Religious coping and physiological, psychological, social, and spiritual outcomes in patients with HIV/AIDS: cross-sectional and longitudinal findings.
The present study investigated the relationships between positive religious coping (e.g., seeking spiritual support) and spiritual struggle (e.g., anger at God) versus viral load, CD4 count, quality of life, HIV symptoms, depression, self-esteem, social support, and spiritual well-being in 429 patients with HIV/AIDS. Data were collected through patient interview and chart review at baseline and 12-18 months later from four clinical sites. At baseline, positive religious coping was associated with positive outcomes while spiritual struggle was associated with negative outcomes. In addition, high levels of positive religious coping and low levels of spiritual struggle were associated with small but significant improvements over time. These results have implications for assessing religious coping and designing interventions targeting spiritual struggle in patients with HIV/AIDS.
Psychology Department, Bowling Green State University, Bowling Green, OH, USA. trevino.kelly@gmail.com
Kelly M
KM
Trevino
Kenneth I
KI
Pargament
Sian
S
Cotton
Anthony C
AC
Leonard
June
J
Hahn
Carol Ann
CA
Caprini-Faigin
Joel
J
Tsevat
D000223:Adaptation, Psychological / Q000502:physiology*; D000328:Adult; D018791:CD4 Lymphocyte Count; D003430:Cross-Sectional Studies; D003863:Depression / Q000175:diagnosis / Q000453:epidemiology; D005260:Female; D015658:HIV Infections / Q000503:physiopathology / Q000523:psychology* / Q000821:virology; D015497:HIV-1; D006304:Health Status; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D012069:Religion and Psychology; D012649:Self Concept; D012944:Social Support; D029181:Spirituality; D011795:Surveys and Questionnaires; D019562:Viral Load