“…Patients may struggle to maintain their roles as workers, mothers, and wives (Tanyi, 2002) and may experience strained relationships as a result of the daily demands of the illness and treatment (White and Grenyer, 1999). religiosity in ESRD (Patel et al, 2002;Berman et al, 2004;Ko et al, 2007;Thomas and Washington, 2012). However, despite the increasing interest in studying spirituality in the lives of patients with ESRD, the evidence remains inconclusive as some researchers found that spirituality was conducive to better HRQOL and satisfaction with life and medical care (Patel et al, 2002;Berman et al, 2012) while others found that there was no positive association between spirituality/religiosity and HRQOL in patients receiving HD treatment (Ko et al, 2007;Thomas and Washington, 2012).…”