that lower levels of distress were related to believing that God was faithful, while higher levels of distress were related to beliefs in retributive justice and cancer as a death sentence. Lower distress was further related to spiritual surrender, a religious coping practice that combines entrusting the outcome of one's cancer experience to God and actively pursuing treatment. We discuss spiritual surrender as a collaborative religious coping strategy and highlight its importance in informing culturally sensitive psychological interventions.